CNA - Chapter 1: The Role of the Nursing Assistant Questions and Answers

CNA - Chapter 1: The Role of the Nursing Assistant Questions and Answers where CNAs can work nursing homes/long term care, hospitals, adult family homes, group homes, private homes, assisted living/retirement centers, home health care how to be certified pass state approved training program that includes both practical and classroom experience, pass written and skills competency tests basic technical skills for CNAs takes and records vital signs; measures and records fluid and food intake and output; recognizes and reports abnormal signs and symptoms of common diseases and conditions; demonstrates sensitivity to client's emotional, social, and mental health needs; makes observations of client's environment to ensure safety and comfort of client; participates in care planning and nursing reporting process; measures and records heights and weights personal care skills for CNAs assists resident with bathing (bed bath, shower, tub); assists resident with mouth care (natural teeth, dentures, special mouth care including the unconscious resident); assists with skin care (decubiti infection, turning schedules); assists with foot care including special needs of the diabetic resident; assists with nail care; assists with shampooing; assists with grooming (hair care, shaving, dressing and undressing); proper perineal care; provides toileting assistance (bedpan, commode, urinal, toilet, bowel and bladder training program, documenting toileting results); assists resident with eating and hydration; utilizes proper feeding techniques mental health and social service needs by CNAs modifies own behavio in response to the resident's behavior; identifies adaptations necessary to accommodate the aging process; provides training in, and the opportunity for, self care according to resident's capabilities; demonstrates skills supporting resident's personal choices; identifies ways to use the resident's family as a source of emotional support for the resident basic restorative services by CNAs demonstrates knowledge and skill in using assistive devices in ambulation, eating, and dressing; demonstrates knowledge and skill in maintenance of range of motion; demonstrates proper techniques for turning/positioning resident in bed and chair; demonstrates proper techniques for transferring residents; demonstrates knowledge about methods for meeting elimination needs of residents; demonstrates knowledge and skill for the care and use of prosthetic devices clients rights and promotion of independence by CNAs recognizes that the resident has the right to participate in decisions about their care; recognizes and respects the resident's need for privacy and maintenance of confidentiality; promotes and respects the resident's right to make personal choices to accommodate their needs; reports resident's concerns; provides assistance in getting to and participating in activities; provides care of resident's possessions; provides care that maintains the client free from abuse, mistreatment or neglect; and reports any instances to appropriate facility staff; maintains the resident's environment and care through appropriate nurse assistant behavior so as to minimize the need for physical and chemical restraints communication and interpersonal skills reads, writes, speaks, and understands english at the level necessary for performing duties of the nursing assistant; listens and responds to verbal and nonverbal communication in an appropriate manner; recognizes how one's own behavior influences residents' behavior and know resources for obtaining assistance in understanding residents' behavior; makes adjustments for resident's physical or mental limitations; uses terminology accepted in the nursing facility to record and report observations and pertinent information; records and reports observations, actions, and information accurately and timely; demonstrates ability to explain policies and procedures before and during care of the resident infection control uses principles of medical asepsis and demonstrates infection control techniques and standard precautions; explains how disease-causing microorganisms are spread; lists ways that HIV and Hep B can spread from one person to another; demonstrates knowledge of cleaning agents and methods to destroy microorganisms on surfaces safety/emergency procedures provides adequate ventilation, warmth, light, and quiet measures; uses measures that promote comfort, rest, and sleep; promotes clean, orderly, and safe environment and equipment for the resident; identifies and utilizes measures for accident prevention; identifies and demonstrates principles of body mechanics; demonstrates proper use of protective devices in care of the resident; demonstrates knowledge of fire and disaster procedures; identifies and demonstrates principles of health and sanitation in the service of food; demonstrates the proper use and storage of cleaning agents and other potentially hazardous materials code of ethics keeping promises; maintaining info of a confidential nature; being dependable, reliable, and punctual; doing your very best; being respectful of resident's rights, various religions, and cultures; showing caring attitude toward others; not accepting tips; following directions carefully and working conscientiously to complete work assignments; being honest; doing only procedures you are trained to do; reporting any abuse and not engaging in any abusive behavior; providing for a safe and comfortable environment; projecting a positive, supportive attitude to resident and their family; maintaining pride in your profession and participating in on-going education; recognizing self as important member of the multi-disciplinary health care team and demonstrating sensitivity and team spirit to co-workers; being respectful of resident's belongings; keeping communication open between your supervisor and co-workers; accepting constructive criticisms; being flexible in accepting assignments; communicating info regarding changes in resident's condition what nursing assistants cannot do on their own give any medications, prescription or OTC; nasogastric tube feeding; insert any tubes into body or remove from body; perform any procedure that requires sterile technique, such as sterile dressing change (only in assisting); accept