test 1 Flashcards
who is a nurse aide defined as?
a valued, unlicensed member of the health team, responsible for providing delegated nursing tasks within a defined range of function for residents.
What is OBRA
Omnibus budget reconciliation act
-improve quality of life of residents
-define requirements of nurse aide.
what is the NCBON and how does it apply to NAs
NC board of nursing- defines range of function provides list of tasks
What is the NA1 registry
list of all people meeting state federal training, testing
how often do you renew your NA listing
every 24 months with 8hr work experience
what are the job responsibilities of a nurse aide
perform basic nursing skills, personal care, interpersonal
What are the five rights of delegation
right task, right circumstance, right person, right direction, communication, right supervision, evaluation
what is delegation
assigning part of responsibility to another, improves efficiency, nurse remains accountable for care.
what are some examples of basic nursing skills
monitoring, documenting, vital signs, pain management, dressing changes, maintaining privacy
what are some examples of interpersonnal skills
empathize, anticipate needs, honor requests, respect, patience, sensitive to moods, mindful of reactions, respect family members, professional relationship, effectively communicate.
what are some apperance characteristics of a NA1
follows dress code, modest, clean, no jewelery, visiable badge, no body art, long hair tied, no heavy makeup
what characteristics should NA1 show in their attitude
patient, understanding, honest, trustworthy, courteous, considerate, respectful, cheerful, responsible, accountable.
NA as an employee should have what characteristics
strive to be the best, understand role, concern for others, excellent apperance, report on time, show respect to everyone, empathy
describe the qualities of an effective team
group of people, with common purpose, assigned task, involved members, comfortable climate, 2 way communication
what are the normal vital values for blood pressure
90-120
60-80
what is normal respirations
12-20 bpm
what is normal value for pulse
60-100bpm
what is normal oral temperature
97.6-99.6
why do we take vital signs
shows how well organs are functioning- heart, lungs
value of vital signs in basis for meds
what are the vital signs
temp, pulse, respiration, blood pressure, pain
what is the most and least accurate way to take a temperature
rectum- most accurate
armpit- least accurate
what is intake and output
amount of fluid taken in
amount lost from the body
how many ml are in an ounce
30 ml
what is infection prevention defined as
ways to control and prevent the spread of infection
what is localized infection
an infection found in one part of the body and symptoms are limited to that one part of the body
what is systemic infection
an infection that affects an entire body or entire body system
what are the symptoms of a bladder infection
fever, chills, urination pain, strong smelling urine.
chain of infection
causative agent- germ
reservoir- germs grow in blood, skin, digestive, respitory
portal of exit- nose, mouth, vomit, blood, urine
transportation- hands, blood, sputum, vomit
portal of entry- nose, mouth, cuts, sores
susceptible host- poor nutrituin, elder, stress, wounded
why are the elderly at higher risk of infection
health issues, elderly, closeknit, community
what is a healthcare associated infection
an infection that a resident gets while staying or living in a healthcare setting
what are standerd precautions
basic tasks that healthcare workers must do when caring for each and every resident in order to prevent and control the spread of infection
what is the number one way to stop the spread of infection
handwashing (before touching patient, cleaning procedures, body fluid, exposure risk, after touching patient, medical equipment)
be familiar with the rules for sharps container
wear gloves, never recap needles, never put hand in container, never fill over 3/4
what are the three transmission based precautions
contact
droplet
airborne
what are some diseases that require droplet precaution
flu, influenza, meningitis, whooping cough
what is a hazard
anything in the residents environment that may cause illness or injury
know the NAs role for safety in the residents environment
maintain room temp, good lighting, keep room clean, report unsafe conditions, faulty equipment, check linens, keep bed low, call signal close
what is the definition of a fall
unintentionally coming to rest on the ground, floor, or other lower level. any sudden descent from a higher level to a lower level which may result in injury.
what are intrinsic risk factors
risk factors that result from the residents inner being, age balance, gait, medical conditions.
what are extrinsic risk factors
risk factors outside of the resident
hazrds of environment, unsafe equipment, unsafe personal items.
what are extrinsic risk factors
risk factors outside of the resident
hazards of the environment, unsafe equipment, unsafe personal items.
what devices are used to prevent falls
assistive devices, handrails, wheel locks, grab bars, belts, walkers
what is elopement
when a resident leaves a healthcare facility without the staffs knowledge.
what can NAs do to prevent residents from choking
sit resident upright, provide assistance at mealtimes, encourage dentures, report difficulty
what does race stand for
remove resident from danger
activate alarm
contain fire closing doors
extinguish fire
what does pass stand for
pull pin
aim at base of fire
squeeze handle
sweep back and forth
Know NAs role in preventing falls
assist with ambulation, report unsafe conditions, provide supervision, keep environment clean, promptly answer calls, walkways clear, wipe spills
what are the rules when oxygen is in use
post oxygen in use signs, no open flames, smoking, no electrical equipment
what is communication
sucessfully sending and receiving messages using signs, symbols, words, drawings, and pictures
what is verbal communication
using written or spoken words, pictures or symbols to send a message. active listening, open ended questions.
what is nonverbal communication
using body language such as movements, facial expressions, gestures, posture, gait, eye contact, and appearance.
what is the importance of communication
learn about client to provide care, source of encouragement, build relationship, provide information