Chapters 1-5 Nursing Aide review
Chain infection steps
1. Causative agent 2. Reservoir 3. Portal exit 4. Transmission 5. Portal entry 6. Susceptible
correct order to doffing (taking off PPE)
1. Gloves 2. goggles 3. gown 4. mask 5. wash hands
Correct order to donning (putting on) PPE
1. wash hands 2. gown 3. mask 4. goggles 5. gloves
Residents who stay at a facility for more than 6 months need
24 hour care
According to OBRA NAs must complete _____ hours of training before becoming employed
75
Purposeful mistreatment that causes physical, mental or emotional pain/injury to someone
Abuse
The purposeful failure to give needed care, resulting in harm to a person
Active Neglect
Helps residents socialize and stay active
Activities Director
Legal documents that allow people to choose what medical care they wish to have if they cannot make the decision themselves
Advance Directives
A threat to harm a person, resulting in the person feeling fearful that he will be harmed
Assault
Nursing process
Assessment Diagnosis Planning Implementation Identifying Goal
What is an Ombudsman
Assigned by law as the legs advocate for residents
The intentional touching of a person without his/her consent
Battery
Being caring, concerned, considerate, empathetic, and understanding
Compassionate
Being guided by a sense of right and wrong and having principles
Conscientious
getting to work on time and doing assigned tasks skillfully
Dependable
Legal document that tells medical professionals not to perform CPR if breathing/heartbeat stops
Do not resuscitate order
Physical, sexual or emotional abuse by spouses. intimate partners, or family members
Domestic Violence
Signed, dated, and witnessed legal document that appoints someone else to make the medical decisions for a person in the event he becomes unable to do so
Durable power of attorney for healthcare
Identifying with the feelings of others
Empathetic
Another name for a long-term care facility
Extended care facility
Places where health care is delivered or administered
Facilities
The improper or illegal use of a person's money, possessions, property of other assets
Financial abuse
Health Plans that state that customers must use a particular doctor or group of doctors
HMOs (Health Maintenance organizations)
infections acquired in healthcare settings during the delivery of medical care
Healthcare-associated infection
Being truthful
Honest
Care given to people who have approximately 6 months or less to live is called
Hospice Care
Measures practiced in healthcare facilities to prevent and control the spread of disease
Infection Prevention
The separation of a person from others against the person's will
Insolvent Seclusion
Licensed professional who has completed 1/2 years of edu. and is able to administer meds and give treatments
LPN / LVN
Outlines the medical care that a person wants, or does not want, in case he becomes unable to make those decisions
Living will
confined to a specific spot in the body and has local symptoms
Localized infection
Cost-control strategies for health care
Managed care
Home health aides
May clean or shop for groceries
Helps residents get support services, such as counseling
Medical Social Worker
A tiny living thing that is only visible under a microscope
Microorganism/microbe
Actions, or failure to act or provide proper care, resulting in unintended injury to a person
Negligence
Performs assigned tasks, such as vitals, personal care, and reporting observations to other care members
Nursing Assistant
The Omnibus Budget Reconciliation Act sets minimum standards for
Nursing Assistant training
Helps residents learn to adapt to disabilities by training residents to perform ADLs and other activities
Occupational Therapist
Cerebrovascular accident (CVA)
Occurs when blood supply is blocked or a blood vessel leaks or ruptures within the brain
A network of providers that contract to provide health services to a group of people
PPOs (preferred provider organizations)
Hemiplegia
Paralysis on one side of the body
What are the 4 parts of Medicare
Part A- Hospital/long-term care/home health care Part B- doctor/medical services Part C- private health insurance Part D- prescription medication
The unintentional failure to provide needed care, resulting in physical mental, or emotional harm to a person
Passive Neglect
People or organizations paying for health care
Payers
Mandated reporters
People who are legally required to report suspected or observed abyss or neglect
Intentional or unintentional treatment that causes harm to a person's body-includes slapping, bruising, cutting, burning, physically restraining, pushing, shoving, and rough handling
Physical Abuse
Administers therapy in the form of heat, cold, massage, ultrasound, electrical stimulation, and exercise muscles, bones, and joints
Physical Therapist
Diagnose disease or disability and prescribes treatment
Physician or doctor
5 guidelines for managing time
Plan ahead Prioritize Schedule Shift Combine Activities Get Help
People or organizations that provide health care
Providers
Emotional harm caused by threatening scaring, humiliating, intimidating, isolating, or insulting, or by treating him or her as a child
Psychological abuse
Touch
Rash/cut pulse/skin
Why is feedback impt?
