Documentation
The Activity Log Notes are legal documents and equivalent to a patient's chart?
True or False
True
What is the medical term for Walk?
Ambulate
What do you always wear to protect yourself from exposure to bodily fluids?
Gloves
What must you read before providing services to a client?
The POC
Can you crush medication?
NO
How many ADL's must the client receive assistance with in order to qualify for LTC insurance payments?
Two
What is the medical term meaning To Move From Place to Place?
Transfer
DAILY DOUBLE
What 2 safety steps must you take when transferring a client from a wheelchair?
1) Lock Brakes
2) Fold back or remove footrests
What services do you document on the Activity Log Notes?
ONLY services you provide.
Not what client did themselves
Not what facility did for client
Not what client told you they did before you came
What 2 words are you allowed to write when documenting about medications?
Remind & Observe
If the client's POC does not include medication reminders, and you see them take their meds, what should you document?
Nothing
What does PRN mean?
As Necessary
If a client can not assist with pushing up to stand and you need to provide physical help greater than a gentle arm hold what must be used in ALL transfer activities?
Gait Belt
Where must your name tag/ID badge be worn
Above the waist
What are you permitted to do in regards to nails?
File and polish
If a client falls while you are in the home with them what do you document on the Activity Log Note?
1)Fall
2)What doing when fell
3)Called EMS and or Office
DAILY DOUBLE
What does ADL stand for?
Name 4 ADL's
Activity of Daily Living
Bathing, Dressing, Grooming, Eating, Toileting and Continence
If a client is choking and is able to cough what do you do?
Stay with them and encourage them to keep coughing
When must you report to the office if your name is pulled for a random drug screen?
By the end of that business day (5pm)
DAILY DOUBLE
What does IADL stand for
Name 3 IADL's
Instrumental Activity of Daily Living
medication reminders, housekeeping, transportation, meal preparation, money management, telephone assistance, laundry
Name 3 things you look for and document about urine.
1) Color
2) Clarity
3) Odor
What does the acronym HIPAA stand for?
Health Insurance Portability and Accountability Act
(1996)
IF a Blood Sugar is below 60 mg/dl what rule should you apply?
15/15
What can a HIPAA breech result in?
Monetary fines and/or Jail time
When is a CNA required to staff a client?
When they require Extensive Assistance in more than 2 ADLs' or if they require Extensive Assistance in more than 1 ADL if they have dementia, SOB with continuous O2 or chronic pain interfering with ADL ability