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Assesses, plans, and implements recreational needs.
Activities director
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Assists nurses and gives nursing care; must be supervised by a licensed nurse
Nursing Assistant
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Tests hearing; prescribes hearing aids; works with persons who are hard of hearing
Audiologist
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Assists with spiritual needs
Cleric
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Assesses and plans for nutritional needs
Dietitian
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Provides direct nursing care, including giving drugs, under the direction of an RN
Licensed practical/vocational nurse (LPN/LVN)
-
Maintains medical records
Medical Records and health information technician
-
Assists persons to learn or retain skills needed to perform activities of daily living
Occupational therapist (OT)
-
Performs exams, diagnoses, and provides treatments under the direction of a doctor
Physician’s assistant
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Assists persons with musculo-skeletal problems; focuses on restoring function and preventing disability
Physical therapist (PT)
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Diagnoses and treats diseases and injuries
Physician (doctor)
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Prevents, diagnoses, and treats foot disorders
Podiatrist
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Takes x-rays and processes film for viewing
Radiographer/radiologic technologist
-
Assesses, makes nursing diagnoses, plans, implements, and evaluates nursing care; supervises LPNs/LVNs and nursing assistants
Registered nurse (RN)
-
Assists in treatment of lung and heart disorders; gives respiratory treatments and therapies
Respiratory therapist
-
Deals with social, emotional, and environmental issues affecting illness and recovery
Social worker
-
Evaluates speech and language and treats persons with speech, voice, hearing, communication, and swallowing disorders
Speech-language pathologist
-
RN with a master’s degree and clinical experience in an area of nursing; does physical exams, health assessments, and health education
Nurse practitioner
-
Performs selected physical therapy tasks and functions; supervised by a PT
Physical therapy assistant
-
Collects samples and performs laboratory tests on blood, urine, and other body fluids
Medical laboratory technician
-
The focus of hospice care is on ___________ not ____________.
Comfort not cure
-
The ________________________ involves the many health care workers whose skills and knowledge focus on the person’s total care
Health team
-
The nursing team involves __________________.
Those who provide care; RNs, LVNs/LPNs and Nursing assistants
-
Health care agencies must meet certain standards. Standards are set by:
1.
2.
3.
- Licensure - An agency must have a state license to operate and provide care
- Certification - This is required to receive Medicare and Medicaid funds.
- Accreditation - This is voluntary. It signals quality and excellence.
-
The Omnibus Budget Reconciliation Act of 1987 (OBRA) requires
That every state has a long-term care ombudsman. An ombudsman is someone who supports or promotes the needs and interests of another person.
-
List the six ways to provide quality care.
- Protect the person’s rights
- Provide safety and prevent accidents (falls)
- Help Keep the Agency clean and safe
- Act in a professional manner
- Good work ethics
- Follow agency policies and procedures
-
List three ways to protect a resident’s privacy.
- Closing privacy curtains, doors, and window coverings
- Removing residents from public view
- Providing clothes or draping to the person to prevent unnecessary exposure
-
Name seven resident rights.
- To be treated with dignity and respect and to receive quality care
- To exercise his or her rights as a center resident and as a United States citizen.
- To access all records about himself or herself, including current clinical records
- To obtain copies of his or her records. At the residents expense
- To refuse treatment.
- To choose his or her doctor.
- To manage his or her personal and financial affairs.
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The Omnibus Budget Reconciliation Act of 1987 (OBRA) sets minimum requirements
for nursing assistant _______ and ______.
Training and Evaluation.
-
To protect patients and residents from harm, you must understand:
- What you can and cannot do
- Rules and standards of conduct affecting your work
- Your role limits
-
Who can delegate nursing tasks to the nursing assistant?
Registered Nurse
-
Who is responsible for knowing what the nursing assistant is allowed to do based on the job description and legal limits?
You, the nursing assistant
-
List five reasons why a nursing assistant may lose his certification, license, or registration.
- Substance abuse or dependency
- Abandoning, abusing, or neglecting a person
- Froud or deceit
- Giving unsafe care
- Reforming acts beyond the nursing assistant role
-
To be competent means to
Having the necessary ability or knowledge to be able to perform a task safely and successfully.
-
List the Five Rights of Delegation.
