Unit II
100
What is an MDRO?
microorganisms, predominantly bacteria, that are resistant to one or more classes of antimicrobial agents
100
What are common tasks for Nursing Assistants?
Activities of daily living (ADLs)
bathing
dressing
grooming
mouth care
toileting
eating & hydration
caring for skin; prevention of pressure ulcers
Bed making
Taking/recording vital signs; height & weight
Observing/reporting resident changes to licensed nurse
Maintaining safety, including fall prevention
Caring for equipment
Infection control
100
What is the MDS?
assessment tool
provides structured, standardized approach to care
helps identify resident health care problems
200
What are different types of health care?
Independent living
Home health care—Health care provided in a persons home.
Adult day care—Care for people who need some assistance or supervision during certain hours, but do not live in the facility where the care is given.
200
What are three components of communication?
Three components of communication
message
sender
receiver
200
What is objective data?
information that can be seen,
heard, touched, smelled
300
What are payment options for long term care facilities?
Medicaid-medical assistance program for low-income residents that pays for the resident’s healthcare

Medicare
health insurance program for residents over the age of 65 pays for resident’s healthcare
funded by Social Security
Minimum Data Set (MDS) report required for each Medicaid resident
300
What components of non-verbal communication?
posture
appearance
eye contact
gestures
facial expressions
touch
level of activity
300
What is subjective data?
cannot be observed, may be
heard or something the resident said
400
What is the Omnibus Budget Reconciliation Act of 1987 (OBRA-87)
Federal regulation
Set standards of care for long-term care facilities
Requires all nurse aides in long-term care facilities to:
complete training program
pass certification exam
Requires each state to have a registry of nurse aides (see Unit XIV) available to the public
contains information on nurse aide’s performance, including resident abuse
information to be kept minimum of five (5) years
Requires continuing education--minimum of 12-hours in-service each year for nurse aides
Requires nurse aide who has not worked for 2 consecutive years to retake the certification exam
400
What are barriers to communication?
talking too fast or too softly
avoiding eye contact
belittling resident’s feelings
physical distance
false reassurance
changing subject
giving advice
use of slang/medical jargon
400
What is the nursing process?
assessment by the RN
physical inspection
medical record
identifies resident’s actual or potential health care problems
500
What is the health care team?
resident
physician
registered dietitian/nutritionist
physical therapist
occupational therapist
family member
social worker
licensed nurse
nurse aide
activities/enrichment
500
What are components of the medical chart?
admission sheet
health history
examination results
physician’s orders
physician’s progress notes
health team notes
lab test results
special consents
500
What is shift report?
received at beginning of shift from previous shift
given to on-coming shift before nurse aide leaves unit at end of shift
includes observations of changes in resident’s condition or behavior






unit 1

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