Health Care Facilities
Acute care
hospital based care for serious illness, injury, or surgery
Short stays: Intensive medical management
Chain of Command
CNAs report changes to the Nurse first charge nurse second, skip only in life threatening emergencies.
List of patient rights
Federal rights under OBRA of 1987 include
dignity, privacy, choice, freedom from abuse, right to refuse treatment, and right to voice grievances without retaliation
Who can delegate to the CNA?
What is the RN, LPN or other LVN
Normal physical ability of an infant
Long Term Care
Nursing facility providing 24 hour care for residents needing ongoing ADL assistance and medical support. Most common CNA workplace
HIPPA
Health Insurance Portability and Accountability Act
Federal law protecting private health information
OSHA
Occupational Safety and Health Administration sets and enforce work place rules such as bloodborne and fire safty
Who can validate or sign off a CNA for a designated task or skill
What is the Nurse
Normal fine motor ability of a toddler
scribbling with a crayon, picking up things with 2 fingers, toilet training
Subacute Care
Stepdown care between hospital and home, focus on rehabilitation and recovery
Policy vs Procedure
Policy= What need done (reposition every 2 hours)
Procedure= How to do it (step by step)
False Imprisonment
Restraining a persons movement without legal authority. Using restraints without a doctors order or consent.
What types of care are within a CNAs authorized duties
ADLs, ambulation, bed changes, feeding, documenting intact and output, reporting to the nurse
School age childrens thought process
Magical thinking turning to logic and reading
Hospice
End of life care focused on comfort and quality of life rather than cure.
Negligence
Failure to provide the standard of care that results in harm. An act or failure to act.
Battery
Touching a person without their consent. Preforming care on a patient that is refusing- even if it is for their health.
When to refuse delegation
If the assignment is outside of our authorized duties, you lack training or validation, condition is unsafe, not under state regulation for CNA duties
Biggest influence of adolescence persons
Friends/peers
CMS
Centers for Medicaid and Medicare, set CNA training minimum hours to 75 and certifies nursing facilities
Incident report
Written report after an incident has occurred (fall, injury, fail to document)
Person Centered Care
Teaching each resident as an individual
5 rights of delegation
Right task, right circumstance, right person, right directions,
What age related struggle do many middle adults have to deal with?
What is take care of children and aging parents