What is long term care?
For people who need 24 hour care in a facility
Home health care
Older people who are chronically ill and prefer to stay home or people who recently left the hospital and need skilled assistance
Assisted living facilities
Need help with daily activities but don't need 24 hour care
Adult day services
Need assistance for a certain amount of hours
Acute care
In hospitals for illnesses or injuries that require immediate care
Subacute care
In hospitals for people who need less care than acute care but more care than chronic illnesses
Outpatient care
For people who have had a treatment or surgery and need short term care
Rehabilitation
Restore function after illnesses or injury
Hospice
People who have 6 months or less to live
List 5 services commonly offered at long term care facilities
-Bathing
-Assistance with walking
-Eating
-Dressing
-Toileting
Who makes up the majority of residents in long term care?
Women
What are two general categories of residents who stay in a care facility for less than 6 months?
-Residents who will likely die in the facility
-Residents in rehabilitation
List 5 common policies at long term care facilities
-All residents' information is confidential
-The plan of care must always be followed
-NA's should not do jobs out of their job description
-NA's must report important changes to nurse
-Personal problems must not be discussed to resident or residents' family
List two ways that surveyors study how well staff care for residents in a facility.
-They focus on how residents' emotional, physical, nutritional, social, and spiritual needs are met
-They interview residents' and their families and observe the staffs' interactions with residents and team.
Briefly describe what the Medicare and Medicaid programs do
They both pay for healthcare and health insurance
Culture change
The process of transferring services for elders so that they are based on the values practices of the person receiving care.
Nursing assistant
Performs assigned tasks, such as taking vital signs, and provides or assists with routine personal care, such as bathing residents and helping with toileting.
Registered nurse
Coordinates, manages, and provides skilled nursing care. This includes administering special treatments and giving prescribed medications
Physician
Diagnose disease or disability and prescribe treatment.
Physical therapist
Evaluates a person and develops a treatment plan to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and help the resident regain or maintain mobility.
Speech-language pathologist
Identifies communication disorders, addresses factors involved in recovery, and develops a plan of care to meet recovery goals.
Occupational therapist
Helps residents learn to adapt to disabilities.
Medical social worker
Determines residents' needs and helps them get support services.
Registered Dietitian
Creates diets for residents with special needs
Activities director
Plans activités for residents to help them socialize and stay physically and mentally active.
Resident
Has the right to make decisions about his or her own care.
List six examples of duties that nursing assistants perform.
-Helping residents with toileting needs
-Assisting residents to move around safely
-Keeping residents' living areas neat and clean
-Encouraging residents to eat and drink
-Helping residents dress
-Helping residents with mouth care
-Making beds
List two duties that nursing assistants do not usually perform.
-Give tube feedings
-Give medication
Define professionalism.
Behaving properly when on the job.
List five examples of professional behavior with residents.
-Not discussing personal problems
-Not using profanity
-Listening to the resident
-Calling a resident Mr. Ms. Mrs.
-Never giving or accepting gifts
List seven examples of professional behavior with employers.
-Dressing appropriately
-Speaking well
-Being on time
-Completing tasks
-Reporting to the nurse
-Following the care plan
-Making careful observations
-Reporting accurately.
List eight personal qualities that are important for nursing assistants to have.
-Compassionate
-Honest
-Tactful
-Conscientious
-Dependable
-Respectful
-Unprejudiced
-Tolerant,
Why is it important for nursing assistants who have long hair to keep their hair tied back?
To keep the hair clean and to keep residents from grabbing it.
Why would wearing comfortable shoes be important to nursing assistant?
Nurses are always up and walking around.
Give one reason why the chain of command is important.
It protects employees from liability.
List three tasks that are said to be outside the scope of practice of a nursing assistant.
-Administering medications
-Diagnose or prescribe treatments or medicines
-Tell the resident or the family the diagnosis.
Why are observing and reporting even simple observations about a resident important?
Changes could lead to something bigger going on.
What are three factors considered when forming a care plan?
-The resident's health and physical condition
-Diagnosis and treatment
-Goals or expectations.
List 5 steps in the nursing process.
-Assessment
-Diagnosis
-Planning
-Implementation
-Evaluation.
List the Five Rights of Delegation.
-Right Task
-Right Circumstance
-Right Person
-Right Direction/Communication
-Right Supervision/Evaluation
What should a nursing assistant do if he feels he does not have the skills necessary to perform a task?
Talk to the nurse
List five steps in managing time and assignments.
-Plan ahead
-Prioritize
-Make a schedule
-Combine activities
-Get help
What is the difference between ethics and laws?
Ethics tell people what they should do. Laws tell people what they must do.
List eight examples of legal and ethical behavior for a nursing assistants.
-Be honest
-Protect residents' privacy
-Keep staff information confidential
-Report abuse
-Follow care plan and assignments
-Do not perform any task outside your scope of practice
-Document accurately and promptly
-Do not accept gifts
Minimum Data Set
Assessing residents
What is the minimum number of hours of training that nursing assistants must complete as required by OBRA?
75 hours
How soon must a Minimum Data Set be completed on new residents after admission?
14 days
What is the purpose of Residents' Rights?
Provide an ethical code of conduct for healthcare workers.
HIPAA meaning?
To protect residents, Health Insurance Portability and Accountability Act.
If a nursing assistant sees abuse or suspects that a resident is being abused, what is her responsibility?
Tell supervisor.
List five possible signs of abuse or suspects that should be reported signs of neglect that should be reported by the nursing assistant.
-Teeth marks
-Belt straps
-Scars
-Bruises
-Weight loss
ADL?
Activities of daily living
If a resident wants to make a complaint of abuse, what is the nursing assistant's responsibility?
Follow the chain of command when reporting abuse.
Pick three of the examples of behavior promoting Residents' Rights. Describe how each example supports or promotes specific Residents' Rights.
-Never abuse a resident physically, emotionally, verbally, or sexually.
-Always explain a procedure before performing it.
-Be truthful when documenting care.
What happens if a nursing assistant is accused of abusing a resident?
The facility will investigate.
What is the role of an ombudsman?
To advocate for the residents.
What is one important reason that HIPAA was passed?
To help keep health information private and secure.
List five examples of a person's protected health information.
-Name
-Address
-Phone number
-Social security number
-Email address
To whom is a nursing assistant allowed to give information about a resident?
Anyone who is directly involved in the resident's care.
To what members of the healthcare team is HIPAA applicable?
All members
Define advance directives and briefly describe two examples.
Legal documents that allow people to choose what medical care they wish to have if they are unable to make those decisions themselves. Living wills and Durable Powers of Attorney.
List three rights relating to advance directives that the PSDA requires be given to a resident at the time of admission.
-The right to participate in and direct health care decisions.
-The right to accept or refuse treatment
-The right to prepare an advance directive.