CNA Chap 1 Audio 2 - Lecture notes 1- part 2 PDF

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Summary

Describe the Nursing Assistant’s Role...

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Chapter 1: Audio #2- Describe the Nursing Assistant’s Role

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A nursing assistant can have many different titles: ▪ Nurse Aid ▪ Certified Nurse Aid ▪ Patient Care Technician ▪ Certified Nursing Assistant The title given varies based on state requirements A nursing assistant (NA) performs assigned nursing tasks, such as taking a resident’s temperature A NA also provides personal care, such as bathing residents and helping with hair care Promoting independence and self-care are important tasks that a nursing assistant does Common nursing assistant duties include: ▪ Bathing residents ▪ Helping residents with elimination needs ▪ Assisting with range of motion exercises and ambulation ▪ Walking ▪ Transferring residents from a bed to a chair, wheelchair, etc. ▪ Measuring vital signs, temperature, pulse rate, respiratory rate, and blood pressure ▪ Assisting with meals ▪ Helping residents dress and undress ▪ Giving backrubs ▪ Helping with mouthcare ▪ Making and changing beds ▪ Keeping residents’ living area neat and clean ▪ Caring for supplies and equipment Nursing assistants are not allowed to insert or remove tubes, give tube feedings, or change sterile dressings Some states allow nursing assistants to give medications if they have completed an additional, specialized course for medications Nursing assistants spend more time with residents than other care team members ▪ They act as the eyes and ears of the team, ▪ Observing changes in the resident’s condition and reporting them is a very important duty of the nursing assistant ▫ Resident’s care can be revised or updated as conditions change ▪ Another important duty is noting important information about the resident --> called “charting” or “documenting” NAs are part of a team of healthcare professionals --> the resident and resident’s family are part of the team too ▪ Everyone works closely together to meet goals ▫ Goals include helping residents to recover from illnesses and to do as much as possible for themselves

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An NA will receive assignments to perform tasks, care, and other duties for specific residents ▪ But if you see someone who needs help who isn't your resident, you should still provide the needed care

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The Care Team is made up of the following: ▪ Nursing Assistant (NA) – performs assigned tasks, provides or assists with personal care ▫ Must have at least 75 hours of training o Registered Nurse (RN) - coordinates, manages, and provides skilled nursing care; supervises and oversees daily care provided by NAs ▫ Have diplomas or college degrees ▫ Have passed a national license examination ▪ Licensed Practical Nurse (LPN) - gives medications and treatments ▫ Has completed 1 to 2 years of education ▪ Physician or Doctor (M.D.) - diagnoses disease or disability and prescribes treatment ▫ Have graduated from four-year college and four-year medical school ▪ Physical Therapist (PT, DPT) - evaluates a person and develops a treatment plan ▫ Goals are to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and regain/maintain mobility ▫ Four-year bachelor's degree and a three-year doctoral program ▪ Occupational Therapist (OT) - helps residents learn to adapt to their disabilities; helps residents perform activities of daily living ▫ Use assistive/adaptive devices to help residents ▫ Evaluates needs and plans a treatment program ▫ Master's degree and four-year college ▪ Speech Language Pathologist (SLP) - identifies communication disorders, addresses factors involved in recovery, and develops a plan of care to meet goals ▫ Teach exercises to the resident to help them overcome speech problems ▫ Evaluates a person’s ability to swallow food and drink ▫ Master's degree and four-year college ▪ Registered Dietician (RD) - evaluates a resident’s nutritional status and develops a. treatment plan to improve health and manage illness ▫ Creates a diet to meet residents’ special needs ▫ Has a Bachelor's degree and maybe some post-graduate work ▪ Medical Social Worker (MSW) - determines residents’ needs and helps give them support services, such as counseling and financial assistance ▫ May help residents obtain clothing and other important items if the family is not involved ▫ May book appointments and transportation for residents ▫ Usually have a master's degree ▪ Activities Director – plans activities for residents to help them socialize and stay active ▫ Activities are meant to improve and maintain residents’ well-being and to prevent further illness from developing ▫ Activities may include games, performances, and arts and crafts

