Day 1: 6/26/23 Flashcards
Long Term Care (LTC)
6 months or more
Short Term
6 months or less
What are types of LTC?
Assisted Living; Skilled Care/Nursing Home/SNF
SNF
Skilled Nursing Facility
Independent
they can do tasks on their own/ they don’t need help
Dependent
need help performing tasks
Are residents independent or dependent in Assisted Living Facilities?
Independent
Are residents in Skilled Care/ Nursing Homes/ SNF independent or dependent?
Dependent
Geriatrics/ Older Adults
branch of medicine dealing with health and care of people age 65 and up
Who makes up the Healthcare Team?
Large group of people who help; not just the nurses (lab techs, doctors, family, patient)
Healthcare Team
Anyone that influences the care of the resident or patient
Charge Nurse
Nurse responsible for direct patient / resident care. Direct supervisor of the CNAs
Relationship between Charge Nurses and CNAs
Any questions or something has changed, tell your Nurse. Nurse is go to for questions and anything
What is my role?
If something is wrong, tell the nurse
Unit Manager/ Nurse Supervisor
Nurse that is responsible for all the work done by the Charge Nurse; go to them if there are issues with the charge nurse
Director of Nursing (DON)
Nurse in charge of the Nursing Department
Who is involved in the Nursing department?
CNAs and nurses
Administrator
Professional in charge of the entire Long Term Care Facility (all departments)
What is the Hierarchy or levels of power in a Facility as a CNA?
CNA -> Charge Nurse -> Unit Manager/Nurse Supervisor -> Director of Nursing (DON) -> Administrator
Scope of Practice
Procedures and actions a health care professional is permitted to do under their professional licence
What are some examples of tasks that are NOT in your scope of practice?
diabetic nail care; nurse charting; medications - must pass a class; treatments (wound care); supervise other CNAs
Scope of Practice 2
State specific - every state has its own Scope
Should you do what the Nurse says to do, even if it goes against Scope?
NO
Always KNOW your faciality policies ->
Facility cannot “expand” your scope (give medications) but can restrict (say no to colostomy bags)
Activities of Daily Living (ADLs)
Activities Performed Daily for most Residents
What are some examples of ADLs?
Getting dressed, hygiene, helping eat, preparing food, exercise, games (bingo, cards, puzzles), pet care, vitals/ monitoring health
Careplan
care expectations for all staff and all shifts
Example of a Careplan
ADL sheet - a Bethany Retirement Living consolidated version of the care plan
CNAs involvement in a Careplan
CNAs cannot physically change the careplan but can by telling the nurse anything that they learned while with the resident
What type of patient care do we have now?
Patient Centered Care
Patient Centered Care
Care focused on what is important to the patient; we have to know our residents
Autonomy
Allowing the resident to make their OWN CHOICES WITHOUT INFLUENCE form the staff member
What is Healthcare workers job in relationship to Autonomy?
Job is education and inform but to NOT influence
Empathy
Trying to understand how another person feels
Sympathy
compassion; sharing the emotion of another
What is the best thing to do on a stressful day?
Leave your stress at the patient’s door; they don’t need any more on them as they are dealing with their own issues
Ethics/Ethical Code/ Ethical Issues
Moral principles that govern a person’s behavior or knowledge of right and wrong
What to do in uncomfortable situations or discussions
can disengage or divert the conversation and rather be a listening ear
Abuse
Intentional harm or injury to a person
What are the 5 most common types of abuse?
Physical, Psychological, Sexual, Misappropriation of Property; and Neglect
Physical Abuse
infliction of physical injury by another person
Signs of Physical Abuse
bruising, cuts, if verbal - might tell you, change in mood/demeanor, decline in health (change in ADLs)
Psychological Abuse
threat of violence, harassment, denying autonomy
signs of psychological abuse
change in mood/demeanor, anxious, worried, frightened
sexual abuse
sexual behavior between individuals when one does not consent or have the ability to consent
sexual abuse signs
bruising, bleeding in the genitals, flinching, guarding, change in mood/demeanor; isolated
Misappropriation of Property/ Financial Abuse
Economic abuse in the form of taking objects or money from an individual
sings of misappropriation of property
no signs really; more on the back end with family members; money missing or objects missing in the room
What types of gifts can you accept from residents?
Handmade gifts; NO MONEY OR A GIFTCARD
Neglect/Negligence
failure to provide proper care; accident or mistake; way less common than abuse; almost always PREVENTABLE
False Imprisonment
To restrict ones personal movement without justification or consent
restraint
physical device used to prevent injury to the resident or others
When should you use restraint in a justified manner?
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
invasion of privacy
the violation of another person’s right to be left alone
Ways to protect privacy of residents
knock, close door, close curtain. if resident does not answer door, be verbal and allow 15-20 seconds and announce when coming in
Confidentiality
To have personal, identifiable medical information kept private
HIPAA
patient confidentiality; Federal Law that created standards for privacy and confidentiality of health information
Omnibus Reconciliation Act (OBRA)
Federal law that protects the welfare, quality of care, rights and safety of Residents
Resident Bill of Rights
OBRA standards to promte and protect the rights of each resident (right to refuse care, right to know medical staff)
Ombudsman
A neutral Third party who investigates and attempts to resolve complaints and problems; advocate for patient
Patient Advocate
Person that cares about the patient and their preferences
Survey
inspection by the state to ensure resident’s are receiving proper care
What happens if Ombudsman find anything that is concerning?
They take the issues up to the State and Survey
