CNA TRAINING FOR THIS

MODULE 1 - INTRODUCTION

What is Title 22?

California rules and regulations for healthcare facilities and nursing assistants.

What is OBRA?

A federal law that sets rules for long-term care facilities, resident rights, and nursing assistant training.

What is HIPAA?

A law that protects private health information.

What is OSHA?

The agency that protects workers by setting workplace safety rules.

What is FMLA?

A law that allows eligible employees job-protected leave for certain medical and family needs.

What is an ombudsman?

A person who helps protect residents' rights and investigates complaints.

What is scope of practice?

The tasks and responsibilities a nursing assistant is trained and legally allowed to do.

What is a delegated task?

A task a supervisor asks you to perform.

What is informed consent?

The resident understands the treatment, risks, and choices before agreeing.

What is a mandatory reporter?

A person legally required to report suspected abuse or certain unlawful activity.

What is a chain of command?

The order of who reports to whom in the healthcare team.

What is responsibility?

Being accountable for your duties and actions.

What is ethics?

Principles about right and wrong that guide behavior.

What is professionalism?

Acting responsibly, respectfully, safely, and appropriately at work.

What is confidentiality?

Keeping a resident's private information from people who do not need to know it.

What is an acute care facility?

A facility that provides short-term care for an illness or injury.

What is a long-term care facility?

A facility that provides ongoing care for people who need long-term assistance.

What is an assisted-living community?

A place where people live fairly independently but receive help when needed.

What is respite care?

Temporary care that gives the usual caregiver a break.

What is hospice?

End-of-life care focused on comfort rather than curing the illness.

What is home care?

Care or services provided in a person's home.

What is home health care?

Healthcare services provided in a person's home, often for a limited time.

What is Medicare?

A federal health insurance program mainly for people age 65 and older and certain other people.

What is a living will?

A legal document stating what medical treatment a person wants or does not want.

What is an advance directive?

A legal document stating a person's healthcare wishes if they cannot speak for themselves.

What is a nurse aide registry?

A database used to verify a nursing assistant's certification and good standing.

What is work ethic?

Being dependable, responsible, hardworking, and professional.

What does document mean?

To record what happened or what care was provided.

What does reinforce mean?

To support or repeat what has been taught.

What does refuse mean?

To say no or decline.

What is a Continuing Care Retirement Community (CCRC)?

A community offering different levels of care on one campus.

What is the Joint Commission?

An organization that accredits and surveys healthcare facilities.

What is RCAC?

A residential care or assisted-care setting.

What is CBRF?

A community-based residential facility or residential care setting.

What is the purpose of a long-term care facility?

To provide ongoing care and support to people who need assistance.

What is the nursing assistant's role?

Provide basic personal care, follow the care plan, protect residents, report changes, and stay within scope.

What qualities make a successful nursing assistant?

Dependable, respectful, caring, responsible, patient, professional, and a good communicator.

What is ethical behavior for a nursing assistant?

Do what is right, protect residents, respect choices, and follow laws and facility rules.

How should a nursing assistant maintain confidentiality?

Do not share private resident information with people who do not need to know.

What should you do if a task is outside your scope of practice?

Do not perform it; politely tell the nurse or supervisor that it is outside your scope.

What should you do if you do not understand a task?

Ask the nurse or supervisor for clarification or training.

Can a nursing assistant diagnose a resident?

No.

Can a nursing assistant change a resident's care plan?

No.

Can a nursing assistant report changes in a resident?

Yes.

Can a nursing assistant provide basic personal care?

Yes.

Nursing home vs assisted living?

Nursing homes provide more healthcare and assistance; assisted living is generally for people who are more independent.

Acute care vs long-term care?

Acute care is short-term care for illness or injury; long-term care is ongoing care.

Hospice vs acute care?

Hospice focuses on comfort at the end of life; acute care focuses on treating an illness or injury.

Home care vs nursing home care?

Home care happens in the person's home; nursing home care happens in a facility.

Responsibility vs scope of practice?

