Questions and Answers
What are Activities of Daily Living (ADLs)?
Which of the following is a responsibility of a nurse aide when providing personal care?
What is included in AM Care for residents?
Why is privacy considered important during personal care tasks?
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What critical role does a nurse aide play while assisting with personal care?
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What is one of the primary roles of a nurse aide in the healthcare team?
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What organization regulates the nurse aide functions in North Carolina?
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What does the Omnibus Budget Reconciliation Act (OBRA) focus on in relation to nursing homes?
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Which of the following best defines the responsibilities of a nurse aide?
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Who serves as a legal advocate for residents in long-term care facilities?
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Study Notes
Legal and Ethical Responsibilities
- Nurse aides are valued, unlicensed members of the healthcare team providing care across various settings: hospitals, clinics, nursing homes, and assisted living facilities.
- They must operate within a defined range of function determined by the North Carolina Board of Nursing, which ensures safety and compliance.
North Carolina Regulations
- Nurse aides must be registered on the NC Nurse Aide I Registry to practice legally.
- The North Carolina Health Care Personnel Registry oversees regulatory compliance.
Federal Regulations
- The Omnibus Budget Reconciliation Act (OBRA) of 1987 established federal requirements for nurse aide training and competency evaluations to enhance the quality of life for nursing home residents.
Job Responsibilities
- Basic Nursing Skills: Essential for delivering competent care, requiring adherence to the residents' care plans and effective reporting of findings.
- Personal Care Skills: Involves assisting with Activities of Daily Living (ADLs) such as hygiene, grooming, dressing, eating, and transferring, conducted with a focus on privacy.
- Morning Care (AM Care): Includes toileting, facial wash, and oral care before breakfast.
- Evening Care (PM Care): Involves toileting, facial wash, snack, oral care, and back rubs in the evening.
Interpersonal Skills
- Nurse aides should empathize, anticipate needs, display patience, and treat residents as unique individuals while being sensitive to their moods.
Legal Parameters
- Nurse aides must refrain from:
- Performing sterile procedures or administering medications.
- Inserting/removing tubes or providing medical diagnoses.
- Taking orders from physicians or supervising other aides.
- Engaging in tasks outside their defined range of function.
Chain of Command and Delegation
- Follow the chain of command to maintain accountability and protect against staff liability.
- Delegation involves assigning responsibilities while retaining overall accountability and ensuring the "Five Rights of Delegation" are met.
Professionalism
- Exhibit professionalism through punctuality, appropriate dress, good hygiene, and minimal jewelry, adhering to facility policies regarding appearance.
Essential Qualities of a Nurse Aide
- Trustworthy, conscientious, courteous, empathetic, humble, and unprejudiced to ensure care is equitable and of high quality.
Teamwork in Healthcare
- Effective teamwork relies on a common purpose, clear communication, trust, and problem-solving capabilities within the team.
- Types of nursing teams include Team Nursing, Primary Nursing, Functional Nursing, and Person-centered Care.
Person-Centered Care
- Focuses on individual resident needs, preferences, and expectations to foster a sense of home.
- Aims to recognize residents' uniqueness, support independence, and involve them in decision-making processes, enhancing their quality of life.
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Description
This quiz delves into the legal and ethical responsibilities of nurse aides within the healthcare team. Participants will explore essential functions and specific duties in various healthcare settings, including hospitals and nursing homes. Ideal for students in the HN43 Nursing Fundamentals and Practicum course.
