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CNA Chapter 1
CNA
Health Care Agencies | Hospital, long-term care centers, memory care, home care, home health care, adult day - care center, assisted living residences, hospice, |
The person _____ the focus of care | Always |
Staff members have | special talents, knowledge, and skills |
The purposes of health care include | Health promotion, disease prevention, detection and treatment of disease, rehabilitation |
Hospitals | for surgery, heal broken bones, to have babies, or to die, to treat acute, chronic, or terminal illnesses |
Rehabilitation | physical and mental health problems, does not need hospital care, but is too sick to go home |
Long-term care centers (nursing homes, nursing facilities, nursing centers) | persons who cannot care for themselves at home but do not need hospital care |
Assisted living residences | provide housing, personal care, support services, health care, and social activities in a home-like setting |
Mental health center | for persons with mental illnesses |
Home care agencies | provide a wide range of services in their home |
Hospices-agency | for persons who are dying, usually less than 6 months to live |
An agency has a governing body called the | board of trustees or board of directors |
The agency have to follow what law | local, state, and federal laws. |
The board makes | policies |
An administrator manages | the agency and reports directly to the board |
Directors or department heads manage | Certain areas |
The health team (interdisciplinary health care team) | involves the many health care workers whose skills and knowledge focus on the person's total care. |
DON | Director Of Nursing |
The DON is responsible for | the entire nursing staff. |
Nurse managers and nursing supervisors assist who | DON and manage and carry out nursing department functions |
Nursing departments usually have charge nurses for each shift. who are they responsible for | all nursing care and for the actions of nursing staff during that shift. |
Staff RNs report to who | Charge nurse |
LPNs/LVNs report to who | RN or to the charge nurse |
CNAs report to who | the Nurse supervising your work. |
he health team involves those who provide nursing care. They all focus on what | the physical, social, emotional, and spiritual needs of the person and family. |
Registered nurses assess, make nursing diagnoses, plan,_______ and evaluate nursing care | implement, |
Licensed practical nurses and licensed vocational nurses are supervised by who | RNs, licensed doctors, and licensed dentists. |
LPN responibilty | fewer responsibilities and functions than RNs do |
Nursing assistants | -perform delegated nursing tasks under the supervision of a licensed nurse. |
LPN | Licensed Practical Nursing |
LVN | Licensed Vocational Nurse |
RN | Registered Nurse |
SNF | Skilled Nursing Facility |
PPS | Protective Payment Systems |
Are you allowed to talk about patients | No because of the Patient Confidentiality |
Acute Illness | excepted to heal |
Chronic Illness | last longer but will slow get better |
Terminal illness | expect to die or will not recover |
ALR | Assisted Living Residence |
Difference between RN and Primary Nursing | RN responsible for the persons total care and Primary is a care pattern |
Survey | is the formal review of an agency through the collection of facts and observation |
A resident has purchased a special gift for her nursing assistant, Sarah. How should Sarah respond? | Refuse but thank her for thinking of her |
Medicare is... | a health insurance program for people who are 65 or older or younger people who are disabled or ill |
Which member of the care team diagnoses disease and prescribes treatment? | Physician (MD) |
Which of the following care team members are licensed professionals who delegate jobs to nursing assistants? | Nurses, PTs, OTs |
Which of the following statements is true of a nursing assistant's responsibilities if an activity is not listed in the care plan? | The NA should not perform the activity if it is not listed in the care plan. |
What is one reason why reporting a resident's changes and problems to the nurse is a very important role of the nursing assistant? | The care plan must be updated as the resident's condition changes. |
Which of the following is a typical task that an NA performs? | helping residents with toilet needs |
Which of the following tasks is outside the scope of practice for an NA? | giving an injection of medication |
What does the chain of command do? | It helps protect nursing assistants and their employers from liability. |
What should a nursing assistant do if she suspects a resident is being abused? | She should report it to the nurse immediately and let him/her handle it from there. |
When a nursing assistant is performing a procedure on a resident, he should: | Explain the procedure fully before performing it |
For a nursing assistant, confidentiality means: | keeping private things private |
Why was HIPAA created? | to keep health information private and secure |
You are the nursing assistant for a resident who is paralyzed on her right side from a recent stroke. Some of her family members are visiting and one of them turns to you and says in a loud voice, "She looks so stupid with half of her face drooping down l | Psychological abuse |
A resident's protected health information (PHI) may be shared with: | only those who need the information for care or processing of records |
Which of the following is an example of physical abuse? | shoving a resident |
Remember the chain of people who are head of you | |
Case management | Nursing case manager professional helps a patient or client develop a plan that coordinates and integrates the support services that the patient/client needs |
Functional nursing | a nursing model that focuses on efficiency and getting as many tasks as possible done in the shortest time. |
Health Team define | Many health care workers whoose skills and knowledge focus on the persons total care |
nursing assistant | A person who has passed a nursing assistant training and competency evaluation program, preforms delegated nursing tasks |
nursing team | THose who provide care- rns ly |
patient-focused care | Nursing care pattern; services are moved from department to the bedside |
Primary nursing | Nursing care pattern an RN is responsible for the persons total care |
Surveyor | Person who collects information by observing and asking questions |
Team nursing | a team of nursing staff is led by an RN |
Rehabilitation starts when the | Person first seeks health care |
You work in an assisted living residence. You? | Help people with daily actives |
Who controls policy in a health care age | Board of Directors |
Who is responsible for the entire nursing staff and safe nursing care. | director of nursing |
Medicaid | a joint federal and state program that helps cover medical costs for some people with limited income and resource |
To be Certified for a hospital you must have what 2 funds | Medicare, and Medicaid |
Licensure | the mechanism whereby a state grants permission to individuals to engage in the practice of medicine. |