- The right task
- The right circumstances
- The right person
- The right direction and communication
- The right supervision
-
List five reasons why you may refuse a task.
- Beyond the legal limits of your role
- The task is not in your job description
- Not properly trained to perform the task
- Performing it could harm the person
- The person’s condition has changed
-
List three examples of tasks that cannot be delegated to you.
- Perform assessments
- Develop care plans
- Evaluate response to care
-
You have been delegated a task, but you are busy. Can you delegate that task to another nursing assistant? Why or why not?
No, delegation is done by the Registered Nurse, not the Nursing Assistant.
-
To be prejudiced or biased means to
Make judgment and having beliefs before knowing the facts.
-
_____ laws are concerned with relationships between people. Examples involve contracts and nursing practice.
Civil laws
-
A tort is
A wrong committed against a person or the person’s property
-
___________ is the unlawful restraint or restriction of a person’s freedom of movement.
False imprisonment
-
Which health team member is responsible for informing the person about all aspects of treatment?
The doctor is responsible.
-
Abuse is a ________
crime
-
Leaving a patient or resident lying in urine is
Neglect which is the failure of a person responsibility to provide food shelter, health care, or protection for a vulnerable elder.
-
________ involves grabbing, hitting, slapping, kicking, pinching, hair-pulling, and beating.
Physical abuse
-
_________ is using oral or written words or statements that speak badly of, sneer at, criticize, or condemn the person; includes unkind gestures.
Verbal abuse
-
_______ is confining the person to a certain area.
Involuntary seclusion
-
____________ means that the older person’s resources are misused by another person for his own benefit.
Financial exploitation or misappropriation
-
_________ is when the person is deserted by someone who is responsible for his or her care.
Abandonment
-
____________ is injuring the child on purpose
Physical abuse
-
__________ is using, persuading, or forcing a child to engage in sexual conduct.
Sexual Abuse
-
______ is forced sexual acts with a person against his or her will.
Rape
-
_______ is sexual activity between family members.
Incest
-
___________ involves taking pictures or videotaping a child involved in sexual acts or passes.
Child pornography
-
_______ is forcing a child to engage in sexual activity for money.
Child prostitution
-
Domestic abuse is also called
Intimate partner violence, domestic, violence, intimate partner abuse, partner abuse, and spousal abuse.
-
If you suspect patient or resident abuse, what should you do?
You could discuss the matter and your observations with the nurse.
-
Being dependable means
Reporting to work on time and when scheduled. Performing delegated task. Keep obligations and promises.
-
Being cooperative means
Willingly helping and working with others. Also, take that extra step to during stressful and busy times.
-
Explain why your appearance is important at work.
How you look affects the way people think about you and the agency where staff and students are clean, neat, organized. People will think the agency is the same.
-
What is burnout?
Is a job stress resulting in being physically and mentally exhausted. Having doubts about our abilities and value of work.
-
Who should you share a person’s information with?
The person’s information is shared only among staff involved in this or her care.
-
Explain what teamwork on the job means.
Teamwork means that staff members work together as a group. Each person does his or her part to give safe and effective care.
-
To gossip means to
Spread rumors or talk about the private matters of others
-
Nail polish is not worn to work because
it can get chipped and may provide a place for microbes to grow.
-
What are some ways to reduce or cope with stress?
Exercise regularly, get enough sleep, eat healthy, plan personal time, use common sense about what you can and cannot do, and do things a step at a time.
-
__________ and good work ethics help prevent and resolve conflicts.
Communication
-
-
An exchange of information
Communication
-
The written account of care and observations
Recording
-
The oral account of care and observations
Reporting
-
For good communication, you must: (5)
- Use words that mean the same thing to you and the message receiver
- Use familiar words
- Be brief and concise
- Give information in a logical and orderly way
- Give facts and be specific
-
When reporting care and observations to the nurse, you must follow these rules: (9)
- Be prompt, thoroughly, and accurate.
- Give the person’s name, room, and bed number.
- Give the time your observations were made or the care given.
- Report only what your observed and did yourself.
- Report care measures that you expect the person to need.
- Report expected changes in the person’s condition.
- Give reports as often as the person condition requires.
- Report at once any changes from normal or changes in the person’s condition.
- Use your written notes to give a specific, concise, and clear report.
-
Voiding
is emptying urine from the bladder.
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