Additional CNA

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Author:
jskunz
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301963
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Additional CNA
Updated:
2015-05-03 14:56:37
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CNA
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Additional CNA topics
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  1. functional nursing
    • a nursing care pattern focusing on tasks and jobs
    • each nursing team member has certain tasks and jobs to do
  2. team nursing
    • a nursing care pattern
    • a team of nursing staff is led by an RN who decides the amount and kind of care each person needs
  3. What document did the AHA adopt, in what year, and what's it's purpose
    • The Patient Care Partnership: Understanding Expectations, Rights, and Responsibilities
    • Adopted by the American Hospital Association in 2003
    • Explains the person's rights and expectations during hospital stays.
    • The relationship btwn the doc, health team, and pt is stressed
  4. How many hours of training is required by OBRA
    At least 75 classroom hours, and 16 supervised practical training hours
  5. Role limits for CNA
    • Never give drugs
    • Never insert tubes or objects into body openings nor remove them from the body
    • Never take oral or phone orders from doc
    • Never perform procedures that require sterile technique
    • Never tell the person or family the person's diagnosis or medical/surgical plans
    • Never diagnose or prescribe treatments or drugs
    • Never supervise others, including other nursing assistants
    • Never ignore a order, or task
  6. NCSBN
    National Council of State Board of Nursing
  7. Explain five rights of delegation
    • From the NCSBN
    • Another way to view delegation
    • To use the "five rights", the nurse answers the four questions:
    • The right task
    • The right circumstance
    • The right person
    • The right directions and communication
    • The right supervision


