2 types of oxygen delivery devices that CNA II's can set up
NC
Oxy mask
5 Rights of Delegation
Right Task
Right Circumstance
Right Person
Right Directions/Communication
Right Supervision/Evaluation
List 2 reasons for suctioning a patient
Removes Secretions that obstruct airway
Facilitate ventilation
Obtain secretions for diagnostic purposes
Prevent infection that may result from accumulated secretions
Open vs. Closed Wounds
Break in the skin vs. no break in the skin
When should you wash your hands instead of using hand sanitizer (give 3 examples)
After using bathroom
After Helping the patient use the bathroom or cleaning up incontinent patient
After coughing, sneezing, blowing nose
C-Diff Patients
Range of Oxygen that a CNA II can set up (in LPM)
1-6
Who cannot delegate?
Nursing Assistant
Used to suction mouth or oropharynx
Yankaeur Suction Catheter
Example of an open wound
Incision
Puncture
Abrasion
Laceration
The absence of all microbes (pathogens and non-pathogens)
Sterile
3 Safety precautions when using oxygen
No Smoking
Handle and store tanks properly
Avoid use of flammable material
keep oxygen away from heat source/flames
Use electrical items with 3-prong plugs
Watch for kinks in tubing
Turn off O2 if fire occurs
As a CNA II you are responsible for (regarding delegation)?
Completing delegated tasks safely
This should not last longer than 10-15 seconds
A single Suction Attempt
Example of a Closed Wound
Bruise (contusion)
Deep Tissue Injury
The abscence of almost all microorganisms
Asepsis
12-20 BPM
Normal Adult Respiratory Rate
Which of the following can a nurse delegate?
Responsibility
Accountability
The 5 rights of delegation
Nursing Tasks
Nursing tasks
When do you apply your thumb to the port on the suction catheter to create suction
When withdrawing the catheter
Encircle the entire body part with the dressing is ok to do
False
Do you use clean or sterile supplies/equipment with the following:
1) Medial Asepsis
2) Surgical Asepsis
2) Sterile
What is a source of supplemental oxygen
Gas (wall or tank)
Liquid
Concentrated
Who can assign and supervise the work of a CNA II
Nurses
When would you position a patient in a Semi-Fowlers position with their head turned to the side
Position for a conscious patient during suctioning
96 Hours Old
Can change a wound dressing when a wound is this older or older AND STABLE
Moist
Warm
Dark
3 things that encourage the growth of bacteria