Post on 17-May-2015
LEGAL RESPONSIBILITIES
NATCEP DAY THREE
OBJECTIVES
• Identify key legal aspects of resident care as they relate to the role of the STNA
• Define abuse, neglect and misappropriation and identify the STNA’s role and responsibility regarding the reporting of abuse, neglect and misappropriation of a resident’s property
• Discuss the importance of keeping the resident’s personal information confidential
• Identify the purpose of the incident/accident reports
• Discuss the STNA’s responsibilities for own actions
Slide 2
LEGAL ASPECTS OF WORKING AS AN STNA
• All duties are under the delegation and supervision of a licensed nurse.
• Responsible for your acts in providing competent , basic care.
• Performs only those activities and duties for which you are educated/trained.
• Responsible for refusing to accept an assignment for which you are not trained.
Slide 3
LEGAL ASPECTS OF WORKING AS AN STNA
• Responsible for helping maintain a safe environment for the resident.
• Responsible for helping to safeguard the resident’s possessions.
• Responsible to respect and safeguard the resident’s rights.
Slide 4
TYPES OF ABUSE
• Physical• Verbal• Involuntary Seclusion• Neglect
• You do not test water temperature before placing a resident under the shower. Water is too hot and the person is burned
• Mrs Parks needs help to the bathroom. You do not answer the call light promptly. She gets up without help, falls and breaks her arm
• Mrs. Clark complains of chest pain & you do not report it to the nurse. She has a heart attack and dies.
• Misappropriation
Slide 5
INCIDENT/ACCIDENT REPORTS
• An incident is any event that has harmed or could harm to a resident, visitor, or staff member.• Accidents• Injuries• Errors in care• Broken or lost items (clothing, dentures, glasses, cash)• Hazardous substances incidents• Workplace violence
• Report is completed for the facility.• Completed as soon as possible after the incident.• Purpose:
• Documentation of facts• Reviewed by risk management for patterns and trends.
Slide 6
YOU ARE RESPONSIBLE FOR YOUR OWN ACTIONS!
• Know your responsibilities and limitations. • Know and FOLLOW the rules.• Report and record your actions and observations.
Slide 7
BEHAVIOR & APPEARANCE
NATCEP DAY THREE
OBJECTIVES
• Identify behaviors that will lead to successful job performance
• Describe professional appearance
Slide 9
BEHAVIORS
• Successful Behaviors• Attitude• Dependable• Accurate• Sensitive/respectful of feelings/needs of others• Cooperative• Communication• Honest• Proper speech & language• Follow safety practices• Use of personal electronics• Represent the LTFC to the family/community
Slide 10
APPEARANCE
• Professional Cleanliness• Professional Clothing/Uniforms per policy
• Well fitting• Clean & pressed• Appropriate under-clothing• Fingernails• Hair• Jewelry• Comfortable/non-permeable shoes• Facial Hair• Name tag
Slide 11
COMMUNICATION & INTERPERSONAL SKILLS
NATCEP DAY THREE
OBJECTIVES
• Define communication• Describe behaviors that promote communication
between people• Identify factors that promote good interpersonal
relationships with the residents and their family and friends
• Identify factors that may block effective communication between the residents and their family and friends
• Identify factors that promote effective communication between the STNAs and their immediate supervisors
• Describe the procedures for answering call light and the facility phone
Slide 13
WHAT IS COMMUNICATION?
• Two Way Process• Three forms: oral, written or body language• STNAs communicate with health care team,
residents & family
Slide 14
TIPS FOR VERBAL COMMUNICATION
• Control volume & tone of voice.• Speak slowly, clearly & distinctly.• Avoid slang, profanity & vulgar words.• Repeat as necessary.• Ask questions one at a time.• Position self at eye level.
Slide 15
NON-VERBAL COMMUNICATION
• More accurately reflects feelings - it’s not voluntary!
• Includes gestures, postures, touch, facial expressions, eye contact, body movements & appearance
• Touch is critical. . . . .
Slide 16
BEHAVIORS THAT PROMOTE COMMUNICATION
• Understand and respect the resident as a person• Provide an opportunity for the resident to express thoughts & feelings• Observe non-verbal behavior during interaction• Listen carefully to expressed thoughts, feelings and to the tone of voice• Encourage focus on the resident’s concerns• AVOID gossip!• Assist the resident with personal communication
• writing letters• making phone calls• report the resident’s wishes to the charge nurse
• Control your emotions• Develop empathy• Be courteous• Be gentle
Slide 17
• Kindness• Patience• Listening to family members.• DO NOT INTERFER in private family business.
Slide 18
FACTORS THAT PROMOTE GOOD INTERPERSONAL RELATIONSHIPS
BLOCKS TO COMMUNICATION
• Family’s feelings of guilt or grief over institutionalizing resident
• Residents feelings of guilt or grief over institutionalization.
• Concerns over money, their future or separation from loved ones
• Unfamiliar language• Cultural differences.• Interrupting when others are speaking.• Excessive talking• Continuing to work or do other tasks while others are
talking• Giving pat answers such as “don’t worry”• Illness or stress
Slide 19
• Reporting important information promptly!• Information that could help prevent harm• Changes in the resident’s behavior or condition• Personal information about you to could effect your
ability to do the job• Complaints from the residents and/or visitors.• DOCUMENT when appropriate!
Slide 20
GOOD COMMUNICATION BETWEEN YOU & YOUR SUPERVISOR
“HOW TO” ANSWER A CALL LIGHT
• As soon as it is activated! • Turn off the call signal as soon as you enter the
room.• Complete helping the resident and leave the call
light within reach before leaving the resident.
Slide 21
“HOW TO” ANSWER THE PHONE
• State your name• Identify yourself and your position• Speak slowly, clearly & politely• Write down messages• Report information to the nurse in charge• Facility phones are for business use only!• DO NOT give resident information over the phone• Ask caller for name and phone number
Slide 22