Chapter 3 - The Nursing Assistant (workbook)(CNA)

A ______is nursing care or a nursing procedure, activity, or work that can be delegated to nursing assistants when it does not require an RNs professionals knowledge or judgement.

nursing task

When a state recognizes the certificate, license, or registration issued by another state it is ______. This is also called reciprocity or equivalency.

endorsement

A ______ us a document that describes what the agency expects you to do.

job description

Another name for equivalency or endorsement is __

reciprocity

Official recognition by a state that standards or requirements have been met is ________

certification

_____ is also called endorsement or reciprocity

equivalency

________________ is the dishonest use of property

misappropriation

how do nursing assistance contribute to the efforts to reduce healthcare costs

staff mixing reduces costs including RNs LPN/LVN's and nursing assstants

what should you do if you believe that a nurse is performing an action that violates the states nurse practice acts

go up the chain of command and give the facts to the nurses supervisor

which nurse is performing an action that violates the nurse practice act

nurse C comes to work and is under the influence of alcohol and drug

how are the states nurse practice act relevant to nursing assistants

roles tasks actions and education of nursing assistants can be affected

if you do something beyond the legal limits of your role you could be

practicing nursing without a license

nursing assistance can face disciplinary charges and possible loss of certification for

failing to maintain confidentiality of information

how many hours of instruction are required by 0BRA for nursing assistant training and competency evaluation programs

75

in a training program for nursing assistants which skill would you be expected to master

positioning people in bed

what should you say first when you meet a patient in your student clinical experience

hello my name is Miss Jones I am a student nursing assistant

according to the nursing assistant registry if you had an incident of misappropriation what rights do you have

right to include a statement disputing the findings

how does the nursing assistant registry benefit you as an individual

shows that you successfully completed the states approved NATCEP

OBRA requires that re-training in a new competency evaluation test must be taken if you have not worked as a certified nursing assistant for

24 months

which action is best if a mandatory in-service training is scheduled during the middle of your shift

plan with coworkers some do patient care while others attend the training

which action could result in discipline with a possible loss of certification

you go to a patient's home after he is discharged and provide care without the supervision of a nurse

Which circumstance is most important for you to report to the supervising nurse

you overhear another nursing assistant asking a resident to lend her money for her child school fees

As a nursing assistant, you never give medications unless

you have completed a state-approved medication assistant training program

You are alone in the nurses station and you answer the phone Dr. Smith begins to give you verbal orders you should

politely give your name and title and then promptly get the nurse

The nurse asks you to assist him as he changes sterile dressings you should

assist him as needed

which member of the health care staff can tell the person or family a diagnosis or prescribe treatments

physician

The nurse asked you to carry out a task that you do not know how to do you should

promptly explain to the nurse why you cannot carry out the task

The nurse knows you are an EMT in addition to being a CNA she is very busy and asks if you will start an IV on a patient you should

Politely tell her that you cannot start an IV as a CNA

If you are giving care in a home you may it be expected to

Provide personal care and prepare meals

which action should you take if an elderly home care patient offered you extra money if you will help his wife to paint the house

Consult the supervising nurse about what to do and say

Which information must be immediately reported to the nurse

residents blood pressure and pulse are higher than usual

When you read a job description you should not take a job if it requires you to

function beyond your training limits

CNA

certified nursing assistant

LNA

licensed nurse assistant

LPN

licensed practical nurse

LVN

licensed vocational nurse

OBRA

Omnibus Budget Reconciliation Act

NATCEP

Nursing assistant training and competency evaluation program

BON

Board of nursing

RN

registered nurse

RNA

registered nurse aide

SRNA

state registered nurse aide

STNA

state tested nurse aide

When hospitals seek to reduce costs with staffing mix, nursing care is given by a mix of

RN's, LPN's/LVN's, & Nursing assistants.

Identify at least 7 areas of study that are included in a nursing assistant training program

- communication

- infection control

- safety & emergency procedures

- residents rights'

- basic nursing skills & personal care skills

- skin care, dressing, elimination, feeding, etc

- transferring, positioning, and turning methods

What information does the nursing assistant registry have about each nursing assistant?

- full name

- identifying information

- date the competency evaluation was passed

- information about findings of abuse, neglect or misappropriation

Why does OBRA require 12 hours of educational programs and performance reviews each year for every nursing assistant?

These requirements help ensure that you have the current knowledge and skills to give safe , effective care.

List at least four observations that a surveyor could make to assess your competence to perform your job

Observe if nursing assistants:

- maintain or improve the persons independent functioning

- perform range of motion exercises

- transfer the person from bed to wheelchair safely

- observe, describe, and report the persons behavior and condition to the nurse

- follow instructions

- practice infection control

If you wanted to work in another state, what would you do first?

- contact the state agency responsible for NATCEPs and the nursing assistant registry

- to find that agency: contact your current nursing assistant registry OR search on-line to locate the state agency

List 7 "nevers" that are role limits for nursing assistants

1)Never give drugs

2)Never insert tubes or objects into body openings or remove tubes

3)never take oral or phones orders from doctor

4)never perform procedures that require sterile technique

5)never tell the person or family the persons diagnosis or medical or surgical treatment plans

6) never diagnose or prescribe treatments or drugs for anyone

7)nursing assistants never supervise other nursing assistants

8)Never ignore and order

List three reasons for declining a job offer, based on your understanding of a written job description

- the job duties are not clear

- the job duties are mysterious

- they do not offer benefits

Identify at least 7 of the Nursing Assistant standards that are particularly meaningful to you

- performs nursing tasks within the range of functions

- is honest & shows integrity

- accepts or refuses nursing tasks based on his/her education

- is accountable for his/her behavior

- assists the nurse in observing patients and residents

- communicates

- asks the nurse to clarify when unsure

- uses educational and training opportunities as available

- practices safety measures to protect the person

- respects the persons rights, concerns, decisions and dignity

- functions as a member of the health team

- helps implement with care plan

- respects the persons privacy & property

- protects confidential information unless required by law to share

List 4 roles and responsibilities for nursing assistants that provide home care

- Laundry

- Shopping

- Preparing and serving meals

- Light housekeeping

you make a bed

basic nursing skills

you close Mr. Smith's door to give him provacy

residents' rights

you tell Mrs. Forbes the time of day and the day of the week frequently

how to care for cognitively impaired persons

you apply lotion to a resident's skin

skin care

you assist a person to put on his shirt

dressing

when assigned to a new unit, you check the location of the fire alarm.

safety and emergency procedures

you practice hand hygiene before and after giving care

infection control

you get help to move a person from his bed to the chair

transfferring, positioning, and turning methods

when speaking to Mr. Jackson, you maintain good eye contact

communication

the nurse tells you to exervise a person's extremities (limbs)

ROM exercises

you shave Mr. Stewart

personal care skills

you position a rurinal for a resident in bed

elimination procedures

you assist Mrs. Young to walk in the hall

helping the person walk

you notice that Mrs. Peck has an elecated temperature and her skin is warm

signs and symptoms of common diseases

you cut up the meat on Mr. Sanyo's plate before heping him to eat

feeding methods

If a patient refuses to have a student care for him, you should _____________________ the person's rights to choose who is involved in his care.

Respect

Practicing skills in the classroom or laboratory will make you feel more _______

comfortable and confident in your abilities