Unit1-IntroductiontoHealthCare

8/14/2019 Unit1-IntroductiontoHealthCare

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DHSR Approved Curriculum-Unit 1 1

Unit 1

Introduction to Health Care

Nurse Aide I Course


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Introduction to Health Care

As a member of the Nursing

Department, the nurse aide plays an

important role in resident care.The nurse aide spends more time

in direct contact with the resident than

any other member of the health careteam.


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Introduction to Health Care(continued)

A knowledge of the role, function,

legal limitations, expected qualities,

personal habits and obligations isimportant to provide quality care.

This unit also explores the types,

purposes and organizationalstructure of health care facilities that

employ nurse aides.


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1.0 Examine the role of the nurse

aide.


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Role of the Nurse Aide

Important in the care of people who

are ill & unable to care for

themselves Assistant to the licensed nurse

Provide physical care and emotional

support


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Contribute to the residents comfort

Make observations and report

Directed and supervised by

licensed nurses

Role of the Nurse Aide(continued)


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The Nurse Aide Works In A Variety

Of Settings

Hospitals

Long term care facilities

Rehabilitation centers Clinics

Hospices

Psychiatric facilities

Home care


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1.2 Discuss the functions of the

nurse aide in providing care to

residents.

1.2.1 Identify 22 functions of the nurseaide.


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Functions of Nurse Aide

Hygiene

Safety Nutrition

Exercise

Elimination Mobility

Help residents with personal needs:


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Functions of Nurse Aide(continued)

Communication Socialization activities

Comfort measures

Restorative procedures

Help residents with personal needs

(continued):


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Assist with resident care responsibilities:

Collecting specimens

Measuring and recording vital signs Transporting residents

Environmental cleanliness

Cleaning and care of equipment


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Assist with resident care responsibilities

(continued):

Standard precautions Fire drills and disaster drills

Answering call signals

Observation of resident response to

care


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Functions of the Nurse Aide(continued)

Assist with resident care responsibilities

(continued):

Measuring and recordingheight/weight

Intake and output

Admission and discharge of

residents


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1.3 List eight legal limitations for the

nurse aide.


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Legal Limitations of Nurse Aide

Nurse aides donot do sterileprocedures.

Nurse aides donot give informationabout the diagnosis or treatmentplans to the resident or his/her family.

Nurse aides donot give medications. Nurse aides donot insert or removetubes from the residents body.


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Legal Limitations of Nurse Aide(continued)

Nurse aides donot take oral or

telephone orders from a physician

Nurse aides donot diagnose orprescribe treatments or medications

for residents.

Nurse aides do not supervise thework of other nurse aides.


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Legal Limitations of Nurse Aide(continued)

Nurse aides donot agree to do

something beyond the nurse aidesscope of practice as defined by the

North Carolina Board of Nursing.


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1.4 Describe the personal qualities

and characteristics of the nurse

aide.

1.4.1 Discuss the importance ofpunctuality and commitment on

the job.


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Qualities and Characteristics of the

Nurse Aide

Cheerful

Enthusiastic

Responsible

Considerate

Courteous Cooperative


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Nurse Aide (continued)

Dependable

Empathetic

Honest

Patient

Respectful Trustworthy


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Nurse Aide (continued)

Willing to learn

Tactful

Competent Committed to job

Punctual

Self-aware


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1.5 Suggest ways for the nurse aide

to maintain acceptable personal

hygiene and exhibit appropriate

dress practices.


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Factors That Promote Good Health

Rest and sleep

Diet

Exercise Good posture and body mechanics

Eye examinations

Dental care

No use of drugs, alcohol or cigarettes


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Personal Hygiene Practices

Taking a daily bath or shower

Using deodorants/antiperspirants

Brushing teeth and usingmouthwash

Keeping hair clean and neatly

styled Cleaning and maintaining short,smooth nails


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Personal Hygiene Practices(continued)

Washing hands after using bathroom

Wearing clean underwear, socks or

stockings and uniform daily

Do not use products having odors

that might be offensive to residents


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Professional Dress Practices

Uniform clean, pressed

Shoes polished and comfortable

Shoe laces clean Stockings without holes/runs

Jewelry limited to watch and

wedding ring


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Professional Dress Practices(continued)

Name tag or photo ID tag worn

Make-up worn in moderation

Strong perfumes/aftershave lotionsnot used


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1.6 List obligations of the nurse aideas a member of the health care

team.


