module 1 chpt: 1 3 4 5 6 8

an illness one will recover from

povides housing,care, support services, and assists with daily activities

a nursing case manager coordinates the cae of specific groups of patients from admissions to discharge

slow on going illness that cant be controlled and has no cure

nursing care pattern focusing on tasks and jobd

a nurse who has completed a practical nursing program and has been passed a licensing test

performs tasks under the supervision of licensed nurse and nursing assistant training

a nursing care pattern, services are moved from departments to the bedside

an RN is responsible for the persons total care

a person who collects info by observing and asking Qs

a team of nursing staff is led by a RN who decides the amount and kind of care each person needs

• health promotion
• disease prevention
• detection and treatment
• rehab and restorative care

• hospitals
• rehab and sub-acute care agencies
• long term care centers
• ALR
• mental health center
• home care agencies
• hospice

persons who cannot care for themselves at home but do not need hospital care

people who d not need hospital care but are too sick or disabled to go home

nursing centers or retirement communities where they have a room and 24 hours supervision is given

those who have problems with life events or are in danger to themselves or others because of how they think or behave

health care services are provided to people where they live

• they are a governing body of an agency
• they make policies and make sure safe care is given at the lowest possible cost
• administrator manages the agency and reports to the board

tests hearing, prescribes hearing aids, works with those who are hard of hearing

assists with spiritual needs

advanced practice RN who consults in a specialty (i.e. geriatrics)

cleans teeth and provides preventative care

treats problems with the teeth, gums, and mouth

provides nursing care and gives drugs under RNs direction

collects specimens. Performs lab test on blood, urine, etc

• maintains med records and transcribes med records
• codes patient info for billing purposes

give drugs allowed by state law under the supervision of a licensed nurse

• advanced practice RN in a nurse specialty
• does physical exams, diagnoses common health probs, and prescribes drugs and treatment

assists persons to learn or retain skills needed for daily living

performs tasks and services supervised by an OTR

diagnosis and treats comm and swallowing disorders

entire nursing staff and nurse care given

• functional nursing
• team nursing
• primary nursing
• case management
• patient focused care

• private insurance (bought by person)
• group insurance (bought by group or organ)
• medicare (federal program for persons 65+)
• medicaid (low income)

• limit amount paid by insurers, medicaid, medicare
• the amount is determined before care. If amount is less the agency pockets, if more, they accept the loss

• licensure (agency must have a license)
• certification (needed to receive funds from medicaid/care)
• accreditation (voluntary, signals quality and excellence)

are done to see if standards are met

• review policies and procedures
• interview staff and patients
• observe how care is given
• observe if dignity and privacy are promoted
• check for cleanliness and safety
• make sure staff meets state requirements

a state recognizes the certificate, license, or registration issued by another state

california state laws enacted by legislature to establish licensing and cert standards of health facilities, minimum stands of care for residents, regs which govern the CNA training program, and CNA certif requirements-initial and renewal

• skilled nursing facility must be licensed
• must have policies and procedures to ensure residents rights and safety
• violations of title 22 may lead to issuarance of state citation with a monetary fine

it requires that nurse ais receive training and pass a competency exam within four months of employment in a skilled nursing facility

• loss of facility to provide CNA training
• money penalties
• directed in-services
• denial of payment
• state monitoring
• termination of facility license

• min 53 hours of mandatory theory
• 103 hours of clinical training at a nursing facility
• content of course must cmply with title 22 and OBRA
• students who are employees must be paid hourly while in training
• criminal screening prior to clinical training

• complete DHS renewal application
• complete 48 hours of approved continuing education every 2 years

• defines RN an LVN and their scope of practice
• defines RN and LVN education and licensing requirements
• protects the public from persons practicing nursing without a license

• substance abuse
• fraud
• stealing

• assis nurse
• nurse asigns work
• report patient changes
• you dont make decisions
• review care plan prior to patient care
• perform tasks trained to do
• ask nurse to supervise yu
• perform tasks allowed by job desp and state

• never give drugs
• never insert or remove objects from body
• never take oral or phone orders from doc
• never perform procedures requiring sterile tech
• never tell personor family of diagnosis or treatment plans
• never supervise others CNAs and persons
• never ignore a request

• assessment/planning
• communication
• surveillance/supervision
• evalution and feedback

• nurse collects info about person's needs and your skills and knowledge
• nurse decides if it is safe to delegate task

• you and nurse discuss task
• nurse makes sure you understand directions
• you communicate Q, concerns, and progress to nurses
• report and record care

• nurse observes, confirms tasks are completed correctly, and monitors the person's response
• nurse follows up on problems and concerns

• nurse decides if delegation was successful
• nurse makes changes about possible changes in the persons care
• nurse provides feedback on how you complete the task

• the right task
• the right circumstances
• the right person
• the right supervision
• the right direction and communication

refusing: you have the right to say no if it goes against what you know, were taught, cause harm, no nurse for supervision

willful infliction of injury, confinement, intimidation, or punishment that results in physical harm or pain

intentionally attempting or theatening to touch a persons body without their consent

touching a body without their consent

acts behaviors or thoughts that can be considered boundary crossing

act that meets your needs not theirs

laws concerned with relationships between people

rules for group members to follow

knowledge of what is right conduct and wrong

a type of abuse or harm caused by a current or former partner

violating persons rights to not have their name or photo taken without consent

making false statements in print, writing, pics, social media, etc

neg by professional person

failure of responsible persons to provide protection from vulnerable elder

that which separates helpful behaviors from behaviors that are not helpful

an act or behavior or comment that is sexual in nature

identifying info and info about the persons health

a persons behavior or way of life that is threatening to their well being

making false statements through spoken word or gestures

injuring persons name and reputation by making false statements to a third person

skills, care, and judgments required by a health team member under similar conditions

a person 18 y.o.or older who has a disability or condition that makes them more prone to being attacked

• disinterest
• avoidance
• neglect

• abuse
• giving a lot of info about self
• keep secrets with person

• law
• texts
• agency policy books
• manufcturers instructions
• job description
• approval and acred agency
• standards and guidelines from gov agencies

• libel - false statements in print
• slander - making false statement verbally

• do not contact patient outside of work
• dont use electronic comm to share or discuss workplace issues

• reason for procedure
• what will be done
• how it will be done
• who will do it
• expected outcomes
• other treatment options
• effects if no treatment

• physical
• neglect
• verbal
• involuntary seclusion
• financial explotation/misappropriation
• emotional/mental
• sexual
• abandonment

confining a person to a certain area

using someone elses money for your benefit

• physical
• neglect
• sexual
• emotional
• substance
• abandonment

• physical - provide food or shelter
• medical - dont provide medical needs
• educational - failure to educate children
• emotional - not meeting the childs needs for affection

• rape/sexual assault
• molestation
• incest
• child porn
• child prostitution

injuring child mentally of their self worth. constant criticism and rejection

• make sub in presence of child
• make sub in area occupied by child
• allowing child to be present when equipment to store or sell sub is aroun
• sell sub to child
• use sub that impares caregiver to care for child
• expose child to supplies for sub
• expose child to drug related activities

• physical
• sexual
• threats of physical or sexual violence
• psychological and emotional violence

• physical force to engage person in sex
• sex act with person unable to understand act or unable to decline
• abusive sex conact

• humiliation
• controlling actions of victim
• keep info from victim
• denying victim access to basic needs
• stalking