Unit 1 Flashcards
RN
LPN
CNA
Each has own role
Increased accountability based on education
Health care settings
Hospitals Rehabilitation Long term -assisted living -independent living Hospice Home health
Chain of command
Order of authority
Helps resident get right care
Protects liability
Ethics
Knowing right VS wrong
Standards of conduct
Professional ethics
Confidentiality Honesty Trustworthy Don't accept gifts or tips Don't work under the influence
Neglect
Can be physical, mental, emotional
False Imprisonment
Restraint without order
Involuntary Seclusion
Confining against their will
Assault
Threatening harm
Battery
Actually harming
CNA is a mandated reporter
Legally required to report abuse
Negligence
Actions or failure to give care that harms someone
Malpractice
Negligence by dr, nurse, or other worker
OBRA
Omnibus Budget Reconciliation Act
- to improve quality of long term care
- fed law 1987
- provides min standards for training, staffing and residents rights
- sets training eval regs for CNA
OBRA requires nursing assistant registry in each state
Name Address Date of test Program name Employment history Fingerprint background check
Residents rights
Quality of life Informed about care Services & activities Decide about care Choices Privacy & confidentiality Freedom from restraint Informed regarding transfers or discharge Right to complain Visitors
Ombudsman
Advocates for residents rights
Educates consumers & providers
Investigate & resolve complaints
CNA role
Perform nursing tasks assigned
Provide care
Assist with ADL
Observe & report
Never
Give drugs Insert or remove tubes Take orders from dr Perform anything that requires sterile technique Ignore orders or requests Supervise others Diagnose or prescribe Tell person or family diagnosis or treatment plans
5 rights of delegation
Right task Right circumstance Right person Right direction Right supervision
Qualities of CNA
Dressed nice & groomed Don't talk about personal problems Be on time Positive attitude Don't gossip about coworkers Don't use slang or profanity
Holistic care
Physical
Emotional
Spiritual
Social
Objective data
Signs
Measurable
Uses sight, hearing, touch, smell
Subjective data
Symptoms
What is said by res or family
Look for changes
Ability Skin conditions Vital signs ADL Orientation
Immediately report
Chest pain Vomiting Difficult breathing Slurred speech Blurred vision Abnormal vitals Bleeding Sudden disability to walk
Care plan
PLAN to help resident achieve goals
GUIDE in res care
Medical chart
Legal record of residents care
One reading your chart should know
What you observed
What you did
Person’s response
Rules for charts
Confidential Written immediately after care given Use black ink Sign each note Only facts. No opinions What YOU did
Correct signature
First initial
Last name
Current title
