Module 2
1. Following procedures and policies
2. Reporting concerns or problems to your supervisor
3. Accepting constructive feedback
4. Maintaining educational requirements
Where are these CNA guidelines for professionalism located?
Where is Chapter 1: The Nursing Assistant in Long-Term Care
of our textbook, Assisting A Foundation In Caregiving.
This action is to have the ability to understand and share the feelings of another person.
What is empathy
Following the manufacturer's instructions, lifting the patient/resident 2 inches above the bed, and stabilizing the patient's balance before unlocking the lift wheels are steps to take when using this device.
What is a Hoyer lift.
Used all over the world except in the United States, Liberia, and Myanmar, where the Imperial System is used, this system of measurement uses the meter as the base for length, the liter as the base for volume, and the gram as the base for weight.
What is the Metric System.
Considered to be the most accurate temperature, this measurement's normal range is 98.6F to 100F.
What is the rectal temperature.
This type of infection is caused by microorganisms that do not affect people with healthy immune systems but cause disease in people with weakened immune systems.
What is an opportunistic infection.
The CNA's role in documentation and charting is to obtain objective data/information from the patient to report to the licensed nurse.
Name the 4 senses that the CNA will use to gather
What are:
Actions, or the failure to act or provide proper care for a person, resulting in unintended injury.
What is negligence.
Under this California regulation, a CNA training program will have no more than 15 students per class, and a minimum recommendation of 60 theory hours and 100 clinical hours is to be taught by a licensed RN or LVN.
What is Title 22, Div 5 CCR 71835.
A patient safety event that results in severe temporary harm, permanent harm or death must be reported to the licensed nurse and documented as an unusual occurrence.
What is a sentinel event.
Normally living in and on the body, these microorganisms do not cause harm in healthy people as long as they remain in the same location and in the same quantity.
What is normal flora.
Skin breakdown usually occurs at points of the body that bear much of the body's weight. Over what areas are these pressure points mainly located?
What are bony prominences.
Specimens are samples, such as tissue, blood, urine, stool, or sputum and are collected for analysis and diagnosis. Name the 5 Rights of Specimen Collection.
What are the:
The right resident
The right specimen
The right container
The right date and time
The right storage or delivery
The disease that causes a portion of the brain to degenerate, resulting in rigidity of muscles, a shuffling gait, a mask-like face, and tremors.
What is Parkinson's Disease.
The Nursing Process an organized method used by the RN to determine residents’ needs, plan the appropriate care to meet those needs, and evaluate how well the plan of care is working. The Nursing Process is used to create a patient's Care Plan.
Name the 5 steps of the Nursing Process.
What are:
Assessment
Diagnosis
Planning
Implementation
Evaluation
It is the unlawful application of force directly or indirectly upon another person or their personal belongings, causing bodily injury or offensive contact.
What is battery.
Under this regulation in the California Health & Safety Code, a "Certified nurse assistant” means any person who holds himself or herself out as a certified nurse assistant and who, for compensation, performs basic patient care services directed at the safety, comfort, personal hygiene, and protection of patients under the supervision of a licensed nurse, and is certified as having completed the requirements of this article.
What is California Health and Safety Code, Section 1337-1338.5
This safety manual is mandatory in all workplaces and contains information pertaining to the safe handling or chemicals found in the workplace.
What is the Safety Data Sheet(s).
Used to describe the angle of the head of the bed, there are different degrees of elevation ranging from 35 to 90.
What is Fowler's position.
If one ounce equals 30 milliliters, how many milliliters are in 17 fluid ounces.
What is 500 ml.
Found where the left mid-clavicular and the the left nipple line intersect, it is auscultated with a stethoscope, and is normally about the same as the radial pulse.
What is the apical pulse.
Sudden angry outbursts, verbal aggression, or physical aggression often seen in the prolonged middle stage of Alzheimer's Disease.
What are Catastrophic Reactions.
These exercises put a joint through its full arc of motion are done by a resident with some assistance from a staff member.
What is AAROM--active assisted range of motion.
This type of abuse is characterized by emotional distress or agitation, withdrawal from daily activities, neglect of self-care, and expressions of worthlessness.
What is emotional abuse.
Under this California regulation, every facility must establish policies and procedures that include patient/resident rights and put them into action. The rights are to be made accessible to the public upon request and posted at entrances or wherever there is high foot traffic by the public.
What is Title 22 CCR § 73523 Patients' Rights.
Defense mechanisms are unconscious behaviors which prevent a person from facing the real reason a situation has occurred and can cause barriers to communication.
Name the 6 defense mechanisms outlined in Module 3 Lecture and in Chapter 4 of our textbook.
What are denial, displacement, projection, rationalization, repression and regression.
An extreme response to an infection in the bloodstream, it is systemic and a life-threatening medical emergency.
What is sepsis.
The skin remains intact, but is reddened or appears blue or gray, it may become swollen or feel warm and firm, and can be reversed if discovered promptly and treated.
What is a Stage I Decubitus Ulcer.
During a tube feeding, the head of the bed should be elevated in this position throughout the feeding .
This developmental disability affects movement and balance and can cause intellectual damage or delay, is due to damage to the brain occurring during birth or in utero.
What is cerebral palsy.
The goal of this type of care, given after rehabilitation, is to maintain a person’s function and increase independence.
What is restorative care.
Observing or suspecting abuse should be reported the to a licensed nurse immediately. CNAs, LVNs, RNs, MDs and other healthcare professionals, teachers, law enforcement, and clergy are required to report abuse under what California law?
What is the Mandated Reporter law.
Under this California regulation, CNAs shall submit a certification renewal application, an application fee and verification of the required in-service training every two (2) years.
The application is considered complete when the correct fee is received and the accompanying documentation verifies completion of required twenty- four (24) hours of in-service training or continuing education per year for a total of forty-eight (48) hours within the two (2) year renewal period.
What is Title 22 CCR 71839 Renewal of Unexpired Certificates
Name this pyramid.
What is Maslow's Hierarchy of Needs
Airborne, Droplet, or Contact Precautions are second tier infection control methods and are to be used in addition to Standard Precautions.
What are Transmission Based Precautions.
If 1 ounce equals 30 ml, how many milliliters of intake did this resident have in an 8-hr shift?
8 oz of tea
12 oz of broth
8 oz of nutrition shake
36 oz of water
What is 1920 ml.
Tachypnea is the medical term for rapid respirations and apnea is the medical term for the absence of breathing. What is the term for normal breathing or respirations?
What is eupnea.
Not a normal part of aging, this general medical term is often marked by serious cognitive decline which interferes with daily living and is typically irreversible.
What is dementia.
Maintaining or regaining a patient's abilities, promotion of independence, preventing complications of immobility, and assisting a patient adapt to deficits are the functions of this type of care.
What is rehabilitative care.
Certain groups are more vulnerable to abuse and neglect. Which 5 groups are often residents in long-term care facilities?
Who are the:
Elderly
The physically ill/disabled
The developmentally disabled
The mentally ill/disabled
People with communication problems (visual, hearing, speech).