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Guidelines For Working With Others

Know the responsibilities, functions

and role expectations listed in job

description Display qualities and characteristics

befitting a nurse aide

Be prompt in reporting to work


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Guidelines For Working With Others(continued)

Notify facility of absence ASAP

Display good health and hygiene

practices

Follow facility dress code policy

Practice ethical & legal actions Direct questions about things you

dont understand to supervisor


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Follow instructions and directions of

supervisor

Display pride in appearance Promptly report unusual

observations to the supervisor

Make supervisor aware of family and

resident complaints


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Perform duties in spirit of cooperation

Do not waste supplies and equipment

Follow facility rules and regulations Be accurate in measuring, recording

and reporting

Notify supervisor when leaving andreturning to unit


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Assist other health care workers

willingly

Never use supplies or equipmentbelonging to the facility or resident

Never discuss personal problems

with the residents



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Resident Care Conferences

Assist to develop/revise care plans

Share care suggestions

Report observations


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1.7 Explain the necessity for planningwork assignments.


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Work Assignments

Made by a licensed nurse

Based on needs of residentsand availability of staff

Allows staff to work as team

Includes being cooperative

and helping others whenasked


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Work Assignments(continued)

Includes never ignoring

a resident that needs

help, is uncomfortableor in danger


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Work Assignments(continued)

Includes notifyingthe supervisor ofunfinished

assignments Includes answering

call signals even

though not assignedto the resident


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Considerations For Planning

A Work Assignment

Workload

Resident condition Time

Support services

assigned


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1.7.1 Identify the need to establishpriorities when providing resident

care.


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Establishing Priorities for Care

Activities of daily livingMeeting hygiene needs

Positioning and

providing for exerciseMaintaining proper

nutrition

Providing for eliminationof wastes


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Establishing Priorities for Care(continued)

Examples of specialprocedures

Taking vital signsMeasuring urine


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Support services

Providing drinking water

Delivering and picking up mealtrays

Providing clean linen and making

beds

Cleaning and caring for equipment


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Documentation/reporting

Presenting oral reports to

supervisorWriting on record if directed to do

so


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1.8 Differentiate among the various

types of health care facilities and

agencies.

L t C F iliti


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Long-term Care Facilities

(Nursing Homes)

Provide health care services to

individuals unable to care for

themselves:

elderly persons

disabled or handicapped

personspeople with chronic illness

Long term Care Facilities


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(Nursing Homes)

(continued) Services provided

Medical

Nursing

Nutritional

Recreational/religiousRehabilitative

Long term Care Facilities


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(Nursing Homes)

(continued)

Types of care

Home careIntermediate care

Skilled care


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Hospitals

Provide care for individuals of all

ages with a broad range of health

problems

H it l


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Hospitals(continued)

Services varied and extensive

Diagnostic

MedicalSurgical

Emergency

Types of care: acute, chronic and

terminal care


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Home Care Agencies

Provide care in the home for peopleneeding health services, but nothospitalization

H C A i


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Home Care Agencies(continued)

Services provided include: Nursing Physical therapy

Occupational therapy Speech therapy Social services

Nutritional and food services Respiratory therapy Homemaker services


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1.9 Identify the organizational

structure of health care facilities.


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Organizational Chart

Displays chain ofcommand

Shows lines of authority

Identifies health careworkers position

Identifies immediatesupervisor


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Organizational Structure

Responsible for provision of safe

and adequate care at a

reasonable cost

Makes facility policies

Delegates managementto an administrator

Governing body (Board of Directors)

O i ti l St t


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Organizational Structure(continued)

Department heads

Have specific areas of

responsibilitiesSupervise department staff

Finance

Ancillary services

Nursing



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Medical Director

Supervises medical staff activities

Physicians Residents

Interns


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Nursing supervisorAssists director of nursing

Licensed nurseAssigned areas of

responsibility

Assigned to specific shift



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Charge Nurse

Has specific areas of

responsibilityResponsible for

resident care in specific

area



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Charge NurseSupervises staff in specific area

Registered nurses (RNs)

Licensed practical nurses (LPNs)

Nurse aides (NAs)


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Unit1-IntroductiontoHealthCare

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