Standard 2.00 Power Points_2.01.pptx

2.00 Understand the nurse aide’s legal and ethical responsibility as a member of the healthcare team HN43 Nursing Fundamentals and Practicum  2.01 Understand specific responsibilities and essential functions of the nurse aide in the...

2.00 Understand the nurse aide’s legal and ethical responsibility as a member of the healthcare team HN43 Nursing Fundamentals and Practicum  2.01 Understand specific responsibilities and essential functions of the nurse aide in the healthcare setting. Hospital Clinic Nursing Home Assisted Living HN43 Nursing Fundamentals and Practicum  Nurse Aide in the State of North Carolina A valued, unlicensed member of the health care team This Photo by Unknown Author is licensed under Thr CC BY-SA Responsible for providing https://www.shutterstock.com/search/nursing-assist ant-feeding-patient delegated nursing tasks within a defined range of function. HN43 Nursing Fundamentals and Practicum  Nurse Aide in the State of North Carolina This Photo by Unknown Author is licensed under CC BY-ND Is listed on the NC Nurse Aide I Registry Nurse Aide HN43 Nursing Fundamentals and Practicum  North Carolina Board of Nursing Administrative Range of Code Function for North Carolina Board of Nurse Aides Nursing HN43 Nursing Fundamentals and Practicum Regulatory Body North Carolina Nurse Aide I Registry North Carolina Health Care Personnel Registry This Photo by Unknown Author is licensed under CC BY-SA-NC HN43 Nursing Fundamentals and Practicum  A federal law, enacted by Congress in 1987 Omnibus Budget Designed to improve quality Reconciliation of life for residents living in Act (OBRA) nursing homes Defines requirements for nurse aide training and competency evaluation programs HN43 Nursing Fundamentals and Practicum Ombudsman A legal advocate (person who publicly supports a certain cause) for residents in long-term care facilities. HN43 Nursing Fundamentals and Practicum  Registry Listing Requirements Listed on North Carolina Nurse Aide I Registry after passing NNAA Successful completion of State-approved Nurse Aide I Training Program Pass Written Exam (Computer Based) This Photo by Unknown Author is licensed under CC BY HN43 Nursing Fundamentals and Practicum  Registry Listing Requirements Listed on North Carolina Nurse Aide I Registry after passing NNAA Successful performance of five (5) skills Ex: Hand Hygiene Foot Care This Photo by Unknown Author is licensed under CC BY HN43 Nursing Fundamentals and Practicum  Nurse Aide I Listing Online Renewals Listings renewed through qualified work experience every 24 months What is considered qualified work experience? Work requirement Payment for work Nursing or nursing-related activities Supervised by an RN This Photo by Unknown Author is licensed under CC BY HN43 Nursing Fundamentals and Practicum  Renewal forms will NO longer be mailed to Nurse Aides The nurse aide is responsible for their own renewal prior to expiration date. Use calendar or phone for reminder Complete the renewal form online Complete the online renewal listing form on time Use FAQ for online renewal, if needed This Photo by Unknown Author is licensed under CC BY HN43 Nursing Fundamentals and Practicum Nurse Aide I Renewal Responsibilities Promptly report changes in name or address This Photo by Unknown Author is licensed under CC BY HN43 Nursing Fundamentals and Practicum  Key Web Sites N.C. Board of Nursing- www.ncbon.com This Photo by Unknown Author is licensed under CC BY N.C. Division of Health Service Regulation- https://info.ncdhhs.gov/dhsr/index.html HN43 Nursing Fundamentals and Practicum  Nurse Aide Role The nurse aide performs assigned nursing tasks. The assigned tasks are delegated by a licensed nurse (Registered Nurse-RN and Licensed Practical Nurse- LPN) HN43 Nursing Fundamentals and Practicum Legal Parameters of Nurse Aide Work BON does not recognize the term “practice” for nurse aides. BON states the phrase “practice” is reserved for the professional nurse. This Photo by Unknown Author is licensed under CC BY-SA HN43 Nursing Fundamentals and Practicum  Nurse Aide Job Responsibilities Basic Nursing Skills Essential skills required of nurse aides to deliver competent care to residents in health care settings. Privacy is key when providing basic nursing skills. HN43 Nursing Fundamentals and Practicum  Basic Nursing Skills Nurse aide must follow the resident’s plan of care, follow directives from supervisors, and reporting findings are critical for the resident’s well being. HN43 Nursing Fundamentals and Practicum  Nurse Aide Job Responsibilities Personal Care Skills Tasks that deal with a person’s body, appearance, and hygiene, typically done daily. Privacy is key when providing personal care skills. This Photo by Unknown Author is licensed under CC BY-ND HN43 Nursing Fundamentals and Practicum  Personal Care Skills Activities of Daily Living (ADLs) –term used in healthcare to describe everyday things that a resident routinely does, such as hygiene and grooming, dressing, eating, toileting, and transferring. HN43 Nursing Fundamentals and Practicum  Personal Care Skills AM Care-personal activities done in the morning that includes toileting, face/hand wash, and mouth care before/after breakfast. HN43 Nursing Fundamentals and Practicum  Personal Care Skills PM Care-personal activities done in the evening that include toileting, face/hand wash, snack, mouthcare, and backrub. HN43 Nursing Fundamentals and Practicum  Personal Care Skills Nurse Aide should: Encourage independence as much as possible. Be professional and provide privacy during care. HN43 Nursing Fundamentals and Practicum  Personal Care Skills Assisting with Personal Care is an opportunity for the nurse aide to observe skin, mobility, comfort and cognition. This Photo by Unknown Author is licensed under CC BY-ND HN43 Nursing Fundamentals and Practicum  Personal Care Skills Remember ADLs are done daily- am, pm, and in- between. Assisting with ADLs of assigned residents is important duty of nurse aides. HN43 Nursing Fundamentals and Practicum  Nurse Aide Job Responsibilities