    "Take Care Please, Don't Commit Suicide"
  8. As a nursing assistant, before employment you must receive
    a written job description
  9. dignity
    a sense of pride in oneself; self-respect.
  10. professional boundaries
    separate helpful behaviors from behaviors that are not helpful
  11. boundary crossing
    a brief act or behavior outside of the helpful zone
  12. boundary violation
    • an act or behavior that meets your needs, not the persons
    • Ex: abuse, giving info about yourself (venting personal life), keeping secrets w the person
  13. criminal laws
    concerned w offenses against the public and society in general
  14. crime
    an act that violates a criminal law
  15. fraud
    • saying or doing something to trick, fool or deceive a person
    • Ex: telling someone your a nurse, or giving false info on job app
  16. will
    legal doc of how a person wants property distributed after death
  17. domestic abuse
    • also called domestic violence, spousal abuse
    • occurs in relationships
    • One partner has power and control over another
    • Usually more than one type of abuse present
  18. prefix
    • a word element placed before a root
    • Changes the meaning of the word
    • Ex: the prefix olig (scant, small amount) is placed before the root uria (urine) to make oliguria, which means a scant amount of urine
  19. root
    • the word element that contains the basic meaning of the word
    • Is combined with another root, prefix, and suffixes
    • A vowel (an o or an i) is added when two roots are combined or when a suffix is added to a root, making the word easier to pronounce
  20. suffix
    • a word element placed after a root, which changes the meaning of the word
    • not used alone
    • When translating a medical term, start w the suffix
    • Ex: nephritis (inflammation of the kidney), formed by combining nephro (kidney) with itis (inflamation)
  21. nursing process
    • the method nurses use to plan and deliver nursing care. Has 5 steps:
    • Assessment
    • Nursing diagnoses
    • Planning 
    • Implementation
    • Evaluation
  22. comatose
    being unable to respond to stimuli
  23. How do you change a residents bedding
    • Wash hands
    • Collect clean linens, holding them AWAY from your body
    • Put on gloves
    • Roll dirty sheets AWAY from you, do NOT place on floor. Follow agency policy for dirty linen
    • Do NOT shake linens
    • Cover waterproof drawsheet w cotton drawsheet (plastic or rubber shouldn't touch pt skin)
  24. recall how to change a pillow case
    • Grasp corners of pillow at end and form a V with one hand
    • Open the pillowcase with free hand
    • Guide V into end of pillowcase
    • Let V end fall into corners of pillowcase
  25. What is the usually water tempurature for bed baths
    between 110 and 115
  26. what is involved with a partial bath
    • Involves bathing the face, hands, axillae, back, buttocks and perineal area
    • NO EXTREMITIES
  27. How long should a back massage last
    3 to 5 mins
  28. alopecia
    • hair loss
    • aloe-pea-nia
  29. scabies
    • a skin disorder caused by a female mite, which is a very small spider-like organism
    • it burrows into the skin and lays eggs
    • person has rash and intense itching
  30. how much urine does a healthy adult produce in one day
    1500 mL or 3 pints
  31. 1 pint = ? mL
    about 500
  32. 1 quart = ? mL
    about 1000
  33. what is the normal range for oral temp
    98.6
  34. What is normal temp for rectal temp
    99.6
  35. What is normal temp for axillary
    97.6
  36. What is normal temp for tympanic
    98.6
  37. What is normal temp for temporal artery
    • (forhead)
    • 99.6
  38. what would be a contraindication to using a tympanic thermometer
    if the pt has an ear infection or ear drainage
  39. how long does a glass thermometer stay in place when taking a temp at: oral, rectal and axillary
    • Oral: 2 - 3 mins
    • Rectal: 2 mins
    • axillary: 5 - 10 mins
  40. dorsiflexion
    bending the toes and foot up at the ankle
  41. extension
    straightening a body part
  42. what are canes used for
    • they help provide balance and support
    • used for weakness on one side of body
    • The leg opposite the cane is the weak leg
  43. thrombus
    a blood clot, staying in place
  44. embolus
    a blood clot that breaks loose and travels in the vascular system until it lodges in a blood vessel, cutting off circulation
  45. abrasion
    • a partial-thickness wound caused by scraping away or rubbing of the skin
    • a scrap
  46. contusion
    • a bruise
    • closed wound caused by a blow to the body
  47. ulcer
    a shallow or deep crater-like sore of the skin or a mucous membrane
  48. gangrene
    a condition in which there is death of tissue
  49. stasis ulcers
    • venous ulcers ~ stasis means stopped or slowed fluid flow
    • are open sores on the lower legs or feet caused by poor venous blood flow
    • develop when valves in leg veins don't close well, blood & fluid collect in legs and feet
    • small skin veins rupture, allowing hemoglobin to enter tissue, causing skin to turn brown
    • Skin is dry, leathery, and hard
    • Itching is common
  50. arterial ulcers
    • open wounds on the lower legs or feet caused by poor arterial blood flow
    • found btwn or on top of toes, and on outer side of ankle
    • leg and foot may feel cold and look blue or shiny
    • caused by diseases or injuries that decrease arterial blood flow
    • High BP and diabetes are common causes, as are narrowed arteries from aging. 
    • Smoking is risk factor
  51. what body temp is considered hyperthermia
    temps greater than 103
  52. what body temp is considered hypothermia
    temps less than 95
  53. pneumothorax
    air (pneumo) in the pleural space (thorax)
  54. What is the bag called that you use to give manual ventilations
    Ambu bag
  55. how to suction the airway
    • YOU CAN'T SUCTION, ONLY ASSIST NURSE
    • Therefore, always keep needed suction equipment and supplies at the bedside
  56. what happens with emphysema
    • It's a form of COPD
    • the alveoli enlarge, become less elastic
    • Because they lose ability to expand and shrink with normal breathing, some air is trapped when exhaling (isn't exhaled)
    • Over time, more alveoli are involved
    • As more air is trapped in lungs, person develops barrel chest 
  57. GERD
    • Gastro-esophageal reflux disease
    • when stomach contents flow back from the stomach into the esophagus
  58. defense mechanism
    an unconscious reaction that blocks unpleasnant or theatening feelings
  59. To take an oral temp after a resident drinks, eats or smokes, how long should you wait
    10 to 15 minutes
  60. misappropriate
    to dishonestly, unfairly or wrongly take someone elses property for one's own use
  61. explain continuity of care
    passing on info to the next shift

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