Module A: North Carolina Nurse Aide I
The Activities of Daily Living (ADLs) consist of:
Feeding, dressing, grooming, transferring, hygeine, and toileting are known as:
A nurse aide I wants to renew their listing registry. In the past two years they have worked 7 hours under the supervision of an RN with pay performing nursing-related tasks. Can they renew their listing? Why or why not?
No, because a NA I in the state of NC is required to work 8 hours in a 24 month period.
RN Keely delegated the task of closing an injured motorcyclist's wound to a nurse aide. Was RN Keely right to do this? Why or why not?
No, the 1st and 3rd rule of the 5 Rights of Delegation is the Right Task and Right Person. A nurse aide is not qualified to seal a wound.
RN Keely is speaking with a patient's family, when she is informed that one of her patients has fallen. She sends one of her nursing assistants to go get the patient up. Is RN Keely correct to do this? Why or why not?
No, the 2nd rule of the 5 Rights of Delegation is the Right Circumstance. RN Keely should have sent in another RN with the nurse aide to fill out a fall report and patient evaluation.
Registered Nurse Keely told on of her nursing assistants to go feed a patient in Room 103. The nurse aide takes food to the client's room, but he doesn't eat. The RN scolds the NA, saying the patient only eats soft foods, but the patient's chart said nothing of the sort. Is RN Keely right to scold her NA?
No, the 4th rule of the 5 Rights of Delegation is the Right Direction/Communication. The NA was not informed by anyone or anything that the patient would only eat soft foods.
A nurse aide i trying to brush a patient's teeth, but the patient will not open their mouth. RN Keely walks by, rolls her eyes, and walks off. Was RN Keely right to do this? Why or why not?
No, the 5th rule of the 5 Rights of Delegation is the Right Supervision/Evaluation. RN Keely could have looked in to help the NA or see if the patient was okay, but she did not.
A nurse aide sees on a patient's care plan that they have bad allergies and need unscented lotion. After a bath, the nurse aide uses a perfumed lotion. The patient has an allergic reaction and the NA informs their supervisor. The NA just remembered the supervisor told them where the unscented lotion was. What components of patient care did the nurse aide follow and not follow?
The nurse aide did not follow the patient's care plan, and they did not listen to their supervisor's orders. But they did report their findings though.
A patient likes to sleep with a night light according to their care plan. A nurse aide puts a night light in the patient's room, but it goes out. The nurse aide comes in to find the patient scared and sees the batteries in the light need to be replaced, but she does not let the supervisor know. What critical components of patient care did the nurse aide follow and not follow?
The nurse aide did, to a certain extent, follow the patient's care plan. She did not let her supervisor know what was going on
A nurse has asked a nurse aide to perform catheter care on a patient. The NA has never performed catheter care before. What should the nurse aide do?
The nurse aide should let their RN/supervisor know and ask if someone can help them with the task.
A nurse aide is taking care of a patietn that is coplaining of nausea and throwing up. The aide checks the patient's chart for the last BM, but does not see this information. What should the nurse aide do?
The nurse aide should report this to their supervisor/RN immediately.
The North Carolina Board of Nursing
What board specifies tasks that can be performed by nurse aides?
The North Carolina Board of Nursing Administrative Code
What board specifies the range of functions for nurse aides?
The North Carolina Healthcare Personnel Registry Section
What regulatory body maintains the Nurse Aide I registry in the state of NC?
RN Keely tells a nurse aide to give a patient a bath while she goes to check on another patient. Is the nurse aide qualified to do this? Why or why not?
Yes, the 3rd rule of the 5 Rights of Delegaton is the Right Person. A nurse aide is allowed to give patients baths.