Anatomy
Comprised of 206 bones
Skeletal system
Fluid-filled sacs that allow bones to move easily
What is Bursa
•Ethical and legal basis
•States have adopted or codified these rights into law
•Posted in facility
•Distributed on admission in many facilities
What is OBRA
•Nursing homes must be certified to receive Medicare and Medicaid funds
What is CMS
•Reflect the function of three body processes that are essential for life.
–Regulation of body temperature
–Heart function
–Breathing
What is TPR and B/P
Porous bones that break down
what is osteoporosis
produces bile for breakdown of fats
What is the Pancreas
Temporarily for life threatening medical conditions
What are reasons to use a restraint
•Surveyors" conduct inspections to find out whether the nursing home meets federal rules
üRoutine inspections take place in nursing homes that receive payment through Medicare and Medicaid every 9 to 15 months
üSurveys take three days on average
LTC regulations
–Increased body temp
–Body temp >104ºF
–>106 ºF will cause convulsions and death
What is Hyperthermia
sight, smell, hearing, taste, feel
what are the 5 senses
inflammation of the liver
What is Hepatitis
The national network of long term care ombudsman programs was established in response to the many problems found in nursing homes. The program was first introduced in 1971 as part of President Nixon’s eight-point plan to improve nursing home conditions. This plan established several demonstration ombudsman projects, funded and supervised in the beginning through the U.S. Public Health Service.
What is the The Long Term Care Ombudsman Program has been in existence in North Carolina since 1976
The name of the Nurse Aide will be listed on the Health Care Personnel Registry for a "pending" allegation or substantiated allegation "finding(s)".
What is the NCBON sanction list
–Arteries carry blood with oxygen and nutrients away from heart and to cells
What are the functions of the circulatory system
Resident exercise joints without help
What is active ROM
protrusion of organ through wall of cavity where it is normally contained
What is a hernia
Provides opportunity for discussion
Recommendations may be made for:
•Facility policies
•Decisions regarding activities
•Exploration of concerns
•Resolving grievances
What is the residents council
•Serve as the eyes and ears for the healthcare team
What are the responsibilities of the NA
•Adult has 5 to 6 quarts (liters)
•Consists of
–water - 90% (plasma)
–blood cells
What is blood
Artificial Arm, leg, hand
What are prosthetic devices
Inability to control defecation
What is Incontinence:
•Side rails on a bed
• Special chairs such as geriatric chairs
• Lap cushions or lap tray
• Vests and jacket restraints
• Safety belt restraints
• Soft ties for wrist and ankles
What are acceptable types of restraints
•Nurse aides do not do sterile procedures.
Nurse aides do not give information about the diagnosis or treatment plans to the resident or his/her family
Legal Parameters of Nurse Aide Work
Tissue (three layers)
endocardium - smooth, inner layer
myocardium – thick, muscular middle layer
pericardium – double-walled membrane that covers outside of the heart
What are the 3 layers of the heart