CNA Role & Resident Rights
A CNA is asked to place an IV catheter, the nurse says she will walk the CNA through the steps. What should the CNAdo?
politely refuse, because it is out of the legal scope of a CNA
Name the ways you can verify a residents Identity?
Check ID bracelet, name and DOB, NOT BY ROOM NUMBER
The flat, back lying positions is_______
The stomach lying position is ________
Prone
Which should be reported to the nurse immediately?
A. 94/62 mmHg
B. 62 beats per minute
C. 88% SpO2
D. 99.1 F Temp
C. 88% SpO2
The Carotid pulse is where? Used for What?
The Brachial pulse is where? Used for what?
neck, used to check pulse prior to adult CPR
arm, used to check pulse prior to infant cpr & indicates where to place stethoscope for bp
The CNA would document taking someone to the bathroom in this:
A. the progress note
B. ADL Flowsheet
C. the care plan
Progress note- recorded when there is a problem, change in condition, or unusual event.
Care plan- directory of information to ensure patient care measures are meant (how they ambulate, what therapy they may need, fall interventions/risks, etc.)
What is the best action if a resident begins to fall?
Assist, ease them to the floor, attempt to prevent injury
How do you assist a visually impaired resident with meals?
Use the clock method to describe where their food location is (example- your corn is at 3 o clock, your ham is at 6 o'clock
A pulse that does not have evenly spaced beats should be reported as what?
Irregular
You are giving rescue breaths to a drug overdose while waiting for EMS to arrive, how do you know your breaths are effective or working?
you visualize chest rise and fall
What type of information can be found on the nursing assistant registry?
Findings of abuse, neglect, or dishonest use of property.
When should you change your gloves?
When they are contaminated...
Correct application and use of a gait belt includes
2-4 fingers (flat hand)
snug over clothes
hand under for grip
hold on to resident
watch for fatigue
A resident gets out of bed in the morning and feels dizzy and weak, this is likely ________?
Orthostatic Hypotension
Place the wheelchair on the right side, always the strong side.
A CNA says, “That is not my resident, so I do not have to answer their call light.” What is the best response to this? Whose responsibility is it to care for the patient?
Varied answers- teamwork is necessary, any nursing staff member can and should assist residents. If this is an occurring issue, you need to address it politely with the coworker, then escalate up the chain of command if needed.
A chemical spills in a care area, what do you reference before cleaning?
The material safety data sheet (SDS)
Explain how to care for someone with a urinary Catheter- what are things to monitor and/or report to the nurse
discolored urine- cloudy, strong odor, sediment, blood, etc.
Bag should remain below bladder
High risk for infection monitor for s/s
Signs and Symptoms of Cerebrovascular Accident (CVA)?
BEFAST
Balance, Vision Changes, Facial droop, Arm weakness/numbness, Slurred speech, headache, confusion, dizziness
Why does oxygen need to be humidified?
It provides moisture to prevent skin breakdown
What are the 5 steps of the nursing process?
Assessment- collect info about person (health history, physical assessment, etc.)
Diagnosis- health problems that can be treated with nursing interventions (nursing diagnosis)
Planning- setting priorities and goals for residents
Implementation-performing or carrying out interventions tasks (when care is actually given)
Evaluation- determine if goals are working, met, or re-eval and set new goals/priorities
Name the different types of isolation and what is needed before entering
Contact- gown and gloves
Droplet- mask, gloves
Airborne- gown, gloves, goggles, respirator
Enteric- wash with soap and water, gloves, gown, maybe eye protection, clean with bleach
What are the steps to a bed bath?
no soap for eyes/face
wash far arm first then near arm
wash peri area last
ensure fresh gloves and water before peri area
Name the vital signs and their normals-
What are the abnormals?
T 98.6 under 97 hypo over 100.4 fever
P 60 -100 bpm
R 12-20 bppm
BP 120/80 mmHg
SpO2- 95% - 100&
Name the 5 stages of grief
Denial
Anger
Bargaining
Depression
Acceptance