Responsibility is what you are expected to do; scope of practice is what you are legally trained and allowed to do.

Chain of command vs scope of practice?

Chain of command is who you report to; scope of practice is what you are allowed to do.

MODULE 1 - SCENARIOS

A resident asks about home health services. What should you do?

Get the nurse or supervisor to explain because you should not give information outside your role.

A resident is upset about a medication. What should you do?

Listen to the concern and report it to the nurse.

A resident wants information about their serious illness. What should you do?

Encourage them to speak with their healthcare provider.

Your job is too stressful. What should you do?

Talk to your supervisor about ways to handle the situation or other opportunities.

A nurse asks you to do something outside your scope. What should you do?

Politely remind the nurse that the task is outside your scope of practice.

A resident needs a task done according to the care plan, but you do not know how. What should you do?

Tell the nurse you need instructions or training.

A coworker is repeatedly late. What is the professional response?

Address the issue appropriately and follow the chain of command if needed.

A resident's daughter asks why the resident is being transferred. What should you do?

Get the nurse or supervisor to explain.

A doctor gives you instructions outside your role. What should you do?

Tell the doctor you are the nursing assistant and get the nurse involved.

A resident asks you to explain medical instructions. What should you do?

Refer them to the nurse or healthcare provider.

MODULE 2 - PATIENTS' RIGHTS

What is the main goal of protecting resident rights?

To protect dignity, privacy, safety, choices, independence, belongings, and self-esteem.

What is neglect?

Failing to provide needed care when the resident is harmed because of it.

What is abandonment?

Leaving a resident without proper care or before your replacement arrives.

What is negligence?

Not doing what a reasonable caregiver should do, causing harm.

What is assault?

Threatening a resident with physical, mental, or emotional harm.

What is battery?

Physically touching a resident without permission.

What is caregiver strain?

Stress or exhaustion that can affect a caregiver's ability to provide good care.

What is a law?

A rule you are legally required to follow.

What is false imprisonment?

Unfairly restricting a resident's movement.

What is abuse?

Purposeful harm to a resident; it can be physical, emotional, sexual, or financial.

What is misappropriation of funds?

Using or taking another person's money or belongings without permission.

What is isolation?

Separating a resident from others against their wishes.

What does a long-term care ombudsman do?

Helps protect resident rights and investigates complaints or rights violations.

What is a resident's right to refuse treatment?

A resident has the right to refuse treatment or an action.

Do residents have the right to privacy?

Yes.

Do residents have the right to make choices about their care?

Yes.

What is the difference between assault and battery?

Assault is a threat; battery is unwanted physical contact.

What is the difference between neglect and negligence?

Neglect is failure to provide needed care; negligence is failing to act as a reasonable caregiver should.

What is the difference between abuse and neglect?

Abuse is purposeful harm; neglect is failure to provide needed care.

What is the difference between abandonment and neglect?

Abandonment means leaving a resident without proper care; neglect means failing to provide needed care.

What is false imprisonment in simple words?

Keeping a resident from moving freely without proper legal reason.

What is misappropriation in simple words?

Taking or using a resident's money or property without permission.

MODULE 2 - SCENARIOS

You ignore a resident's call light and they fall. What is this?

Neglect.

You leave your assignment before your replacement arrives. What is this?

Abandonment.

You touch a resident without permission. What is this?

Battery.

You threaten to hurt a resident. What is this?

Assault.

You fail to reposition a resident as required and they develop a bedsore. What is this?

Neglect.

You lock a resident's wheelchair brakes so they cannot leave the table. What could this be?

False imprisonment.

You use a resident's phone without permission. What is this?

A violation of the resident's privacy.

You suspect a coworker is abusing a resident. What should you do?

Report your suspicion to your supervisor; do not investigate it yourself.

You hear coworkers discussing a resident in public. What should you do?

Remind them not to discuss residents in a public area.

A resident offers you a $20 tip. What should you do?

Thank the resident but explain that you cannot accept tips.