Chapter 2 Nursing
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65 Terms
What did Florence Nightingale help establish?
Nursing as a professional field.
What does OBRA require nursing assistants to complete?
Training program and competency evaluation.
What is the minimum OBRA training requirement?
75 hours.
How many hours must be supervised practical training?
At least 16 hours.
What are the two parts of competency evaluation?
Written test and skills test.
How many opportunities does OBRA allow to pass competency evaluation?
Three opportunities.
Who regulates nursing assistant training programs?
Each state, following OBRA requirements.
What is NATCEP?
Nursing assistant training and competency evaluation program.
What happens after completing training and passing competency evaluation?
You become certified in that state.
How can nursing assistants maintain certification?
Work required hours and renew certification.
What happens after two years without required nursing assistant work?
Retraining and competency evaluation are required.
How many continuing education hours are required yearly by OBRA?
At least 12 hours.
What is a nursing assistant registry?
Official record of certified nursing assistants.
What information does the registry contain?
Certification, employment, and abuse/neglect information.
Why do long-term care employers check the registry?
To verify nursing assistant certification.
How long must performance concerns remain on the registry?
At least five years.
What is reciprocity?
Certification may be recognized by another state.
Can you automatically work in another state with your certification?
No; state approval is required.
What are six basic needs nursing assistants help meet?
Hygiene, safety, comfort, nutrition, exercise, elimination.
What is an important role of the nursing assistant?
Observer and communicator.
What should nursing assistants report to the nurse?
Changes in physical or mental condition.
Why are nursing assistants good observers?
They frequently interact with patients and residents.
Who are the two licensed nurses you work with most?
RNs and LPNs/LVNs.
What is the main difference between an RN and LPN?
RNs have more education and broader knowledge.
What does an RN do?
Plans, coordinates, provides, and supervises care.
What does an LPN do?
Provides nursing care under RN supervision.
What does a nursing assistant do?
Provides basic nursing and personal care.
Who is the charge nurse?
Licensed nurse supervising nursing assistants.
Who is usually the unit manager?
An RN managing a particular floor or section.
What does the DON do?
Directs nursing care and manages nursing staff.
What does the QA/QI nurse monitor?
Quality-of-care problems, incidents, and accidents.
What does the RNAC oversee?
MDS assessment and documentation.
What does the CRNP have advanced training to do?
Perform advanced assessments and treat selected conditions.
What is team nursing?
An RN assigns tasks based on team members' skills.
Who leads a team nursing group?
An RN.
What is patient-centered care?
Care designed around the patient's needs.
What is the main focus of all nursing care?
The patient or resident.
What does "delegate" mean?
Give someone permission to perform a task for you.
Who can delegate tasks to nursing assistants?
RNs and LPNs.
Who remains responsible for delegated care?
The nurse who delegated it.
What is scope of practice?
Tasks legally permitted for the nursing assistant.
Can nursing assistants perform assessment, planning, or evaluation?
No; these require professional judgment.
Can nursing assistants take vital signs?
Yes, but they cannot interpret them.
What must a nursing assistant do after completing delegated care?
Report what was done and observed.
What are the five rights of delegation?
Right task, circumstance, person, direction, supervision.
What is the right task?
The task is appropriate and within your scope.
What is the right circumstance?
The patient's condition makes the task safe.
What is the right person?
The person has proper training and experience.
What is the right direction?
The nurse gives clear instructions.
What is the right supervision?
The nurse is available to supervise and answer questions.
Should you refuse a task simply because you don't want to do it?
No.
Give one valid reason to refuse an assignment.
It is outside your scope of practice.
What if the task could harm the patient?
You should refuse and explain your concern.
What if the nurse isn't available to supervise?
You may have valid reason to refuse.
What if you don't understand the instructions?
Ask the nurse for clarification.
Should you perform a task you haven't been taught?
No, unless supervised by a nurse.
Who should you tell if you cannot safely perform a task?
The nurse.
Can nursing assistants generally administer medications?
No, except some state-specific assisted-living exceptions.
Can nursing assistants receive doctors' verbal orders?
No.
Can nursing assistants diagnose illness?
No.
Can nursing assistants prescribe medications?
No.
Can nursing assistants supervise other nursing assistants?
No.
Can nursing assistants perform sterile procedures independently?
No.
Can nursing assistants generally insert or remove tubes?
No.
Who is responsible for supervising nursing assistants?
Licensed nurses.