Chapters 1-6 12 Flashcards
A health care provider was trained in ______ health care skills, rather than for specific illnesses or conditions
general
Charlatans use to offer ineffective ______ in exchange for money
cures
The _____ was the primary site for patient care
home
Health care professionals have to undergo intensive ____ _____
Large facilities provide _____ patient care
educational preparation
on-site
The family doctor is now called a ______ _____ and is supported by a team of specialist
general practitioner
A _____ approach is now used: focuses on the care of the whole person–physically and emotionally
holistic
All health care organizations have a purpose or _____
mission
Acute care settings
Probably the best known type of health care organization
People who receive the services there are called ____
hospital
patients
A patient who has to stay at the hospital for one or more nights receives _____ _____
inpatient care
A patient who goes home the same day receives _____ _____
outpatient care
Also called a skilled nursing unit or a skilled nursing facility
Provides care for a patient who has partially recovered but still requires skilled health care
sub-acute care units
The care provided in a sub-acute unit often focuses on _____
rehabilitation
For people who are unable to care for themselves at home, yet do not need to be hospitalized
long term care facilities
Long term care facilities often becomes the person’s ____, either temporarily or permanently
home
People being cared for in long term care facilities are called _____
residents
For people needing limited help such as:
medications
transportation
meals
housekeeping
assisted living facilities
Provide skilled care in a person’s home
People receiving care in this type of setting are called ____
Available for people of all ages with any number of medical needs
home health care agencies
clients
People can receive services when they know that they have 3 to 6 months to live
Focus: to relieve pain and to provide emotional and spiritual support
Services are provided for both the dying person and the family
hospice organizations
_____ care can be delivered in the home, a nursing home, hospital or hospice house or center
hospice
Within each facility, care of patients or residents is provided by a _____ _____ _____, made up of many people with different types of knowledge and skill levels
health care team
Structure of health care organizations are usually governed by a ____ _____ _____
Has divisions in charge of certain aspects of the organization’s function
An _____ or chief of executive officer (CEO) is the link between the board and the organization
board of trustees
administrator
Nursing services is headed by a ____ or ____
Care of patients or residents is provided by a ____ ____ _____
director of nursing (DON) or chief nursing officer (CNO)
health care team
The ____ or ____ is the primary focus of the health care teams efforts
patient or resident
The primary government agency responsible for protecting this nation’s health
United States Department of Health and Human Services
DHHS
An in-depth investigation of long term care facilities initiated by the DHHS in response to complaints of neglect and abuse from people who had family members in long term care facilities resulted in a law known as the _____ ____ _____ _____ of 1987
Omnibus Budget Reconciliation Act of 1987
OBRA
Sets national standards for all types of health care organizations and officially recognizes organizations that meet standards
The Joint Commission (JCAHO)
An actual inspection and evaluation of a health care organization or facility
survey
Statements that identify the standards that were not met, as well as the survey teams findings that indicate how the facility failed to meet the standards
Must be addressed in a formal written statement that outlines how each deficiency will be corrected
deficiency citations
A facility that does not regain compliance status may face serious penalties, such as:
loss of accreditation status
substantial fines
an inability to qualify for Medicare or Medicaid payments
an admissions ban
closure
Government and private regulations make sure that:
providers of health care are properly ____ and ____
health care facilities meet standards of ____ and ____
all products used in the delivery of health care are safe
quality health care is available to everyone
trained and competent
cleanliness and quality
Regulating agencies:
Government: ____
Private: _____
United States Department of Health and Human Services (DHHS)
The Joint Commission
Government agency that is responsible for protecting the health and safety of American workers by enforcing standards and providing education to improve conditions in the workplace
Occupational Safety and Health Administration (OSHA)
Assures the organization is meeting specifically stated standards of care
accreditation
Health care facilities that comply with the standards set by The Joint Commission are allowed to display the ____ ____ _____ _____ of _____
Joint Commission’s Gold Seal of Approval
Comprised of representatives of various accrediting agencies, inspects and evaluates the organization and actual facility
survey team
A report containing any identified deficiencies
written summary
Insurance purchased at group rates by an employer or corporation
group insurance
Health care provider has to prove that a person’s medical condition meets certain criteria before starting
treatment
Precertification (preapproval) process
Arrange contracts with various health care providers
managed care system
Health care providers contract with an insurance company to accept a standard payment
Preferred provider organization (PPO)
Contract with health care providers to provide health care services for a prepaid fee
Health maintenance organization (HMO)
