Responsibilities in a Hospital
CNAs administer medication to the patient. T or F
False
CNAs are allowed to prepare or give IV shots or any other shots. T OR F
False
Situation 1: A patient is using his/her call light, what do you do?
1. Answer the call light promptly; 2. Be courteous when responding or entering the room; 3. When answering a call light for a patient or room not assigned to you, introduce yourself; 4. If answering a call light remotely, ask, "How may I help you?"
Situation 1: A patient needs assistance in eating. How would you handle this situation?
Sit at the patient's side, at or below eye level. If you are right-handed, sit at the patient's right side so that your patient does not have to keep his head turned towards you. Use a fork half full of solid food or a spoon half full of liquid. Always encourage your patient to feed himself as much as possible.
A set of guidelines that help nurses to make good decisions about which tasks to delegate and to whom
What is the Five Rights Of Delegation?
Can CNA's assist in surgery? T or F
CNAs can insert tubes and give tube feedings. T or F
False
Situation 2: You must take a patients vital sign, what are some of things you measure when taking vital signs?
temperature, pulse, respiration, blood pressure, and pain.
Situation 2: A patient had an "accident" while sleeping last night and you helped them to take a shower and now you have to change the bed sheets. What are the steps to do that?
1. Take the patient out of the room and get them to eat or do something productive.
2. After taking the patient out of the room, you make sure you have washed your hands and grab the clean linen.
3. Set it down to a place where its not contaminated.
4. Get the dirty hamper and throw the dirty linen in there after that clean the bed with disinfecting wipes.
5. Put the clean linen and set the bed and make it as neat as possible.
An RN who is in charge of a particular floor or section of the facility
what is unit manager
What tasks is outside the scope of practice for an NA?
Giving injection of medication
What tasks can a nursing assistant do? List 3 types
Bathing, Grooming and Feeding
Situation 3: You need to perform CPR! What do you do?
1. Put the heel of your dominant hand at the center of the person's chest. Make sure the person is lying on a hard, flat surface, such as a floor.
2. Put your other hand over your dominant hand, then interlock your fingers. If you're doing CPR on a child (someone one to eight years old), you can use one hand.
3. Start chest compressions. Lean directly over the person and keep your arms straight. Press down into their chest, then come up. It's important to let the chest rise again fully. You should be trying to push down about two inches, or five centimeters. Aim to do around 100 compressions per minute, or to the beat of Staying Alive. Complete 30 chest compressions.
4. Open the person's mouth. Once you've done 30 chest compressions, stop; tilt the persons head back and open their mouth at the chin.
5. Add a rescue breath. Breathe into the person's mouth, enough for their chest to begin to rise.
6. Watch the chest fall, then do another rescue breath. Once the person's chest is settled, you can re-adjust the head if needed, then complete another rescue breath.
7. Continue the 30 compressions, 2 breaths cycle. Do this until EMS arrives, the scene becomes unsafe, or if the person wakes up.
Situation 2: A patient has Alzheimer's and she has been walking around, calling for her husband and asking for help but her husband passed away 3 years ago. She had a slip n fall and needs medical attention. What do you do?
- Check if she is unconscious.
- Check if ABC procedure then if shes not breathing do CPR.
- After she starts breathing, call for help and let the others do the rest since you cant do anything else in your practice.
An exam consisting of a written portion and a skills portion that must be passed at the end of the nursing assistant training to obtain certification
What is Competency evaluation?
Can the CNA tell the resident or the family the diagnosis or the medical treatment plan?
No, its the responsibility of the doctor or nurse
CNAs cannot answer patient calls since HIPPA is violated. T or F
False
Situation 4: You are in the second floor and there has been a fire out in one of the rooms in the 2nd floor and its spreading. What do you do?
You tell the patients that can move to evacuate and those who can't move you get other workers to help you to evacuate from that 2nd floor. You quickly and smoothly go down the emergency escape.
The nursing assistant suspects that a resident in the facility is being abused due to multiple unexplained bruises, refusal to answer most questions, and refusal of ADLs (Activity daily living). Which of the following actions should the nursing assistant take next?
Report the suspected situation to the nursing assistant’s immediate supervisor.
A model for organizing the nursings team efforts in which each member of the nursing team carries out the same assigned task for all patients or residents
what is Functional Nursing?
Can the CNAs suction a patient? Explain Why.
No, any oral or other type of suctioning is a nursing function and can be done by a nurse.
CNAs can draw residents blood. T or F
False, usually is a job of an RN or a phlebotomist.
CNAs can give organization charts, answer outgoing and incoming calls, and keep up board status update to the patient. True or False
True
What is the best way for a nursing assistant to prevent infection in a nursing home facility?
Cross functional teams consisting of groups of professional and assistive personnel that work together as a unit based team to provide care to a given group of patients
What is patient centered or patient focused care?