Questions and Answers
What is Florence Nightingale credited for?
Establishing nursing as a profession in its own right
What were early nursing assistants called?
Aides
What does OBRA stand for?
Omnibus Budget Reconciliation Act
OBRA requires that every state maintain an official database of the people who have completed the nursing assistant training program. What is the record called?
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Many long-term care facilities offer what kind of training programs?
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OBRA requires all nursing assistants to undergo a minimum of how many hours of training?
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How many opportunities is a student given to successfully complete the competency evaluation at the end of the training period?
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What does the principle of reciprocity mean?
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Nursing assistants who have not worked for 2 consecutive years need to undergo what?
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What information will appear in a registry?
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What important role does the nursing assistant play?
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What are some of the basic physical needs?
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A nursing assistant's duties include what in taking care of the patient's or resident's?
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What is the role of a charge nurse?
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What is a head nurse?
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What is the role of a Director of Nursing (DON)?
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What does scope of practice refer to?
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What does it mean for the nurse to delegate a task to the nursing assistant?
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Can tasks such as assessment, planning, or evaluating be delegated to nursing assistants?
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Can this task be delegated?
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What are the needs of the patient or resident at this time?
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Does the nursing assistant have the right training & experience to safely complete the task?
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Will the nurse be able to give the nursing assistant clear directions regarding how to perform the task?
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Will the nurse be available to supervise or answer questions?
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What reason is not acceptable for one to refuse to perform a delegated task?
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When a nurse delegates a task to a nursing assistant, the nurse is responsible for any injury that may occur to the patient or resident if the nursing assistant is not qualified for the task.
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What is team nursing?
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Study Notes
Nursing Assistant Fundamentals
- Florence Nightingale is recognized for establishing nursing as a respected profession.
- Early nursing assistants were referred to as aides.
OBRA Regulations
- OBRA stands for Omnibus Budget Reconciliation Act, mandating nursing assistant training oversight.
- Every state must maintain a registry of individuals who have completed nursing assistant training.
Training and Competency
- Nursing assistants require a minimum of 150 hours of training: 75 hours in class/lab and 75 hours in clinical settings.
- Students have up to three opportunities to pass the competency evaluation after training.
- Nursing assistants who have not worked for two consecutive years must undergo retraining and retake the competency evaluation.
Registry and Certification
- The registry includes essential information such as full name, home address, registry number, expiration date, and any incidents of abuse or neglect.
Role and Responsibilities of Nursing Assistants
- Nursing assistants serve as key observers and communicators within healthcare settings.
- Basic physical needs addressed by nursing assistants include hygiene, comfort, and nutrition.
- Duties also encompass ensuring the safety, emotional well-being, and exercise needs of patients or residents.
Nursing Hierarchy and Delegation
- Charge nurses supervise other nurses during shifts, while head nurses lead departments.
- The Director of Nursing (DON) oversees all nursing care within a healthcare organization.
- Scope of practice defines the tasks nursing assistants are legally allowed to perform.
Delegation Principles
- For tasks to be delegated, the following criteria must be met:
- The right task must be chosen.
- The right circumstances must exist.
- The right person (nursing assistant) must be qualified.
- Directions must be clear (right direction).
- There must be appropriate supervision (right supervision).
- Tasks related to assessment, planning, or evaluation cannot be delegated to nursing assistants.
Refusal and Liability in Delegation
- Refusing a delegated task based on personal enjoyment is not an acceptable reason.
- Nurses retain responsibility for any injuries if a nursing assistant is deemed unqualified for assigned tasks.
Team Nursing Model
- Team nursing organizes efforts through a registered nurse who assesses nursing needs and assigns tasks based on team members' skills and responsibilities.
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Description
Test your knowledge on the fundamentals of nursing assistant training, including the history, regulations, and competency requirements. This quiz covers essential information such as the impact of OBRA and the role of nursing assistants in patient care.
