Division 63 - Standards and Authorized Duties for the Certified Nursing Assistant and Certified Medication Aide

Oct 3, 2026

Division 63 establishes standards and authorized duties for certified nursing assistants (CNAs) and certified medication aides (CMAs) when assisting a licensed nurse. It defines the CNA purpose of practice, limits independence, and requires adherence to the plan of care, reporting condition changes, and documenting observations, measurements, completed duties, and client statements. It also lists authorized CNA duties across care collaboration, communication, client-centered care, infection prevention, safety and emergency procedures, and activities of daily living.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages11

Reading Time28 min

AccessFree to download

Purpose of Authorized Duties and Standards

Standards for Certified Nursing Assistants

Authorized Duties for Certified Nursing Assistants

Division 63 Standards and Authorized Duties for the Certified Nursing Assistant and Certified Medication Aide 851-063-0010 Purpose of Authorized Duties and Standards (1) To establish standards for the certified nursing assistant (CNA) . (2) To identify the authorized duties which may be performed by the certified nursing assistant (CNA) and certified medication aide (CMA) in the process of assisting a licensed nurse; and (3) To establish conduct unbecoming for CNAs and CMAs. Statutory/Other Authority: ORS 678.440, 678.442 & 678.444 Statutes/Other Implemented: ORS 678.440, 678.442 & 678.444 History: BN 7-2014, f. 12-3-14, cert. ef. 1-1-15 BN 3-2004, f. 1-29-04, cert. ef. 2-12-04 BN 6-1999, f. & cert. ef. 7-8-99 851-063-0021 Standards for Certified Nursing Assistants In the process of client care the CNA must (1) Follow the plan of care as directed and supervised by the licensed nurse. A CNA may not work independently; (2) Report to the licensed nurse any observed changes in the client’s condition ; (3) Record observations and measurements, duties completed, and client statements about condition or care; and (4) Apply safety concepts in the workplace. Statutory/Other Authority: ORS 678.440, 678.442 & 678.444 Statutes/Other Implemented: ORS 678.440, 678.442 & 678.444 History: 851-063-0030 Authorized Duties for Certified Nursing Assistants As directed and supervised by a licensed nurse, the CNA may perform the following duties: (1) Duties associated with collaboration with the health care team: (a) Accepting assignments ; (b) Giving report to another team member ; and (c) Orienting other nursing assistants to workflow and environment. (2) Duties associated with communication and interpersonal skills: (a) Answering and placing call signals; (b) Communicating with clients, clients’ family members, and co-workers; and (c) Maintaining confidentiality. (3) Duties associated with client-centered care: (a) Following the client’s plan of care and providing feedback to a nurse on the plan of care; (b) Organizing daily routines for a group of people according to each client’spreferences and the individual plan of care; (c) Protecting and respecting a client’s rights ; (d) Promoting a client’s independence utilizing strength-based care approaches; (e) Providing holistic care and reporting any observed changes to the licensed nurse; and (f) Assisting with complementary therapies such as aromatherapy and using pre-recorded media for guided imagery. (4) Duties associated with infection prevention: (a) Handwashing and hand hygiene; (b) Utilizing personal protective equipment; (c) Caring for the client’s environment; (d) Cleaning shared equipment; (e) Bedmaking and handling of linen; (f) Delivering and handling food and drinks; (g) Implementing precautions designed to prevent or limit the transmission of communicable and infectious diseases; (h) Handling of contaminated materials; (i) Handling of disposal of hazardous wastes; and (j) Applying a simple dressing to a dry, non-infected wound. (5) Duties associated with safety and emergency procedures: (a) Applying fall prevention techniques ; (b) Applying and removing restraints ; (c) Applying techniques to prevent harm to the client ; (d) Applying techniques helpful in preventing escalations in behaviors; (e) Avoiding and managing hazards in the workplace; (f) Implementing bleeding, cervical, hip, and sternal precautions; (g) Moving and transferring a client ; (h) Transporting a client in a wheelchair, specialized chair, stretcher, or bed; (i) Turning and positioning a client in bed, chair, or wheelchair; and (j) Using lifts and safe handling devices. (6) Duties associated with activities of daily living (ADL): (a) Assisting with nutrition and hydration by: (A) Assisting with eating and drinking; (B) Following aspiration precautions; and (C) Positioning a client for nutritional

FAQs

What is the purpose of Division 63?

Division 63 sets standards for CNAs, identifies authorized duties CNAs and CMAs may perform while assisting a licensed nurse, and establishes conduct expectations for CNAs and CMAs.

What duties must a CNA follow during client care?

A CNA must follow the plan of care under a licensed nurse’s direction, report observed changes to the nurse, record observations and measurements, and apply workplace safety concepts. The CNA may not work independently.

What authorized duties does Division 63 list for CNAs?

Authorized duties include collaboration with the health care team, communication and confidentiality, client-centered care activities, infection prevention, safety and emergency procedures, and activities of daily living such as nutrition, elimination, personal care, and restorative care.

Oct 3, 2026

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