CNA 101 Chapter 1

Early health care was provided where?

People’s houses

Holistic approach

Focuses on care of the whole person-mental, physical, emotional

Primary mission of a universal hospital

Train people in the field of health care

A patient

A person receiving services of a hospital

A resident

A person receiving care in a long-term care facility

inpatient care

A patient who stays in the hospital for more than one night

Outpatient care

A patient who returns to the hospital every day for a period if time to receive care

Hospice

Relieves pain. and provides emotional and spiritual support for a dying person and family

Home health care

Provides skilled care in a person’s home

Assisted-living facility

Provides limited help with medications, transportation, meals, and housekeeping

Long-term care facility

provides rehabilitation and other skilled care and helps a person advance from hospital care to home care

Subacute care unit

Provides care for people unable to care for themselves at home who do not need hospitalization.

Board of trustees

Sets policies to ensure care is safe and of good quality

Director of nursing

Responsible for the quality of nursing care provided in the facility

Administrator/Chief Executive Officer

Manages the organization and is the link between the board and the organization

U.S. Department of Health and Human Services

Primary government agency responsible for protecting the nation’s health

Omnibus Budget Reconciliation Act (OBRA), 1987

Set federal minimum care standards, quality-of-life rights, and staffing rules for certified nursing facilities.

Group insurance

Insurance purchased at group rates by an employer or corporation

Managed care system

Helps deliver health care by arranging contracts with various health care providers

5 penalties for not regaining compliance status

fines, denial of medicare/medicaid payments, termination from the medicare/medicaid program, loss or restriction of the facility’s license, appointment of a temporary manager or administrator

What is Florence nightingale credited for?

Establishing nursing as a profession

What were early nursing assistants called?

Aides

Name of the record that a person completed the NA program

Registry

How many training hours are required of NA’s by OBRA

75

How many tries is a student given for completing the competency evaluation at the end of the training period?

3

How many years can an NA not work before they need to retrain and take the competency test?

2 consecutive years

What information appears in a registry?

Name, address, registry # and expiration date, date of birth, and reported incidents of resident abuse/neglect, or theft of resident property.

What important role does an NA play?

Observer and communicator

What are basic physical needs?

Hygiene, comfort, nutrition

An NA’s duties include taking care of these 3 things.

Safety, exercise, emotional needs

Primary nursing

One nurse cares for all patients

Functional (modular) nursing

Nurses are given specific tasks with patients

Team nursing

A change nurse tells a group of staff who they care for

Patient centered care

All team members organize around needs for patients

Can this assignment be delegated?

the right task

What are the needs of the patient or resident at this time?

The right circumstance

Does the NA have the right training and experience to safely complete this?

The right person

Will the nurse be able to gibe the NA clear directions regarding how to perform this task?

The right direction

The nurse is responsible for an injury to a patient or resident if

The NA isn’t qualified for the task

The principal by which one state recognizes the validity of a license or certification granted by another state

reciprocity

TO authorize another person to perform a task on your behalf

delegate

Factors that influence a person’s behavior in society

Society’s laws, personal ethical code, fear of punishment, spiritual beliefs, values instilled by family, rules established by a governing authority

Ethical code

values instilled by a person’s ethics

What can result in a loss of a resident’s right to remain in the facility?

Harassing or threatening the safety of other residents

Advance directive

A document allowing a person to make his wishes regarding health care known to family and health care workers

health care agent

The person responsible for making decisions on the person’s behalf

Living will

Allow the person to give instructions about what medical procedures he would/would not want to be done in an effort to save their life

Durable power of attorney

transfers responsibility for making medical decisions on the person’s behalf to a family member, friend or other trusted individual if a person can’t make these decisions on their own behalf#

3 Violations of civil law

Defamation (false statement communicated to a third party that harms a person's reputation), false imprisonment (intentional restraint of a person without their consent/legal authority), battery (hitting someone)

regulates who has the right to view a person’s medical records, data, or other private info and set standards on how a person’s protected health information is to be stored and transmitted from one place to another

Elder abuse includes

Larceny(unlawful taking of another person's personal property without using force, threats, or deceit), sexual abuse, involuntary confinement or seclusion, failure to provide food, water, care, and medication

Vulnerable adult

18+ who cannot protect or care for themselves due to a physical, mental, or cognitive disability, illness, or advanced age

Libel

an untrue written statement that hurts another person’s reputation

Decision-making capacity

The ability to make thoughtful decision based on an understanding of the potential risks and benefits of taking a certain course of action

Assault

threatening to injure someone

Fraud

Lying

Neglect

Failing to provide necessary care, assistance, or attention to an individual, which can result in harm or jeopardize their health and well-being.

Slander

An untrue spoken statement that hurts another person’s reputation.

Beneficence

The ethical principle of taking actions that promote the well-being and interests of others.

Autonomy

The right of individuals to make their own choices and decisions regarding their own lives and bodies without coercion or interference from others.

Fidelity

Acting with integrity to earn other’s trust

Justice

Treating people fairly and equally, regardless of personal factors

American nurses association

Provides rhetorical guidelines for the code of ethics for nursing

Tort

A violation of civil law

Liability

the responsibility of an individual to act within the confines of the law

JCO

Sets national standards for all types of health care organizations