Hartman’s CNA Chapter 1

Long-term care
living facilities for people who need 24 hour nursing care

conditions that last a long time

medical conditions determined by a doctor

home health care
care given in a person’s home

Assisted living
living facilities for people who need some help with daily care

Adult daycare
for people who need some help during working hours

Acute care
for people with an immediate illness

Skilled care
medically necessary care given by a skilled nurse or therapist

Subacute care
for people who have had an acute injury

Outpatient care
for people who need short-term skilled care

Care given by therapists to restore or improve function

Hospice care
for people who have six months or less to live

Activities of daily living

Culture change
the process of adapting services to the beliefs and practices of the patient

for people 65 or older or with kidney failure or certain disabilities

Medicare Part A
Helps pay for care in a hospital, skilled nursing facility, or from a home healthy agency or hospice

Medicare Part B
Helps pay for doctor services, medical services, and equipment

Medicare Part C
Allows private healthy insurance companies to provide Medicare benefits

Medicare Part D
Helps pay for medications prescribed

Medical assistance program for low-income people

Writing down important information about the resident

Must have at least 75 hours of training

Registered Nurse
A licensed professional who has completed 2-4 years of education

Care plan
Helps the resident achieve his or her goals

Licensed Practical Nurse/Licensed Vocational Nurse
A licensed professional who has completed one to two years of education

Physician or Doctor
A licensed professional who have completed four years of education

CNA tasks
Performing assigned tasks: taking vital signs, helping with adls

RN tasks
Manages nursing care, also gives meds as prescribed by doctor, writes care plan

LPN/LVN tasks
Gives meds and treatments, may supervise CNAs

MD tasks
Diagnose disease and prescribe treatment

Physical Therapist
Evaluates a person and makes plan to help increase movement, improve circulation, and reduce pain through therapy

Occupational Therapist
Helps residents learn to compensate for disabilities

Speech-Language Pathologsists
Helps with speech and swallowing problems

Registered Dietitian
Creates diets for residents with special needs

Medical Social Worker
Determines resident’s needs and helps get them support services

Activities Director
Plans activities for residents to help them socialize and stay active

Resident and Resident’s Family
Important part of care team

Chain of Command
The line of authority

Legal term meaning you can be held responsible for harming someone else

Chain of Command Breakdown
Adminstrator, Head of Medical Services, Director of Nursing, Assistant Director of Nursing, Staff Development Coordinator, Nursing supervisors, Charge Nurse, Staff Nurses, Nursing Assistatns

Scope of Practice
The things you are allowed to do and how to do them correctly

A course of action that should be taken every time a situation occurs

A method, or way, of doing something

Health Insurance Portability and Accountability Act

Having to do with work or a job

Your life outside your job

How you behave when you are on the job

being caring, concerned, empathetic, and understanding

entering into the feelings of others

sharing in the feelings of others

the ability to understand what is proper when dealing with others

Always trying to do your best

Keeping commitments

Valuing others individuality

Giving equal care

Putting aside your opinions to care for someone

the knowledge of right and wrong

rules set to ensure safety and order

Omnibus Budget Reconciliation Act (OBRA)
Sets minimum standards for nursing assistant training and identifies residents rights

Quality of Life
Right to the best care

Services and Activities to Maintain a High Level of Wellness
The right to receive correct care

The Right to be Fully informed Regarding Rights and services
The right to be told and helped to understand what care and services are available

Participate in Their Own Care
The right to participate in their own care

Independent Choices
The right to make choices about their doctors, care, and treatments

Privacy and confidentiality
The right to expect privacy with care given

Dignity, Respect, and Freedom
The right to be respected and treated with dignity by caregivers

Security of Possessions
The right to have your possessions be kept safe

Transfers and Discharges
The right to safety during changes and full knowledge and consent

The right to complain without fear of punishment.

The right to have visits

Social Services
The right to be provided with access to social services

Harming a person by failing to provide care- can be active or passive

Neglect that results in injury

When a person is injured due to professional misconduct

Purposefully causing someone pain

Physical abuse
Harm to a person’s body

Psychological abuse
Emotionally harming a person

Verbal Abuse
Spoken or written language that threatens, embarrasses, or insults a person

Threatening to touch someone without their consent

Touching someone without their consent

Sexual abuse
Forcing someone to participate in sexual acts against their will

Financial abuse
taking or improperly using someone else’s money

Domestic violence
Abuse by family members

Workplace violence
Abuse of staff by residents or other staff members

False imprisonment
unlawful restraint of someone

Involuntary seclusion
Separating someone from others against their will

Sexual harassment
Any unwelcome sexual advance of behavior

Substance abuse
the use of legal or illegal drugs, cigarettes, or alcohol in a way that harms oneself or others

Reporting abuse….
…is the law

Suspicious Injuries
Teeth marks, traumatic injury, belt buckle, bruises, scars, fractures, dislocation, burns, scalding burns, scratches, face swelling, etc.

Signs of Abuse
Obscenities, fear, poor self-control, constant pain, withdrawal, low self-esteem, anxiety, etc.

Signs of Neglect
Pressure sores, body not clean, body lice, unaswered call lights, soiled bedding, poorly-fitting clothing, refusal of care, unmet needs, weight loss, etc

Assigned by law as legal advocate for residents

Keeping private things private

HIPPA exists partly to…
…keep health information private and secure

Do not record care…
…before it has been done

Minimum Data Set (MDS)
A detailed form with guidelines for assessing residents

MDS must be completed within…
…14 days of admission

MDS must be reviewed…
…every 4 months or when big change occurs in residents condition

an accident or unexpected event during the course of care

Sentinel event
An incident that results in grave physical or psychological injury or death

Guidelines: Incident Reporting
Tell what happened, how the person tolerated the incident, give facts, do not write anything about the incident in the medical record, describe the action taken to give care, and include suggestions for change

1) The word “terminal” means that a resident will live a long time with a disease. false 2) A nurse supervises the nursing assistant’s daily care of residents. true WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY …

What healthcare setting is for people who will die in six months or less? hospice Long-term care serves patients with conditions that are chronic WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE …

Primary Nursing The registered nurse does much of the overall care The purpose of surveys A. To make sure the facilities are following regulations B. Studies how well staff cares for residents WE WILL WRITE A CUSTOM ESSAY SAMPLE ON …

Acute Illness A sudden illness from which a person is expected to recover Assisted Living Residence (ALR) Provides housing, personal care, support services, health care, and social activities in a home-like setting to persons needing help with daily activities WE …

Long-term care is offered in: Skilled nursing facilities Residents in (blank) are usually more independent and do not need skilled care Assisted living facilities WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE …

Acute Illness A sudden illness from which a person is expected to recover Assisted Living Residence (ALR) Provides housing, personal care, support services, health care, and social activities in a home-like setting to persons needing help with daily activities WE …

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