As directed and supervised by a licensed nurse, the CNA may perform the following duties:

1. (1) Duties associated with collaboration with the health care team:

   1. (a) Accepting assignments;
   2. (b) Giving report to another team member; and
   3. (c) Orienting other nursing assistants to workflow and environment.

2. (2) Duties associated with communication and interpersonal skills:

   1. (a) Answering and placing call signals;
   2. (b) Communicating with clients, clients’ family members, and co-workers; and
   3. (c) Maintaining confidentiality.

3. (3) Duties associated with client-centered care:

   1. (a) Following the client’s plan of care and providing feedback to a nurse on the plan of care;
   2. (b) Organizing daily routines for a group of people according to each client’s preferences and the individual plan of care;
   3. (c) Protecting and respecting a client’s rights;
   4. (d) Promoting a client’s independence utilizing strength-based care approaches;
   5. (e) Providing holistic care and reporting any observed changes to the licensed nurse; and
   6. (f) Assisting with complementary therapies such as aromatherapy and using pre-recorded media for guided imagery.

4. (4) Duties associated with infection prevention:

   1. (a) Handwashing and hand hygiene;
   2. (b) Utilizing personal protective equipment;
   3. (c) Caring for the client’s environment;
   4. (d) Cleaning shared equipment;
   5. (e) Bedmaking and handling of linen;
   6. (f) Delivering and handling food and drinks;
   7. (g) Implementing precautions designed to prevent or limit the transmission of communicable and infectious diseases;
   8. (h) Handling of contaminated materials;
   9. (i) Handling of disposal of hazardous wastes; and
   10. (j) Applying a simple dressing to a dry, non-infected wound.

5. (5) Duties associated with safety and emergency procedures:

   1. (a) Applying fall prevention techniques;
   2. (b) Applying and removing restraints;
   3. (c) Applying techniques to prevent harm to the client;
   4. (d) Applying techniques helpful in preventing escalations in behaviors;
   5. (e) Avoiding and managing hazards in the workplace;
   6. (f) Implementing bleeding, cervical, hip, and sternal precautions;
   7. (g) Moving and transferring a client;
   8. (h) Transporting a client in a wheelchair, specialized chair, stretcher, or bed;
   9. (i) Turning and positioning a client in bed, chair, or wheelchair; and
   10. (j) Using lifts and safe handling devices.

6. (6) Duties associated with activities of daily living (ADL):

   1. (a) Assisting with nutrition and hydration by:

      1. (A) Assisting with eating and drinking;
      2. (B) Following aspiration precautions; and
      3. (C) Positioning a client for nutritional and fluid intake.

   2. (b) Assisting with elimination by:

      1. (A) Administering bowel evacuation suppositories that are available without a prescription;
      2. (B) Applying and removing external urinary catheters;
      3. (C) Assisting with toileting including the use of bedpan and urinal;
      4. (D) Changing a catheter bag;
      5. (E) Connecting and disconnecting external urinary catheters to suction;
      6. (F) Providing catheter care;

      7. (G) Providing ostomy care for established, healthy ostomy:

         1. (i) Emptying ostomy bag;
         2. (ii) Changing ostomy dressing, appliance or bag; and
      8. (H) Providing perineal and incontinence care.

   3. (c) Assisting with personal care and grooming for clients including individuals with tubes and special equipment by:

      1. (A) Bathing;
      2. (B) Dressing and undressing;
      3. (C) For clients with no visually compromised skin or compromised circulation, soaking, washing, clipping, or filing fingernails and toenails;
      4. (D) Implementing routines to promote sleep;

      5. (E) Performing the following oral hygiene duties for responsive and non-responsive client:

         1. (i) Brushing and flossing teeth and implants; and
         2. (ii) Inserting, removing, and cleaning dentures.

      6. (F) Providing the following skin care duties:

         1. (i) Applying lotion;
         2. (ii) Applying topical barrier creams and ointments;
         3. (iii) Applying anti-fungal ointments and powders;
         4. (iv) Preventing pressure, friction, and shearing; and
         5. (v) Using pressure relieving devices.
      7. (G) Removing, applying and caring for eyeglasses;
      8. (H) Removing, applying, and caring for hearing aids;
      9. (I) Shampooing and caring for hair; and
      10. (J) Shaving with an electric or disposable razor.

   4. (d) Assisting with following restorative care duties:

      1. (A) Ambulating;
      2. (B) Applying techniques for good body alignment and positioning including extremity elevation;
      3. (C) Assisting with bowel and bladder training;
      4. (D) Performing range of motion exercises; and
      5. (E) Using assistive devices for ambulating, dressing, eating, grooming, positioning, and transferring.

7. (7) Duties associated with technical skills:

   1. (a) Applying and removing anti-embolism elastic stockings, braces, orthotic or prosthetic devices;
   2. (b) Applying oxygen therapy at a prescribed rate, discontinuing oxygen therapy, and transferring oxygen tubing from one oxygen source to another;
   3. (c) Applying pediculicides;
   4. (d) Applying, removing, and turning on and off sequential compression devices;
   5. (e) Applying warm and cold therapy;
   6. (f) Applying, removing, and turning on and off continuous positive airway pressure (CPAP) or bi-level positive airway pressure (BiPAP) devices;
   7. (g) Assisting with coughing and deep breathing;
   8. (h) Changing a suction canister;
   9. (i) Collecting specimens (sputum, nasal swab, rectal swab, feces, urine, including clean catch);
   10. (j) Emptying output from drainage devices and closed drainage systems;
   11. (k) Manually and electronically measuring and recording temperature, apical and radial pulse, respiration, and blood pressure;
   12. (l) Measuring and recording height and weight;
   13. (m) Measuring and recording a blood pressure from the forearm;
   14. (n) Measuring and recording an orthostatic blood pressure reading;
   15. (o) Measuring and recording pulse oximetry reading;
   16. (p) Performing fingerstick capillary blood glucose (CBG) test;
   17. (q) Reinforcing the use of an incentive spirometer; and
   18. (r) Turning off, removing, and rinsing nebulizer treatment equipment.
8. (8) Duties associated with documentation including documentation of care provided, observations, and unusual occurrences.

9. (9) Duties associated with end-of-life care:

   1. (a) Providing comfort care; and
   2. (b) Providing care for the deceased.

Statutory/Other Authority

ORS 678.440, ORS 678.442 & ORS 678.444

Statutes/Other Implemented

ORS 678.440, ORS 678.442 & ORS 678.444

History

BN 15-2025, amend filed 06/27/2025, effective 07/01/2025
BN 5-2025, temporary amend filed 02/21/2025, effective 03/01/2025 through 06/30/2025
BN 1-2024, amend filed 02/23/2024, effective 03/01/2024
BN 16-2021, amend filed 07/21/2021, effective 08/01/2021
BN 7-2014, f. 12-3-14, cert. ef. 1-1-15
BN 4-2011, f. & cert. ef. 10-6-11
BN 1-2011(Temp), f. 6-6-11, cert. ef. 6-23-11 thru 12-20-11
BN 11-2010, f. & cert. ef. 6-25-10
BN 11-2009, f. & cert. ef. 12-17-09
BN 3-2004, f. 1-29-04, cert. ef. 2-12-04
BN 6-1999, f. & cert. ef. 7-8-99