Check List Flashcards
Describe the nurse Aides role and scope of responsibility in delivering resident care.
A nurse aides main role is to provide basic care and assistance to patients or residents.
Identify who is responsible for the actions of the nurse aide.
Registered nurses (RN) are ultimately responsible for the care provided by nursing assistants and patient outcomes.
Describe what, when, and to whom observations are reported.
What: changes in vital signs, sudden or significant changes in behavior, falls or near falls, skin changes, difficulty breathing, changes in appetite or fluid intake, pain complaints, bowel or bladder changes, signs of infection, difficulty with mobility or activities of daily living (ADLs).
When: immediately if the change is critical or could pose a safety risk, during shift change report even if the observations are seemingly normal, when new symptoms or concerns arises.
To whom: The assigned nurse on duty, the charge nurse, the resident’s primary care physician in case of significant medical concerns.
Describe skin care
- Frequent assessment
- Basic hygiene
- Protecting at-risk areas
- Applying moisturizer
- Staying hydrated
- Using a humidifier
- Wearing adequate clothing
Who do you not provide nail care for?
Do not provide nail care to diabetics or those with impaired circulation- requires assistance.
Identify measures to promote fluid intake
- Make drinks available
- Offer a variety of drinks
- Offer foods high in water
- Make drinking a social event
- Record fluid intake
- Avoid diuretics
- Use modified cups
- Train staff
- Use visual prompts
Describe how the nurse aide promotes residents rights, including the right to dignity, privacy, and freedom from abuse, neglect, and exploitation
A nurse aide promotes residents rights by consistently respecting their dignity, ensuring privacy in all aspects of care, and actively preventing any form of abuse, neglect, or exploitation.
Promoting dignity
- Addressing residents with courtesy and respect: using proper titles and names, avoiding patronizing language, and listening attentively to their concerns.
- Respecting personal choices: allowing residents to make decisions about their clothing, activities, and daily routines whenever possible, within safety guidelines.
- Maintaining personal hygiene and appearance: assisting with grooming in a respectful manner, ensuring residents feel clean and well-presented.
- Providing privacy during personal care: knocking before entering a residents room, closing curtains during procedures, and allowing residents to dress themselves as much as possible.
Protecting privacy
- Confidentiality of medical information: not sharing resident details with unauthorized individuals and adhering to HIPPA regulations.
- Discreetly discussing personal matters: talking about sensitive topics privately with residents away from other residents and staff.
- Respecting personal space: giving residents room to move around freely and not intruding unnecessarily into their personal space.
- Ensuring privacy during medical procedures: providing screens or curtains to maintain privacy during examinations or treatments.
Preventing abuse, neglect, and exploitation
- Reporting suspected abuse: immediately notifying the nurse or supervisor if any signs of physical, emotional, sexual, or financial abuse are observed.
- Monitoring for neglect: observing for signs of neglect such as poor hygiene, inadequate nutrition, or unattended medical needs.
- Educating residents on their rights: informing residents about their rights to refuse care, report concerns, and advocate for themselves.
- Safeguarding personal belongings: storing residents belongings securely and ensuring they have access to their items as needed.
- Creating a safe environment: maintaining a respectful and supportive atmosphere within the facility, where residents feel comfortable raising concerns.
Key points to remember
- Individualized care: each resident has unique needs and preferences, so the nurse aide should tailor their approach to respect individual dignity and privacy.
- Open communication: encourage residents to express their concerns and needs openly, and actively listen to their feed back.
- Professional boundaries: maintain appropriate professional relationships with residents, avoiding any form of personal or intimate interactions.
- Continuing education: stay up to date on resident rights regulations and best practices for providing ethical care.
Describe attitudes and behaviors that promote resident’s independence
Attitudes and behaviors that promote resident independence include: respecting their choices and privacy, encouraging participation in decision-making, providing appropriate assistance while allowing them to do as much as possible themselves, offering positive reinforcement, maintaining a patient and supportive approach, actively listening to their needs and concerns, and tailoring care plans to individual abilities; all while fostering a sense of dignity and control over their lives.
