Key Terms
Objective Communication
Based on what a person sees, hears, touches or smells (NOT TASTE)
Temperature
What is 97.6-99.6
Can be taken orally, rectally, axillary, tympanic
** Rectal is most accurate
Handwashing
The first and last thing you do prior to leaving patient's room
Pathogen
Occurs when the microorganism enters the body and multiply. It can be a virus, bacteria, fungi, or parasite.
It can be local (small area) or systemic (Whole body)
Ombudsman
Advocates for resident
Subjective Communication
It is something a person cannot or did not oversee. Based on what the resident (subject) reports. Also called symptoms.
Respirations
Normal Range 12-20
It is measuring how many times an individual breaths in oxygen and exhales carbon dioxide in minute (60seconds)
Bold Step
If skip leads to failure of that part of testing.
LLL, PAin (ROM), Will not recontaminate (HW)
measure 25 ml I/O,
Standard Precautions
what is treating blood, body fluids, non intact skin as infectious. (Sweat is NOT)
Includes: Handwashin, Gown, Gloves, and Goggles/Face Shield
OBRA
Omnibus Budget Reconciliation Act
Determined to be a NA need 75 hour of training
12 hours inservice per year
Barriers to Communication
1) Hearing
2) Vision (Use the clock method)
3) Speech (cannot understand, or speaks a different language, slang, cliches)
4) Non verbal (Body language)
5) Culture - learned beliefs/behaviors practiced by a person or group
Pain
This is sometimes referred to as the 5th vital sign. It is subjective info gathered from resident When a patient reports pain. Ask them the location, when it started, use a measuring technique scale of 1-10. And ask quality: dull, achy throbbing etc.
Report!!
CIA
Clean, Introduce, Action - Privacy
Transmission-Based Precautions
What is used in addition to standard precautions (remember it only works with it not alone)
Airborne -
Droplet - (6 feet)
Contact -
Scope of Practice
What you are allowed to do based on your training and what is in resident's care plan
Defense Mechanisms
What are behaviors used to cope in a stressful situations
1) Denial 2) Projection 3) Displacement
4)) Rationalization 5) Repression 6) Regression
Blood Pressure
This is indicates how well heart is working
Systolic 120 mm Hg (when heart is contracting)
Diastolic 80 mag Hg (when heart is relaxed)
p. 182 written as a fraction 120/80
Skills Test
Rules are changing but currently will have 3-4 skills to complete in 35 minutes. It will possible be attached to HW/PPE
Common. Infection Disease
TB, Bloodborne Path, Hepatitis, MRSA, VRE, C-diff, TB
STNA Do's
Activities of daily living
Chart in Care Plan
Mental Health Disorder
What is a disorder that the body's ability to function and produces signs and symptoms.
1) combative
2) Anger
3) Inappropriate Behavior
Pulse
This indicates how many times your heart beats in 1min/60 seconds.
Normal range is 60-100
Tachy - greater than 100
Brady - less than 60
LLL, CCC
Remember
Lower the bed, lock the bed, lock the wheelchair
When wiping a patient: Front to back
Check, Check, Crack x 2
PPE
Personal Protective Equipment
Gown
Goggles/Shield
Gloves
Don - put on; Doff - take off
STNA Don'ts
Cannot pass medications
Cannot change sterile dressing
Cannot insert or remove tubes
Administer tube feeding