unit 1 test study guide cna

ORBA omnibus budget reconciliation act

federal law enacted by us congress in 1987 abt improving qualkity of life for residents in nursing homes defining requirements for nurse aide training and competency evaluation programs

nurse aide 1 registry

listing of all individuals who meet state and fedderal training and testing requirements to perform nurse aide one tasks has to be redone every 24 months

health care personnel registry HCPR

ppl are investigated for neglect abuse etc someone in it for resident abuse neglect and misappropriation of resident property cannot work in a nursing home

nurse aide 1 registry listing requirements

successful completion of a state approved nurse aide 1 training porogram passing the 2 part state competency test which is written and oral and has the demo of 5 skills

what do you have to do for a renewal

you have to have qualified work experience every 24 montgs wgich means you have to work at least 8 hours of qualifgied work and if not you have to retrain

when is the first renewal date

the last day of the month you passed the two part test

what do rns use to delegate to nas

NCBON

what are basic skills an na needs

vital signs caring for env recognizing changes in behavior comforting patient when death is imminent documenting

importance of nas

following instructions from supervisors reporting findings and documenting accurately

personal care skills

tasks dealing with persons body appearance and hygeine

activities of daily living

hygiene grooming dressing eating trasnfering toileting

personal care nurse aids importance

encourage independence stay professional always provide privacy and observe the state of the patient

nurse aide as employee

act behave dunction in professional manner have good work ethic follow dress code dress neatly have appropriate shoes under garments must be appropriate color and style

rules to live by

make a good first impression never lie cheat steal look for the good in others take pride in what you do praise others and always use clean language

maslows hierarchey of needs

high to low self actualization self esteem love and belonging safety and security and physiological needs should go from the bottom to the top make a plan of care using this prioritizing whats most important

interdisciplinary care plan

keeps plan organized as things change requires teamwork communication and reporting accurately assist encourage provide care and report obserrvations

when is documentation imp

always when making a plan of care in acute home and long term care, a rn always delegates to nurse aides

laws

rules made by the government to protect the public there are two different kinds crimimal and civil laws

tort

a wrong committed against a person or property

malpractice

giving care for which you are not legally alalowed to

negligence

actions or failure to act or give proper care results in injury

assault

threatening to touch or touching someone without consent

battery

touching someone without conset or giving them treatments that they have opposed

false imprisonment

unlawful restraint of a patient

defamation

false statements to thirs person which causes shame or ridicule

diversion of drugs

unauthorized use of drugs

fraud

intentional deception which results in unauthorized benefit

invasion of privacy

violation of right to control personal information or to be left alone

ethics

knowledge of rights and wrongs which are guided by duty and conduct this guides provisions of quality care and actions of doctors this is vital to everyones safety

nurse aides role in ethics

use good judgement follow plan of care be trustworthy report abuse understand residents decisions even if they are different from your own ethics and respect familys decisions

communication

successfully sending and recieving messages using signs symbols words drawings and pictures use familiar words that mean something to everyone involved

3 person system of communcation

sender reciever and feedback

verbal comm

using words and speaking

non verbal

movements gestures facial expressions etc

positive and negative ways to communicate

shouldnt use negative always be positive

what is the importance of nas in comm

learn about the resident and their life and condition in order to build a relationship and get details on what is happening

communication barriers

language inappropriate words being confusing talking to fast and ignoring the resident

culture

characteristics of a group of people which is passed through generations

nas role in culture

respectful of peoples cultural preferences and accept each resident as a resident

special approaches to communication

speak slowly avoid medical terms and use words that seem familiar have a positive tone avoid confusion

recording

verbal account of care given to resident which is initiated immediately when there is a change in the residents condition

documentation

allows all of the health care team to be updated on what is happening always

HIPPA

health insurance portability and accountability act which is a law protecting privacy and security of persosn health info

how much do health care providers know bc of hippa

they are on a need to know basis

nas role in reporting

use of senses, personal care, interactions with those around them , vital signs

what should i report

comments or concerns from the resident regarding treatments and activities and unusual behaviors that havent been seen from that resident before

recording time

date and exact time which is often done using military time/ standard

important things about recording

maintain confidentiality at all times and relay info in specific terms when in doubt ask for clarification dont do things you arent sure about do not misuse electronic devices never share passwords

hippa breaches

like employee snooping or accessing files without authorization