The Nursing Assistant: Chapter 3 Lesson 3.1 Quiz

Nursing Assistants and OBRA

• Minimum training requirements for nursing assistants according to OBRA: 75 hours of training, including 16 hours of clinical training and a competency evaluation.

Purpose of OBRA

• The Omnibus Budget Reconciliation Act of 1987 (OBRA) aims to improve the quality of care in long-term care facilities by establishing education and training standards for nursing assistants.

Nursing Assistant Registry

• A nursing assistant registry maintains a list of certified nursing assistants who have completed a training program and a competency evaluation, ensuring a certain level of quality care.

Nurse Practice Act

• Each state's nurse practice act defines the scope of practice for nurses, including nursing assistants, outlining their responsibilities and limitations.

Healthcare Cost Reduction

• One effort to reduce healthcare costs is to reduce staff turnover by improving staff training and development.

Nursing Care Pre-1980s

• Prior to the 1980s, nursing care was often task-oriented, with caregivers focusing on completing tasks rather than providing individualized care.

Patient Safety

• Essential for protecting patients and residents from harm is a well-trained and competent nursing assistant workforce.

Shaping the Work of Nursing Assistants

• Federal legislation, such as OBRA, has shaped the work of nursing assistants by establishing standards for education, training, and certification.

Nursing Care in the 1980s

• The 1980s saw an increase in the focus on resident-centered care, with caregivers beginning to prioritize individualized care and resident dignity.

Pre-1980s Requirements

• Prior to the 1980s, there was no legal requirement for nursing assistants to complete a training program or competency evaluation.