unit 1 CNA

OBRA: who does it protect?

Omnibus Budget Reconciliation Act. Those is long term care facilities

Occupational Safety and Health Administration, How does it protect

OSHA. Protects with workers

Satety data sheets/MSDS

A widely used abbreviation for Material Safety Data Sheet. A MSDS contains details of the hazards associated with a chemical, and gives information on its safe use.

Medicare

A federal program of health insurance for persons 65 years of age and older, have cerain dieabilites or permanent kidney faiulre, or are ill and cannot work

Certification Testing

Performed by a third party testing agency at the state level to become a CNA

Medicaid

A federal and state assistance program that pays for health care services for people who cannot afford them or are disabled

Client

A person using the services of a professional person or organization Home Health

Patient

Person cared for in a hospital setting

Resident

Person cared for in LTC or Assisted Living

Empathy

an understanding of another's feelings

Ombudsman

person assigned by law as the legal advocate for residents

Maslow's hierarchy of needs

a description of the needs that motivate human behavior: physiologic needs, safety and security, love and belonging, self

Human development

the scientific study of the changes that occur in people as they age from conception until death

Elder abuse

any knowing, intentional, or negligent act by a caregiver or any other person to an older adult; the act causes harm or serious risk of harm

Negligence

failure to take proper care in doing something

Abandonment

Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training.

Physical abuse

a pattern of intentionally causing bodily harm or injury to another person

Advanced directives

Communicates a client's wishes regarding and end

Completion Steps What are the steps?

Return the bed to lowest position, Place call light within reach, Wash hands, Report any changes to nurse and document

Preparation Steps What are the steps?

Identify sel, Identify resident by name, Wash hands, Explain, procidure to resident, Provide for privacy, Adjust bed to safe level & lock the bed wheels

Care plan

a written plan for each resident created by a nurse; outlines the steps taken by the staff to help the resident reach his or her goals

Health Insurance Portability and Accountability Act (HIPAA)

Protection of Health Information

Assault

threat or attempt to injure another in an unlawful manner

Battery

performing procedure without consent or physically harm another

restraint alternatives

Give 3 examples

Work place violence

Any acts of violence against persons or property. Threats, Intimidation, Harrassment, Inappropriate, disruptive behavior, Causes fear

False imprisonment

restraining an individual or restricting an individual's freedom

Incident Report

a document prepared to record the details of an accident, injury, or disturbance

Physical restraint

any method, device, material, or equipment that restricts a person's freedom of movement

Chemical restraint

any drug used for discipline or convenience and not required to treat medical symptoms

Acute illness

A sudden illness from which a person is expected to recover

Holistic care

care that promotes physical, emotional, social, intellectual, and spiritual well

Quality of life

the degree of overall satisfaction that a person gets from life

Audiologist

one who studies and specializes in hearing

chain of command

the line of authority that moves from the top of a hierarchy to the lowest level

charge nurse

registered nurse or licensed practical nurse;supervises the other nurses for a particular shift

delegation

The assignment of new or additional responsibilities from the registered nurse to the nursing assistant

Dependability

A character trait that the means you can be counted on to do what you say you will do.

dietician

a health care professional who has training in nutrition and diet planning

ethics

the principles of right and wrong that guide an individual in making decisions

health care team

Members of a team with the same goal of providing health care to patients.

Medication Administration

Clinical data including the name of the medication, dosage, date and time of administration, method of administration, and the nurse who administered it.Administering medications is outside the scope of practice for a nursing assistant

physical therapist

provides treatment to prevent disability or restore function through the use of exercise, heat, massage, or other techniques

podiatrist

a specialist in care for the feet

policy book

a book of courses of action that should be taken every time a certain situation occurs.

psychiatrist

A medical doctor who has specialized in the diagnosis and treatment of psychological disorders

Resident's Bill of Rights

rights guaranteed under the Omnibus Budget Reconciliation Act (OBRA) to residents in long

Role of nursing assistant

includes basic skills like helping with ADL's

Skilled Care Facilities

Facilities in which clients require specialized care

Provide skilled nursing care and rehab care to prepare patients for return to home environments or other long

term care facilities.

social worker

Job: work with client and client's family by coordinating inpatient and community resources to meet psychosocial and environmental needs that are necessary for recovery and/or discharge

Stress

the reaction of the body and mind to everyday challenges and demands

regulation

the use of governmental authority to control or change some practice

Confidentiality

the assurance that messages and information are available only to those who are authorized to view them

compassionate

Feeling or showing sympathy and concern for others.

