NORTH CAROLINA BOARD OF NURSING
NURSE AIDE I TASKS*
I. PERSONAL CARE (ADL) V. SAFETY
- Bathing (assist, bed bath, tub bath, - Side rails/ call rails
shower, sitz) - Mitts and restraints
- Mouth care - CPR/Heimlich Maneuver
- Skin care - Infection control
- Hair care Handwashing
- Nail care Isolation technique
- Bedmaking (modified) Standard precautions
- Dressing and undressing
II. BODY MECHANICS VI. SPECIAL PROCEDURES
- Turn and position - Vital signs
- Transfer – chair and stretcher Temp (oral, rectal,
- Use of lifts axillary)
- Assist with ambulation - Pulse (radial, apical)
- Range of motion exercises Respirations
BP
III. NUTRITION - Height and weight (stand-up
- Prepare patients for meal time scales/bed scales)
- Feed patients - Application of heat/cold
- Intake and output - Prevent and care for decubitus
- Force and restrict fluids ulcers
+ - Surgical skin preps and scrubs
IV. ELIMINATION - Clean dressing changes
- Bedpan/urinal - Apply ace bandages, TEDs and
- Bowel/bladder retraining binders
- Collect/test specimens + - Apply and remove EKG monitor
- Perineal/catheter care leads
- Apply condom caths - Postmortem care
+ - Douches - Cough/deep breathing
- Enemas
+ - Insert rectal tubes/flatus bags
- Empty drainage devices from body
cavities/wounds
+ - Maintain gastric suction
Role of Nurse Aide I on Health Care Team*
*The licensed nurse maintains accountability and responsibility for the delivery of safe and competent care. Decisions regarding delegation of any of the above activities are made by the licensed nurse on a client-by-client basis. ALL of the following criteria must be met before delegation of any task may occur:
- task is performed frequently in the daily care of a client or group of clients;
- task is performed according to an established sequence of steps;
- task involves little to no modification from one client situation to another;
- task may be performed with a predictable outcome;
- task does not involve on-going assessment, interpretation or decision-making that cannot be logically separated from the task itself; and
- task does not endanger the client’s life or well-being.
As part of accountability, the registered nurse must validate the competencies of the NA I prior to delegating tasks. The licensed nurse (RN or LPN) must monitor the client’s status and response to care provided on an on-going basis.
* Core tasks which the North Carolina Board of Nursing has determined are appropriate for inclusion in basic NAI education programs.
+ Common tasks which are appropriate for delegation to NAI following appropriate education and competency validation by a registered nurse but are not required to be taught in the Division of Health Service Regulation approved 75 hour course.
The "Decision Tree for Delegation to UAP" (www.ncbon.com – Position Statements) is an additional tool to assist the RN and LPN in making appropriate decisions related to delegation of tasks to UAP.
Revised: 10/
