1. Long Term Care (LTC) -Patients Who Require 24 Hour Care & Assistance -Nursing Home, Skilled Nursing Facility, Nursing -Patients Who Are Elderly; May Have Terminal Illnesses or Chronic Illnesses -Nursing Staff Will Have Longer Relationships With LTC R

1. Long Term Care (LTC) -Patients Who Require 24 Hour Care & Assistance -Nursing Home, Skilled Nursing Facility, Nursing -Patients Who Are Elderly; May Have Terminal Illnesses or Chronic Illnesses -Nursing Staff Will Have Longer Relationships With LTC Residents 2. Incontinent Urinate/Poop On Themselves 3. Continent Go To Bathroom By Themselves 4. May Offer Dif- ferent Levels Of Care -Skilled Nursing Care -Assisted Living -Dementia Care -Subacute Care 5. Types of Patients -Geriatric -Disabled -Physically -Mentally 6. Protecting The Residents Rights 7. Certified Nursing Assistant (CNA) -Keep All Information Confidential -Cover Person When Being Moved In Hallway -Close Door When Giving Care, Close Drapes, & Window Shades -Expose Body Parts Involved In A Treatment -DO NOT Open The Mail -Ask Visitors To Leave When Care Is Given -Allow Person To Use The Phone In Private -Performs Delegated or Assigned Nursing Tasks, Such As Taking A Resident's Temperature -Provides Personal Care -May also be Called Nursing Assistant, Nurse Aide, or CNA -Feeding Residents -Keeping Residents Living Area Clean & Neat -Making Beds -Helping Dress Residents 8. What You DO NOT Do 9. Observation Is Key 10. Writing Down Im- portant Informa- tion Is A Must. 11. Chain Of Com- mand -Assisting Residents To Move Safely Around The Facility -Caring For Supplies & Equipment -Give Medications -Insert or Remove Tubes -Change Sterile Bandages -Give Tube Feedings -CNA Carries Out Instructions Given To Him/Her By A Nurse -Nurse Acts On Instructions From The Physician 12. Liability A Person Being Held Responsible For Harming Someone Else 13. Scope of Prac- tice Defines The Tasks A Licensed Individual Can Do 14. Policy A Course of Action That Should Be Taken Everytime A Certain Situation Occurs 15. Procedure A Particular Method On Way You Do Something 16. OBRA Omnibus Budget Reconciliation Act Of 1987 -CNA's Must Attend Training Program -Must Pass Written Competency -Must Pass Several Skills Test 17. 5 Rights of Dele- gation -The Right Task -The Right Circumstances -The Right Person -The Right Directions & Communication -The Right Supervision 18. The CNA's Role In Delegation 19. NEVER IGNORE AN ORDER OR REQUEST TO DO SOMETHING -Accepting A Task -You Must Complete The Task Safely -Ask For Help If Needed -Refusing A Task -The Task Is Beyond Legal Limits of Your Role 20. Aspiration Choking Breathing Fluid, Food, Vomitus, or An Object Into The Lungs 21. Transfer/Gait Belts A Device Used To Support A Person Who Is Unsteady or Disable 22. Pathogens Microbes That Are Harmful & Cause Infections 23. Non-Pathogens Microbes That Do Not Usually Cause Infection 24. Microbes 1-Bacteria 2-Fungi 3- Protozoa 4- Rickettsiae 5-Viruses 25. MDROs - Methicillin- Resistant Staphylococcus Aureus MRSA -Vancomycin-Resistant Enterococcus VRE -Clostridium Difficile C. Diff 26. Good Hand Hy- giene Is The Eas- iest Way To Pre- vent The Spread Of Infection 27. 27. Can Use Hand Sanitizer Three Times 28. Safety Precau- tions - AIrborne -Droplets -Contact 29. Circulatory Pluse 30. Respiratory Pluse 31. Pulse BPM Beats per Minute 32. Respirations BPM Breaths per Minute 33. Apex of Heart 5th Intercostal Space 34. Regular Count 30 Second Multiply By 2 Irregular 1 Minute 35. Newborn 120-150 36. Pulse 60-100 37. P= Pulse HR= Heart Rate 38. Respiratory Rate Indication of How Well The Body Provides Oxygen To The Tissue 39. Respirations Normal 12 - 20 Newborn 30 - 60 40. 1 Inhalation + 1 Exhalation = 1 Respiration 41. Hyperventilation Excessive Rate & Depth 42. Dyspnea Difficult & Painful Breathing 43. Tachypnea Rapid Breathing 44. Hyperpnea Abnormally Rapid or Deep Breathing 45. Blood Pressure 120/80 46. Hypertension High Blood Pressure -Heart Attacks -Strokes Blood Pressure Measurements Remaining Above A Sys- tolic Pressure Of 140 mm Hg or A Diastolic Pressure Of 90 mm Hg 47. Hypotension Low Blood Pressure -Shock -Heart Failure -Severe Burns -Excessive Bleeding When The Systolic BP is Below 90 mm Hg & Diastolic Is Below 60 mm Hg 48. Normal Range Oral Temp. - 97.6 - 99.6 For Axillary Temp. - 96.6 - 98.6 Rectal Temp. - 98.6 - 100.6 Temporal Temp. - 97.6 - 99.6 Tympanic Temp. - 97.6 - 99.6 49. Chemical Re- Any Medication That Is Used For Discipline or Conve- straint nience & Not Required To Treat Medical Symptoms 50. Physical Re- Any Manual Method or Physical or Mechanical Device, straints Material, or Equipment Attached To or Near The Persons Body That He or She Cannot Remove Easily That Re- stricts Freedom of Movement or Normal Access To Ones Body 51. Freedom of Any Change In Place or Position of the Body or Any Movement Part Of The Body That The Person Is Physically Able To Control 52. 