{"schemaVersion":"1.0","exportedAt":"2026-05-15T12:40:48.897Z","occupation":{"soc":"31-1131.00","title":"Nursing Assistants","group":"Healthcare Support","sector":"62","jobZone":3,"jobZoneInferred":false},"framework":{"version":null,"description":"Provide or assist with basic care or support under the direction of onsite licensed nursing staff. Perform duties such as monitoring of health status, feeding, bathing, dressing, grooming, toileting, or ambulation of patients in a health or nursing facility.","contextCovered":"Long-term care, skilled nursing, assisted living, hospital med-surg, home health, and rehabilitation settings; CNA certification through senior CNA / restorative aide roles.","levels":{"emerging":{"label":"Emerging","statements":["Activities of daily living (bathing, dressing, grooming, toileting) — provide to assigned residents under a nurse's review.","Vital signs (temperature, blood pressure, pulse, respiration) — measure and record accurately on stable patients.","Patient transfers (bed to chair, chair to commode) — perform with proper body mechanics under a senior CNA's coaching.","Infection control practices (hand hygiene, gloves, isolation precautions) — apply consistently across patient contacts.","Charting and care-plan documentation — complete legibly per facility standards on each shift.","Mealtime assistance and intake/output recording — perform reliably for dependent residents.","Mobility support (gait belts, transfer boards, wheelchairs) — use correctly for assigned patients.","Skin observations (redness, bruising, pressure points) — recognize and report to the charge nurse.","Resident call lights — respond within facility-target times across an assigned hall.","Behavior and orientation changes — flag to the licensed nurse rather than interpreting independently."]},"developing":{"label":"Developing","statements":["Multi-patient assignments — organize and prioritize across an 8-resident hallway on a routine shift.","Restorative-care tasks (range-of-motion exercises, ambulation programs) — perform per the care plan independently.","Common medical equipment (Hoyer lifts, oxygen concentrators, suction units) — operate safely under nurse direction.","Subtle changes in resident status — recognize and escalate appropriately to the licensed nurse.","End-of-life and dementia-care techniques — apply with patience and dignity on assigned residents.","New CNAs on shift — orient on hall routines and resident-specific care during their first week.","Family-member interactions — communicate respectfully and route clinical questions to the nurse.","Hospice-eligible residents — support per the care plan with sensitivity to comfort-care goals.","Charting in the electronic medical record — complete required fields without nurse follow-up.","Care-plan changes — implement on a familiar resident within the same shift."]},"proficient":{"label":"Proficient","statements":["Complex residents (multi-comorbid, high-acuity) — assist and assess across an acute-care or specialty unit.","Care-plan input and updates — contribute substantively in interdisciplinary care conferences.","Senior or lead-CNA responsibilities — guide hallway teams during a shift on staffing or assignment changes.","Difficult family conversations — handle initial responses on common concerns and route to the nurse.","Resident-rights and dignity issues — identify and report through the facility's grievance process.","Quality measures (pressure ulcers, falls, weight loss) — recognize trends and surface to nursing leadership.","New-grad CNAs and aides — mentor formally during 2–4 week orientations.","Equipment troubleshooting (failed lifts, oxygen alarms) — handle in real time without delaying patient care.","Specialty-area certifications (restorative aide, medication aide, dementia care) — maintain and apply within scope.","Cross-shift handoffs and resident-status reports — deliver to incoming staff with clarity and completeness."]},"advanced":{"label":"Advanced","statements":["Hallway or unit leadership — coordinate CNA staffing, breaks, and assignments across a shift.","Restorative-care program — design and audit on a unit in partnership with rehab and nursing.","New-hire CNA training — own the floor-portion of orientation across the facility.","Quality-improvement projects (pressure-ulcer reduction, falls prevention) — lead with administration support.","Survey readiness (state, CMS) — prepare the unit and represent staff during walkthroughs.","Resident-family councils — represent CNA staff in joint meetings with leadership and family advocates.","Career-pathway coaching (LPN, RN bridge programs) — mentor staff who want to advance.","Facility-wide programs (dementia care, restorative aide, palliative care) — coordinate with nursing and rehab leadership.","Regulatory readiness on care-plan documentation — own across a unit during survey cycles.","Senior advocate for CNA-staff voice — represent on committees and in leadership-level conversations."]}}},"sources":{"onet":"v30.2 (CC BY 4.0)","crosswalk":"https://skillscrosswalk.com","generator":"LER.me"},"attribution":"© EBSCOed"}