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Until ------, training wasn't required by law. RNs gave -------- training
1980s; on-the-job
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each------ has a nurse -------- ---
state; practice; act
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Nurse practice act
- defines RN and LPN/LVN, some define nursing assistant
- describes the scope of practice for RNs, and LPN/LVN
- describes education and licensing requirements for RNs and LPN/LVN
- protects the public from ppl practicing nursing without a license
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OBRA abbreviation
Omnibus Budget Reconciliation Act of 1987
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OBRA applies to who?
all 50 states
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purpose of OBRA
improve the quality of life of nursing center residents
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OBRA sets what?
minimum training and competency evaluation requirements for nursing assistants
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each state must have ---------------- and -------- (NATCEP)
Nursing assistant training; competency evaluation program
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Requirements of OBRA
at least 75 hours of instruction and at least 16 hours of supervised practical training
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state of ak requirements for cna
classroom 60 hours and clinical 80 hours
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Areas of study in training program
- communication
- infection control
- safety and emergency problems
- residents' rights
- basic nursing skills
- personal care skills
- feeding methods
- elimination procedures
- skin care
- transfering, positioning, and turning methods
- dressing
- helping the person walk
- range-of-motion exercises
- signs and symptoms of common diseases
- how to care for cognitively impaired ppl
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competency evaluation test
written test consists of multiple choice questions
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Nursing assistant registry
OBRA requires a nursing assistant registry in each state
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What does the registry have on each nursing assistant
- full name, including maiden name and any married names
- last known home address
- registration number and expiration date
- date of birth
- last known employer, date hired, adn date employment ended
- date the competency evaluation was passed
- info about findings of abuse, neglect, or dishonest use of property
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scope of practice
must understand what you can do, what you can't do, and the legal limits of your role
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Superviser of CNA work
licensed nurses
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Delegate definition
- authorize another person to perform a nursing task in a certain situation
- the person must be competent to perform a task in a given situation
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Who can delegate?
RNs and LPNs can only delegate tasks within their scope of practice
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Can CNAs delegate?
no cna's can't delegate, but can ask someone to help you
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5 rights of delegation
the right task, the right circumstances, the right person, the right directions and communication, and the right supervision
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accepting a task
- you must complete the task safely
- ask for help when you are unsure or have questions about a task
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