Receive and understand
Licensed professional who has graduated from a two- to four year nursing program and coordinates, manages, and provides skilled nursing care
Registered nurse
Care given by specialists to restore or improve function after an illness or injury is called
Rehabilitation
Person whose condition, treatment, and progress are what the care team revolves around
Resident
People who live in long-term care facilities are usually called _______ because it is where they live for the duration of their stay
Residents
It is important for an NA to care for each resident as a whole person because
Residents don't have support groups and have less contact with the outside world
Valuing other peoples individuality and treating others politely and kindly
Respectful
The forcing of a person to perform sexual activity against his or her will
Sexual Abuse
Any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive work environment
Sexual harassment
Teaches exercises to help the resident improve or overcome speech problems
Speech-Language Pathologist
The purpose of surveys in long-term care facilities is to
Study how well residents are cared for
The use of legal or illegal drugs, cigarettes, or alcohol in a way that is harmful
Substance abuse
Sharing in the feelings and difficulties of others
Sympathetic
An infection that is in the bloodstream and is spread throughout the body
Systemic infection
Showing sensitivity and having a sense of what is appropriate when dealing with others
Tactful
Most conditions in long-term care are chronic, this means that
The conditions last a long time
What is the purpose of Health Insurance Probability and Accountability Act Includes?
To protect and secure the privacy of health information Patient's social security
Putting aside personal opinions and not judging others
Tolerant
Giving the same quality of care regardless of age, gender, sexual orientation, religion, race, ethnicity, or condition
Unprejudiced
The use of spoken or written words, pictures, or gestures, that threaten, embarrass, or insult another person
Verbal
Hemiparesis
Weakness on one side of the body
Verbal, physical, or sexual abuse of care team members by residents or other care team members
Work place violence
Objective Information
based on what you see, hear, touch, or smell (collected by senses)
Nonverbal communication
body language/ facial expressions 'how' something is said
Sight
changes in residents appearance
Four examples of how you think elderly people living in care facilities can benefit from culture change
core values, respect and dignity self-determination
Dysphagia
difficulty swallowing
More than half of residents in a long-term care facilities are
female
Smell
fruity breath urine
Nursing Assistants will NOT
give meds or insert or remove tubes
Long-Term-Care LTC
given in long-term facilities for people who need 24-hour, supervised nursing care
The goal of joint commission is to
improve safety and quality of care
Incontinence
inability to control bladder/bowels
Receptive aphasia
inability to understand spoken or written words
How is eligibility for Medicaid determined?
income/special circumstances
occurs when pathogens invade the body and multiply
infection
Emotional lability
laughing or crying without reason
Far sight
objects in distance appear more clear than objects up close
A harmful organism
pathogen
Two groups of people who qualify for Medicare
people who are 65 and older people with permanent disabilities
Assisted living facilities are initially for
people who need some help with daily care
PPE
personal protective equipment
3 things NAs cannot do
prescribe meds sterile practice don't give diagnosis
Creates diets for residents with special needs
registered dietition
Near Sight
see near but not far
3 basic steps of communication
sending receiving feedback
Expressive aphasia
slurred speech or inability to speak
Hearing
sneezing, wheeze, cough, tone of breathing
Subjective Information
something you cannot or did not observe, but it bases on something the resident reported to you that may/may not be true
verbal communication
speaking
Whom can NAs communicate with
supervisor care team mates resident
Ethics
the knowledge of right and wrong what we SHOULD do (always tries to do what it right)
Adult daily services are
the type of care for people who need some assistance and supervision during certain hours
Airborne Precautions
used for diseases that are transmitted through the air after being expelled (TB, Measles, Chickenpox)
Droplet Precautions
used when disease-causing microorganism does not stay suspended in the air and usually only travels short distances after being expelled (Mumps)
Contact preacautions
used when there is a risk of transmitting or contracting a microorganism from touching and infected object or person
Laws
usually based on ethics what we MUST do Govt's establish laws to help people live peacefully together to ensure order and safety
Scope of practice
what you are allowed to do as an NA