Occupational Therapist (OT)

a therapist who helps residents to learn to compensate for their disabilities and assist them with activities of daily living

speech therapist

a health care professional who helps patients improve speech, communication and swallowing

abuse

any care that results in physical harm, pain, or mental anguish

accountable

expected to answer for one's actions; responsible, liable, answerable

aging process

the natural occurrences in the body that produce the changes associated with growing old

Documentation

The transcribing of resident information that is required to give evidence or proof of something being done.

domestic abuse

any physical, verbal, financial, sexual, or psychological behaviors in a household that is used to gain and maintain power over their victim/family member

emotional abuse

the nonphysical mistreatment of a person that attacks the development and sense of worth of an individual

financial abuse

the act of stealing, taking advantage of, or improperly using the money, property, or other assets of another

fraud

wrongful or criminal deception intended to result in financial or personal gain

living will

A document that indicates what medical intervention an individual wants if he or she becomes incapable of expressing those wishes.

Misappropriation

the act of taking what belongs to someone else and using it illegally for one's own gain

neglect

Failure to provide the person in the way in which one has been trained

passive

accepting or allowing what happens or what others do, without active response or resistance.

personal values/items

Privately owned items, such as keys, an identification card, or a wallet or watch.

refusal

To deny one of what is asked, such as not wanting to shower when asked.

Reporting

the exchange of information between health care team members

Resident's chart

a chart ,that must be kept confidential, that gives medical history of a particular resident

resident abuse

mistreatment of a resident usually involving mental or physical attacks

restraint

a physical or chemical way to restrict voluntary movement or behavior

seclusion

isolation from others, solitude

sexual harassment

comments, gestures, or physical contacts of a sexual nature that are deliberate, repeated, and unwelcome

sexual abuse

Any sexual contact that is forced upon a person against his or her will

side rails

bars positioned along the sides of the length of the bed or stretcher to reduce the patient's risk of falling

Slander

the action or crime of making a false spoken statement damaging to a person's reputation.

stealing

any action that unjustly takes away the property or rights of others

threatening resident

a resident who is angered and may or may not become violent

unethical behavior

behavior that does not conform to a set of approved standards of social or professional behavior

basic needs

These are the things people cannot live without, such as food, water, air, clothing, and shelter.

emotional stress

Worries, physical health, death, losses

emotional needs

Needs associated with feelings and include the need to belong, the need for comfort, and the need for self

physical needs

the most basic needs, including air, food, water, clothing, shelter and sleep

resident's families

the descendants of a resident which they are related to by marriage or blood who assist in decision making

self

esteem

sexual needs

Need or desire for intimacy.

Spiritual needs

One's faith in a higher power that give one meaning and purpose, love and relatedness, forgiveness and hope.

involuntary seclusion

separating a person from others against his or her will, keeping the person to a certain area, or keeping the person away from his or her room without consent

mental abuse

humiliation, harassment, threats, deprivation

Entrapment

The defense that the individual was induced by the police to commit the criminal act.

Stages of Human Development

infancy, toddler, preschool, school

cultural diversity

the existence of a variety of cultural or ethnic groups within a society.

Culture

the enduring behaviors, ideas, attitudes, values, and traditions shared by a group of people and transmitted from one generation to the next

informed consent

an ethical principle that residents are told information to enable them to choose whether they wish to participate in a procedure or surgery

psychological needs

the urge to belong and to give and receive love, and the urge to acquire esteem

psychosocial needs

needs that involve social interaction, emotions, intellect, and spirituality