Level Three:
CA Nursing Assistants provide an advanced level of care to include all of the above care as well as:
- Vital signs are taken daily, recorded and reported for any indication of abnormal value
- Bedridden clients are turned at least every two hours and monitored closely to prevent the onset of skin breakdown (decubitus formation)
- Transfer management and or ambulation assistance may include gait belt safety
- Intake and output is noted and recorded
- Feeding and swallow ability and status is monitored
- Toileting and elimination is assisted or immediate incontinence care is given
- Foley Catheter and Ostomy-site care and bag emptying is as needed or at least every eight hours.
Level Four:
Live in Care: This plan is developed and arranged to provide 24 hour care that includes complete in-home assistance. All care is arranged to meet the specific and continual care of the client.
This works particularly well for clients who wish to remain at home but do not have immediate assisting family members living close by.
MNSD co-ordinates all care and assists with communication for the client and family members.
OR
Respite Care for Primary Care Assistants needing a time to rest and relax.
