Long term care and the nursing assistant’s role

Settings where the CNA may work

•Acute care •Hospitals and _____________________ centers•Pts are admitted for short stays for surgery or diseases•Offers _______ hour skilled care for temporary but serious illness or injury

Settings where the CNA may work

•Acute or subacute care (Hospitals and surgical centers)•Outpatient Care•Rehabilitation•Home Care•Assisted Living•Hospice Care

Settings where the CNA may work

• Long-term care (________)•Patients who require _________ hour care and assistance for long term conditions•Nursing home, skilled nursing facility, nursing facility, extended care facility are common names•Patients are ______________ elderly and/or disabled; may have terminal illnesses and/or chronic illnesses

Settings where the CNA may work•LTC•Nursing staff will have ______________ relationships with LTC residents than in any other facility•Patients who live in nursing homes are called __________________•Residents within a LTC facility have differing diagnoses (medical conditions) requiring different __________________ of care for each person

LTC facilities•May offer different levels of care; may also ______________________ in a specific population of resident (ex. Alzheimer’s)•Skilled nursing care•Assisted living •Dementia care•Sub-acute care•Typically offer __________________ care for all residents and more specialized care on a resident by resident basis

Types of residents of LTC facilities

•_________________•Disabled•Physically•Mentally•Individuals requiring skilled nursing care•________________•Post acute care•Other

Protecting the Resident’s Right to Privacy

Keep all information about the person confidential.Cover the person when he or she is being moved in hallways.Screen the person/close the door when giving care. Also close drapes and window shades.Expose only the body part involved in a treatment or procedure.

Protecting the Resident’s Right to Privacy

•Do not discuss the person or the person’s treatment with anyone except the nurse supervising your work.•Ask visitors to leave the room when care is given.•Do NOT open the person’s mail.•Allow the person to visit with others in private.•Allow the person to use the phone in private.

Role of the CNA

So, what is the role of the CNA?

•The CNA performs ______________________ ____________________________________, such as taking a resident’s temperature.

•A CNA also _____________________________.

•May also be called a nursing assistant, ___________________, patient care tech (PCT) or certified nursing assistant

CNA duties••Helping residents with ______________________________________________•Assisting residents ______________ safely around the facility•Keeping residents’ living areas neat and clean•Encouraging residents to eat and drink•Caring for supplies and equipment•______________________________________________•Making beds•Giving back massages•Assisting residents with _____________________________•To name a few ☺________________________

What am I NOT supposed to do?•________________________

•Insert/remove tubes

•Change ___________________________

•Give tube feedings

CNA•CNAs spend __________________with residents than anyone else on the health care team•YOU are the “___________________” of the health care team•___________________________ is a key!•_______________________________________•Writing important information down is a must and very helpful (documentation/charting)

Chain of Command

•The CNA carries out instructions given to him/her by _________________•The Nurse acts on instructions from the ____________________

•Guarantees residents get proper care and protects the CNA and their employer from liability

Liability

•Liability—_____________________________ _____________________________________•If you accidentally harm a resident while caring for him and the task you were performing was within the care plan, you aren’t responsible. However, if you harm a resident performing a task not within the care plan, you are responsible

Liability

•CNAs must understand __________________ _________________________________ so that they don’t harm a resident or cause a lawsuit.

•Scope of practice— _____________________ ________________________ is allowed to do and how to perform tasks correctly

Policies and Procedures•Policy—a course of action that should be taken every time a certain situation occurs•Ex: a patient’s plan of care must be followed•Procedure— ______________________________ _________________________________________.•There is a procedure for reporting information about your residents•All employers will have polices and procedures for every resident care situation•You are responsible for knowing all policies and procedures!•_____________________________________________

Professionalism•How you behave when you are on the job•__________________•Your speech•___________________•Being on time• Completing tasks•___________________________

•For the CNA—follow the care plan, being careful to make observations and always report accurately

Professional relationships with residents

•_________________________________________•Doing only the tasks assigned and ones you are trained to do•Speaking politely and cheerfully to the resident, ____________________________________________•Never discussing any of your personal problems• _________________________________________•_______________________________•Explaining the care you will provide before you provide it•Always following care practices, such as hand washing, to protect yourself and the resident

Professional relationships with your employer

•Maintain a positive attitude•_________________________________________•Consistently following all policies and procedures•_______________________________________ _________________________________•Communicating problems with residents or duties•Reporting anything that keeps you from completing duties•_________________________________________ _________________________________________

Professional relationships with your employer

•______________________________________ ___________________________________•Being clean, neatly dressed and on time•___________________________________•Following the chain of command•Participating in educational programs•Being a positive role model for your facility at all times

Qualities of a great CNA

•Compassionate•__________________________________•Honest•Conscientious•Always trying to do your best•Dependable•________________• Considerate•Understanding of the resident’s feelings and privacy•______________

Residents Express Thanks!

•Thoughts about video??

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