module 1,2,4 Flashcards
What is the primary focus of sub-acute care facilities?
To treat residents who require 24-hour skilled nursing care but are more medically stable
They focus on patient education to prevent future hospitalizations.
What are the key responsibilities of a Nursing Assistant?
Vital signs, ambulation, measuring intake and output, caring for residents before and after surgery, bathing and repositioning residents
These tasks are essential for supporting patient care.
Fill in the blank: Acute care provides _______ care to residents who have an immediate illness or injury.
[short-term]
True or False: Assisted-living facilities provide 24-hour skilled nursing care.
False
Assisted-living facilities provide basic help but do not offer 24-hour skilled nursing care.
What is the role of the ombudsman in long-term care facilities?
To help protect residents’ rights
Residents have access to an ombudsman as mandated by federal legislation.
What does the scope of practice for a Nursing Assistant include?
Providing basic personal care, offering emotional support, providing dementia care, assisting with activities of daily living (ADLs), providing restorative care
It does not include delivering medications or changing care plans.
List three responsibilities of a Nursing Assistant.
- Personal care such as bathing and grooming
- Assisting with eating
- Restorative care, such as range-of-motion exercises
What must a Nursing Assistant do if a delegated task is outside their scope of practice?
Refuse the task
They should remain professional and respectful when doing so.
What is the Occupational Safety and Health Administration (OSHA) responsible for?
Ensuring safe and healthy working conditions for employees
This includes providing appropriate PPE and vaccinations.
What are the employee rights under the Family and Medical Leave Act (FMLA)?
To take a leave of absence for certain medical needs without losing their job
This includes care for newborns or serious medical conditions.
What are the initial certification requirements for Nursing Assistants in California?
- Be at least 16 years old
- Complete an approved training program
- Pass knowledge and skills tests
- Obtain criminal clearance
What is required for recertification of Nursing Assistants?
It is required every 2 years
Continuing education is also a part of maintaining certification.
What does HIPAA protect?
All healthcare information that can be linked to an individual
This includes any identifying information that is spoken, read, heard, or written.
What are some examples of negligence in caregiving?
Failing to follow care plans, such as not toileting a resident every 2 hours
Negligence can lead to resident harm.
What is the consequence of not complying with health and safety codes?
Facilities may face financial penalties or closure
Compliance is everyone’s responsibility.
Fill in the blank: OBRA of 1987 addresses poor quality of care in _______ that receive Medicare funding.
skilled nursing facilities/ long term care
What rights do residents have regarding their medical records?
Access their medical records and keep them private
Residents can make informed choices about their care.
What is the definition of abuse in the context of caregiving?
A purposeful action meant to inflict harm, which can be physical, mental, emotional, or sexual
Residents with disabilities are particularly vulnerable.
What must long-term care facilities have to ensure safety?
- Fully equipped common room
- Handrails in hallways
- Fire safety plans
- Emergency power plans
What is an example of false imprisonment in a healthcare setting?
Limiting a resident’s ability to move freely, such as locking wheelchair brakes when they cannot unlock them
This restricts the resident’s freedom.
What is the importance of time management for Nursing Assistants?
To prioritize tasks and ensure timely completion of responsibilities
It helps in maintaining efficiency and quality of care.
What does the chain of command help reduce?
Medical errors and confusion
It ensures proper communication within the healthcare team.
What is required in a common room for dining and activities?
One fully equipped common room for dining and activities
What safety features must be present in LTC facilities?
Fire safety plans, emergency power plans
True or False: Not having emergency plans in place can result in severe penalties.
True
What are common risks of injury for healthcare workers?
Moving and transferring residents, stress, exposure to pathogens, chemicals, disasters
List three ways to help keep residents and yourself safe.
- Staying calm
- Following facility policies
- Having strong communication
What is allergic contact dermatitis?
A reaction usually seen 6 to 8 hours after contact with latex
What symptoms indicate an immediate hypersensitivity reaction of latex?
- Redness
- Itching
- Blisters
- Oozing
- Hives
- Shortness of breath
- Wheezing
What do Safety Data Sheets (SDSs) provide?
Detailed information on chemicals, first aid suggestions, usage, storage, and disposal information
Fill in the blank: Bloodborne pathogens can come from _______.
[blood, vomit, saliva, urine, feces, vaginal secretions, wound drainage]
How can you protect yourself from bloodborne pathogens?
- Following standard precautions
- Using appropriate PPE
- Receiving vaccinations
- Properly disposing of needles
What should you do immediately after exposure to a bloodborne pathogen?
Wash area with soap and water, report to supervisor, obtain medical evaluation
What are the safeguards used to prevent the spread of fire?
- Metal fire doors
- Sprinkler systems
- Pull-down fire alarms
- Wall-mounted fire extinguishers
What are the duties during a fire emergency?
- Rescue or resident
- Alarm or activate alarm
- Confine or contain
- Extinguish or evacuate
How should you handle workplace violence?
- Remain calm
- Use therapeutic communication
- Stick to the facts
- Ensure safety
What are three ways to handle an active shooter incident?
- Run if safe
- Hide and secure the room
- Fight as a last resort
What should nursing assistants do for incontinent residents?
- Toilet or tend to every 2 hours
- Remove used products immediately
- Ensure toilets are clean
What responsibilities do nursing assistants have during an evacuation? (natural diseaster)
- Accompany residents
- Remain at post
- Additional caregiving duties may be necessary
What should you do when receiving a bomb threat?
- Keep caller on phone
- Gather information
- Report threat to supervising nurse
What is the maximum number of people allowed in an individual room in LTC facilities?
No more than four people
True or False: Individual rooms in LTC facilities must be at least 100 square feet.
True
What is the minimum square footage required for each resident in shared rooms?
At least 80 square feet
