CNA studying flashcards

Acute care

AC, provides short term care to pt who have immediate illness/injury. can also be called hospitals.

acute care price

typically most expensive, usually accredited/surveyed by JOINT COMMISSION. surveyed at least once every 3 years

acute care goal

address patients immediate healthcare needs, stabilize conditions, discharge ASAP

acute care CNA responsibilities

vital signs, ambulation, measuring intake/output, caring for patients before/after surgery, bathing, repositioning

sub acute care facility

designed to treat residents who require 24hr care, medically stable

sub acute care goal

focus on pt education to prevent future hospitalization, return to prior level of function

sub acute care governed by who

Joint commission if unit located in hospital, state regulators if unit is HOUSED within LTC facility

sub acute care also know as?

rehabilitation

sub acute care funding?

Medicare, private insurance, or private pay

CNA responsibilities in rehab

depends on focus of unit, don’t vary as much as hospital, personal needs, ambulation, strength training, support/encourage independence

long term care facilities

LTC, known as nursing homes, skilled nursing facilities (SNF)

LTC governed by?

Federal legislation: OBRA of 1987, surveyed at least once a year

State regulation: enforces federal laws governing themand sets additional requirements for facilities.

LTC goals?

provide nursing care for extended period of timeand promote residents' quality of life and independence.

residents have access to what

OMBUDSMAN: helps protect resident rights

LTC funded how?

Medicaid, insurance, private funds

OMBUDSMAN

volunteer that works for state agency, advocates residents’ rights, field complaints.

doesnt work for SNF, works collaboratively with facility

doesnt need to be a nurse/have credentials

medicaid

low income, state/federal pays for care once all other funds are exhausted

medicare

federal program: 65+ or disability

assisted living facilities (non medical)

bridge gap between living independently and living in healthcare facility (nursing home)

AL facilities regulated by

state

AL facilities help how

basic bathing, cooking, dressing, cleaning

doesnt have 24hr nursing care

scope of practice

responsibilites, skills, actions that CNA is expected to follow

programs regulated by?

state and federal codes

CNA responsible for?

knowing scope of practices

scope of practice includes

basic personal care, offer emotion support, dementia care, assited in ADLs, restorative care

scope of practice doesnt include

delivering meds, insertion of catheters/IVs, changing care plans, teaching, delegation

chain of command

hierarchical route of communication, must always be followed

delegated tasks

action that supervisor asks you to complete, can be communicated verbally/care plan

teaching

not within CNA scope of practice, can reinforce what was originally taught

rights

beliefs/laws that determine CNA freedom

responsibilities

what hold us accountable for choices/actions

OSHA

occupational safety and health administration

what is OSHA

ensures employees have safe/healthy work conditions

who/when was OSHA created

occupational safety and health Act of 1970

FMLA

Family and Medical Leave Act - allows employees to take leave of absence for 12 weeks out of any 12 month period

FMLA can be used for?

birth/care of newborn, placement of child for adoption, care for family member with serious medical condition, inability to work due to medical conditions

Title 22

set of laws that govern in state of CA for: healthcare facilities, CNA programs, standards of care for long term care

HIPAA

AKA health insurance portability and accountability act

why is HIPAA important

protects healthcare information linking to individuals, includes info that is spoken/read/heard/written

confidentiality

can only share pt info to those that “need to know”

what is PHI

protected health information: any paper, oral reporting, electronic

informed consent

right to know treatments available/risks associated with treatments, nurse/physician informs resident

invasion of privacy

not respecting person’s right to keep certain items personal/private

misappropriation of funds

intentionally using another persons money without person’s permission

negligence

when caregiver doesnt follow standards of job/role he/she works in

abandonment

when caregiver walks away from assignment before shift ends/before replacement; leaving resident alone at risk

false imprisonment

limiting resident’s ability to freely move throughout their environment

neglect

when care/treatment/service isnt provided = resident is harmed as a result

assault

threatening a resident physically/mentally/emotionally

battery

physically touching a resident when you don’t have permission to do so

abuse

single/repeated action thats purposefully meant to inflict harm

• can be mental/emotional/sexual/repetitively withholding care