CNA Responsibilities and Care Techniques

CNA Responsibilities and Restrictions

• CNAs cannot give medications, take verbal orders from MDs, insert tubes or IVs, or apply sterile dressings.

Reporting Structure

• CNAs report directly to the nursing supervisor.

Type of Care Provided

• CNAs provide direct care to residents.

Patient Monitoring

• Constantly observe for changes in a patient's condition due to close contact.

Care Plan Development

• The resident's care plan is developed by LPNs or RNs, who are direct superiors.

Chain of Command

• The typical chain of command: Doctor > Nurse Director > RN Supervisor > RN > LPN > CNA.

Essential Skills

• Communication is the most utilized skill in healthcare, encompassing listening, responding, and documenting.

Questioning Techniques

• Utilize open-ended questions to encourage resident dialogue (e.g., "Tell me more").

Communication with Hearing Impaired

• Speak clearly and slowly, lower background noise, and face the client when speaking.

Definitions of Harm

• Abuse is defined as threatening or causing physical/mental harm.
• Assault involves touching without permission, such as shoving or hitting.
• Battery refers to unlawful personal violence, such as bathing without consent.
• False imprisonment prevents residents from moving freely, with or without force.
• Neglect involves ignoring a resident's needs, leading to harm or change in condition.
• Negligence relates to omitting care or performing incorrectly, resulting in resident harm.

Legal Definitions

• Scope of Practice outlines what tasks healthcare providers are legally qualified to perform.

Resident Care Plans

• Care plans specify what CNAs must do for residents, detailing their disabilities, limitations, and conditions.

Signs of Suspected Abuse

• Indicators include skin tears, emotional changes, refusal of activities, fear, and anxiety.

Regulatory Requirements

• OBRA mandates CNAs to pass a competency evaluation and complete 12 hours of in-service training yearly.

Role of Ombudsman

• Ombudsmen are legal advocates for residents who assist in resolving complaints.

HIPAA Compliance

• HIPAA is a federal law ensuring patient health information confidentiality.

Protected Health Information (PHI)

• PHI refers to all individually identifiable health information maintained by healthcare providers.

Resident Rights

• Residents have the right to choose their physician, manage finances, participate in care plans, access visitors and medical charts, and refuse medications or care.

Restraint Protocol

• All restraints necessitate a doctor's order; residents should be checked every 15 minutes for any adverse effects.

Religious Neutrality

• CNAs must accept all religions without projecting their beliefs onto residents.

Observing Signs of Depression

• Report any signs of depression to the nurse promptly.

Addressing Inappropriate Behavior

• If a resident is masturbating in public, guide them to a private area. For unwanted sexual advances, confront the behavior and notify a supervisor.

This quiz covers essential responsibilities, reporting structures, and care techniques for Certified Nursing Assistants (CNAs). You will learn about the limitations of CNAs, the importance of communication, and methods for patient monitoring and interaction. Test your knowledge of the CNA role in healthcare settings.