Types of Care Facilities
The term nursing home was once commonly use and is now often known as these
Long-Term Care Facilities (LTCFs), Skilled Nursing Facilities(SNFs), rehabilitation centers, and extended care facilities.
Each healthcare provider that is a member of a care team works within this according to their title as indicated by state or federal law.
Scope of Practice
CNA Gavin is assisting Ms. Marty with getting dressed for the day. Gavin quickly picks an outfit for Ms. Marty despite Ms. Marty protesting to the long sleave sweatshirt. "You know you're going to be cold later." He tells her with an eye roll and ignores her request for a short sleeve shirt. What resident rights are being violated?
The right to make independent choices and the right to dignity, respect, and freedom.
(1)______ requires that CNAs pass a competency test before they may be employed and requires that CNAs must attend in service education for a minimum of (2)___ per year.
1. OBRA (Omnibus Budget Reconciliation Act)
2. 12 hours
When should care be documented?
Immediately after care is given.
Holistic and palliative care are used in these facilities.
Hospice facilities
A care team involves this person, without them there is no care team.
The resident.
Ms. BJ is very anxious about keeping her things secured because she brought beloved keepsakes from her late husband. She asks for a lock for her cabinet. This falls in a residents right for
Security of possessions.
A living will and a DNR order are examples of what?
Advance Directives
Charting / Documenting aides the nurse in gathering all the information needed for this assessment
The minimum data set (MDS)
Hospitals are an example of this kind of facility.
Hospitals.
This person helps determine a resident's needs and assists them in receiving services such as counseling and financial assistance.
Medical Social Worker (MSW)
Residents in Long-Term care facilities are assigned by law this person to be their advocate.
An Ombudsman
This law was passed in congress in 1996. One major reason this law was passed was to protect private health information.
Health Insurance Portability and Accountability Act (HIPAA)
Documentation may be done using Military time. What is 2137 hours in regular time?
9:37PM
People who live in these facilities do not need 24 hour skilled care.
Assisted Living facilities
This person evaluates a persons ability to swallow food and drink.
Speech-Language Pathologist (SLP)
Ms. Christie refuses to participate in her physical therapy. This falls under a resident's right to
Participate in their own care
The Older Americans Act (OAA) is a federal law that requires all states to have an _______ program.
Ombudsman
When documenting by hand and you make a mistake how should the mistake be corrected?
With one line through it, then initialed and dated. Proceed with the correct information.
Subacute care is given in these types of facilities.
Hospitals or long term care facilities.
This person supports nursing staff of a particular unit and treats a limited number of residents.
Charge Nurse
Ms. Desiree learns that she is being discharged from her LTCF when a CNA comes in to help pack her things. This violates what resident's rights?
The right to be informed of and consent to any location changes.
A person legally appointed to make medical decisions for a person should they become unable to do so themselves.
A Durable Power of Attorney for Healthcare (also may be called a healthcare proxy)
Name at least 5 instances where and incident should be reported?
1. Falls.
2. Resident or CNA breaks/damages something.
3. CNA makes a mistake in care.
4. When a resident or family member makes a request outside the CNAs scope of practice.
5. Resident or Family member makes sexual remarks or advances.
6. Anything happens that makes CNA feel uncomfortable, threatened, or unsafe.
8. A CNA get injured on the job.
9. A CNA is exposed to blood or bodily fluids.