Health Care Agencies
A state license is required to operate and provide care
What is a licensure?
Someone who supports or promotes the needs and interests of another person. They protect a person's health, safety, welfare, and rights while in the long term care center.
What is an ombudsman and what do they do?
A person who has passed the NATCEP
What is a nursing assistant?
-The right task
-the right circumstance
-the right person
-the right directions and communication
-the right supervision and evaluation
What are the 5 rights of delegation?
working when scheduled, being cheerful and friendly, completing assignments, helping others willingly, being kind to others
What does Teamwork involve?
This is required to receive Medicare and Medicaid funds
What is a certification?
A state law that protects the public from unauthorized individuals practicing nursing without a license and those who do not meet state requirements to perform nursing tasks.
A states board of nursing.
What is the Nurse Practice Act and who enforces it?
A federal law that applies to all fifty states
What is the Omnibus Budget Reconciliation Act Of 1987 (OBRA)?
the nursing process, provide education to the person and family, making delegation decisions, supervising others, taking oral or phone orders from a doctor, giving drugs, inserting intravenous catheters
What are the tasks that can not be delegated to a nursing assistant?
unfamiliar language, cultural differences, changing the subject, giving your opinion, talking a lot when others are silent, failure to listen, pat answers, illness and disability, age
What are comunication barriers? v
Someone who has completed a 2-,3-, or 4-year nursing program and has passed a licensing test.
What is a Registered Nurse?
Being convicted of a crime, selling drugs, using a person's drugs, placing a person in danger from the over-use of drugs/alcohol, demonstrating negligent nursing practices, being convicted of abusing or neglecting children or older persons, portraying incompetent behaviors, violating the practice act or its regulations or aiding another person to do so, making medical diagnoses, and prescribing drugs or treatments
What are some reasons that the BON (Board of Nursing) may deny, suspend, or revoke a nurse's license?
Nursing care or a nursing function, procedure,skill,or activity.
What is a Nursing task?
inserting urinary catheters, giving feeding tubes, allowed by your state, in your job description, have the correct amount of education if not learned in NATCEP
What tasks can be delegated to a nursing assistant?
physical needs, safety and security needs, love and belonging needs, self-esteem needs, the needs for self-actualization
What are the basic needs according to Maslow?
A nursing care pattern where each member focuses on a certain tasks and jobs.
What is Functional nursing?
Never give drugs, never insert tubes or take them out, never take oral phone orders from doctors, never diagnose or prescribe a patient, never tell the family about a diagnosis, never supervise other CNA's, and never ignore an order or a request.
You could either practice without a license, have your certification revoked, or suspended.
What are the role limits of a nursing assistant? What will happen if you go beyond those limits?
Document that describes what the agency expects you to do
What is a job description?
good hygiene, required uniforms, cover tattoos, watch with a second hand, no open-toed shoes that are slip-resistant, hair off the collar and away from the face, no nail polish, no perfume or cologne
What are the requirements of a professional appearance?v
anger, demanding behavior, self-centered behavior, aggressive behavior, withdrawal, inappropriate sexual behavior
What are the six behavior issues?
An agency that provides housing, personal care, support services, health care, and social activities in a home-like setting to persons needing some help with daily activity.
What is Assisted Living Residences?
Information, Refusing treatment, privacy and confidentiality, personal choice, work, resident groups, personal items, freedom from abuse, and freedom from restraint.
Residents have the right to voice concerns, complaints, and or questions.
Residents must be cared for in a manner and setting that promotes dignity and respect for self and staff must provide care in a manner that maintains or enhances self-esteem/feelings of self-worth.
What are the 11 Resident Rights?
Make sure your state allows nursing assistants to do such task, that it is in your job description, and you have the education and training to do so.
What should you do before performing a task in a new state or agency?
set your priorities, the most important thing at the time
How do you "plan your work" for the day?
face the person look directly at the person, position yourself at the person's eye level, control the loudness and tone of your voice, speak clearly slowing and distinctly, do not shout whisper or mumble, do not use slang or vulgar words, repeat information as needed, ask 1 question at a time wait for an answer, be kind courteous and friendly
What are the 9 rules for verbal communication?