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Purpose of health care agencies
Promote health, prevent disease, detect disease, treat disease, and provide rehabilitation and restorative care
Services provided by health care agencies
Health education, disease prevention, vaccinations, illness management, rehabilitation, and restorative care
Goal of health care agencies for elderly and chronically ill individuals
Help them achieve the highest level of independent living possible
Types of healthcare settings
Hospitals, rehabilitation facilities, long-term care centers, assisted living facilities, mental health centers, home care agencies, and hospice agencies
Inpatient care
Care provided when a person stays in a facility overnight or longer
Outpatient care
Care provided without staying overnight in a facility
Rehabilitation
Helping a patient achieve the highest possible physical, psychological, social, and economic functioning
Restorative care
Care that helps a person regain health, strength, and independence
Interdisciplinary team
Group of healthcare professionals from different disciplines working together to provide quality care
Purpose of the interdisciplinary team
Coordinate care and address all patient needs
Who makes medical diagnoses?
Medical doctor (MD)
Who leads the interdisciplinary team?
Registered Nurse (RN)
Role of the RN
Leads care team, coordinates care, delegates tasks, develops care plans
Role of the LPN
Provides nursing care under RN supervision
Role of the CNA
Performs personal care tasks delegated by the nurse
Role of PT
Develops treatment plans to improve mobility and movement
Role of OT
Develops treatment plans to improve daily living skills
Role of ST
Develops treatment plans to improve speech and swallowing abilities
Role of the dietitian
Monitors and manages nutritional needs
Role of the social worker
Coordinates discharge planning and community resources
Importance of communication within the healthcare team
Ensures continuity of care and better patient outcomes
Importance of building relationships within the healthcare team
Promotes trust, communication, teamwork, and quality care
Chain of command in long-term care
CNA → Unit Nurse → Charge Nurse → Assistant Director of Nursing → Director of Nursing → Administrator
Who should a CNA report concerns to first?
Unit Nurse
RN educational requirements
Complete nursing education program, pass NCLEX, obtain state license
LPN educational requirements
Complete practical nursing program and obtain state license
CNA educational requirements
Complete NATCEP and pass state competency exam
NATCEP
Nursing Assistant Training and Competency Evaluation Program
Who do CNAs assist?
RNs and LPNs
Para-professional
A person delegated professional tasks but not licensed as a fully qualified professional
Components of a CNA job description
Educational requirements, duties, responsibilities, scope of practice, and reporting expectations
CNA responsibilities
Report observations, perform delegated tasks, follow care plans, communicate effectively, ask for supervision when needed
Purpose of a CNA job description
Defines duties, responsibilities, and scope of practice
Importance of understanding a CNA job description
Prevents performing tasks outside the CNA scope of practice
Survey
Process used to determine whether standards of care are being met
Who conducts surveys?
Teams from outside the healthcare facility
What is reviewed during a survey?
Policies, procedures, records, cleanliness, safety, and staff credentials
Who may be interviewed during a survey?
Staff, residents, and families
CNA role during a survey
Provide quality care, protect resident rights, answer honestly, and follow procedures
Most important CNA responsibility during a survey
Keep resident safety first
Professional behavior during a survey
Be respectful, honest, and follow facility policies
Why are surveys important?
Ensure quality care and compliance with regulations