Healthcare Settings Test

activities of daily living

* eating
* bathing
* dressing
* transferring
* toileting
* walking/moving around

acute care

Immediate, 24-hour care for things like hospital/ambulatory surgical centers

assisted living

care for people who don’t require 24-hour care; however require daily care

assistive walking devices

* canes
* crutches
* walkers

long-term care

chronic conditions that extend overtime

ex. heart disease, recovery from stroke

skilled care

* ordered by a doctor
* involves a treatment plan
* medically necessary care given by skilled nurse/therapist

long-term facilities

people unable to be cared for stay there until they return home or die

ex. nursing homes, rehab centers, extended care facilities

* 68% of residents are female
* 85% of residents are 65 y/o
* 75% of residents are white/non-hispanic

assisted living facilities

* residents usually don’t need skilled care
* staff provide medicine or help with bathing and dressing

home health care

personal care and basic nursing procedures

adult day services

* don’t live in the facility
* assistance and supervision during certain hours

hospice care

for people who have 6 months or less to live; the hospice worker supports the families

medicare

* 65+ years old
* treats kidney failure or people with disabilities (any age)
* will only pay for care it determines medically necessary

medicaid

* for people with low income
* treats disabilities
* operated by federal state government
* government approves state plans
* joint state + federal program

medicare and medicaid

* federal agency in the united states department of health and human services
* help pay for insurance
* pay a certain amount for services based on the residents’ need

role of nursing assisistant

perform assigned nursing tasks that deal with taking care of residents

tasks of nursing assistant

* check body temp
* take note of BP, heart and respiratory rate
* check for pain in patients

nursing assistants cannot

* insert/remove, or give feeding tubes
* change sterile dressings
* give medication

length of stay

• 2/3 of residents stay in a long-term facility for 6 months or longer

• 1/2 stay less than 6 months

• longest average stay: developmental disabled people

professionalism in nursing means

• dressing appropriately

• speaking well

• being dependable and responsible

qualities NA’s must have

• humility

• patience

• enthusiasm

• unprejudiced

• empathetic

• responsible

• respectful

• trustworthy

examples of professional behavior

1. Do not use your personal phone in residents/ rooms or in any resident care area

2. Be neatly dressed and groomed. Keep your uniform and shoes clean

3. Do not report to work under the influence of illegal drugs/alcohol

4. Keep a positive attitude

5. Follow all facility policies and procedures

professionalism

behaving when working

care team

many members who have had different training and experience in order to provide care for each resident

nurse

assesses residents, creates the care plan, monitors progress, and gives treatments and medication

Registered nurse

Has graduated from a state-licensed nursing program (2-4 years of education) and passed a national license exam

Licensed Practical Nurse (LPN)

Has graduated from a state-licensed nursing program (1-2 years of education) and passed a nation license exam

Advanced practice nurse

Completed training at the postgraduate level as nurse practitioner nurse-midwife, or clinical nurse specialist. They can also make diagnoses and prescribe treatment.

Physician or doctor

Licensed health professionals that diagnose disease or disabilities, and prescribe treatments

Physician assistant

Licensed health profession that works under the supervision of a doctor. PAs have master's degrees and pass a national licensing exam before they can practice. They diagnose illness, prescribe treatment.

Physical therapist

Licensed professional that develops a treatment plan to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and regain mobility

Speech-language pathologist

identifies communication disorders and creates a plan to help; evaluates ability to swallow

Registered Dietitian Nutritionist

Assesses the residents nutritional status and plans a program of nutritional care

Respiratory therapist

provides care for people who have respiratory diseases or illnesses

Medical social worker

determines residents' needs and helps get them support services, such as counseling or financial assistance

Nursing assistant

gives basic nursing care under the supervision of a licensed nurse

five rights of delegation

the right task, circumstance, person, direction, and supervision

holistic care

caring for the person including physical, social, emotional, intellectual, and spiritual needs

team nursing

a registered nurse functions as the team leader

primary nursing

a registered nurse provides much of the daily care to residents; this type of care allows for a closer relationship between the nurse and the residents

functional nursing

each member of the care team is given one or more specific tasks to complete for a large number of residents

policy

a course of action to be taken every time a certain situation occurs; it has information about every facility policy (for example, one basic policy is that the chain of command is followed)

procedure

a specific method, or way of doing something (for example, there will be a procedure for giving a resident a bed bath

long-term survery process

A process of inspections done on a facility by surveyors to ensure that they are following state and federal regulations. They will study how well the staff takes care of their residents, and how they’re eating.