Test 1: Modules A - G Flashcards

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1
Q

Who is a Nurse Aide I in the State of North Carolina?

A

a valued, unlicensed member of the health care team, responsible for providing delegated nursing tasks within a defined range of function, for residents, in a variety of settings

  • listed on the N.C. Nurse Aide I Registry
  • aka nurse aide and nursing assistant
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2
Q

Omnibus Budget Reconciliation Act (OBRA)

A

a federal law, enacted by Congress, in 1987, designed to improve quality of life of residents living in a nursing home environment
- one component of OBRA defines requirements for nurse aide training and competency evaluation

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3
Q

Range of Function for Nurse Aides

A
  • North Carolina Board of Nursing Administrative Code = defines range of function for nurse aides in NC
  • North Carolina Board of Nursing = provides list of tasks that fall within the range of function for nurse aides in NC
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4
Q

Regulatory Body for Nurse Aides

A
  • North Carolina Nurse Aide I Registry: a registry of all people who meet state and federal training and testing requirements to perform Nurse Aide I tasks in NC
  • North Carolina Health Care Personnel Registry Section: section of the State of North Carolina that provides services for unlicensed health care workers, their employers, and their instructors; maintains NC Nurse Aide I Registry
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5
Q

Registry Listing Requirements

A
  • individuals listed on the Nurse Aide I Registry upon passing the National Nurse Aide Assessment Program (NNAAP)
    > written/oral examination
    > demonstration of five skills
  • individuals may take the NNAAP exam upon completion of a state approved Nursed Aide I training program or by challenging the exam (up to three times)
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6
Q

Registry Listing Renewal

A
  • listings are renewed through qualified work experience completed every 24 months
  • must have worked a minimum of eight, paid hours during the 24-month listing period performing nursing or nursing related services supervised by an RN
  • any nurse aide who does not work during the 24-month listing period, will be required to retake and pass the NNAAP exam
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7
Q

Registry Listing Renewal Responsibilities

A
  • nurse aide should send in renewal listing form about three months prior to expiration date of listing
  • requests for a Replacement Renewal Form may be found at www.ncnar.org
  • nurse aid CANNOT work as a nurse aide if listing expires
  • remember to promptly report changes in name or address to the registry
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8
Q

Key Websites for Nurse Aides

A
  • North Carolina Board of Nursing: www.ncbon.org

- N.C. Division of Health Service Regulation: www.ncnar.org

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9
Q

Job Responsibilities of Nurse Aide

A
  • perform delegated basic nursing and personal skills in a competent, caring manner
  • use appropriate interpersonal skills
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10
Q

Delegation

A

process of assigning part of one’s responsibility to another qualified person in a specific situation; transferring responsibility for the performance of an activity or task while retaining accountability for the outcome

  • improves efficiency and shows trust in others (but nurse is still accountable)
  • nurses assesses knowledge/skills of the delegate and matches tasks to skills, using the 5 Rights of Delegation: (1) right task, (2) right circumstance, (3) right person, (4) right direction and communication, and (5) right supervision and evaluation
  • decisions regarding delegation of any nurse aide activity is made by nurse on resident-by-resident basis
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11
Q

Basic Nursing Skills

A

essential skills required of nurse aide to deliver competent care to residents in health care settings like

  • monitoring, documenting, and reporting of vital signs
  • management of pain as directed by the nursing care plan
  • application of warm/cold
  • dressing changes
  • privacy is key when providing these skills
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12
Q

Personal Care Skills

A

tasks that deal with a person’s body, appearance, and hygiene

  • done on a daily basis (AM, PM, and in-between)
  • each individual has their own preferences so stick to those!
  • hygiene: keeping the bodies clean and healthy
  • grooming: maintain the person’s appearance while fostering dignity and choice
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13
Q

Activities of Daily Living (ADLs)

A

hygiene + grooming + dressing + eating + transferring + toileting

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14
Q

When providing personal care, it is important to help and encourage residents to be as ______ as possible.

A

independent

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15
Q

While assisting with personal care needs, nurse aide can observe resident’s _______.

A

skin, mobility, comfort, and cognition

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16
Q

Interpersonal Skills

A
  • ability to get along with others while getting the job done
  • when caring for residents, nurse aide should empathize, anticipate needs, treat residents as unique individuals, display patience and tolerance while attempting to understand behavior, and be sensitive to resident’s moods
  • effectively communicate with others
17
Q

Infection Prevention

A

all of the things that people do to control and prevent the spread of infection

18
Q

Infection

A

a disease or condition of the body that occurs when harmful germs get into the body and grow in number
> examples: UTI, skin infection, pneumonia, flu, common cold, food poisoning, stomach infection, etc.
> two types: localized and systemic

19
Q

Localized Infection

A

an infection found in one part of the body and symptoms are limited to that one part of the body
> example: infected finger

20
Q

Systemic Infection

A

an infection that affects an entire body part or whole body system
> respiratory infection

21
Q

Symptoms of Respiratory Infection

A
  • fever and chills
  • sniffling and snorting
  • coughing and sneezing
  • hacking up globs of green or yellow, slimy mucous
22
Q

Symptoms of Bladder Infection

A
  • fever and chills
  • pain when using bathroom
  • bad or strong smelling urine, with possibly blood in it
23
Q

Microorganisms

A

aka germs; live almost everywhere - both inside and outside the body; causes infections; requirements to survive:

  • warmth
  • moisture
  • oxygen (aerobic) or not (anaerobic)
  • tissue to feed on
    examples: bacteria, viruses, parasites, fungi
24
Q

Medical Asepsis

A

aka clean technique; practices used to remove or destroy microorganisms and to prevent their spread from one person or place to another place or person

25
Q

Chain of Infection

A

way to explain how infection is passed around form one host to another host; has six links:
(1) infectious agent
(2) reservoir
(3) portal of exit
(4) mode of transportation
(5) portal of entry
(6) susceptible host
each link must be present for an infection to occur and spread
by breaking ANY ONE link in the chain, a new infection can be prevented

26
Q

Link #1: Infectious Agent

A

a harmful germ that causes an infection

27
Q

Link #2: Reservoir

A

place where harmful germs live, grow, and increase in numbers
> 1st group = people not infected, are well and are not a current reservoir for germs
> 2nd group = people who are infected, are obviously sick, and you know these people may get you sick
> 3rd group = people who are carriers; have the harmful germs living on or in their body, but germs are not making them sick
thus, treat everyone as id they are possible reservoirs or hiding places for harmful germs