CSCC Nurc 1001 Exam 1

List tasks and responsibilities of Nurse Aide. Are there any limitations?

ADL (Activities of Daily Living)-Brushing teeth, hair, shower, bathroom.

STNAs do not take blood, give medications, or medical injections

Describe work ethics and STNA behaviors at work

the knowledge of what it right and what is wrong

Having ethical behavior means not be prejudiced or biased

What is the goal if rehabilitation and restorative care? Acute care?

Rehabilitation Care - To restore the person to the highest possible level of functioning.

Restorative Care - Care that helps persons regain health, strength, and independence.

Acute care - Stabilize the patient's condition, manage pain, prevent further complications, and start the early stages of rehabilitation.

To Whom does a nurse aide report?

The nurse

What information about resident would you communicate to other team members? When?

Vital signs, intake/output, weight, changes in the resident's condition

• changes in conditions

• when the nurse asks

• when you leave the unit for any break

• before you leave at the end of your shift

How does culture affect communication?

The person may attach different meanings to verbal and nonverbal communication.

Review communication techniques for residents with impairments

Communication techniques for residents with impairments as hearing, visual, confusion or dementia

Know how to write military time.

0100 - Zero one hundred 1:00 a.m.

0200 - Zero two hundred 2:00 a.m.

0300 - Zero three hundred 3:00 a.m.

0400 - Zero four hundred 4:00 a.m.

0500 - Zero five hundred 5:00 a.m.

0600 - Zero six hundred 6:00 a.m.

0700 - Zero seven hundred 7:00 a.m.

0800 - Zero eight hundred 8:00 a.m.

0900 - Zero nine hundred 9:00 a.m.

1000 - Ten hundred 10:00 a.m.

1100 - Eleven hundred 11:00 a.m.

1200 - Twelve hundred 12 noon

1300 - Thirteen hundred 1:00 p.m.

1400 - Fourteen hundred 2:00 p.m.

1500 - Fifteen hundred 3:00 p.m.

1600 - Sixteen hundred 4:00 p.m.

1700 - Seventeen hundred 5:00 p.m.

1800 - Eighteen hundred 6:00 p.m.

1900 - Nineteen hundred 7:00 p.m.

2000 - Twenty hundred 8:00 p.m.

2100 - Twenty one hundred 9:00 p.m.

2200 - Twenty-two hundred 10:00 p.m.

2300 - Twenty-three hundred 11:00 p.m.

2400 - Twenty-four hundred 12 midnight

0005 - Zero zero zero five 12:05 a.m.

What is infection control?

practices and procedures that prevent the spread of infection

What is a Bloodborne pathogen?

Disease-causing microorganisms carried in the body by blood or body fluids, such as hepatitis and HIV.

What are symptoms/signs of infection?

Redness, swelling , pain, heat, temperature and loss of function.

Review the elderly and infections, why are they more susceptible?

Increased risk due to impaired immune system, skin breakdown, poor nutrition/hydration, and chronic diseases

Review the chain of infection

1. SOURCE (Pathogen infectious agent)

2. RESERVOIR (place for the pathogen to grow and multiply)

3. PORTAL OF EXIT (The way the pathogen leaves the reservoir)

4. METHOD OF TRANSMISSION (pathogen is transmitted to another host)

5. PORTAL OF ENTRY (How pathogen enters the body)

6. SUSCEPTIBLE HOST (persons at risk for infection)

Review hand washing and gloving. What are the steps for handwashing?

1. Wet your hands. Use clean, running water (warm or cold)

2 Apply soap. Lather up and rub your hands together for at least 20 seconds

3. Rinse your hands. Turn the tap back on and rinse your hands under running water

4. Turn off the faucet. Use your elbow or a paper towel

5. Dry your hands.

What are the steps for using an alcohol-based hand sanitizer?

1. Apply the gel product to the palm of one hand (read the label to learn the correct amount)

2. Cover all surfaces of hands.

3. Rub your hands and fingers together until they are dry.

What is PPE? When do you need to use PPE?

Personal Protection Equipment

intended to shield individuals from chemical, physical, or biological waste site hazards

Review steps for donning and doffing PPE

Donning PPE -

1. Perform hand hygiene

2. Secure the gown

3. Don the mask

4. Don eye protection

5. Don the gloves

Doffing PPE-

1. Remove the gloves

2. Remove eye protection

3. Remove the gown

4. Remove the mask

5. Practice hand hygiene

What are the types of isolation? Know examples of when each type is necessary.

