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