Module 1: Introduction to Nurse Assistant

What are the three possible consequences for a facility if they violate federal regulations under OBRA?

• Loss of the ability to provide a nurse assistant training program.

• Civil money penalties

• Denial of payment for services

Explain what “scope of practice” means

“Scope of practice” refers to the specific task and duties that a nurse assistant is legally allowed to perform based on their training, state regulations, and facility policies.

Describe two ethical behaviors that are expected from a Nurse assistant providing care to a resident.

• Protecting the resident’s dignity and privacy.

• Providing care based on the resident’s needs, not gratuities (tips $).

California Code of Regulations (CCR) Title 22, Division 5

Establishes standards for health facilities, resident care, and Nurse Assistant programs.

CCR Title 22, Div 5 Key points:

• Licensing and certification standards

• Minimum standards of resident care

• Certification requirements (Initial & renewal)

OBRA (Omnibus Budget Reconciliation Act)

Establishes Medicare & Medi-Cal care standards.

Training requirements:

• 50 hours of theory, including Alzheimer’s disease and elder abuse.

• 100 hours of clinical training in a skilled nursing facility.

Continuing education requirements/ Certification renewal:

48 hours of continuing education every two years w/ at least 12 hours per year.

Qualities of a successful Nurse Assistant:

• Compassionate & caring

• Dependable

• Honest

• Respectful of cultural differences

Resident care responsibilities

Provide a safe environment: use equipment properly, be mindful of hazards, maintain cleanliness.

Psychological & emotional needs

Provide comfort, respect rights, and ensure dignity.

Professional behaviors

Be responsible, trustworthy, maintain certification, and adhere to scope of practice.

Resident care

Protect life, promote health, respect dignity, & maintain confidentiality.

Confidentiality practices

Discuss resident information only w/ health team members directly involved.

Breaching confidentiality

Sharing information with other residents, friends, family, or media is prohibited.

Health care members

Resident & family, CNA, RN, LVN, NP, PA, Physician, therapist, dietitians, etc.

Employment settings

SNF, hospitals, hospice, assisted living, psychiatric facilities, clinics, prison systems.