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21 Cards in this Set
- Front
- Back
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OBRA Requirements
- ___ is the educational program that trains NA's - the training program requires __ hours of instruction and is comprised of ___, ___, and ___ - the competency evaluation is based on ___ and ___ - successful completion of the program makes the NA eligible for the ___ - NA's must work for ___ consecutive years, or will be required to submit to ___ and and a new ___ - NA's are required to participate in ___ hours of ___ education from employers - regular ___ reviews are held |
- Nursing Assistant Training and Competency Evaluation Program (NATCEP)
- 75 hrs , basic care, lecture/lab, 1 week of clinicals - written/skills tests - Nursing Assistant Registry - 2 years , retraining and compentency evaluation - 12 hrs , in-service - performance reviews |
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Roles and Responsibilities
- 3 things NA's must understand to protect patients from harm |
- what you can do
- what you can not do - legal limits of NA role |
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Before performing a task or procedure NA's must make sure that
- it is allowed by the ___ - it is in the ___ - have the necessary ___ and ___ - a ___ is available to answer questions and supervise |
- state
- job description - training and education - nurse |
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The NA's job description is a list of ___ and ___ the agency expects you to perform
- always ask for a job description in ___ if not provided, and ___ before being hired |
- responsibilities and functions
- writing , discuss |
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NA's Job Responsibilities
- perform tasks and procedures which meet ___, ___, ___, ___, ___, and ___ needs |
- hygiene
- safety - comfort - nutrition - exercise - elimination |
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NA's Job Responsibilities
- recieve ___ - obtain and record ___ - measure ___ and ___ / ___ and ___ - provide ___ and ___ care - ___ and ___ patients as ordered or needed - makes ___ and ___ anything new or unusual to the ___ - reports patient's ___ - provides for ___ |
- report
- V/S - height/weight and I&O - morning (AM) / evening (PM) - turns and positions - observations / reports , nurse - complaints - comfort |
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NA's Job Responsibilities
- prepare the ___ before ___ and after ___ - provides ___ according to the plan of care - assists patient's with ___ - assists with ___ collection - assist patients with ___ |
- room , admit , discharge
- general/ basic - activities of daily living (ADL's) - specimen - meals |
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NA's Job Responsibilities
- assists the nurse with ___ - provides fresh ___ and ___ when they are ordered - answer ___ and assist patients as needed - assist with ___ care - ___ patients to other departments as needed - runs ___ to other departments as needed - administers ___ - ___ patients for tests and surgery |
-treatments
- drinking water and snacks - call lights - post mortem care - transports - errands - enemas - prep |
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Delegation
- definition - ___ can delegate - ___ can not delegate |
- transferring the authority (the right) to perform a "selected nursing duty" ; generally involves selected activities in patient care
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List "5 Rights of Delegation"
- give meaning of each - when should it be used? |
- Right Task (duty)
- Right Circumstance ( setting and patient situation) - Right Person ( competent person) - Right Direction / Communication ( effective, descriptive, adequate) - Right Supervision ( monitor, be available) - when deciding to accept or refuse a delegated task |
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5 Rights of Delegation
- Right Task - Right Circumstance - Right Person - Right Directions and Communications - Right Supervision |
- Task: can task be delegated, training and experience, in job description
- Circumstance: must know about the patient (ie mentally ill), can you perform it safely, do you have what you need, know how to use the equiptment - Person: experience (job description) and education (level of competence) - Direction: state when, where, why, how much (ex: orthostatic B/P) - Supervision: nurse present for questions or problems (near by) |
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Accepting a Task as a NA
- if you agree, your are _____. What you do or fail to do is can cause harm. |
- responsible for your own actions
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NA's should refuse to perform a task when:
- it is beyond the ___ of their role - is not in their ___ - they were not prepared to ___ the task - it could ___ the person - the ___ has changed - they do not know how to use ___ or ___ - if ___ are unethical, illegal, or against agency policies - directions are ___ or ___ - if a ___ is not available for instruction |
- legal limits
- job description - perform - harm - condition - equiptment or supplies - directions - nurse |
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Legal Aspects
- a ___ is a rule of conduct made by a government body |
- Law
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Laws
- Criminal Law - Civil Law - Torts are part of ___ law - 2 types of unintentional torts |
- Criminal: offenses against soceity
- Civil: relationships between people - Torts: Civil law - 1.) Negligence: did not due what a resonable nurse would do, but that patient was injured - 2.) Malpractice: professional negligence ex: if a nurse did not check the patient's V/S and condition after surgery, there was a hemorrhage and the patient went into shock and died |
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Intentional Torts
- Defamation - Libel - Slander - Assault - Battery - False Imprisonment - Invasion of Privacy - Fraud |
- Defamation: injury to a person's name or reputation by making false statements to a 3rd party
- Libel: (written) making false statements in print through pictures or drawings - Slander: (gossip) making false statements orally - Assault: threat of bodily harm (ex: I"'m going to tie you to the bed") - Battery: touching without concent - False Imprisonment: threat of restraint, restraining or prevent from leaving - Invasion of Privacy: any invasion of personal privacy - Fraud: saying or doing something to trick, fool, or deceive a person; if it causes harm to the individual or their property (ex: telling a patient that you are a nurse , falsifying or putting down wring information on a job application) |
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Informed Consent
- consent is informed when the patient clearly ____ - falls under ___ law - can only be obtained by a ___ |
- understands all aspects of treatment
- common law - physician |
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Abuse
- definition - is a ___ act - can cause ___, ___, or ___ |
- intentional mistreatment or harm of another person
- criminal act - physical harm, pain, or mental anguish |
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5 elements of abuse
- must have 1 or more of these elements |
- willful causing of injury
- unreasonable confinement - intimidation - punishment - depriving a person of goods or services needed for physical, mental, or psychosocial well-being |
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Elderly Abuse
- Neglect - Verbal Abuse - Financial Exploitation - Emotional Abuse |
- Neglect: failure to answer a call light, not meeting needs, not providing care after a B/M or urination
- Verbal Abuse: oral, written, or guestures - Financial Exploitation: using the patient's resources for one's own benefit - Emotional Abuse: humiliation, harassment, ridicule, threats, or deprivation |
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Abuse
- ___ and ___ laws require the reporting of abuse or suspected abuse - ___ does not allow nursing centers to employ persons who were convicted of abuse, negelect, or mistreatment of persons in any health care agency |
- federal and state law
- OBRA |
