CNA DSA

Define the following: 

Hospice care: Healthcare for persons who are dying.

Objective Information: Observation made through the senses of the observer.

DNR (do not resuscitate): Used when cardiac and respiratory arrest occur. Legal order to not take measures to resuscitate someone.

RACE: Remove patients. Alert by activating the fire alarm system or calling 911. Contain the fire if possible by closing all doors and windows. Extinguish the fire, or the fire department will extinguish it. Evacuate the area if instructed to do so.

Answer the following Questions:

  1. On the nursing team, who’s scope of practice is it to delegate tasks, roles, and responsibilities?

The registered nurse is responsible for delegate tasks, roles, and responsibilities.

  1. What items are considered sharps and where should they be disposed of? 

Items that are considered sharps are needles, razors, and other sharp objects. They should be disposed of in a biohazard container.

  1. What should a CNA do if asked to perform a task  outside of their scope of practice? 

Tell the person who asked that they can’t legally perform the care because it is not in the scope of practice.

  1. What should a CNA do before leaving the unit or floor they are working on? 

The CNA should verify that the residents have their call light, and that the bed is at its lowest level.

  1. Who do you direct questions or concerns regarding your assignment to? 

You direct questions or concerns regarding your assignment to the charge nurse.

  1. What are examples of protecting a resident's right to privacy? (think of things other than protecting healthcare information)

Examples of protecting a resident's right to privacy are closing the curtain, applying the privacy blanket, and not disclosing patient’s information to people with no consent.

  1. Who is it ok to share a patient's healthcare information with? 

It is ok to share a patient's healthcare information with people who have permission like a doctor, or other people who the patient had given consent to know.

  1. What should you do if you witness abuse towards a resident? 

If you witness abuse towards a resident you should report immediately to the charge nurse or your supervisor.

  1. If you are unfamiliar with how to perform a task or use equipment, what should you do?

If you are unfamiliar with how to perform a task or use equipment you should ask for help, or instructions on how to perform it.

  1. What tasks are within the CNA’s scope of practice?

Tasks within a CNA’s scope of practice include assisting with daily living activities, such as bathing, dressing, feeding, and vital signs monitoring, while  following care plans.

  1. What details are important to take into consideration when preparing to shave a resident? What is the safest method to use when shaving a resident? 

When preparing to shave a resident, it’s important to check for skin conditions, use a clean razor, apply shaving cream, and follow the residents preferences; the safest method is an electric razor to prevent cuts.

  1. In what direction should the perineum always be cleansed and why? 

The perineum should always be cleansed from front to back.

  1. How do you dress a resident with a weak arm? 

You dress a resident with a weak arm by taking it off from that weak arm, and start to put the shirt in the same weak arm.

  1. What actions promote skin integrity? What actions can risk skin integrity? 

Actions that promote skin integrity include keeping the skin clean and moisturized, repositioning frequently, and inspecting for pressure areas, while actions like prolonged pressure and excessive moisture risk skin integrity.

  1. What should you do if you note low urine output in a catheter bag? (besides notify the nurse) 

If you note low urine output in a catheter bag, check for kinks in the tubing, ensure the bag is below the bladder, and document observations.

  1. How often is catheter care performed? 

Catheter care is performed at least once per shift or as directed by the care plan.

  1. What does it mean for a CNA to perform their work ethically and professionally? 

For a CNA to perform their work ethically and professionally means respecting residents’ rights, maintaining confidentiality, and following care protocols.

  1. What rights does a resident have according to the resident’s rights document (Bill of Rights)? 

Residents’ rights include dignity, privacy, informed consent, freedom from abuse, and participation in their care decisions.

  1. What information does informed consent include? 

Informed consent includes details about the procedure, potential risks, benefits, and alternatives, allowing the resident to make an informed decision.

  1. WHat is a living will and what information might it provide?

A living will is a document that provides instructions for medical care preferences if the resident becomes unable to communicate, such as resuscitation wishes.

  1. What observations are considered emergencies and must be reported to the nurse immediately? 

Emergency observations to report include sudden chest pain, difficulty breathing, severe bleeding, or unresponsiveness.

  1. What are actions that should be taken when communicating with a resident who is hearing impaired?

When communicating with a hearing-impaired resident, speak clearly, face the resident, use gestures, and ensure assistive devices are functioning.

  1. How does the CNA contribute to the nursing process? 

The CNA contributes to the nursing process by observing and reporting changes, recording data, and providing direct care based on the care plan.

  1. What actions are important to take when a resident reports any type of pain to the CNA?

When a resident reports pain, the CNA should document the pain’s location, duration, and intensity, and report it promptly to the nurse.

  1. What actions can a CNA take to assist a confused resident in going to the bathroom? 

To assist a confused resident in going to the bathroom, provide clear instructions, stay nearby for safety, and maintain a calm, patient approach.