Types of isolation: contact, droplet, and airborne

Contact - Defined as direct or indirect contact with a patient and/or his or her environment including the person's room or objects in contact with the person, that has an infection with an organism transmitted fecal-orally, such as Clostridium difficile, or wound and skin infections, or multi-drug resistant bacteria such as methicillin-resistant Staphylococcus aureus (MRSA).

Droplet - Droplet precautions are necessary when a patient infected with a pathogen, such as influenza, is within three to six feet of the patient.

Airborne - Airborne precautions are required whenever entering a patient's room or environment who has been diagnosed with or is being tested for with high suspicion of anthrax, tuberculosis, measles, chickenpox, or disseminated herpes zoster or other pathogens that can be transmitted through airflow that are 5 micrometers or smaller in size and remains in the environment for long periods of time.

What is meant by standard precautions and when are they used?

Standard precautions are designed to reduce the risk of transmission of microorganisms from both recognized and unrecognized sources of infection in hospitals.

Vocabs

Rehabilitation

The process of restoring the person to his or her highest possible level of physical, psychological, social, and economic function.

Restorative nursing care

Care that helps persons regain health, strength, and independence.

Acute Care

Intense, specialized medical care is provided to a patient with an illness or injury that requires hospitalization.

NAR

Nursing Assistant Registered: performs assigned tasks and provides or assists with personal care, such as bathing residents and helping with elimination needs. Spend more time with residents than other members of the care team.

Must have at least 75 hours of training and pass a competency evaluation following course completion.

Microbes

A small (micro) living thing (organism) is seen only with a microscope.

Scabies

A skin disorder caused by a female mite.

Aphasia

The total or partial loss (a) of the ability to use or understand language. (phasia)

IDT (Interdisciplinary Team)

involves the many health care workers whose skills and knowledge focus on the person's total care.

Lice

AKA: Pediculosis: infestation w/wingless insects that feed on blood.

Pathogen

A microbe that is harmful and can cause infection.

Contaminated

The presence or anticipated presence of blood or OPIM (Other Potentially Infectious Materials) on an item or surface.

OBRA

Omnibus Budget Reconciliation Act of 1987

75 minimum hours with 16 clinical

•Skills portion 35 minutes

•Written 90 minutes with 79 questions

OSHA

Occupational Safety and Health Administration

CDC

Centers for Disease Control

Elimination

the expulsion of waste matter from the body.

HIPAA

Health Insurance Portability and Accountability Act of 1996

Nonverbal communication

Communication that does not use words

Verbal communication

Communication that uses written or spoken words

Care conference

a "course of action" discussion; what's the problem, and possible solutions

Care plan

A document that provides direction on the type of nursing care the individual/family/community may need.

Medical record

A written record of the important information regarding a patient, including the care of that individual and the progress of his or her condition.

Sterilization

The process of destroying all forms of microbial life including spores.

Clean

Free from contamination or disease

Clarifying statement

Contacting the health care provider to understand the handwriting on the medical certification or to understand the meaning of a response

Open Ended question

A question that requires respondents to provide answers in their own words, rather than 'yes', 'no', or 'don't know'.

Closed ended question

Can be answered with "yes" or "no" or a specific answer such as a number, time, color, or size

MRSA

Methicillin-Resistant Staphylococcus Aureus (MRSA): a specific type of staph infection that's resistant to antibiotics. Symptoms include red, swollen bumps possibly filled with pus. Can quickly turn into deep, red abscesses.

C-Diff

Clostridioides difficile: a highly contagious bacterium that causes diarrhea and colitis. Symptoms include watery diarrhea more than 3 times a day, loss of appetite, swollen abdomen, blood in feces, fever, rapid heart rate.

VRE

Vancomycin-resistant enterococci: Enterococci germs that become resistant to vancomycin and therefore the bacteria are not killed. Symptoms include infections of the urinary tract, the bloodstream, wounds associated with catheters or surgical procedures, or other body sites. Symptoms will depend on the site of infection, but include fever and pain at the site. Wound infection symptoms might also include swelling, redness, and discharge (pus).