Ch 2 textbook notes [cna]-2 PDF

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Chapter 2: The Nursing Assistant and the Care Team Identify the members of the care team and describe how the care team works together to provide care •

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Nursing assistant or certified nursing assistant o Bathing, taking care of, vital signs o Spend the most time with residents o Eyes and ears of the team o Reporting changes in residents condition o Need 75 hours of training Registered nurse o Coordinates, manages and provides skilled nursing care o Special treatments, medication o Assigns tasks to na LPN o Administers medications and gives treatments Physician or doctor o Diagnoses disease or disability and prescribes treatment Physical therapist o Evaluates and develops treatment plan Occupational therapist o Helps residents learn to adapt to disabilities o Helps train adl o Helps with assistive or adaptive devices Speech language pathologist Registered dietitian Medical Social Worker MSW o Helps determine residents needs o Obtain clothing, book appointments Activities director Resident and resident's family

Explain the nursing assistant’s role: • • •

Measures temperature, personal care, helps them eat and drink, elimination, walking, vital signs, meals, mouth care, changing beds, ect. Not allowed to insert or remove tubes, give tube feedings, change sterile dressings Charting

Explain professionalism and list examples of professional behavior: • • •

Professionalism: having to do with work or a job Personal: refers to life outside a job Professionalism: behaving properly when on the job

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Nursing assistants must be: o Compassionate ▪ Caring, concerned, considerate, empathetic ▪ Empathy: identifying with feelings of others ▪ Sympathy: sharing in the feelings of others o Honest o Tactful ▪ Showing sensitivity and having a sense of what is appropriate when dealing with others o Conscientious ▪ Try to do best, alert observant, accurate, responsible o Dependable o Patient o Respectful o Unprejudiced o Tolerant ▪ Respecting others beliefs

Describe proper personal grooming habits: • • • • • • • • • • •

Bathing showering No scents Brushing teeth Hair in bun or ponytail Facial hair short Dressed neetly No large jewelry Id badge No visible tattoos Fingernails short Little or no makeup

Explain the chain of command and scope of practice: • • • • • •

Chian of command: describes line of authority and helps to make sure that residents get proper health care Liability: legal term that means someone can be held responsible for harming someone else Na are not licensed healthcare providers Scope of practice: defines the tasks that health care providers are legally allowed to do as permitted by state or federal law NA do not honor a request to do something outside the scope of practice and then reported Administrator: manages the non-medical aspects of facility

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NA: do not perform procedures that require sterile technique NA do not diagnose illnesses or prescribe treatments NAs do not tell resident or the family the diagnosis Na cannot administer medications Medical Director: reviews medical aspects Director of nursing: manages nursing staff ADON: assist Staff development coordinator: directs training of employees at a facility Minimum data set coordinator/ RAC: manages assessment of resident needs and delivery Nursing supervisor: supervises nursing staff Charge nurse: supervise limited number of patients Staff nurses: rn, lpn: provide nursing care NA: assigned nursing tasks and care Other services under MD: PT, OT, SLP

Discuss the resident care plan and explain its purpose: • • • • • • • • • • •

Residents care plan is individualized for each resident Lists task that members must perform States how often and how they should be carried out Guide to help resident reach and maintain the best possible level Activities not listed on care plan should not be performed Centers for Medicare and Medicaid Services CMS requires facilities do comprehensive, person centered care planning for each resident Care planning should involve input from resident and health professionals Resident has legal right to participate When planning care, professionals will assess physical, financial, social, and psychological needs, history and goals Nurse coordinates residents overall care Must be reviewed regularly and updated

Describe the nursing process: •

To communicate with other care team members and to help plan and evaluate residents care nurses must use 5 steps: o Assessment: getting information from many sources, including medical history, physical assessment and environment ▪ What is the resident's status including health and environment? ▪ Purpose is to identify actual or potential problems o Diagnosis: ▪ Identifying health problems after looking at all residents needs o Planning: ▪ Setting goals and creating a care plan in accordance with residents preferences to meet residents needs • What are the goals (expected outcomes) of providing care

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Implementation: ▪ Putting care plan into action; giving care • How will we achieve these goals? Evaluation ▪ Careful examination to see if the goals were met or progress was achieved

Describe the five rights of delegation: • • • •

Delegation: transferring responsibility to a person for a specific task Na do not delegate tasks Licensed nurses are accountable for care National council of state boards of nursing: o Right tasks o Right circumstance o Right person o Right direction/communication o Right supervision/evaluation

Demonstrate how to manage time and assignments: • • • • •

Plan ahead Prioritize Make a schedule Combine activities Get help...