Module01_PowerPoint.pdf

CNA California Module 1 Nursing Assistant Certification Introduction © August Learning Solutions, 2019 CNA California...

CNA California Module 1 Nursing Assistant Certification Introduction © August Learning Solutions, 2019 CNA California Section 1A Nursing Assistant Certification Roles and Responsibilities of a Certified Nurse Assistant © August Learning Solutions, 2019 CNA Work Settings for the Nursing Assistant California Nursing Assistant Certification Acute care: – Provides short-term care to residents who have an immediate illness or injury – Goal is to address the patient’s immediate healthcare needs, stabilize his condition, and discharge him as soon as safety allows – Typically most expensive – Most are accredited and surveyed by Joint Commission – Surveyed at least once every 3 years © August Learning Solutions, 2019 CNA Work Settings for the Nursing Assistant California Nursing Assistant Certification Nursing Assistant responsibilities: – Vital signs – Ambulation – Measuring intake and output – Caring for residents before and after surgery – Bathing and repositioning residents © August Learning Solutions, 2019 CNA Work Settings for the Nursing Assistant California Nursing Assistant Certification Preferences and traits: – Flexibility – Ability to work in a fast-paced setting – Enjoy meeting new people and having new experiences – Ability to work with changing technology © August Learning Solutions, 2019 CNA Work Settings for the Nursing Assistant California Nursing Assistant Certification Sub-acute care facilities: – Designed to treat residents who still require 24-hour skilled nursing care but are more medically stable – Focus on patient education, with the aim of preventing future hospitalizations and a return to prior level of function – Governed by Joint Commission if unit is located in hospital – Governed by state regulators if unit is housed within an LTC facility – Also referred to as a rehabilitation facility © August Learning Solutions, 2019 CNA Work Settings for the Nursing Assistant California Nursing Assistant Certification Nursing Assistant responsibilities: – Depend upon focus of the unit – Do not vary as much as in a hospital – Personal needs, ambulation, and strengthening exercises – Support and encourage resident rehabilitation and independence © August Learning Solutions, 2019 CNA Work Settings for the Nursing Assistant California Nursing Assistant Certification Long-term care facilities: – Known as nursing homes or skilled nursing facilities (SNFs) – Goal is to provide skilled nursing care for extended period of time – Governed by federal legislation: OBRA of 1987 – Surveyed at least every year – Regulated by the state, which enforces the federal laws governing them – Residents have access to an ombudsman, who helps protect residents’ rights – Funding sources include Medicaid, Medicare, insurance, and private funds © August Learning Solutions, 2019 CNA Work Settings for the Nursing Assistant California Nursing Assistant Certification Nursing Assistant responsibilities: – Personal care such as bathing and grooming – Assisting with eating – Positioning and ambulating residents – Restorative care, such as range-of-motion exercises – Caring for social and emotional needs © August Learning Solutions, 2019 CNA Work Settings for the Nursing Assistant California Nursing Assistant Certification Nursing Assistant preferences and traits: – Enjoy working in a fast-paced environment – Able to bond with residents on a long-term basis – Like working in a home-like atmosphere with a daily routine © August Learning Solutions, 2019 CNA Work Settings for the Nursing Assistant California Nursing Assistant Certification Assisted-living facilities: – Bridge the gap between living independently and living in a healthcare facility such as a nursing home – Include CBRFs and RCACs – Regulated by the state – Provide basic help with bathing, cooking, and cleaning – Do not offer 24-hour skilled nursing care – Most do not require staff to be certified © August Learning Solutions, 2019 CNA Work Settings for the Nursing Assistant California Nursing Assistant Certification Nursing Assistant responsibilities: – Help with activities of daily living – Preparation and servicing of meals – Light housekeeping – Medication administration after on-the-job training © August Learning Solutions, 2019 CNA Work Settings for the Nursing Assistant California Nursing Assistant Certification Other work settings include: – Home healthcare services – Private home care businesses – Hospice – Respite care or adult daycare services © August Learning Solutions, 2019 CNA Members of the