Hartmans Nursing Assistant care/ fifth edition

What is long term care?

given in long-term care facilities for people who need 24 hour skilled care. (SNF)

What is home health care?

care provided in a person's home

Assisted Living Faculties

Facilities for residents who need help with daily care.

Adult Day Services

People who need assistance and supervision during certain hours

Acute Care

24-hour skilled care given in hospitals and ambulatory surgical centers for people who require short-term, immediate care for illnesses or injuries

Subacute Care

care given in a hospital or in a long-term care facility for people who need less care than for an acute illness, but more care than for a chronic illness

Outpatient Care

care given to people who have had treatments, procedures, or surgery and do not require an overnight stay in a hospital or other care facility

Five services commonly offered at long term care facilities

1. Therapies (Physical, occupational, speech) 2. Wound care 3. Nutrition Therapy 4. Management of Chronic Diseases, 5. Care of different types of tubes.

5 common policies at LTC facilities

1. Must be dependable 2. Not discuss personal problems 3. No taking of money or gifts 4. No tasks that are not in your job description 5. Maintain confidentiality.

What is studied an observed by surveyors?

How well they care for residents.

Whom does Medicare insurance cover?

Medicare covers people who are 65 years old or older and people younger than 65 years who are disabled or ill and cannot work.

Define person-centered care

emphasizes the individuality of the person who needs care, and recognizes and develops his or her capabilities

nursing assistant

A person who has passed a nursing assistant training and competency evaluation program; performs delegated nursing tasks under the supervision of a licensed nurse

Registered Nurse

A nurse who has completed a 2-, 3-, or 4-year nursing program and has passed a licensing test

Physician

medical doctor, PhD, Diagnosis, Prescribes, Treatment

Physicians Assistant (PA)

a health care professional who can diagnose and treat under the supervision of a physician

Physical Therapist

provides treatment to prevent disability or restore function through the use of exercise, heat, massage, or other techniques

occupational therapist

Helps resident learn to adapt to disabilities (performing activities of daily living)

Pathologist

specialist in the study of disease (lab/microscope)

Examples of duties NA's perform

1. Bathing 2. Elimination needs 3. Grooming 4. Motion exersizes 5. Changing beds

Two duties that NA usually do not perform

1. Insert or remove tubes 2. Change Sterile Dressings

By what name should a NA call a resident?

Calling a resident by their title (Mr. Mrs. Miss)

7 examples of professional behavior with an employer

1. Completing Tasks 2. Following produres/policies 3. Documenting, 4 Reporting issues, etc.

personal qualities

Compassion, empathy, sympathy, honest, tactful, consciencious,

Why is the chain of command important?

Protects employees and employers from liability

3 Tasks that are out of the scope of a NA

1. Sterile Techniques 2. Diagnose/Prescribe 3. Do not share diagnosis or treatment plan

Factors considered when forming a care plan

Residents Goals, Priorities and Preferences, Health and Physical Condition, Diagnosis and treatment

5 Steps of Nursing Process (ADPIE)

1. Assessment

2. Diagnosis

3. Planning

4. Implementation

5. Evaluation

5 rights of delegation

1. Right task

2. Right circumstance

3. Right person

4. Right direction/communication

5. Right supervision/evaluation

What should a NA do if he feels he does not have the necessary skills to perform a task?

Ask for help.

5 steps in managing time and assignments

Plan ahead, prioritize, make a schedule, combine activities, get help

Difference between Ethics and Laws

Ethics are knowledgable of right and wrong. Laws tell them what they MUST do.

Omnibus Budget Reconciliation Act (OBRA): How many hours must a NA complete at a miniumum

75 hours (Communication, Prevention, Safety, Resident Independence)

How soon should an MDS be completed on a new resident?

within 14 days of admin to the care facility

What is the purpose of residents rights?

-Specify how residents must be treated while living in a facility

-Provide ethical code of conduct for healthcare workers

mandated reporters

Designated professionals who are required by law to report known or suspected abuse or neglect

Three example of behavior promoting Residents Rights

Fulling informing of their rights, Allowing them to participate in their care, Allowing them to make independent choices.

Ombudsman

a legal advocate for residents in long-term care facilities

Five examples of a PHI (Persons Health Information)

Name, Address, Telephone, SSN, Medical Record Number

Who is the NA allowed to share info about a resident?

Anyone involved in their care?

Which member of the healthcare team is HIPPA applicable?

Applies to ALL healthcare providers (Dr. CNA, Nurses, anyone on the care team. )

Define Advanced Directives

A legal document that allows people to decide what type of medical care in the event they are unable to make those decisions themselves.

3 Rights Related to Advanced Directives

Right to participate in healthcare decision, Right to accept or refuse treatment, Right to prepare and adv. dir. Info. on facility policies that gov. these rights.

3 steps in communication process

(1) The sender sends a message

(2) The receiver receives the message.

(3) Providing feedback

Define Non-Verbal Communication

e.g. body language, gestures, tone

Culture

learned patterns of perceptions, values, and behaviors shared by a group of people

Why should "why" questions be avoided when talking with residents?

WHY questions make people feel defensive.

Objective information

information based on what a person sees, hears, touches, or smells; also called signs

Subjective Information

Information from the patient's point of view.

"I feel dizzy." And based on what they reported.

How should questions be phrased to a resident who has had a stroke?

Keep simple directions, ask Yes or No

How should a NA refer to the weaker side of a resident who has had a stroke?

Use terms, "Weaker" or "Involved" don't use "Weaker"