Nursing Assistants

Nursing assistants are essential members of the healthcare delivery team, providing direct patient care and supporting clinical outcomes under the supervision of licensed nurses. At Andella Home Care Services, our Nursing Assistant Services deliver structured, medically informed care to clients in home-based and long-term care settings.

Our Clinical Care Process

Care begins when a client, family member, or healthcare professional initiates a referral. During the intake process, we collect relevant clinical information including medical diagnoses, comorbidities, functional limitations, medication regimens, and physician orders.

A comprehensive nursing assessment is then conducted to evaluate:

  • Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs)

  • Mobility status and fall risk

  • Vital signs baseline

  • Skin integrity and risk of pressure injuries

  • Continence status

  • Nutritional and hydration needs

Based on these findings, a patient-specific care plan is developed, detailing the scope of nursing assistant interventions, frequency of care, documentation requirements, and clinical supervision structure. A qualified nursing assistant is then assigned accordingly.

Clinical Duties and Medical Responsibilities

Our nursing assistants perform evidence-based, hands-on patient care, including:

Vital Signs Measurement and Monitoring

  • Measurement and documentation of blood pressure, pulse, respiratory rate, body temperature, and peripheral oxygen saturation (SpO₂)

  • Recognition and reporting of abnormal physiological parameters

Activities of Daily Living (ADL) Assistance

  • Support with bathing, dressing, grooming, oral hygiene, and toileting

  • Maintenance of patient dignity and infection prevention standards

Mobility, Transfer, and Positioning Care

  • Safe patient handling techniques for bed mobility, transfers, and ambulation

  • Use of gait belts, walkers, wheelchairs, and other assistive devices

  • Repositioning schedules to prevent pressure ulcers

Skin Integrity and Wound Observation

  • Routine skin assessments to identify erythema, edema, or breakdown

  • Monitoring of pressure points and early-stage pressure injuries

  • Assisting with non-complex wound care as directed by a nurse

Elimination and Continence Management

  • Assistance with urinary and bowel elimination

  • Monitoring intake and output (I&O)

  • Perineal care and catheter site observation (where applicable)

Nutrition and Hydration Support

  • Assisting with oral feeding and dysphagia precautions

  • Monitoring nutritional intake and hydration status

  • Supporting prescribed therapeutic diets

Medication Support (Non-Administration)

  • Assisting with medication reminders and observation of self-administration

  • Monitoring for adverse drug reactions and reporting promptly

Infection Prevention and Control

  • Adherence to standard precautions and transmission-based precautions

  • Hand hygiene compliance and use of personal protective equipment (PPE)

  • Environmental sanitation of patient care areas