basic nurse aide unit 1 study guide

Gerontology

study of the aging process

geriatrics

branch of medicine dealing with older individuals and their medical problems

What is OBRA?

Mandates national standards for federally funded nursing homes and home health agencies

Members of the Healthcare Team

doctors, nurses, physical therapists, CNA, food service, housekeepers, lab technician, respiratory therapist-pretty much everyone in the hospital!

Members of the nursing team

RN, LPN, CNA

as a CNA you are part of what two teams

The health care team and nursing team

Role of the Nurse Aide

Spends the most time with residents, works under the delegation and supervision of a licensed nurse, informs the nurse of any changes in the residents condition. follows a plan of care developed by the interdisciplinary team for each resident.

As a CNA who do you report to ?

the nurse

5 rights of delegation

right task, right circumstances, right person, right direction/communication, right supervision

Nursing Process

assessment, diagnosis, outcome identification, planning, implementation, evaluation

subjective data

things a person tells you about that you cannot observe through your senses; symptoms

objective data

information that is seen, heard, felt, or smelled by an observer; signs

Residents' Rights

rights that have been written into Federal law (OBRA) that identify how a resident must be treated while living in a long-term care facility

goals of health team

oversee provision of quality care

goals of NURSING team

provide quality care

limitations of nurse aides (8 nevers)

Never give drugs (o2)

Insert tubes or objects into body openings

Take oral or phone orders from the doctor

Perform sterile technique procedures

Tell a person or family diagnosis

Diagnose or prescribe treatment or drugs

Supervise others

Ignore an order or request to do something

chain of command in a healthcare facility

DON

nursing supervisor

nurse managers

staff RN

LPN/LVN

Nurse Aides

Nurse Aide roles in survey process

Provide quality care

Protect resident's rights

Provide for resident and personal safety

Conduct yourself professionally; good work ethics

Follow agency policies and procedures.

Cooperate with surveyors \~answer questions honestly

desirable characteristics of Nurse Aide

dependability

attendance

attitude

ethical responsibilities of nurse aide

work ethic

communication

when do you report information about patient

Report Changes from normal

Report Above normal ranges

Report Below normal ranges

When the nurse asks you to do so

When you leave the unit for meals, breaks, or for other reasons

Before the end-of-shift (change-of-shift) report

proper communication with patients OVERALL

Use words that have the same meaning for you and the person

Communicate in Logical order

Be brief and concise

proper communication with patients NONVERBAL

use touch professionally

facial expressions

posture

body movement

proper communication with patients COMATOSE

assume the person can hear you

use touch and give care gently

if a person is unconscious this means

patient is comatose

what do you know about medical record

they have all the information needed to give care to a patient

for nurse aides, the first page generally has all the information needed

communication for DEAF

may use sign language

use sign boards

communication for BLIND

verbal communication

communication for SPEECH IMPAIRED

sign boards or yes and no questions

communication for COMATOSE

both verbal and nonverbal

TO PREVENT INJURY WHEN MOVING A RESIDENT WHO HAS FRAGILE BONES YOU WOULD?

use proper training?

Role of the Ombudsman

supports or promotes the needs of another person