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Questions and Answers
What was a significant trend during the 1980s in nursing?
What was a significant trend during the 1980s in nursing?
What was a common practice in nursing prior to the 1980s?
What was a common practice in nursing prior to the 1980s?
What does a nursing assistant need to know to protect patients and residents from harm?
What does a nursing assistant need to know to protect patients and residents from harm?
What shaped the work of nursing assistants according to the provided text?
What shaped the work of nursing assistants according to the provided text?
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What is the purpose of the Omnibus Budget Reconciliation Act of 1987 (OBRA)?
What is the purpose of the Omnibus Budget Reconciliation Act of 1987 (OBRA)?
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What does the nurse practice act of each state do?
What does the nurse practice act of each state do?
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What was common prior to the 1980s in terms of nursing team structure?
What was common prior to the 1980s in terms of nursing team structure?
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What is the purpose of a nursing assistant registry?
What is the purpose of a nursing assistant registry?
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What are the minimum training requirements set by OBRA for nursing assistants?
What are the minimum training requirements set by OBRA for nursing assistants?
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What happens if a nursing assistant practices beyond the legal limits of their role?
What happens if a nursing assistant practices beyond the legal limits of their role?
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Study Notes
Nursing in the 1980s
- A significant trend in nursing during the 1980s was the increased use of nursing assistants to perform tasks traditionally done by registered nurses. This shift aimed to reduce the workload of registered nurses.
Nursing Practice Prior to the 1980s
- Before the 1980s, nursing teams often operated with registered nurses performing a wide range of tasks. This practice created a highly independent nursing workforce.
Nursing Assistant Knowledge for Patient Protection
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Nursing assistants must understand patient safety standards and infection control protocols to prevent harm. This includes knowledge of:
- Hand hygiene
- Isolation precautions
- Basic patient care skills
- Recognizing and reporting changes in patient condition
- Communication with nurses and other healthcare providers
Nursing Assistant Work Structure
- Nursing assistants work under the direction of registered nurses, following specific instructions and protocols.
Omnibus Budget Reconciliation Act of 1987 (OBRA)
- The OBRA aims to improve the quality of care for nursing home residents by setting standards for nursing assistant training and certification, and ensuring proper supervision.
Nursing Practice Acts
- Each state's nurse practice act defines the legal scope of practice for nurses. This includes defining specific tasks that only licensed registered nurses can perform.
Nursing Teams Prior to the 1980s
- Before the 1980s, nursing teams were structured with registered nurses and licensed practical nurses performing the majority of tasks. Nursing assistants were less prominent.
Nursing Assistant Registries
- Nursing assistant registries serve as centralized databases that track the certification and licensure status of nursing assistants.
OBRA Training Requirements for Nursing Assistants
- The OBRA mandated a minimum of 75 hours of training for nursing assistants, covering subjects like:
- Basic nursing skills
- Patient rights
- Infection control
- Communication
- Safety procedures
Nursing Assistant Scope of Practice
- Nursing assistants who perform tasks outside their legal scope of practice face potential disciplinary action including fines, suspension, or revocation of their certification. This can include:
- Making independent medical decisions
- Administering medications
- Providing complex nursing care
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Description
Test your knowledge on key terms, abbreviations, history, trends, laws, and training requirements for nursing assistants. This quiz covers the important information from Lesson 3.1 of 'The Nursing Assistant' Chapter 3.
