| Ethics/Legal Issues | Extras | Role of CNA | Communication | Challenges to Communication |
|---|---|---|---|---|
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What is the resident's rights
Resident's have several of these defined by the OBRA act, they relate how a resident must be treated
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What is physical, financial, emotional, verbal, psychological, sexual (forcing of unwanted contact) (harrasment), battery, assault, domestic violence, workplace violence, false imprisonment, involuntay seclusion, substance abuse, defamation, neglect (passive) (active), negligence, and malpractice
Name forms of abuse
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What is identify yourself.
Knock on the door and state your name and title "Hi im Tereasa adn I'm you CNA today, I'm here to help you..." Wash your hands,explain procedure in terms they understand/ clearly/ loud enough to understand/face to face, provide privacy, adjust bed, and lock wheels
Name begnning steps
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What is smiling, leaning into conversation, touch, hand over hand
Examples of good nonverbal communication
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What is use the clock method at meal times, explain every step of all cares, face the resident, good lighting, do not shout, do not move personal items/furniture, advise Bertha when you are leaving her room, be empathetic
Bertha has poor vision, what are some ways you could help her function in her ADLs
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What is Omnibus budget reconcilliation act of 1987, this was inacted due to poor resident care and abuse in long term care facilities.
OBRA is
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What is signs of abuse
Broken bones, bruising, similar/repeated injuries, unexplained injuries, fearful actions, shrinking or ducking from staff or others with cares, bite mark/scratches, alopecia, broken/missing teeth, blood in undergarments
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What is ending steps
Make res comfortable, retunr bed to lowest or correct hight, call light in reach, wash hands, courteous/respectful, report changes to nurse, document
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What is cliche
It'll be overbefore you know it.. example of?
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What is approach resident from the side he can hear on, keep hearing aids clean, do not shower with aid in place, change batteries as needed, remove aids at night, face Mark when speaking to him, reduce background noise, use communication devices
Mark is HOH what would you expect to see on his careplan
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What is 75 total hours minimum for long term care, 150 for hospital care. 30, 15, 30.
How many hours must a nursing assistant student complete for classroom, lab, clinical (minimum).
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What is signs of neglect
pressure ulcers, wt loss, c/o hunger or thirst, dirty/matted hair, body odor, dirty/stained clothing, unclean/broken nails, damaged/poorly fitting dentures/glasses/hearing aids, missed appointments, doctor "hopping", refusing medications
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What is functional nursing.
Mary the cna assigned to work Center hall with you today does not like to do showers so you decde to do all thwoers if she goes to dining room for meals, name type nursing style
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What is drawing a single line through the incorrect documentation, writing your initial and the date of the error. Some facilities require you to also write error remember to check your facilities policy
You are documenting how much Jack ate for lunch but did not realize Jane got him to finish eating after you lef the dining room, how would you correct your documentation
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What is anxiety
Feelings caused by uncertainty or concern abut a future event that can have signs have nausea, diaphoresis, tachycardia, angina
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What is 12 hours.
How many hours of continuing education must a cna complete every year to keep their certification?
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What is suspension, an investigation is begun, if founded they are no longer employed and listed on abuse registry, possible revocation of certification, possibly get sued by families, res or facility
what happens if the cna is accused of abuse
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What is chain of command
When a cna has a c/o or concern how would they decide who to take that concern or c/o too?
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What is sweating, fast heart rate, headache, stomach pain, swelling, and pale
Margaret tells you she woke up this morning not feeling well. "I just dont feel well, I have a headache and my stomache hurts", you notice she is diaphoretic, pale, has edema,and tachycardia what do you report to the nurse.
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What is depression
Bonnie enjoys bingo and cards but the last 3 weeks has refused to go to the activities, she is eating less, and is napping most of your shift. Her vital signs are all WNL. What could Bonnie be experiencing
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What is
privacy and confidentiality independent choices to be fully informed of their rights and services to participate in their care diginity/respect/and freedom security of their posessions during transfers and discharges to complain to visits to social services
Name residents rights, as many as you can
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What isHealth insurance portability and accountability act of 1996, started to protect res private information. The private information is the PHI or protected health information.
Explain HIPAA and PHI
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What is person centerd
Type of that revolves around the resident and promotes their choices/dignity/ andinterests
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What is go into Fern's room to check on her, get the nurse, ensure Fern is in a safe place, complete incident report
You are walking by Fern's door and hear a loud crash. Its your break time. What 3 things should you do?
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What is disorientation is confusion to person, place, and time. Confusion is the inability to think clearly, the res can be disoriented too if they are confused.
The main difference between disorientation and confusion.
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