Midterm Review (copy)

NA works under the supervision of…

RN

NA

Nurse Aide/ Nurse Assistant

Responsibilities of NA

Basic personal care to pts in addition to observing and reporting changes in pts condition

HPH Requirements

\-104 hours lecture

\-40 hours lab

\-80% on assignments and exams

OBRA

\-omnibus budget reconciliation act 1987

\-only applies to long term

\-sets minimum standard for NA training

Short term care examples (3)

\-hospitals

\-urgent care

\-out patient

long term care examples (3)

\-long term care facilities

\-rehabilitation

\-hospice

CMS

centers for medicaid/medicare services

C.M.S.

Circulation, movement, sensation

LOS

length of stay

HMO

health maintenance organization

PPO

Preferred provider organization

Characteristics of Accreditation

voluntary

meeting state and federal standards

signals quality and excellence

What is the difference between assessment and observation?

NAs make observations

RNs do assessments

NAs report observations to the RN

What are NAs not allowed to do?

delegate tasks to other NAs

The single most important characteristic you bring to your job

attitude

in terms of caring what is empathy?

identifying and understanding feelings of others

in terms of caring what does it mean to be tactful?

speaking/acting w/o offending others

in terms of caring what is sympathy?

sharing the feelings of others

what are the bed entrapment zones?

side rails

All side rails up =

false imprisonment

what do you do with the patients valuables?

send valuables home w/family

what is ethical standards?

guide to moral behavior

what is legal standards?

guides to lawful behavior

Define ethics

knowledge of what is right and wrong conduct

sagittal

left and right parts of the body

coronal

front and back of the body

transverse

superior and inferior parts of the body

superior

parts that are located above the line drawn parallel to the floor

inferior

parts that are located below the line drawn parallel to the floor

Anterior/ventral

parts that are located in front of the line that is drawn to divide the body into the front and back

medial

towards the midline

lateral

away from the midline

proximal

closest to the point of attachment

distal

farthest away from the point of attachment

predisposing factors

conditions that contribute to the development of illness

risk factors

specific behaviors or conditions that tend to promote certain disease

inflammation

a localized protective reaction of tissue to irritation, injury, or infection

cephalo/encephalo

brain/relating to the brain

neuro

nerves

myelo

spinal cord

dento/odonto

teeth

gyngivo

gum

rhino/naso

nose

buccal

cheek

glosso

tongue

oto

ear

stomato

mouth

optho

eye

blepharo

eye lid

sclera

white of eye

irido

iris (surround the pupil)

kerato

cornea (clear protective layer)

angio

vessels

veno

vein

stasis

still

cyte

cell

megaly

large

prolapse

hearts valve’s flaps become enlarged

stenosis

narrowing of heart’s mitral valve

laryngo

throat/larynx

tracheo

trachea

thoraco

chest wall

broncho

relating to the airway

pneu

air, breathing

nephro

kidney

hydro

water

cysto

bladder

uro

urinary system

anuria

less than 100 ml/24 hrs

oliguria

less than 400ml/24hrs

gastro

stomach

hepato

liver

chole

bile ducts

lapar

abdominal wall

entero

intestines

viscero

internal organs

AOx3

alert and oriented to patient, place and time

NGT

nasogastric tube

prn

as necessary

OOB

out of bed

po

by mouth

UA

urinalysis

TPR

temperature, pulse, respiration

pain

not a normal part of aging

insomnia

chronic deprivation of quality/quantity of sleep

hypersomnia

sleeping late in morning napping during day

narcolepsy

uncontrollable urges to sleep

sleep apnea

airflow stops for 10 seconds or more, potentially serious condition

complications of incorrect positions (3)

\-atrophy

\-pressure injuries

\-contractures (occurs when joints remain in same position permanent and painful)

complications of bedrest (4)

\-contractures

\-atrophy

\-orthostatic hypotension

\-syncope