Georgia Certificate Nurse Assistant

ADLs

Actions that residents take during a typical day. Ex. eating, walking

Ambulating

Moving around/walking

Certification

Earned when a person has completed the necessary training and passed the testing required for it

Hospice

Healthcare facility or service that provides support for terminally ill patients

Infection control

Policies and procedures that lessen the risk of spreading diseases and infections

Scope of practice

The specific responsibilities, procedures and actions of a healthcare provided according to state and facility regulations

Professional attitudes and behaviors

Help provide a better care and establish an effective and respectful work environment. Putting the patient first!

Centers for Disease Control and Prevention (CDC)

A federal agency that helps prevent and control health threats. Determine regulations

OBRA

Established the standards and requirements for CNA training and evaluation. It is up to the states to meet them.

Residents Rights

They have the right to refuse care and must not be violated

Provide holistic care

Integrate body, mind and spirit

Primary care

Dr. office/clinic. Initial medical care to treat illness

Secondary care

Preventive care and promotion of wellness

Tertiary care

At hospitals/medical centers. Highly specialized care

Urgent care centers

Provide immediate, short-term, acute care

Skilled nursing facilities

Provide short-term, 24/7 care. The goal is rehabilitation so they can return home and function effectively

Residential care facilities

Nursing home. Long-term care for people who can no longer take care of themselves

Hospice

Provide care for terminally ill people with a life expectancy of 6 months or less

Home healthcare services

Offer services at home including companion care, running errands and providing entertainment

Laboratories

Provide procedures that help with the diagnosis of a disease or condition

PCP

Primary care providers. Staff outpatient clinics

Medicare

Health insurance program for people 65 years and older

Funding for Medicare

From taxes paid to the federal government

Medicaid

Provides insurance for people with low incomes or disabilities

Affordable Care Act

Increase the quality of care and protect insurance benefits

Who will you communicate concerns to?

Nurse in charge, following the chain of command

Usual staff ratio

10 patients for each CNA

Staffing

Process of determining the numbers and types of healthcare staff needed to take care of residents

Critical thinking

Rational, systematic, and deductive thinking

Aspects taken into consideration for staffing

Census and level of care

Never use when addressing residents or their families

First names or nicknames

What describes the culture of a healthcare facility?

Beliefs, customs, and attitudes

Regulations

Rules and requirements based on laws

Accreditation

Make sure that a healthcare facility meets the professional and community standards that promote safety and quality.

How often CNA renew their license?

Every two years

The Joint Commission

Example of private agency that accredits healthcare facilities

Who determines the scope of practice?

It is up to the states to determine it based on OBRA regulations

Nurse Practice Act

Where regulations regarding the scope of practice are found

Accreditation vs. Licensure

Accreditation is voluntary, while licensure is mandatory

Negligence

Unintentional failure to provide care

Malpractice

When professional standards are not followed, resulting in an injury

Purpose of HIPPAA

Maintain confidentiality of any paper, oral, or electronic record

Protected Health Information

Medical information that can be used to identify a person

Informed consent

Patient must understand the treatment

Care against patient’s wishes is

Physical abuse

Self-determination

The ability of people to take decisions for themselves

First right of the resident

Freedom from abuse, mistreatment and neglect

Nursing home resident bill of rights promotes

a safe environment and good quality of life

Neglect

Failure to provide necessary care that meets a resident’s daily needs

Defamation of character

False statements about a person that damage their reputation

Libel

When statements are written

Slander

When statements are spoken

Abuse

Deliberate action that causes harm

Elder abuse may be

Physical, verbal, financial or sexual

Code of conduct/code of ethics

Guidelines that set standards for care delivery and safe practice

Prognosis

Likely outcome of a patient’s case

Culture of safety

Shared commitment to ensure a safe work environment

Always events

Routine activities so important that they must always be performed

Clinically adverse events

Medical errors and near misses

Entrapment

When a patient gets stuck between the bed and the rails

Four principles of body mechanics

Stable center of gravity, line of gravity, wide base of support, proper body alignment when standing

Sharp-related injuries

Caused by sharp objects that break the skin

Bloodborne pathogens

Infectious microorganisms in the blood that can cause disease

When most falls happen

Between 10 and 630

Gait

Manner of walking

ACT

Used to prevent falls. be Aware, Correct risks and Take precaution

Incident report

Must be written as soon as possible after the accident. Document the exact details

Physical restraints

Used to physically keep them from moving

Chemical restraints

Make the patient drowsy so they can’t move freely

Restraints require

Dr’s order

RACE

Rescue, activate alarm, confine the fire, extinguish

CAB in CPR

Compressions, Airways and Breathing

Fibrillation

Irregular heart rhythm

Myocardial infarction

Heart attack

Cerebrovascular accident

Stroke

CPR ratio

30 compressions to 2 breaths

Use AED after

2 minutes of CPR

When patient is not getting enough oxygen

Check tubing for kinks

Angina

Chest pain

During a myocardial infarction

Call for help and chew an aspirin

Rule of Nines

Helps determine the percentage of the body burned

Treatment for first degree burns

Cool water for 10 min

Treatment for second degree burns

Clean are with mild soap and cover

Treatment for third degree burns

Cover with cool, moist bandage

Partial blockage

Do not stroke on the back, encourage to cough

Complete blockage

Perform abdominal thrusts, back blows

Abdominal thrust ratio

5 blows to 5 abdominal thrusts

Unconsciousness from chocking

Perform CPR

Fainting warning

Head to knees, then lift legs

Five Rights of Delegation

Right task, circumstance, person, communication, supervision and evaluation

Delegation pneumonic

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Goals of skilled care

Rehabilitation so care can be changed to intermediate

Intermediate care

For those who need assistance with ADLs. Assisted living

Supportive care

Special rehabilitation. Includes end-of-life care

Total patient care

One RN provides all the care required

Functional nursing

Nursing staff divide all required care tasks needed for a group of patients

Team nursing

Led by RN who coordinates a team and delegates tasks.

Progressive care

The delivery of care is determined by the degree of an illness

When medical emergency in healthcare facility

Follow facility procedure

Important principle of performing first aid

Know your limits when helping