(1) FTCC CNA 1 Modules A-E

Activities of daily living (ADL's)

Everyday things that a resident routinely does, such as hygiene and grooming, dressing, eating, toileting, and transferring. Reading is not a ADL.

Cognition

The manner in which messages from the five senses are collected, stored in memory, recovered from memory, and later used to answer questions, respond to requests, and perform tasks

Delegation

The process of assigning part of one's responsibility to another qualified person in a specific situation; transferring responsibility for the performance of an activity or task while retaining accountability for the outcome

Interpersonal skills

A health care provider's ability to get along with others, while getting the job done

North Carolina Board of Nursing

Regulatory body that provides a list of tasks that fall within the range of function for Nurse Aides in NC

NCBON Administrative Code

Defines the range of function for Nurse Aides in NC

NC Nurse Aide I Registry

A registry of all people who meet state and federal training and testing requirements to perform NA I tasks, in the state of NC

OBRA (Omnibus Budget Reconciliation Act) of 1987

Federal law, enacted by Congress in 1987, to improve quality of life of residents living in a nursing home environment

Work Ethic

Behavior in the workplace that includes appearance, communication skills, treatment of others, choices, judgement, and teamwork

Plan of care

The NA I may be delegated a task by the RN that is based upon a resident's __________

Privacy

______ is key when providing basic nursing skills

5 Rights of Delegation

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

Airborne precautions

A transmission based precaution that prevents spread of harmful germs that travel in the air at a distance, using standard precautions, plus a respirator, depending on the specific disease (examples include Tuberculosis, chicken pox, measles, legionnaires)

Bloodborne pathogens

Harmful germs found in human blood and can cause infection and disease

Body fluids

Blood, pus from a wound, liquid from sores, urine, stool, tears, spit, droplets from sneezes and coughs, and sputum

Carriers

People who have harmful germs living on or in their body, but are not visibly sick

CDC (Centers for Disease Control)

An agency the federal government that is in charge of the control and prevention of disease, in our country

Chain of Infection

Infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host

Contact Precautions

A transmission-based precaution that prevents spread of harmful germs by direct contact, using standard precautions, plus gown and gloves (examples include MRSA, norovirus)

Droplet Precautions

A transmission-based precaution that prevents the spread of harmful germs that travel by droplets in the air, using standard precautions, plus mask and gloves (examples include influenza, meningitis, whooping cough)

Usually, do not travel farther than three feet.

Standard Precautions

The basic tasks that health care workers must do to prevent and control the spread of infection are treating all body fluids, non-intact skin, and mucous membranes as if they were infected for every resident/patient when providing care.

Systemic Infection

An infection that affects an entire body part or whole body system

PPE

Personal Protective equipment (gloves, masks, gowns)

Donning PPE reduces the risk of exposure to harmful germs in blood, urine, stool, saliva, and sputum.

Norovirus

A contagious gastrointestinal illness

World Health Organization (WHO)

An organization within the US whose purpose is to aid in the achievement of highest level of health for all of the world's people

localized infection

An infection found in one part of the body with symptoms noted at that one part of the body. Example: Infected finger.

Example of a systemic infection

Respiratory infection

Hepatitis B virus (HBV)

Disease of the Liver

It can live outside the body on equipment and surfaces for seven days and infect others during that time.

A vaccine is available to prevent you from getting the disease.

PASS

Acronym for use of the fire extinguisher:

Pull the pin,

Aim at the base of the fire

Squeeze the handle, and

Sweep back and forth at the base of the fire.

RACE

Acronym to remember in case of fire:

Remove residents from danger

Activate alarm

Contain the fire by closing all doors and windows

Extinguish the fire.

Resident's environment

The area of a long term care center that a resident calls home, designed to provide comfort, safety, and privacy for the resident

Fall Prevention Program

What is the key to decreasing reported resident falls?

Medical emergency

Unconscious resident, resident not breathing, no pulse, or severe bleeding

Communication

Successfully getting and receiving messages

Culture

A view of the world as well as a set of values, beliefs, and traditions that are handed down from generation to generation

Therapeutic communication

A type of communication that health care providers consciously use when talking with residents in order to influence residents or help residents to a better understanding

Verbal communication

The act of sending/receiving the spoken message

Abuse

Willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain, or mental anguish

Assault

Act of threatening to touch, or attempting to touch a person, without proper consent

Battery

Touching a person without consent

Confidentiality

Not disclosing or telling information that is personal or private about a resident, exept to authorized people

Consent

The right to decide what will be done to the body and who can touch the body, may be written, verbal, or implied

Defamation

False statement made to a third person that causes a person shame or ridicule, or ruins their reputation; written is called libel; verbal is called slander

Invasion of Privacy

Violation of right to control personal information or the right to be left alone

Malpractice

Giving care for which you are not allowed legally to perform

Negligence

Actions or failure to act or give proper care resulting in injury

Resident's rights

Rights that have been written into federal law (OBRA) that identify how a resident must be treated while living in a long term care facility

Vulnerable Adults

Adults who are at risk for abuse or mistreatment because they are not able to protect themselves from harm due to mental, emotional, developmental disability; or brain damage; or changes from aging

Implied consent

Example:

The resident extended an arm after the nurse aide asked to check their blood pressure.

Health-Care Associated Infection

An infection that a resident gets while staying or living in a health care setting

Signs and symptoms of a bladder infection

Fever, chills, pain upon urination, strong-smelling urine that may have blood in it

Hand Hygiene

Washing hands with soap and water (or alcohol-based gel), using friction

Handwashing

The most important way a CNA can prevent spreading germs

Aerobic

Requires oxygen to survive

Non-verbal Communication

Using gestures, sign language, pictures, facial expressions to communicate

Hepatitis B

Disease of the Liver, can live outside the body on equipment/surfaces for 7 days.

Barriers to communication

Noisy room, lack of privacy, talking too fast, blindness, speech difficulty, prejudices, attitudes, sender or receiver being mentally confused

Host

An animal or a person

Non-intact skin

Skin that has an opening. Example are: cuts, scratches, and sores of the skin

Causative Agent

A harmful germ that causes an infection. Bacteria, a virus, a fungus or a parasite are examples.

Portal of Exit

Any way or route that harmful germs escape from the reservoir. Nose, mouth, GI tract, skin are examples

Direct Contact

Mutual touching of two things,people,or organisms which may cause the spread of harmful germs

Indirect Contact

Harmful germs spread by an object that has touched body fluids from the infected person

Aseptic technique definition

Clean management, not sterile

What is the best way to control the spread of MRSA?

Proper Hand Washing

Vulnerable Adults are not at greater risk of neglect, misappropriation of property, abuse, or exploitation.

True or False?

False. Vulnerable Adults are a greater risk for neglect, misappropriation of property, abuse and exploitation.

Visible bruising on your residents always means they have been abused.

True or False?

False. Visible bruising should never go ignored, but does not always mean abuse has taken place.