Skills
What should the CNA do before any physical contact with any patient?
Handwashing
What is the care plan to assist a resident in using the bedpan?
Resident has requested a bedpan. Resident is not wearing undergarments and is able to wipe self.
The focus of providing ADLs in your patients include the following except:
A. The comfort of the CNA B. Comfort
C. Safety D. Dignity/Respect
A. The comfort of the CNA
Comfort, safety, and dignity/respect should be your top priority when caring for patients as a CNA. It can be a challenge for a patient when they can no longer provide care to themselves, especially when it comes to the more sensitive care like bathing. Ensuring dignity is a priority as a CNA. Comfort can range from a lot of things like ensuring the water is warm and not too hot/cold to combing a patient's hair the way she likes it.
What is Scope of Practice?
Scope of Practice is a list of tasks that a nursing assistant is allowed to perform as determined by the state certification board. Tasks the nursing assistant can and cannot perform
How should a CNA refuse tips for services?
Politely and firmly refuse these offers
What are the steps for Skills?
Opening, Glove Rules, Privacy blanket, Skill, Basin Cleaning, and Closing
What supplies are needed for assisting a resident using the bedpan?
Underpad (Chucks), Toilet paper, Bath Blanket, Handwipe (towelette), bedpan, Gloves (2 pair)
You have a patient who is sweating, has a low heart rate, fruity smelling breath, and can barely speak to you. What is the next step you would take?
A. Obtain a POC glucose B. Bring orange Juice
C. Turn air on in room D. Ask patient brus teeth
A. Obtain a POC glucose
Sweating, low heart rate, fruity breath, and confit ice changes can indicate glucose changes. The first step is to obtain a POC glucose so that you can report the glucose reading to the nurse in charge.
Who can write orders for a nursing assistant and who cannot write orders for a nursing assistant?
A nurse can write orders for the cna. A doctor cannot write orders for the cna.
What are good reasons for a nursing assistant to refuse an assisgnment?
-May not be part of a nursing assistant scope of practice
-Might feel uncomfortable with assignment as a result of not knowing how to perform a task or may feel it is unethical or illegal
What are the steps in Basin Cleaning?
-Empty basin in sink/toilet
-Rinse basin
-Use paper towel to pick up basin
-Paper towel to dry inside, another to dry outside
-Paper towel to collect supplies, open drawer and store basin
-Dispose of paper towels
Describe the Glove Rules
-Use gloves when you may touch body fluids, personal skin or non-intact skin
-The first thing gloves touch is the patient
-Remove correctly
-Write with only blue or black ink
-Include only objective information
-No speculation or emotional in the notes
-Draw single line over mistaken note and write error, reason for error and your initials
What tasks are not part of the scope of practice for CNAS?
May not insert or remove devices from patient's body, may not perform any sterile procedure, and in most cases, may not administer medications.
What is the chain of command in nursing units?
Supervisor, Nurse practiitioner/ nurse team leader, staff nurse, LVN/LPN, CNA
What supplies are needed to perform denture care?
Barrier for Table, Toothpaste, Washcloth, Denture Brush, Emesis Basin, Towel, Toothette, Cup of water, 2 pair of gloves
Describe the Privacy Blanket
-Apply to keep patient warm and provide privacy
-Pull down sheet underneath
-Don't snap or shake blanket
-Remove at end of skill after removing gloves (if used)
You have a patient on strict dysphasia precautions. The cafeteria sent her up a lunch tray. What item would you question if it arrived on the patient's tray?
A. Regular orange juice B. Mashed potatoes
C. Jello D. Apple sauce
A. Regular Orange Juice
Typically when a patient is on strict dysphasia precautions they will require thickened liquids. The orange juice should be thickened with a thickener in order for the patient to consume it. The CNA, nurse should look at the MD orders to determine which consistency the orange juice is to be thickened to. (honey, nectar)
What is the loophole in administering medication for nursing assistants?
Some states allow a nursing assistant to assist the patient in self-administration of medication under specific circumstances. May only assist in medication administration if receives special training an dmay only assist in administering certain medications.
What are the four principles of body mechanics to avoid injury?
- Bending lifting with legs and keeping back straight as you lift
-Maintain wide base of support, to mantain stability while lifiiting..keep feet 12 inches apart one foot slightly ahead of other
-Maintain proper alignment. Keep back straight and item you are lifting close to you.
Maintain proper posture while lifting, keep head up, back straight, knees flexed, and your buttocks tucked in to prevent injury while lifting
Name the steps to perform Denture Care and explain the steps in an orderly fashion
Opening, Barrier, Glove Rules, Skill, Basin Cleaning, Closing.
1. Place Washcloth in bottom of sink, over drain
2. Apply gloves
3. Use a paper towel to turn water on- use only cool water
4. Rinse dentures in cool running water
5. Brush all surfaces of dentures, removing all food particles
6. Rinse denture brush and place in basin
7. Rinse dentures thoroughly with cool running water
8. Rinse denture cup and fill with cool water
9. Place dentures in water in cup; cover with lid
10. Store denture cup on paper towel
What is the care plan for denture care?
A resident with dentures is sitting at an overbed table with their dentures in a denture cup. The resident's denture needs to be brushed with toothpaste and resident needs mouth care. Denture is stored in a denture cup after cleaning. Resident is not able to provide own mouth or denture care.
Which of these are important for the care of a diabetic patient?
A. Giving the patient a heating pad for his feet when they're cold
B. Soaking his dry calloused feet in a warm tub daily
C. Keep his feet dry and warm with dry, clean socks
D. Ensuring his toe nails are always clipped short for cleanliness
C. Keep his feet dry and warm with dry, clean socks
It's important to always keep a diabetic's feet clean and dry. Any extra soaking of the skin that may allow bacteria into broken skin can lead to infection. It is common for a diabetic patient to have neuropathy in their feet causing them to not be able to feel their feet. A daily foot inspection of the feet is very important for the diabetic patient. It is imperative to allow a podiatrist to clip the toenails of a diabetic patient to decrease the risk of cuts and infection.
What happens if the nursing assistant is caught performing an activity outside her scope of practice?
Risks losing certification. Liable for any harm that comes to the patient as a result.
Describe each chain of command in nursing units: Supervisor, Nurse practitioner/nurse team leader, staff nurse, LVN/LPN, and CNA
- May be designated as supervisor, charge nurse, or head nurse and is the person responsible for the mangement of the unit and the entire staff
-Responsible for the care of a group of patients and the delegation and supervision of nurses and assistive personnel involved in their care
-Team member or may even serve in the role of team leader or supervising nurse. Assigned specific duties such as medicating patients or carrying out medical treatments, and may delegate and supervise assistive personnel
-Usually works under supervision of RN and can carry out some medical treatments as well as delegation and supervision of assistive personnel, depending on the state's scope of practice
- Provides patient care under the supervision of licensed personnel