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Resident and Resident’s Family – the resident is an important member of the care team ▫ Person-centered care involves placing the resident’s well-being above all else and giving her the right to make decisions about her own care ▫ The family is a great source of information and support All members of the care team should focus on the resident --> the team revolves around the resident and his or her condition, treatment, and progress

A nursing assistant carries out tasks given to her by a nurse, who is acting on the instructions of a doctor or other member of the care team --> “chain of command” Chain of Command – describes the line of authority and helps to make sure that residents get proper healthcare ▪ Protects employees and employers from liability Liability – means that someone can be held responsible for harming someone else Nursing assistants must understand what they can and cannot do so that they do not harm residents and so that they don’t involve themselves or the employers in lawsuits Everything a nursing assistant does is assigned to them by a licensed healthcare professional Scope of Practice – defines the tasks that healthcare providers are legally allowed to do as permitted by state or federal law ▪ Laws and regulations about what NAs can and cannot do vary from state to state Care plan is individualized for each resident --> it is developed to help achieve the goals of care ▪ The care plan lists the tasks that team members must perform, how often they should be performed, and how they should be carried out ▪ Care planning should involve input from the residents and their families, as well as from health professionals ▪ Guide to help the resident be as healthy as possible --> must be followed exactly Critical that NAs make observations and report them to the nurse --> even simple observations ▪ Can help determine how care plans need to change

Policy – a course of action that should be taken every time a certain situation occurs ▪ Common policies at LTC facilities include: ▫ All resident information must remain confidential Procedure – a method or way of doing something The care plan must ALWAYS be followed --> tasks not listed in the care plan or approved by the nurse should not be performed Nursing assistants should not do tasks that are not included in their job description, and must report all important observations and events to a nurse What should nurse assistants not do: ▪ Discuss their personal problems with residents ▪ Accept money or gifts Professional – having to do with work or a job Personal – life outside a job; includes family, friends, and home life

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Professionalism – behaving properly while on the job; includes dressing appropriately, being on time, following the care plan and policies/procedures, following directions from the nurse, etc. A professional relationships with residents includes the following: ▪ Providing person-centered care ▪ Keeping a positive attitude ▪ Doing only the assigned tasks in the care plan ▪ Keeping all of the resident’s information confidential ▪ Always being polite and cheerful ▪ Not discussing personal problems ▪ Listening to the resident ▪ Not using profanity ▪ Always explain care before providing it ▪ Addressing them by their preferred name ▪ Washing hands and following sterile procedures A professional relationship with employers includes the following: ▪ Completing tasks efficiently ▪ Following policy and procedures ▪ Documenting and reporting observations correctly ▪ Reporting problems with residents or tasks ▪ Asking questions when confused ▪ Taking directions, feedback, or criticism without becoming upset ▪ Being clean and neatly dressed ▪ Always being on time ▪ Telling the employer when you need to call out sick from work ▪ Following the chain of command ▪ Participating in education programs ▪ Being a positive role model for the facility

Nursing assistants must be compassionate, empathetic, concerned, and understanding Demonstrating empathy means identifying with the feelings of others Showing sympathy means sharing the feelings and difficulties of others Residents need to feel that they can trust those who are caring for them Tactful – showing sensitivity and knowing what is appropriate when dealing with others Conscientious – try to do their best and are guided by a sense of right and wrong; responsible and accurate; take responsibility for actions Dependable – able to make and keep commitments Patient – do not act irritated or complain when things are hard; must not rush residents Respectful – valuing other people’s individuality ▪ Includes: age, religion, culture, feelings, traditions, practices, and beliefs Unoprejudiced – giving the same quality of care to everyone regardless of age, gender, sexual orientation, religion, race, ethnicity, or condition Tolerance – not judging other people for their practices and beliefs...