Interpersonal Skills Ability to have a good relationship with others while getting the job done. This Photo by Unknown Author is licensed under CC BY HN43 Nursing Fundamentals and Practicum  Interpersonal Skills Nurse Aide’s should: Empathize Anticipate needs Treat residents as unique individuals. Display patience and tolerance Be sensitive to moods of resident. HN43 Nursing Fundamentals and Practicum Legal Parameters of Nurse Aide Work Nurse aides do not do sterile procedures. Nurse aides do not give information about the diagnosis or treatment plans to the resident or his/her family. This Photo by Unknown Author is licensed under CC BY-SA HN43 Nursing Fundamentals and Practicum Legal Parameters of Nurse Aide Work Nurse aides do not give medications. Nurse aides do not insert or remove tubes from the resident’s body. This Photo by Unknown Author is licensed under CC BY-SA HN43 Nursing Fundamentals and Practicum Legal Parameters of Nurse Aide Work Nurse aides do not take oral or telephone orders from a physician Nurse aides do not diagnose or prescribe treatments or medications for residents. Nurse aides do not supervise the work of other nurse aides. This Photo by Unknown Author is licensed under CC BY-SA HN43 Nursing Fundamentals and Practicum Legal Parameters of Nurse Aide Work Nurse aides do not perform tasks beyond the nurse aide’s range of function as defined by the North Carolina Board of Nursing. This Photo by Unknown Author is licensed under CC BY-SA HN43 Nursing Fundamentals and Practicum  Chain of Command Chain of command –describes the line of authority in the facility. Chain of command helps to protect staff liability. Liability- a person can be held responsible for harming someone else. HN43 Nursing Fundamentals and Practicum  Delegation Delegation- the process of assigning part of one’s responsibility to another qualified person in a specific situation; transferring responsibility for the performance of an activity or task while retaining accountability for the outcome. HN43 Nursing Fundamentals and Practicum  Five Rights of Delegation Right task Right circumstance Right person Right direction/communication Right supervisor/evaluation This Photo by Unknown Author is licensed under CC BY HN43 Nursing Fundamentals and Practicum  Professionalism in the Healthcare Facility Act and Speak well Be on time behave for work professional HN43 Nursing Fundamentals and Practicum  Grooming and Dress Wear clean Dress neatly- Follow facility Wear appropriate underwear no uniform clean and dress code shoes patterns and presses appropriate colors Ensure excellent Maintain neat Follow facility hygiene- check short nails- do not Maintain simple policy on for body odor, wear artificial hairstyles permanent body fresh breath nails art. Do not wear Keep jewelry to a perfumes, minimal colognes and other scents. HN43 Nursing Fundamentals and Practicum  Nurse Aide Essential Qualities Trustworthy-honest Conscientious-sense of right and wrong Courteous-kind, polite and considerate Empathetic-identify with the feelings of others Humble-willing to admit when they made a mistake. Unprejudiced-provide quality care to everyone. HN43 Nursing Fundamentals and Practicum  Teamwork in Healthcare A group of people with a common purpose, assigned tasks, and coordinated effort to get a job done. This Photo by Unknown Author is licensed under CC BY HN43 Nursing Fundamentals and Practicum  Qualities of an Effective Team Climate Communication Interactions Goals Leaders Trust Problem-solving This Photo by Unknown Author is licensed under CC BY-SA-NC HN43 Nursing Fundamentals and Practicum  Qualities of an Ineffective Team Climate Communication Interactions Goals Decision-making Trust Getting along Problem solving This Photo by Unknown Author is licensed under CC BY-NC-ND HN43 Nursing Fundamentals and Practicum  Nurse Aide Role Nurse Aide Role on the Types of Teams in team: Nursing: Team player- help Team Nursing other team members Primary Nursing Communicate with Functional Nursing the team Person-centered Be positive care-used in long- Be supportive term care. HN43 Nursing Fundamentals and Practicum  Person Centered Care Is the practice of basing resident care on individual resident needs, preferences, and expectations. This Photo by Unknown Author is licensed under CC BY-SA HN43 Nursing Fundamentals and Practicum  Goals of Person-centered Care To see the person (resident) as a unique individual To respect skills and abilities To support the person (resident) to be successful and maintain independence This Photo by Unknown Author is licensed under CC BY-SA HN43 Nursing Fundamentals and Practicum  Goals of Person-centered Care To help the person meet needs for attachment, inclusion, occupation, and comfort To support the person as a member of a community To honor the importance of keeping the person at the center of the care planning and decision-making process This Photo by Unknown Author is licensed under CC BY-SA HN43 Nursing Fundamentals and Practicum  Importance of Person-centered Care Where a person lives is the person’s home and can be made more like a home through person-centered care Resident Benefits from Person-centered Care ○ Resident choice fosters involvement and improves quality of life. This Photo by Unknown Author is licensed under CC BY-SA HN43 Nursing Fundamentals and Practicum Person-centered Care and Relationships Tasks are important when giving care but what matters most are relationships This Photo by Unknown Author is licensed under CC BY-SA HN43 Nursing Fundamentals and Practicum Care is About Relationships It is through relationships that we come to understand ourselves, our co-workers, our residents better This Photo by Unknown Author is licensed under CC BY-SA HN43 Nursing Fundamentals and Practicum Nurse Aide Role in Person-centered Care Federal regulations for nursing homes address and support person-centered care Develop care-giving behaviors that lead to person-centered care Putting person centered care into practice This Photo by Unknown Author is licensed under CC BY-SA HN43 Nursing Fundamentals and Practicum