Hartman's CNA Chapter 2: The Nursing Assistant and the Care Team

observing and reporting simple changes are important because...

its used to help the care team adjust their care plan properly, to meet the resident's changing needs

list 3 factors that are considered when creating a care plan

1. doctor's orders/diagnosis

2. the resident's overall health condition

3. the resident's goal and expectations

list the 5 steps of nursing process

ADPIE (add pie)

1. Assessment - overall health condition

2. Diagnosis - the health problem

3. Planning - the goals to be expected

4. Implementation: put the care plan into action

5. Evaluation: exam the results and see if goals are met, includes the review process with care team

activities director

person responsible for implementing the proper activities and programs to improve daily living skills (encourages socialization, provides entertainment, relaxation, and fulfillment)

Licensed Practical Nurse (LPN) or Licenses Vocational Nurse (LVN)

licensed professional who has completed 1-2 years of education and is able to administer medications and give treatments

medical social worker (MSW)

determines residents' needs and helps residents get support services, such as counseling

nursing assisstant (CNA)

performs assigned tasks, such as taking vital signs, providing personal care, and reporting observations to other care team members

occupational therapist (OT)

helps residents learn to adapt to disabilities by training residents to perform ADLs and other activities

physical therapist (PT)

administers therapy in the form of heat, cold, massage, ultrasound, electrical stimulation, and exercise to muscles, bones, and joints

physician or doctor (MD)

doc of osteopathy (DO)

(bone and muscle)

diagnoses disease or disability and prescribes treatment

registered dietitian (RDN)

creates diets for residents with special needs

registered nurse (RN)

licensed professional who has graduated from a 2-4 year nursing program and coordinates, manages, and provides skilled nursing care

resident

person whose condition, treatment, and progress are what the care team revolves around

speech therapist (ST) or speech language pathologist (SLP)

teaches exercises to help the resident improve or overcome speech problems

charting

another duty of the nursing assistant is writing down important information about the resident

compassionate

being caring, concerned, considerate, empathetic, and understanding

conscientious

being guided by a sense of right and wrong and having principles. People who are conscientious always strive to do their best.

dependable

getting to work on time and doing assigned tasks skillfully

empathetic

identifying and understand the feelings of others

respectful

valuing other people's individuality and treating others politely and kindly

sympathetic

sharing in the feelings and difficulties of others

tactful or tact

showing sensitivity and having a sense of what is appropriate with dealing with others

tolerant

putting aside personal opinions and not judging others

unprejudiced

without judgement; giving the same quality of care regardless of age, gender, sexual orientation, religion, race, ethnicity, or condition

how often should nursing assistants bathe or shower?

daily

how often should you care for a resident's hair brushing?

their hair should always be brushed or combed

proper type of clothing for a nursing assistant

clean pressed uniform

the only piece of jewelry that is acceptable for NAs to wear

a watch

why should artificial nails not be worn to work?

they harbor bacteria

chain of command

it describes the line of authority in a facility

liability

a legal term that means someone can be held responsible for harming someone else

why should a nursing assistant not do tasks that are not assigned to him or her?

the NA may put himself or someone else in danger

why is the RN concerned with the work that nursing assistant do?

the NA will be working under the authority of others' licenses

scope of practice

defines tasks healthcare providers are allowed to do (legally) and how to do them correctly

care plan

a guide to help the resident reach and maintain the best level of health possible and must be followed very carefully

what is the goal of the nursing process?

to plan and evaluate the resident's care needs

delegation

part of CNA's responsibility; transferring responsibility to a person for a specific task

CNA's must delegate their tasks to the NA taking the next shift and should ensure...

that the next shift is covered by someone who is knowledgeable and experienced with the tasks of the care plan.

stability

question to ask before delegating a task include, what is the level of resident _________?

list 5 guidelines for managing time

1. plan ahead

2. prioritize

3. make a schedule

4. combine activities

5. get help

assistive device or adaptive device

equipment used in occupational therapy (OT) to compensate for disabilities

- wheelchairs

- lifts

- button hook

- shoe or sock lifter

- special fork for meals

delegation: list the 5 rights

1. right task - can CNA perform it

2. right circumstance - can CNA handle challenges

3. right person - is CNA experienced

4. right direction - will CNA understand procedures

5. right supervision - will CNA have supervisor guidance

Chapter Review: 1. Briefly describe what each of the following members of the care team does?

1. Nursing assistant - acts as the eye and ears of the care team

2. Registered nurse (RN) - coordinates skilled nursing care, assigns tasks and supervises NA's

3. Physician - diagnose diseases/disabilities and prescribes treatment

4. Physician therapist - promotes recovery, healing & reduces pain

5. Occupational Therapist - help residents learn to compensate for their disabilities to preform ADLs

6. Speech Therapy (language pathologist) - promotes recovery with speech and swallowing problems

7. Registered Dietitian - creates diets for residents with special needs

8. Residents and their family - the resident has the right to make decision about their own care

Chapter Review: 2. List 6 examples of duties that nursing assistants perform?

1) vital signs

2) safety care

3) ADL (feeding/drinking, walking/transferring, cleaning, bathing, toileting)

4) manage supplies and equipment

5) making beds

6) cleaning of surroundings

Chapter Review: 3. List two duties that nursing assistants do not usually perform

1. not allowed to administer medication

2. not allowed to perform tube insert/removals

3. not allowed to change sterile dressings

Chapter Review: 4. Describe professionalism. List 5 examples of professional behavior with residents?

behaving in a more formal or business-like manner. Examples:

1. be respectful

2. be polite

3. do the assign task as listed in careplan.

4. listen to resident with patience

5. follow practices and procedures.

Chapter Review: 5. List 7 examples of professionalism behavior with an employer?

1) always follow all policies and procedures

2) always document and repot carefully and correctly

3) ask questions when you do not know or understand something

4) taking direction or criticism without getting upset

5) following the chain of command

6) be a positive role model for your facility

Chapter Review: 6. List 8 personal qualities that are important for nursing assistants to have.

1. compassion

2. empathetic

3. tactful and proper

4. conscientious, guided by right and wrong

5. dependable

6. respectful

7. unprejudiced

8. tolerant

Chapter Review: 7. Why do you think it is important for NA's to keep hair tied back?

Because it keeps them sanitary, neat and clean.

Chapter Review: 8. Why would wearing comfortable shoes be important?

NA's need to care for themselves and be comfortable

Chapter Review: 9. Give one reason why the chain of command is important?

chain of command describes the line of authority (hierarchy of job titles). This helps distribute responsibilities responsibly and protects the nursing team from liability

Chapter Review: 10. List 3 tasks that are said to be outside the scope of practice of nursing assistant.

1. NA's cant tell the resident or family the diagnosis or treatment plan

2. they don't perform procedures that require sterile technique

3. they don't administer medication