Nurse Aide Training Program PDF

Nurse Aide Training Program ROLE & RESPONSIBILITIES OF NURSE AIDE (NA) WORK ETHICS Objectives: The NA Trainee: ◦ State purpose of NA role in ADLS ◦ Describe the NA responsibility in: ◦ caring for the resident ‘s living space ◦ residents’ nourishment ◦ record keeping and communication...

Nurse Aide Training Program ROLE & RESPONSIBILITIES OF NURSE AIDE (NA) WORK ETHICS Objectives: The NA Trainee: ◦ State purpose of NA role in ADLS ◦ Describe the NA responsibility in: ◦ caring for the resident ‘s living space ◦ residents’ nourishment ◦ record keeping and communication ◦ Promoting resident rights ◦ Maintaining confidentiality ◦ Understand time management and importance ◦ Understand role in residents' safety ◦ Identify responsibility for attending in-services and training Activities of Daily Living (ADL) Dress and undress Bathe and maintain hygiene Assist with mobility needs Assist with elimination needs Eating and drinking Bed mobility Care of the resident’s living space Make bed Maintain a safe and clean environment Ask permission to enter Arrange for comfort and convenience to promote independence Create homelike environment Nourishment Assure each resident receives correct diet. Assist the resident with meals. Fill the resident’s water pitcher or assist the resident to obtain water and fluids. Calculate and record meal percentage on dietary record sheet. Assist residents to and from the dining room.  Record keeping and communication duties Record intake and output Record vital signs Record weight of resident Assist in admission, transfer and discharge of residents Document care on flow charts or other facility documents Review the purpose of assignment sheets Completion of assignment or worksheet Report on/off duty & breaks Provides input to assessment and care plan  Confidentiality Definition: privacy of medical and personal information Confidential information in LTCF Care of the resident to be discussed only with appropriate staff and within appropriate areas of the facility Resident care in not discussed outside of the facility – never in texts or social media posts All resident records are confidential Federal regulation: Health Insurance Portability and Accountability Act (HIPAA) Time management Organization of work Prioritizing assignment Resident/resident safety is main priority of NA Guard against accidents Prevent fires and other emergencies Know what to do in an emergency In-Service Requirement (Continuing Education)  Each nurse aide is expected to attend in-service as required by their employer (in long term care facility)  Current requirement is 12 hours annually. State law: Nurse Practice Acts Regulates nursing practice in that state Defines RN and LPN/LVN ◦ Describes education and licensing requirements for nurses Protects the public from person practicing nursing without a license  Federal Law:Omnibus Budget Reconciliation Act of 1987 (OBRA)  Applies to all 50 states  Its purpose is to improve the quality of life of nursing home residents  Sets training and competency evaluation requirements for nursing assistants (75 hours minimum with 16 of this as clinical)  Competency evaluation or state testing written & skills  Nursing Assistant Registry Delegation Nurse practice acts give nurses certain responsibilities and legal authority to perform nursing tasks Under the rules of delegation, the nurse may authorize the NA to perform certain tasks The nurse is legally accountable for the task. The delegated tasks must be within the legal limits of what a NA can do  Five Rights of Delegation Right task Right circumstances Right person Right directions and communication Right supervision Behaviors of NA ◦ Dependability ◦ Reports to work on time ◦ Keeps absences to a minimum ◦ Keeps promises to residents and others ◦ Completes assigned tasks promptly ◦ Reports on/off duty & breaks per facility policy Behaviors cont’d ◦ Accuracy ◦ Follows instructions and steps of procedures according to facility’s policy and procedure manual ◦ Demonstrates sensitivity and respect for the feelings and needs of others ◦ Cooperates with other departments and coworkers Behaviors cont’d ◦ Communicates with charge nurse ◦ Demonstrates honesty ◦ Does not accept gifts or money for services ◦ Uses proper speech and language ◦ Handles personal matters properly ◦ Cell phone and electronic devices use per facility policy ◦ Residents’ phone are not used by staff Behaviors cont’d ◦ Follows safety practices of facility. ◦ Follows facility policy regarding cell phones, pagers, unit phone. ◦ Respects resident’s use of phone. ◦ Represents LTCF in community. Appearance Personal hygiene Professional uniform Proper fit Clean and pressed (free from wrinkles) Appropriate underclothing: fit, style & color Fingernails should be short, neat and clean according to facility policy. No artificial nails or nail jewelry. Appearance cont’d Hair should be controlled (out of field of work) and of a naturally occurring color - worn according to facility policy Jewelry and body art should be limited according to facility policy Comfortable non-permeable shoes with an appropriate style Facial hair including mustaches and beards should be neat and trimmed Name tag placed appropriately