oral or telephone orders from a physician for treatments or medication omnibus budget reconciliation act (OBRA) went into effect in 1987 which guides care provided to residents in long-term care facilities; addresses resident's rights including decision making, privacy, confidentiality and being treated with respect and dignity; states that the resident has the right to be free of abuse and neglect--facilities must thoroughly check background of potential employees and act promptly if abuse is suspected; identifies nursing assistant training and testing standards--min amount of training hours is 75, washington state requires min 85 hours. health care team - nursing department registered nurse (RN), nurse practitioner (NP), licensed practical nurse (LPN or LVN), nursing assistant, certified (NAC), restorative or rehabilitation nursing assistant health care team - other the resident and his/her family; administrator; physician, doctor (MD); physician assistant (PA); dentist (DDS); dietician (RD); food handler/dietary staff; housekeeper; maintenance worker; laundry worker; religious staff; medical records; business office staff; volunteers; audiologist (AD); podiatrist (DPM); pharmacist (RPH) health care team - restorative-rehabilitation departments respiratory therapist (RT); social worker (BSW or MSW); physical therapist (RPT); physical therapy assistant (PTA); occupational therapist (OTR); occupational therapy assistant (COTA); speech-language pathologist (SLP); activities director chain of command administrator director of nursing (DNS or DON) assistant director of nursing (ADNS or ADON) nursing supervisor charge nurse or team leader or nurse manager nursing assistant personal hygiene and appearance daily baths or showers and shampoos; deodorant; neatly trimmed nails so as not to scratch or injure a resident; long hair tied back to prevent hair from flying into the resident's face or food; clean mouth and teeth and have fresh breath; neat, clean, professional work attire as well as comfortable; ID badge; change and wash clothes daily; males must shave daily and have beard neatly trimmed; clean shoes; no holes or runs in socks or stockings; lightly applied cologne due to residents w respiratory problems or allergic reactions abuse intentional harming or mistreatment of a person; verbal = spoken words, written threats, gestures (swearing at a person; making fun of, ridiculing or belittling a person; threatening a person w punishment or retaliation; criticizing and/or harassing a person); physical = inflicting pain or injury (striking a person w an object; hitting, spitting, pushing, or shoving a person; twisting, squeezing or pinching part of the body, or pulling hair; prodding or poking a person w utensils; confining a person to an area; sexual abuse-being forced to perform a sexual act being a mandated reporter we have the responsibility to ensure the safety and well-being of each resident; each employee has a legal and ethical responsibility to report any actual or suspected incident of physical or financial abuse; this can include abuse of a caregiver to a resident, resident to resident, family member, visitor, volunteer or other person; any report by the resident of abuse must be immediately passed on to your supervisor; any witnessed or suspected criminal activity must be reported to the local police department immediately negligence causing harm to someone due to not fulfilling duties and responsibilities and can jeopardize health, safety, and welfare of a person; failure to answer resident's call light or bell in reasonable period of time; failure to supervise resident's whereabouts; failure to take precautionary measures such as positioning aids to prevent falls; failure to carry out nursing orders assault threat to do bodily harm or injury; raising a hand as if to strike someone; threatening to restrain a resident battery touching someone without permission, either violently, roughly, or forcing someone to do something they don't want to do; restraining a person without an order from a physician slander verbal false statement that damages another person's reputation libel written false statement that damages a person's reputation false imprisonment unlawful restraint (actual or threatened) or restriction of a person's freedom of movement; restraining a resident without doctors orders and without emergency cause invasion of privacy not insuring resident privacy and not treating residents with respect maintaining privacy expose only the part of the body you are bathing or treating; before giving a bed bath, pull all curtains around the bed, pull shapes or drapes, close door, etc.; do not leave bathroom door open; knock before entering a resident's room; treat their room and all personal belonging in a careful, respectful, private manner; maintain confidentiality of records and personal info; insure privacy to married couples maintaining confidentiality confidential info includes diagnosis, prognosis, treatment, financial status, personal and social info; discuss resident w other health team members only as it pertains to care, and in a private area; refer to charge nurse if you are unsure what to say to someone who asks specific questions about the resident health insurance portability and accountability act - HIPAA privacy rule 1996;assures that confidentiality of health info is safeguarded while allowing for access to health info needed to provide high quality health care; applies to health plans and to any health care provider who transmits health info in electronic form; identifies what info can be transmitted and to whom the info can be released being responsible for your own actions if you are asked to do something illegal, unethical, harmful to the resident, or something you are not allowed to do or not trained to do, you must refuse--explain to the nurse, do not just ignore the order; if the orders are not clear or you are not sure what to do, seek clarification, DO NOT GUESS. disciplinary action and your license reasons why a CNA could be investigated and possible have their license denied, revoked, or suspended: providing unsafe care; working beyond the scope of practice; violating privacy and confidentiality rights; abusing a person; abandoning a person; stealing, theft, or misuse of property; fraud; being convicted of disqualifying crimes; substance abuse