4 Risks To Re- -Anger straint Use -Mistrust -Strangulation -Fractures 53. 5 Alternatived To -Calm Quiet Setting Restraint Use -Call Light Within Reach -Noise Levels Reduced -Sleep Is Not Interrupted -Excercise Programs Provided 54. Types Of Re- -Tucking or Using Velcro To Hold A Sheet or Fabric straints -Bedrails That Prevent The Person From Getting Out Of Bed -Any Chair That Prevents The Person From Rising 55. AM Care • Assisting with Elimination • Cleaning Incontinent Person • Changing Wet or Soiled Linens & Garments • Assisting With Hygiene-Face and Handwashing • Assisting With Dressing & Hair Care • Positioning Persons For Breakfast -- Dining Room, Bed- side Chair, or In Bed • Making Bed & Straightening Units 56. HS Care • Assisting with Elimination • Cleaning Invontinent Persons • Changing Wet or Soiled Linens & Garments • Assisting with Hygiene- Face, Handwashing, Oral Hy- giene, & Back Massages • Helping Persons Change Into Sleepwear • Straightening Beds & Units 57. Pericare ( Per- ineal Care) Involves Cleaning The Genital & Anal Areas. Cleaning Prevents Infection & Odors & It Promotes Comfort 58. Plaque A Thin Film That Sticks To The Teeth; It Contains Saliva, Microbes, & Other Substances 59. Water Tempera- 105 - 110 Degrees ture 60. Edema Swelling 61. ROM Range Of Motion 62. Pressure Ulcers Stage I - Sores Are Not Open. Skin May Be Painful, but it Has No Breaks or Tears. Skin Appears Reddened. Stage II - Skin Breaks Open, Weard Away, or Forms An Ulcer, Usually Tender & Painful. Filled With Clear Fluid Stage III - Sore Gets Worse & Extends To Tissue Beneath Skin Forming Small Crater Stage IV - Pressure Sore Is Very Deep. Reaching Into The Muscle & Bone. Causing Extensive Damage Deeper Tissue, Tendons, & Joints Unidentified - Covered By Thick Layer Of Black, Gray, Yellow, Green, & Brown Pus. Doctor Cannot Determine! 63. Alopecia Hair Loss 64. Anticoagulant A Medication That Prevents or Slows Down Blood Clotting 65. Bedbugs Small, Flat, Reddish- Brown Insects That May Live Around or Near Areas Where People Sleep & Feed On The Blood of People & Animals 66. Dandruff Excessive Amount of Dry, White Flakes from The Scalp 67. Hirsutism Excessive Body Hair 68. Mite A Very Small Spider Like Organism 69. Pediculosis Infestation With Wingless Insects; Lice 70. Ped. Capitis Infestation Of The Scalp With Lice 71. Ped. Corporis Infestation Of The Body With Lice 72. Ped. Pubis Infestation Of The Pubic With Lice 73. ID Identification 74. IV Intervenous 75. Blood Pressure The Amount of Force Excerted Against The Walls Of An Artery By The Blood 76. Body Tempera- ture The Amount Of Heat In The Body That Is A Balance Between The Amount Of Heat Produced & Lost By The Body 77. Bradycardia A Slow (brady) Heart Rate (cardia); Heart Is At Rest 78. Diastole The Period Of Heart Muscle Relaxation; Heart Is At Rest 79. Diastolic Pres- sure The Pressure In The Arteries; When The Heart Is At Rest 80. Fever Elevated Body Temperature 81. Pulse Rate Number of Heartbeats or Pulses Felt In 1 Minute 82. Sphygmo- manometer Cuff & Measuring Device Used To Measure 83. Stethoscope An Instrument Used To Listen To Sounds Produced By The Heart, Lungs, & Other Organs 84. Systole The Period Of Heart Muscle Contraction; Heart Is Pump- ing Blood 85. Systolic Pres- sure The Pressure In The Arteries When The Heart Contracts 86. Tachycardia A Rapid Heart Rate; More Than 100 Beats Per Minute 87. Vital Signs (VS) Temperature, Pulse, Respirations, & Blood Pressure 88. Abduction Moving A Body Part Away From Mid-Line Of Body 89. Adduction Moving A Body Part Toward MId-Line Of Body 90. Ambulation Act Of Walking 91. Atrophy The Decrease In Size or The Wasting Away Of Tissue 92. Contracture The Lack Of Joint Mobility Caused By Abnormal Shorten- ing Of A Muscle 93. Deconditioning Loss Of Muscle Strength From Inactivivty 94. Dorsiflexion Bending The Toes & Foot Up To The Ankle 95. Extension Straightening A Body Part 96. External Rota- tion Turning The Joint Outward 97. Flexion Bending A Body Part 98. Foot Drop The Foot Falls Down At The Ankle; Permanent Plantar Flexion 99. Hyperextension Excessive Straightening Of The Body Part 100. Internal Rotation Turning The Joint Inward 101. Orthostatic Hy- potension Abnormally Low Blood Pressure When The Person Sud- denly Stands Up; Postural Hypotension 102. Plantar Flexion The Foot Is Bent; Bending The Foot Down At The Ankle 103. Pronation Turning The Joint Downward 104. Range Of Motion The Movement Of A Joint To The Extent Possible Without Causing Pain 105. Rotation Turning The Joint 106. Supination Turning Joint Upward 107. Syncope A Brief Loss Of Consciousness; Fainting