Describe attitudes and be that enhance communication among trainee, resident, resident s family, and staff
To enhance communication among trainee, resident, residents family, and staff key attitudes and behaviors include: active listening, respect, empathy, clear and concise communication, open-mindedness, collaborative decision-making, timely updates, clear role, expectations, cultural sensitivity, and a positive, approachable demeanor; ensuring everyone feels heard, valued, and informed throughout the care process.
Describe safety precautions to avoid resident injuries
- Staffing: ensure there is adequate staffing
- Medication management: manage medication properly
- Infection prevention: prevent and control infections
- Fall prevention: prevent falls
- Health checks: conduct frequent health checks, monitoring, and assessments
- Family involvement: encourage family involvement
- Staff education: ensure staff are educated and trained
- Personal protective equipment (PPE): ensure PPE is available in convenient places and that staff wear it properly
- Equipment maintenance: ensure equipment and medical devices are properly maintained
- House keeping: maintaining good house keeping and a clean as you go policy
- Patient monitoring: monitor patients quickly to identify any complications that may arise
- Patient education: educate patients
Describe fire/disaster safety measures
Evacuation procedures: the plan should include detailed procedures for evacuating all residents, including locating missing residents.
Fire control: the plan should include procedures of fire control.
Resident safety: the plan should ensure the health and safety of residents during an emergency.
Staff training: staff should be trained in how to use fire extinguishers, where to find fire alarms, and how to activate them.
Oxygen and gas shut offs: staff should know where the oxygen and compressed gas shut-off controls are and how to use them them.
Fire door maintenance: staff should follow local regulations for locking doors and maintaining fire doors.
What does RACE stand for
R: rescue, move patients to a safer location
A: alarm, activate the alarm system
C: contain, close doors and windows, turn off oxygen sources
E: extinguish/evacuate, attempt to use a fire extinguisher if trained and safe to do so. Evacuate if you are not comfortable using a fire extinguisher or if more then one extinguisher is needed.
Describe appropriate confidentiality for the resident
Decide what personal health information can be shared with others. Decide how that information information can be shared, and with whom it may be shared. Not have information about resident or client discussed in areas where others can over hear.
Describe swallowing strategies
Posture: sit upright at a 90 degree angle when eating and drinking, and stay upright for at least 30 minutes after.
Food and drink: eat softer foods, take small bites, and chew thoroughly. Alternate food with sipes of water or drinks. Avoid drinking with a straw.
Swallowing: swallow and cough if you fell food stuck in your throat. If your voice gurgles when swallowing, swallow again or cough.
Chin position: tilt your chin down and keep it down as you swallow.
Head rotation: turn your head to the weaker side while you swallow.
Exercises: try tongue-strengthening exercises. A speech pathologist can help you with swallowing exercises and may also be able to change your diet.
Describe colostomy care
Cleaning: gently clean the stoma and parastomal area with water, dabbing instead of scrubbing, and with out soap.
Assessing: the stoma should be moist, above the skin level, and pink to red in color. The peristomal skin should be normal.
Changing the pouch: the pouch system should be changed every 4 to 7 days, depending on the patient and type of pouch. A regular schedule should be established to avoid leaks and skin irritation.
Emptying the pouch: the pouch should be emptied when it is one-quarter to one half full of urine, gas, or feces.
Consulting a specialist: a wound care specialist should be consulted if there is skin breakdown, if the pouch leaks, or if there are other concerns.
Describe communication technique with a cognitively impaired resident.
Speak directly to the person rather than to his or her caregiver or companion. Take time to listen to the person express his or her thoughts, feelings and needs. Give the person time to respond and needs. Give the person time to respond. Don’t interrupt unless help is requested.
Describe oxygen usage and storage
Using: always follow the instructions on the oxygen delivery device regarding the flow rate setting monitor the patients oxygen saturation levels as per the care plan using a pulse oximeter. Adjust the oxygen flow rate as needed, but only with the healthcare providers approval.
Storage: keep oxygen tanks in a designated, well-ventilated area, away from heat sources like fire places, stoves, or electrical appliances. Store tanks uprights and secure the to prevent accidental tipping over. Never store oxygen tanks in a closed closet or under a bed.
Describe the care of residents after death
- Postmortem care
2.supporting the family - Following the family
- Taking care of their own mental health
- Acknowledging emotions
