the knowledge of right and wrong.
what is ethics?
rules set by the government to help people live peacefully together and to ensure order and safety.
what is laws?
law passed by the federal government that includes minimum standards for nursing assistant training, staffing requirements, resident assessment instructions, and information on rights for residents.
what is Omnibus Budget Reconciliation Act (OBRA)?
a detailed form with guidelines for assessing residents in long-term care facilities.
what is minimum data sheet?
this ...
•Sets minimum standards for NA training (75 hours)
•Requires competency exam for NAs; exam includes a written portion and demonstrated nursing skills
•Requires regular in-service training for NAs (12 hours annually)
•Establishes state registry of NAs
•Sets standards that instructors must meet to train NAs
what is The Omnibus Budget Reconciliation Act (OBRA)?
numerous rights identified in the OBRA law that relate to how residents must be treated while living in a facility; they provide an ethical code of conduct for healthcare workers.
what is residents' rights?
the process in which a person, with the help of a doctor, makes informed decisions about his or her health care.
what is informed consent?
Name (2) legal rights of residents
what is...
•Quality of life
•Services and activities to maintain a high level of wellness
•Be fully informed regarding rights and services
•Participate in their own care
•Make independent choices
•Privacy and confidentiality
•Dignity, respect, and freedom
•Security of possessions
•Be informed of and consent to transfers and discharges
•Voice complaints
•Have visits
•Have access to social services
the failure to provide needed care that results in physical, mental, or emotional harm to a person.
what is neglect?
The __________ _________ ________ prohibits discrimination because of a disability. Providers of health care, including LTCFs, must provide equal opportunities, which may include making some changes to their services.
what is Americans with Disabilities Act (ADA) ?
actions, or the failure to act or provide the proper care, that result in unintended injury to a person.
what is negligence?
a threat to harm a person, resulting in the person feeling fearful that he or she will be harmed.
what is assault?
the intentional touching of a person without his or her consent.
what is battery?
verbal, physical, or sexual abuse of staff by other staff members, residents, or visitors.
what is workplace violence?
the unlawful restraint of someone which affects the person’s freedom of movement; includes both the threat of being physically restrained and actually being physically restrained.
what is false imprisonment?
the separation of a person from others against the person’s will.
what is involuntary seclusion?
a medical order that specifies the treatments a person wishes to receive, not what he wishes to avoid, when he is very ill; decisions are based on conversations between the patient and his healthcare providers.
what is Physician Orders for Life-Sustaining Treatment (POLST)?
Name (3) injuries that are suspicious and should be reported
what is...
Poisoning or traumatic injury
•Teeth marks
•Belt buckle or strap marks
•Bruises, contusions, or welts
•Scars
•Fractures, dislocation
•Burns of unusual shape and in unusual locations; cigarette burns
•Scratches and puncture wounds
•Scalp tenderness, patches of missing hair
•Swelling in the face, broken teeth, nasal discharge
•Bruises, bleeding, or discharge from the vaginal area
name (2) examples of neglect
what is...
•Pressure ulcers
•Unclean body
•Body lice
•Unanswered call lights
•Soiled bedding or incontinence briefs not being changed
•Poorly fitting clothing
•Unmet needs relating to hearing aids, eyeglasses, etc.
•Weight loss, poor appetite
•Uneaten food
•Dehydration
•Fresh water or beverages not being offered regularly
a medical order that instructs medical professionals not to perform cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest.
what is do-not-resuscitate (DNR)?
the legal and ethical principle of keeping information private.
what is confidentiality?
a person’s private health information, which includes name, address, telephone number, social security number, email address, and medical record number.
what is protected health information? (PHI)
legal documents that allow people to decide what medical care they wish to have if they are unable to make those decisions themselves.
what is advanced directives?
a document that outlines the medical care a person wants, or does not want, in case he or she becomes unable to make those decisions.
what is living will?
a signed, dated, and witnessed legal document that appoints someone else to make the medical decisions for a person in the event he or she becomes unable to do so.
what is durable power of attorney for health care?