Healthcare Team California Nursing Assistant Certification The nursing assistant is a vital member of the healthcare team Being a nursing assistant can open opportunities for the individual Members of the healthcare team are diverse and vary depending upon the work setting © August Learning Solutions, 2019 CNA Members of the Healthcare Team California Nursing Assistant Certification Physicians and RNs, LPNs, and Nurse Practitioners Nursing Assistants Imaging staff Medical Assistants Activity staff Physician Assistants Respiratory Therapists Nutritionists Social workers Management Support, office, Physical, Occupational, and and billing staff Speech Therapists © August Learning Solutions, 2019  Scope of Practice for the Nursing CNA Assistant California Nursing Assistant Certification Scope of practice: – The responsibilities, skills, and actions that a nursing assistant is permitted and expected to follow once training is complete – Nursing assistant programs are regulated by state and federal codes to ensure training is consistent – The nursing assistant is responsible for knowing scope of practice – May be altered with additional training © August Learning Solutions, 2019  Scope of Practice for the Nursing CNA Assistant California Nursing Assistant Certification INCLUDES DOES NOT INCLUDE – Providing basic personal care – Delivering medications – Offering emotional support to – Putting in catheters or IVs residents and families – Developing or changing a – Providing dementia care resident’s care plan – Assisting with activities of daily – Teaching living (ADLs) – Delegation – Providing restorative care © August Learning Solutions, 2019 CNA Chain of Command California Hierarchical route of communication Nursing Assistant Certification from one member of the healthcare team to the next Must always be followed Helps reduce medical errors and confusion In a typical chain of command, the nursing assistant receives delegated tasks from the nurse © August Learning Solutions, 2019 CNA Delegated Tasks California Nursing Assistant Certification A delegated task: – An action or job that the supervisor asks you to complete – May be communicated verbally or through care plan – If task is in the nursing assistant’s scope of practice, it must be accepted – Once it is accepted, the supervisor will assume task will be completed – Once it is completed, the nursing assistant must document the action – If outside the scope of practice, the task needs to be refused © August Learning Solutions, 2019 CNA Delegated Tasks California Nursing Assistant Certification Refusing a delegated task: – First determine if task is outside your scope of practice – Cannot simply say “No” or ignore request – Remain professional and respectful – Ask for remediation if necessary – Always follow chain of command © August Learning Solutions, 2019 CNA Teaching vs. Reinforcing California Nursing Assistant Certification Teaching: – Not within the nursing assistant’s scope of practice – Responsibility of the nurse – Begins as soon as resident is admitted to facility – Nursing assistant can reinforce what was originally taught by the nurse © August Learning Solutions, 2019  Time Management and CNA Organization California Nursing Assistant Certification Basic principles: – Set goals – Write down or visualize accomplishing goals – Identify and prioritize tasks to be completed – Formulate a game plan – Ask coworkers for suggestions © August Learning Solutions, 2019 CNA Rights and Responsibilities California Nursing Assistant Certification Rights are certain beliefs Responsibilities are what or laws that determine hold us accountable for our freedoms our choices and actions © August Learning Solutions, 2019 CNA Employee Rights California Nursing Assistant Certification The Occupational Safety and Health Administration (OSHA): – Created by the Occupational Safety and Health Act of 1970 – Ensures that all employees have safe and healthy working conditions – Examples include appropriate PPE and Hepatitis B vaccine © August Learning Solutions, 2019 CNA Employee Rights California Nursing Assistant Certification Family and Medical Leave Act (FMLA): – Allows an employee to take a leave of absence from her job for a total of 12 weeks out of any 12-month period for certain medical needs – Protects the employee from losing job due to medical needs © August Learning Solutions, 2019 CNA Employee Rights California Nursing Assistant Certification FMLA can be used for: – Birth and care of newborn child – Placement of a child for adoption or foster care – Care of an immediate family member with serious medical condition – Inability to work due to serious