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What are signs of Abuse?
- Poor personal hygiene
- Loss of weight or dehydration
- Patches of missing hair
- Burn marks from cigaretts
- Abrasions from ropes or other bindings
- Unclean or unsafe living conditions
- An anxious, fearful,or withdrawn demeanor, especially in the presence of the abuser
- Unexplained fractures or bruises in various stages of healing
- Uncontrolled medical conditions such as lack of prescribed medications or treatments
- Vaginal bleeding or discharge; pain, itching, redness or bruising around the genital or anus
What is a CNA's scope of Practice?
Assist the nurse by preforming basic functions related to hygiene, comfort, nutrition, exercise and elimination.
What are some Resident Rights?
- Make decisions regarding their care.
- Having privacy
- Be free from physical or psychological abuse
- Receive visitors and to share a room with a spouse
- Use personal possessions
- Control their finances
- Have info about elibility for Medicare or Medicaid funds
- Have info about advocacy groups
- Have info about the facility's compliance with regulations
- Organize and participate in social, religious, and community activities of her choosing
What are some things that are generally beyond a CNA's scope of practice?
- Giving medications, including oxygen
- Receiving verbal orders from a Dr.
- Diagnosing illness and prescribing medications
- Supervising other nursing assistants
- Performing procedures that require sterile technique
- Inserting or removing tubes from a person's body
- Do not do anything you are not trained to do
- Do not do anything you do not feel comfortable doing
- Do not do anything that requires an assessment
- Do not do anything that requires nursing judgment
- Do not do anything without proper supervision
How do you converse with a resident?
- Introduce youself
- Call the resident by name
- Think about what you want to say and present the info in a logical organized way
- Speck at a normal pace, and avoid mumbling.
- Do not raise your voice if the unless the person is hearing impaired
- Use words the person you are speaking to understands
- Simple, non-medical terms
- Face the person you are speaking to
- Make sure the person you are speaking to is able to hear. For example, make sure hearing aid is turned on
What are Verbal Reports
- CNA's report info to the nurse throughout the shift
- Observations that suggest a change in the resident's condition
- Observations regarding the resident's response to a new treatment or therapy
- Resident's complaints of pain or discomfort
- Resident's refusal of treatment
- A resident's request for clergy
- Reporting is also done at shift change
- Be brief and accurate
What are signs of declining condition?
- Vital Sign Change
- Change in level of consciousness
- Decreased appetite
What are changes in vital signs?
- Increased or decreased temperature
- Increased or decreased pulse
- Increased or decreased respiration's (Difficulty breathing, poor color, dyspepsia)
- Increased or decreased blood pressure
What are some examples of Documentation/Charting/Recording?
- Medical record or chart
- Incident Reports
What is a Medical record or chart?
- Info about a patient or resident's condition, usually containing admission info, medical history, nursing history, physician progress notes, nurse's notes and sheets
- Confidential (Only to be read by members of the health care team who are directly involved in the care of that person)
- Legal document which can be retrieved to be used in a court of law
- Computerized chart (Data is entered into a computer and confidentiality is ensured by use of a password)
What is a Kardex?
One page summary of the resident's condition and care needs.
What is a Incident Report?
Accidents and errors require an incident (occurrence) report to be filled out.
What are ways to Promote Independence?
- Encourage resident to help with their own care as much as possible
- Encourage them to help with all ADLs including transfers and feeding
- Give the resident choices
- Use patience
What is the single most effective method of preventing the spread of infection?
- Don't touch the sink with your uniform
- Turn water to warm
- Wet and soap hands
- Wash hands with fingers down for 15-30 seconds, including wrist, nails, and between fingers
- Rinse with fingertips down
- Use dry paper towel to dry hands
- Use same paper towel to turn off faucets
- Discard paper towels appropriaely
Putting on gloves
- Wash hands
- If right handed, slide one glove on your left hand
- With gloved hand, slide other hand into the second glove
- Interlace fingers. Smooth out folds and create a comfortable fit
- Grasp the other glove at the palm and pull the glove off the hand with one gloved hand. Keep the remove glove in the gloved hand.
- Slip two fingers from the ungloved hand underneath the cuff of the remaining glove at the wrist. Remove that glove from you hand, turning it inside-out as you pull it off
- Dispose of the soiled gloves in a facility approved waste container
- Wash your hands
Explain Universal Precautions?
- Utilize appropriate procedure for applying and removing gloves implementing universal transmission based precautions
- Do not touch clean area after touching dirty area
- If it is wet, warm, and not yours, do not touch it with out gloves
- Each resident or patient is treated as if they have a blood borne infection
List the steps for Isolation Precautions in order
- Step 1 - Put on Gown
- Step 2 - Put on Mask
- Step 3 - Put on Gloves
- Step 4 - Remove Gloves
- Step 5 - Remove Gown
- Step 6 - Remove Mask
- Step 7 - Wash Hands
What is the right way to put on a Gown?
- Put on gown by slipping arms into the sleeves
- Secure the gown around your neck
- Overlap edges of gown so your uniform is completely covered and tie at waste
What is PPE?
Personal Protective Equipment
What is the right way to put on a Mask?
- Place mask over nose and mouth
- Tie the upper strings or ear loops over your ears
- Tie the lower strings around the back of your neck
- Make sure that the mask fits snugly around your face
What is the right way to put gloves on when your have a gown on?
Put gloves on -- the cuffs of the gloves should extend over the cuffs of the gown
What is the right way to remove gloves when you have a gown on?
- --Make sure glove touches only the glove
- --Grasp a glove just below the cuff
- --Hold the removed gloved with the other gloved hand
- --Reach inside the other glove with the first two fingers of your ungloved hand
- --Pull the glove down (inside out) over your hand and the other glove
- --Discard the gloves in trash
What is the right way to remove a gown?
- Untie the ties of gown
- untie the neck tie and loosen the gown at the neck