Omnibus Budget Reconciliation Act (OBRA) - Answers -states the requirements for certification
-minimum of 75 hours for CNA (AZ requires 120)
Competency Evaluation - Answers -exam at end of training includes written and skills
-3 tries and score needed depends on state
Reciprocity - Answers -the ability to work in other states as long as you have met their minimum training
requirements
-state recognizes validity of license granted by other state
Registry - Answers OBRA requires every state to maintain a registry that contains:
-full name, address, SS #, DOB, date competency eval was passed, reported incidents of resident abuse
or neglect or theft of resident property
Continuing Education - Answers -regular in-service education mandated by OBRA
-long term care centers must provide minimum of 12 hours/ year
-new skills taught and existing reviewed
The Nursing Team Includes - Answers -director of nursing
-head nurse
-charge nurse
-LPN, LVN, or RN
-nursing assistant
Primary nursing - Answers one nurse is assigned to several pt and is responsible for all the care of those
ppl
Functional (modular) nursing - Answers each member of the team carries out the same task for all pt
team nursing - Answers RN determines all pt needs and assigns tasks based on skills and level of
responsibility
Nursing care plan - Answers -developed by the nursing care team
-specific plan of care for each pt
-involves: assessment, diagnosis, planning, implementation, evaluation
, assessment - Answers -nurse gets info from pt from observations or questions
diagnosis - Answers -made using info from assessment
planning - Answers -develops interventions and goals
implementation - Answers interventions carried out
evaluation - Answers nurse checks the effectiveness of the care plan
nursing diagnosis - Answers statement that describes problem pt is having an the cause
delegation - Answers -RN or LPN has authority to delegate selected tasks to a nursing assistant
The 5 rights of delegation - Answers 1. Right task
2. The right circumstance (is pt stable)
3. the right person
4. the right direction (clear instructions)
5. the right supervision
Scope of practice - Answers the range of tasks that a nursing assistant is legally permitted to do
Tasks beyond NA Scope of Practice - Answers -giving medications (including O2) (you can apply)
-recieving verbal orders from drs
-diagnosing illness and prescribing meds
-supervising other NA
-performing procedures that require sterile technique
-insertin gor removing tubes from a persons body
Valid reasons to refuse a CNA task - Answers -outside your scope of practice
-task is illegal or unethical or could cause harm
-nurse isn't available to supervise
-dont have proper equipment
-directions aren't clear
-havent received training about equipment or task