Title 22
Violations of Title 22 may lead to?
Issuance of a state citation with a fine.
In the LTC facility who can legally delegate to the CNA?
Licensed nurses
What is a tort?
A wrong committed against a person or the person’s property
A feeding tube that is inserted through the nose into the stomach.
Nasogastric tube
These types of body parts are most common areas for pressure ulcers to develop.
Bony prominences
California state laws enacted by legislature to establish
Nurse Assistant certification requirements, Regulations which govern the Nurse Assistant Training Program, Licensing and certification standards of health facilities, Skilled Nursing Facilities must be licensed, Skilled Nursing Facilities must have policies and procedures to ensure resident’s rights and safety.
What tasks can NOT be delegated to a CNA?
Administration of medication, Insertion of IV catheters, performing assessments, develop care plans, evaluate response to care, provide teaching to patient and family, supervise others, take oral or phone orders from doctors, and perform procedures using sterile technique
What are the different types of abuse?
-Physical abuse
-Verbal abuse
-Involuntary seclusion
-Financial exploitation or misappropriation
-Abandonment
What is Enteral nutrition?
Giving nutrients into the gastrointestinal tract through a feeding tube.
What are five causes of wounds?
• Surgery
• Trauma
• Unrelieved pressure or friction
• Decreased blood flow through arteries or veins
• Nerve damage
Complete Nurse Assistant training course approved by the California Department of Public Health?
Minimum of 100 hours of clinical training in a skilled nursing facility, Minimum of 50 hours of mandated theory, plus 10 hours recommended Alzheimer’s Disease and Elder Abuse.
What are the 5 rights of delegation?
Right task, Right person, Right supervision, right circumstances, and right directions & communication.
This type of abuse involves grabbing, hitting,
slapping, kicking, pinching, hair-pulling, and beating
Physical abuse
This is a major risk with feeding
tubes. It can cause pneumonia and death.
Aspiration
These ulcers are caused by decreased blood flow through arteries or veins.
Circulatory ulcers
In order to renew certification, the following renewal requirements must be met:
Complete the CDPH renewal application – HS 283C form. Complete 48 hours of approved in - service / continuing education hours every two years with at least 12 of the 48 hours completed in each of the two years. 24 of these hours can be done online now.
What are some acceptable reasons you may refuse a task?
• The task is beyond the legal limits of your role.
• The task is not in your job description.
• You were not trained to perform the task.
• The task could harm the person.
• The person’s condition has changedYou do not know how to use the supplies or equipment.
• Directions are not ethical or legal.
• Directions are against agency policies.
• Directions are not clear or complete.
• A nurse is not available for supervision.
If you suspect patient or resident abuse, what should you do?
Describe the matter and your observations to the nurse
How much water does an adult need each day to survive?
1500 mL
Why do you need to check daily the feet of persons with diabetes?
The person may have nerve and blood vessel damage. Both problems can lead to
diabetic foot ulcers. The person may not feel a cut, blister, burn, or other trauma to
the foot. Infection and a large sore can develop.
What are the 2 vendors that are permitted to give the state competency evaluation?
-Chancellor’s Office, Califor nia Community Colleges, which contracts with Pearson Vue, administrators of the National Nurse Aide Assessment Program (NNAAP) Examination for the California Nurse Assistant Registry.
-American Red Cross
A nurse asks you to perform a task and you are unable to perform this task. What do you do?
Ask the nurse for assistance with the task at hand.
These laws are concerned with relationships between people. Examples involve contracts and nursing practice.
Civil laws
What are some signs and symptoms of complications that can occur at a person’s IV site?
-Bleeding
-Blood backing up into the IV tube
-Puffiness or swelling
-Pale or reddened skin
-Complaints of pain at or above the IV site
-Hot or cold skin near the site
What are the stages of wound healing?
- First intention = Wound edges are brought together to close the wound.
- Second intention = Wounds are cleaned and dead tissue removed. Wound edges are not brought together. The wound gaps. Healing occurs naturally.
-Third (Tertiary) intention = the wound is left open and is closed later. It combines second and first intention.