Federally funded by Social Security, administered by Center for Medicare and Medicaid Services (CMMS)
People who are 65 or older are eligible
medicare
A report required for each resident that received Medicare
Asses the degree of assistance that each resident needs and helps to ensure that the resident receives quality care that is directed to his or her specific needs
minimum data set (MDS)
Payment is specified according to the diagnosis
diagnosis-related groups (DRG’s)
Due to the DRG system, patients are discharged ____ and ____
sooner and sicker
Designed to help people with low income to pay for health care
Federally funded and state regulated plan
Reimbursements are given only to facilities approved by the state agency
Medicaid
British nurse who is credited with making nursing into the profession it is today (1820-1910)
Florence Nightingale
____ _____ _____ _____ requirements for certification:
competency evaluation
principle of reciprocity
registry
continuing education
Omnibus Budget Reconciliation Act (OBRA)
Nursing assistant training ends with a ____ ____,
which involves a written test of 75 multiple choice questions and a skills test
competency evaluation
The principle of ____ means your certification as a nursing assistant may be valid in states other than where you originally trained
reciprocity
OBRA requires every state to maintain a ____, an official database of the people who have successfully completed the nursing assistant training program
registry
The ____ contains:
- full name, including maiden name and married name
- last known home address
- date competency evaluation was passed
- reported incidents of resident abuse or neglect, or theft of resident property
registry
- assist nurses in giving care to patients and residents
- meet the basic physical needs of patients and residents
- meet the emotional needs of patients and residents
- act as observer and communicator
These are responsibilities of a _____ _____
nursing assistant
The nursing team consists of: ____, _____, and _____
licensed practical nurse (LPN) or licensed vocational nurse (LVN)
registered nurse (RN)
nursing assistant
The difference between a LPN and RN is _____
the level of training
Licensed nurse who supervises the nursing assistants and may supervise another nurse
charge nurse
Sometimes called a nurse manager or head nurse, is usually an RN who is in charge of a particular floor or section, supervises the charge nurse and has 24 hr day responsibility of the floor
unit manager
May have same responsibilities as a unit manager, but the duties are limited to that shift
shift supervisor
RN who directs all of the nurse care within the facility, responsible for the overall operation of the entire nursing department
Director of Nursing (DON)
Person that is responsible for developing and delivering in-service education
Coordinator (of director) of In-Service Education or Staff Development
Nurse that is responsible for tracking data that reflect quality of care issues, like incidents or accidents
Quality Assurance (QA) or Quality Improvement (QI)
RN responsible for the assessment process that is used to complete the Minimum Data Set (MDS)
Registered Nurse Assessment Coordinator (RNAC)
RN who has completed additional training for licensure in advanced practice, are able to do some tasks that doctors do
Certified Registered Nurse Practitioner (CRNP)
RN that is assigned several patients or residents and is responsible for planning and carrying out all aspects of care for those people
primary nursing
Each member of the nursing team carries out the same task for all patients and residents
functional (modular) nursing
A team leader, determines all of the nursing needs for the patients or residents assigned to the team and assigns task according to each team members skills
team nursing
Nursing care is designed around the needs of the patient or resident and works to meet the person’s needs
patient-centered or patient-focused care
- describes the range of task the assistant is legally permitted to do
- restricts task assistant is allowed to do
- defines the responsibilities of a nursing assistant
scope of practice
To give another person permission to perform that task on your behalf
delegate
The National Council of State Boards of Nursing (NCSBN) has developed guidelines called the ____ ____ _____ _____
- the right task
- the right circumstances
- the right person
- the right direction
- the right supervision
five rights of delegation
- administering meds and O2
- receiving verbal orders from doctor
- diagnosing illness and prescribing meds
- supervising other CNA’s
- sterile task
- inserting or removing tubes
These are task that a CNA should ____ do
not
- person with experience and skill in a specific role
- person engaged in a specific occupation for pay
- person who has credentials, obtained through education and training enabling licensing or certification to practice certain professions
professional
- having a professional attitude
- possessing a positive attitude
- committed to doing your best
- sense of pride as result of setting high standards
- obtaining satisfaction from work done
professionalism
- your attitude toward your work
- remember that a strong ___ ____ is what separates an average employee from a great employee
- allows growth
work ethics
- punctuality
- reliability
- accountability
- conscientiousness
- honesty
- cooperativeness
- empathy
- life-long learner
characteristics of work ethics
Side of ourselves that we display to the world, communicating outwardly how we feel about things
attitude
____ and _____ go together hand and hand
professionalism and strong work ethics
Being able to imagine what it would feel like to be in another persons situation
empathy
- prevent emotional burn out
- keep your emotions in check
emotional health
