Chapter 3- the nursing assistant
Who assigns and supervises your work?
A nurse
True or False: All states have the same training and evaluation requirements.
False;
True or False: You have not worked for 3 years. Your certification (license, registration) is still current.
False;
True or False: You are allowed 1 attempt to pass your state's competency evaluation.
False; If the first attempt was not successful, you can re-test. OBRA allows at least 3 attempts to successfully complete the evaluation.
True or False: An agency can expand your range of functions beyond what is allowed in your state.
False; No you are only allowed to do what you are licensed to do and what is in your job description
You are responsible for
Knowing what you can safely do
As a nursing assistant, you a. must perform all tasks as directed by the nurse b. make decisions about a person's care c. need a written job description before employment d. give a drug when a nurse tells you to
Need a written job description before employment
What state law affects what nursing assistants can do?
Nurse practice act
Nursing practice is regulated by
Nurse practice acts
Your nursing assistant certification can be revoked for
Performing acts beyond your role
As a nursing assistant, you a. can take verbal or phone orders from doctors b. report observations to the nurse c. can remove tubes from the person's body d. can ignore a nursing task if it is not in your job description
Report observations to the nurse
List five reasons why a nursing assistant may lose his certification, license, or registration.
Substance abuse or dependency Abandoning, abusing, or neglecting a person Fraud or deceit. Violating professional boundaries Giving unsafe care Performing acts beyond the nursing assistant role Misappropriation (stealing, theft) or misusing property Obtaining money or property from a patient or resident Being convicted of a crime Failing to conform to the standards of nursing assistants Putting patients and residents at risk for harm Violating a person's privacy Failing to maintain the confidentiality of patient or resident information
Who can delegate nursing tasks to the nursing assistant?
The nurse
Who is responsible for knowing what the nursing assistant is allowed to do based on the job description and legal limits?
The nursing assistant
True or False: Each state must have a nursing assistant registry.
True
True or False: OBRA requires a nursing assistant training and competency evaluation program in every state.
True
To protect patients and residents from harm, you must understand:
What you can do What you cannot do The legal limits of your role
You perform a task not allowed by your state. Which is true? a. if a nurse asked you to do the task, there is no legal problem b. you could be practicing nursing without a license c. you can perform the task safely, there is no legal problem d. if you complete the task safely, there is no legal problem
You could be practicing nursing without a license.
Which describes what an agency expects you to do?
job description
The Omnibus Budget Reconciliation Act of 1987 (OBRA) sets minimum requirements for nursing assistant _____ and _____.
training AND evaluation
