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CNA > Day 1: 6/26/23 > Flashcards

Day 1: 6/26/23 Flashcards

1
Q

Long Term Care (LTC)

A

6 months or more

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2
Q

Short Term

A

6 months or less

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3
Q

What are types of LTC?

A

Assisted Living; Skilled Care/Nursing Home/SNF

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4
Q

SNF

A

Skilled Nursing Facility

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5
Q

Independent

A

they can do tasks on their own/ they don’t need help

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6
Q

Dependent

A

need help performing tasks

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7
Q

Are residents independent or dependent in Assisted Living Facilities?

A

Independent

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8
Q

Are residents in Skilled Care/ Nursing Homes/ SNF independent or dependent?

A

Dependent

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9
Q

Geriatrics/ Older Adults

A

branch of medicine dealing with health and care of people age 65 and up

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10
Q

Who makes up the Healthcare Team?

A

Large group of people who help; not just the nurses (lab techs, doctors, family, patient)

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11
Q

Healthcare Team

A

Anyone that influences the care of the resident or patient

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12
Q

Charge Nurse

A

Nurse responsible for direct patient / resident care. Direct supervisor of the CNAs

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13
Q

Relationship between Charge Nurses and CNAs

A

Any questions or something has changed, tell your Nurse. Nurse is go to for questions and anything

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14
Q

What is my role?

A

If something is wrong, tell the nurse

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15
Q

Unit Manager/ Nurse Supervisor

A

Nurse that is responsible for all the work done by the Charge Nurse; go to them if there are issues with the charge nurse

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16
Q

Director of Nursing (DON)

A

Nurse in charge of the Nursing Department

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17
Q

Who is involved in the Nursing department?

A

CNAs and nurses

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18
Q

Administrator

A

Professional in charge of the entire Long Term Care Facility (all departments)

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19
Q

What is the Hierarchy or levels of power in a Facility as a CNA?

A

CNA -> Charge Nurse -> Unit Manager/Nurse Supervisor -> Director of Nursing (DON) -> Administrator

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20
Q

Scope of Practice

A

Procedures and actions a health care professional is permitted to do under their professional licence

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21
Q

What are some examples of tasks that are NOT in your scope of practice?

A

diabetic nail care; nurse charting; medications - must pass a class; treatments (wound care); supervise other CNAs

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22
Q

Scope of Practice 2

A

State specific - every state has its own Scope

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23
Q

Should you do what the Nurse says to do, even if it goes against Scope?

A

NO

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24
Q

Always KNOW your faciality policies ->

A

Facility cannot “expand” your scope (give medications) but can restrict (say no to colostomy bags)

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25
Q

Activities of Daily Living (ADLs)

A

Activities Performed Daily for most Residents

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26
Q

What are some examples of ADLs?

A

Getting dressed, hygiene, helping eat, preparing food, exercise, games (bingo, cards, puzzles), pet care, vitals/ monitoring health

27
Q

Careplan

A

care expectations for all staff and all shifts

28
Q

Example of a Careplan

A

ADL sheet - a Bethany Retirement Living consolidated version of the care plan

29
Q

CNAs involvement in a Careplan

A

CNAs cannot physically change the careplan but can by telling the nurse anything that they learned while with the resident

30
Q

What type of patient care do we have now?

A

Patient Centered Care

31
Q

Patient Centered Care

A

Care focused on what is important to the patient; we have to know our residents

32
Q

Autonomy

A

Allowing the resident to make their OWN CHOICES WITHOUT INFLUENCE form the staff member

33
Q

What is Healthcare workers job in relationship to Autonomy?

A

Job is education and inform but to NOT influence

34
Q

Empathy

A

Trying to understand how another person feels

35
Q

Sympathy

A

compassion; sharing the emotion of another

36
Q

What is the best thing to do on a stressful day?

A

Leave your stress at the patient’s door; they don’t need any more on them as they are dealing with their own issues

37
Q

Ethics/Ethical Code/ Ethical Issues

A

Moral principles that govern a person’s behavior or knowledge of right and wrong

38
Q

What to do in uncomfortable situations or discussions

A

can disengage or divert the conversation and rather be a listening ear

39
Q

Abuse

A

Intentional harm or injury to a person

40
Q

What are the 5 most common types of abuse?

A

Physical, Psychological, Sexual, Misappropriation of Property; and Neglect

41
Q

Physical Abuse

A

infliction of physical injury by another person

42
Q

Signs of Physical Abuse

A

bruising, cuts, if verbal - might tell you, change in mood/demeanor, decline in health (change in ADLs)

43
Q

Psychological Abuse

A

threat of violence, harassment, denying autonomy

44
Q

signs of psychological abuse

A

change in mood/demeanor, anxious, worried, frightened

45
Q

sexual abuse

A

sexual behavior between individuals when one does not consent or have the ability to consent

46
Q

sexual abuse signs

A

bruising, bleeding in the genitals, flinching, guarding, change in mood/demeanor; isolated

47
Q

Misappropriation of Property/ Financial Abuse

A

Economic abuse in the form of taking objects or money from an individual

48
Q

sings of misappropriation of property

A

no signs really; more on the back end with family members; money missing or objects missing in the room

49
Q

What types of gifts can you accept from residents?

A

Handmade gifts; NO MONEY OR A GIFTCARD

50
Q

Neglect/Negligence

A

failure to provide proper care; accident or mistake; way less common than abuse; almost always PREVENTABLE

51
Q

False Imprisonment

A

To restrict ones personal movement without justification or consent

52
Q

restraint

A

physical device used to prevent injury to the resident or others

53
Q

When should you use restraint in a justified manner?

A

only use or justified when any immediate threats or actions of harm against self or others; Bethany does not restrain but rather call an ambulance or police

54
Q

invasion of privacy

A

the violation of another person’s right to be left alone

55
Q

Ways to protect privacy of residents

A

knock, close door, close curtain. if resident does not answer door, be verbal and allow 15-20 seconds and announce when coming in

56
Q

Confidentiality

A

To have personal, identifiable medical information kept private

57
Q

HIPAA

A

patient confidentiality; Federal Law that created standards for privacy and confidentiality of health information

58
Q

Omnibus Reconciliation Act (OBRA)

A

Federal law that protects the welfare, quality of care, rights and safety of Residents

59
Q

Resident Bill of Rights

A

OBRA standards to promte and protect the rights of each resident (right to refuse care, right to know medical staff)

60
Q

Ombudsman

A

A neutral Third party who investigates and attempts to resolve complaints and problems; advocate for patient

61
Q

Patient Advocate

A

Person that cares about the patient and their preferences

62
Q

Survey

A

inspection by the state to ensure resident’s are receiving proper care

63
Q

What happens if Ombudsman find anything that is concerning?

A

They take the issues up to the State and Survey

CNA (8 decks)

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