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Hospice Care
Healthcare for persons who are dying.
Objective Information
Observation made through the senses of the observer.
DNR (Do Not Resuscitate)
A legal order to not take measures to resuscitate someone in case of cardiac and respiratory arrest.
RACE
A fire response acronym: Remove patients, Alert by calling for help, Contain the fire, Extinguish or Evacuate.
Who is responsible for delegating tasks in the nursing team?
The registered nurse is responsible for delegating tasks, roles, and responsibilities.
What are sharps?
Sharps include needles, razors, and other sharp objects.
Where should sharps be disposed of?
Sharps should be disposed of in a biohazard container.
What should a CNA do if asked to perform a task outside of their scope of practice?
They should tell the person that they can’t legally perform the care due to it being outside their scope of practice.
What should a CNA verify before leaving their unit?
The CNA should verify that residents have their call lights and that beds are at their lowest level.
To whom should you direct questions about your assignment?
Questions or concerns regarding your assignment should be directed to the charge nurse.
What are examples of protecting a resident's right to privacy?
Examples include closing curtains, applying privacy blankets, and not disclosing patient information without consent.
Who is it acceptable to share a patient’s healthcare information with?
It is acceptable to share with those who have permission, such as doctors or individuals the patient has consented to inform.
What should you do if you witness abuse towards a resident?
You should report it immediately to the charge nurse or your supervisor.
What should you do if unfamiliar with a task or equipment?
Ask for help or instructions on how to perform the task.
What tasks are within the CNA's scope of practice?
Assisting with daily living activities like bathing, dressing, feeding, and monitoring vital signs.
What details are important when preparing to shave a resident?
Check for skin conditions, use a clean razor, apply shaving cream, and follow the resident's preferences.
What is the safest method when shaving a resident?
The safest method is using an electric razor to prevent cuts.
In what direction should the perineum always be cleansed?
The perineum should always be cleansed from front to back.
How do you dress a resident with a weak arm?
Dress the resident by removing clothing from the weak arm and putting the shirt onto that same arm first.
What actions promote skin integrity?
Actions include keeping skin clean and moisturized, repositioning frequently, and inspecting for pressure areas.
What can risk skin integrity?
Prolonged pressure and excessive moisture can risk skin integrity.
What should you check for if noticing low urine output in a catheter bag?
Check for kinks in the tubing and ensure the bag is positioned below the bladder.
How often should catheter care be performed?
Catheter care should be performed at least once per shift or as directed.
What does it mean to perform work ethically and professionally as a CNA?
It means respecting resident rights, maintaining confidentiality, and following care protocols.
What rights do residents have according to the Bill of Rights?
Rights include dignity, privacy, informed consent, freedom from abuse, and participation in care decisions.
What does informed consent include?
Informed consent includes details of the procedure, risks, benefits, and alternatives.
What is a living will?
A document providing instructions for medical care preferences if a person cannot communicate.
What observations are emergencies that must be reported?
Emergency observations include chest pain, difficulty breathing, severe bleeding, or unresponsiveness.
What actions should be taken when communicating with a hearing-impaired resident?
Speak clearly, face the resident, use gestures, and ensure assistive devices are functional.
How does a CNA contribute to the nursing process?
By observing/reporting changes, recording data, and providing direct care per the care plan.
What should a CNA do when a resident reports pain?
Document the pain's location, duration, and intensity, and report to the nurse.
What actions can assist a confused resident in going to the bathroom?
Provide clear instructions, stay nearby for safety, and maintain a calm, patient approach.