medical condition © August Learning Solutions, 2019 CNA California Section 1B Nursing Assistant Certification Title 22 © August Learning Solutions, 2019 CNA Title 22 California Nursing Assistant Certification Set of state laws that govern: – healthcare facilities – nurse aide training programs – minimum standards of care for long-term care residents Nursing assistant candidates must: – Complete an approved training program – Pass both a written and skill exam to be certified – Have criminal record clearance at time of certification and then every 2 years © August Learning Solutions, 2019 CNA California Section 1C Nursing Assistant Certification Requirements for Nurse Assistant Certification © August Learning Solutions, 2019 CNA Education and Certification California Nursing Assistant Certification Nursing assistant training programs: – Minimum number of hours is 75, as set by federal law – Many states exceed the mandated minimum – State of California requires students to complete at least 60 hours of classroom and at least 100 hours of clinical training – Certification allows the nurse aide to work in facilities that are federally funded © August Learning Solutions, 2019 CNA Education and Certification California Nursing Assistant Certification Nurse aide registry: – Database for employers to verify if someone is a CNA in good standing – Ensures a competent workforce – CNAs convicted of abuse, neglect, or misappropriation of belongings are flagged © August Learning Solutions, 2019 CNA Education and Certification California Nursing Assistant Certification Continuing education: – State of California requires nursing assistants to complete 48 hours of in-service training during a 24-month time frame to maintain certification – A minimum of 12 hours need to be completed in each year of the 2-year certification period – No more than 24 of the required hours may be completed online © August Learning Solutions, 2019  Requirements for Nurse Assistant CNA Certification California Nursing Assistant Certification Initial certification requirements include: – Be at least 16 years old – Complete an approved training program for the state of California – Complete certification testing, which includes both knowledge and skills – Obtain criminal clearance via fingerprinting and a background check Recertification: – Required every 2 years © August Learning Solutions, 2019 CNA California Section 1D Nursing Assistant Certification Professionalism © August Learning Solutions, 2019 CNA Acting Like a Professional California Nursing Assistant Certification Characteristics of professionalism: – Dependability – Promptness – Customer service – Flexibility – Hygiene © August Learning Solutions, 2019 CNA California Section 1E Nursing Assistant Certification Ethics and Confidentiality © August Learning Solutions, 2019 CNA Employee Responsibilities and Ethics California Nursing Assistant Certification An employee must: – Abide by privacy regulations at all times – Follow current standards of practice – Take continuing education courses – Complete delegated tasks in a timely fashion – Safeguard the client and follow the care plan – Prevent, identify, and stop abuse or other law violations – Act as a mandatory reporter © August Learning Solutions, 2019 CNA Resident Rights and Confidentiality California Nursing Assistant Certification Residents have the right to: – Receive care that is unbiased regarding race, culture, and creed – Be treated with respect – Access their medical records – Make informed choices – Keep medical records and information private © August Learning Solutions, 2019 CNA Resident Rights and Confidentiality California Nursing Assistant Certification Health Insurance Portability and Accountability Act (HIPAA): – Protects all healthcare information that can be linked to an individual – Includes any identifying information that is spoken, read, heard, or written Information protected under HIPAA includes: – Individual’s past, present, and future medical or mental condition – Any healthcare service received – Any payment of healthcare services © August Learning Solutions, 2019 CNA Resident Rights and Confidentiality California Nursing Assistant Certification Informed consent: – Right to know what treatment options are available and the risks associated with those treatments – Physician or nurse informs resident of options Nursing assistant’s role: – Honor resident’s choices – Report choices made by resident that conflict with the care plan – Support resident independence and esteem by offering choices © August Learning Solutions, 2019 www.AugustLearningSolutions.com © August Learning Solutions, 2019