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Nurse Aide 1 > Module A - Role of Nurse Aide on Health Care Team > Flashcards

Module A - Role of Nurse Aide on Health Care Team Flashcards

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1
Q

The Components of Delegation to a UAP

A
  1. Assessment and Implementation
  2. Communication
  3. Supervision and Monitoring
  4. Evaluation and Feedback
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2
Q

COMPONENT1:
Assessment and Implementation

Decision Tree For Delegation to UAP Questions

A

Is the Task
1. Within the scope of practice of the RN/LPN
2. Activity allowed by the Nursing Practice Act, board Rules, Statements
3. Is the RN/LPN competent to make the delegation decision
4. Meets the CRITERIA/ RULES for delegating to a UAP
5. UAP is properly Trainedand validated as competent
6. skills of UAP matches task
7. Rules are in place for the task
8. appropriate supervision available

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3
Q

CRITERIA FOR DELEGATING TASK TO A UAP (RULES FOR DELEGATION)

A

Tasks:
1. Frequently occurs in daily care
2. An established sequence of steps
3.No/little modification
4. Predictable outcome
5. No ongoing assessment/decision-making
6. Does not put the patient’s life at risk

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4
Q

DELEGATION

A

A process of decision-making, critical thinking, and nursing judgment

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5
Q

The decision to delegate is based on

A

the RN” ‘s assessment of the client’s nursing needs

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6
Q

UAP

A

Unlicensed /assistive personnel
* Friends and family are not UAP

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7
Q

NURSING CARE ACTIVITIES

A

ACTIVITIES delegated by An RN delegates.

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8
Q

PATIENT CARE ACTIVITES

A

Activities if health care needs are incidental to personal care

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9
Q

WHO DETERMINES WHAT ACTIVITIES ARE DELEGATED

A

the Board

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10
Q

UAP RESPONSIBILITIES

A
  1. Accepting the task
  2. Seeking clarification/ ask questions
  3. affirming expectation
  4. performing the task correctly
  5. timely reporting of results
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11
Q

Only part of the Nurse’s role that can be delegated

A

Implementation

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12
Q

What is not considered Delegation

A
  1. Assisting a nurse with a task
  2. Direct visual supervision
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13
Q

5 RIGHTS OF DELEGATION

A
  1. RIGHT TASK: Delegation criteria/rules met
  2. RIGHT CIRCUMSTANCE: delegation is appropriate to client and setting
  3. RIGHT PERSON:
  4. RIGHT COMMUNICATION
  5. RIGHT SUPERVISION
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14
Q

NURSE’S ROLE IN COMMUNICATION

A
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15
Q

UAP ROLE IN COMMUNICATION

A
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16
Q

DOCUMENTATION MUST BE

A
  1. TIMELY
  2. COMPLETE
  3. ACCURATE
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17
Q

COGNITION

A

How messages are collected from the 5 senses
stored in memory
recovered from memory
and later used to ask questions
ability to think logically and clearly

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18
Q

GROOMING

A

tasks to maintain someone’s appearance

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19
Q

HYGIENE

A

tasks that are done to keep bodies clean and healthy

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20
Q

North Carolina Board of Nursing Administrative Code

A

Defines range of function for nurse aides in NC

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21
Q

North of Carolina Board of Nursing

A

regulatory body that provides list of tasks that fall within the range

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22
Q

North Carolina Health Care Personnel Education and Credentialing Section

A

provides services to UAPs and their employers
. Maintains the registry
. Approves Nurse Aide Training Programs

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23
Q

OBRA

A

Omnibus Budget Reconciliation Act
. 1987
. to improve the quality of life of residents living in a nursing home environment
. Comprehensive review/ update of regulations
. effective November 28, 2016
. defines requirements for nurse aide training and competency evaluation, and the nurse registry

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24
Q

Registry Requirements

A
  1. Passing Nurse 1 Aide Assessment program (NNAAP)
  2. Computer-based testing ( make be taken 3 times)
  3. Demonstrate 5 skills
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25
Q

Listing Renewal requirements

A

Renewed every 24 months
worked min. of 8 hours in 24 months
received payment for work
performed nursing services
supervised by a nurse
complete online renewal 3 months before expiration
NCNAR.com

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26
Q

Did not work in 24 months?

A
  1. retrain
  2. Retake and pass the NNAAP exam
27
Q

What questions to ask before Accepting a task

A
  1. Do I have all the information I need
  2. Can I do the task
  3. Do I have the equipment and supplies I need?
  4. Do I know who my supervisor is and how I can find
    him/her if needed?
  5. Have I told my supervisor if I need help to do the
    task?
28
Q

Personal Care Skills

A
  1. Hygiene: keep the body clean and healthy
  2. Grooming: Appearance
29
Q

ADL

A

Activities of Daily Living

30
Q

1 ounce

A

30 mL

31
Q

1 cup = 8 ounces

A

240 mL

32
Q

1 kg

A

2.2 lbs

33
Q

AC

A

Before Meals

34
Q

ad lib

A

as desired

35
Q

c

A

with

36
Q

C/O

A

Complaints of

37
Q

h/ hr

A

hour

38
Q

noc

A

night

39
Q

os

A

mouth

40
Q

NPO

A

nothing by mouth

41
Q

PC

A

after meals

42
Q

PO/ po

A

by mouth; orally

43
Q

prn

A

when necessary

44
Q

q

A

every

45
Q

qh

A

every hour

46
Q

q2h, q3h

A

every 2h

47
Q

R

A

rectal, respiration

48
Q

ROM

A

range of motion

49
Q

s

A

without

50
Q

Abduction

A

moving body part away from midline

51
Q

Adduction

A

moving body part towards the midline of the body

52
Q

Flexion

A

bending a body part

53
Q

extension

A

straightening a body part

54
Q

Hyperextension

A

excessive straightening of body part

55
Q

Dorsiflexion

A

bending the toes and foot up at the ankle

56
Q

plantar flexion

A

bending the foot down at the ankle

57
Q

ROTATION

A

turning the joint

58
Q

INTERNAL ROTATION

A

turning the joint inwards

59
Q

EXTERNAL ROTATION

A

turning the joints outward

60
Q

PRONATION

A

turning the joint downward

61
Q

SUPINATION

A

turning the joint upward

62
Q

Range of Function For Nurse Aide

A

. North Carolina Board of Nursing
. North Carolina Board of Nursing Administrative Code

63
Q

Regulatory Body

A

.North Carolina Health Care Personnel Registry
.North Carolina Nurse Aide I Registry

64
Q

KEY WEBSITES

A

N.C. BOARD OF NURSING ( NCBON.COM)
NC DIVISION OF HEALTH SERVICE REGULATION (NCNAR.ORG)

Nurse Aide 1 (10 decks)

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