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1. Holistic Care: Considering the whole person.Considering their physical, social, em f f f f f f f f f f
otional, cognitive and spiritual dimensions. f f f f
2. Professionalism: an approach to work that demonstrates respect for others, co f f f f f f f f f f
mmitment, competence, and appropriate behaviours. f f f f
3. Professional Boundaries: Appropriate limitations on behaviour, meant to protect the f f f f f f f f f
vulnerable client from the caregiver who has access to private knowledge about him or hef f f f f f f f f f f f f f
r.
4. Regulationofa PSW: ThePSWisanunregulatedprofession.Foranunregulated care f f f f f f f f f f f f f f
provider there are clearly identified services we provide under the supervision oftheclie
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nt, familymember, regulated healthcare provider or employer.There isno legislationto re
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gulate PSW's oran organization of professional college that governs the role.There is no
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official code of ethics but they must adhere to the codes of behaviour from their employe
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r.
5. Regulated Health Professions Act: Regulated Health Professions.In Ontario, reg f f f f f f f f f
ulated health professions are governed under the Regulated Health Profes-
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sions Act, 1991 (RHPA) and health profession Acts (i.e., Medicine Act, 1991).This legis
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lative framework establishes health regulatory colleges, which regulate the profession
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s in the public interest. i.e. the college of nurses.
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6. Role of the occupational therapist: Focuses on rehabilitation;teaches clients skill
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s needed to perform ADLs; designs adaptive equipment for ADLs
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7. Role ofthephysical therapist: Focusesonrehabilitation;assistclientswithmus-
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culo-
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skeletal impairments; focuses on restoring function and preventing disability from illnes
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s or injury
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8. Role of Registered Nurse (RN): assesses, makes nursing diagnoses, plans, imple
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ments, and evaluates nursing care.Tends to clients with unstable health conditions;pro
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vides direct client care, administers medications, supervises support workers
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9. Role of RPN Licenced practical nurse (LPN): a health care provider licensed and r
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egulated bythe province orterritoryto carryout nursing techniques and provide client care
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. Known as a registered practical nurse (RPN) in Ontario.
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10. ALL RULES REGARDING DELEGATION: Onlyregulated health careproviders like
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nurses have the authority (legal right) to perform certain tasks because they have the kn
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owledge, skill and training to perform them.They are called controlled acts and are consi
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dered harmful if they are performed by unqualified people. In some circumstances som
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e acts will be delegated to you.In order to do this, specific conditionscalled"exceptions" m
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ustbemetfordelegation tobepermitted.Thenurse must feel confident the support worke
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r understands what the responsibilities are when performing thetask,knowns when and
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who toaskforassistance,andknowns when, how and whom to report the outcome of the
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task.
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Tasks that may be delegated to support workers must be routine ones with pre-
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dictableoutcomesthatrequirelittlesupervisionandcan onlybedelegated forstable clien
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Delegation tasks may include: suctioning a permanent tracheotomy in and out catheriza f f f f f f f f f f f
on;administering glucometers, dressings, tube feedings and medication. Onlysomenur
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ng taskscanbedelegated.Your employer's policiesandguidelines, your job description a
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d provincial or territorial legislation determine what tasks can be delegated to you.
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Sometimes these rules vary between community and LTC. In O f f f f f f f f f
ntario an RN, RPN and LPN can delegate.
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A delegated task is not transferrable to another client.Just because you did it for one person
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does not mean you are able to perform the SAME task on another client without training.
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11. Before delegating tasks, the nurse must know the following:: • What tasks your f f f f f f f f f f f f
province or territory allows support workers to perform.
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• The tasks included in your job description.
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• What you were taught in your training program.
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• What skills you have learned and how they were evaluated.
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• Your work experiences. f f
12. Anurse who delegates a task is required to::• Havetheknowledge, skill,and judge
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ment to perform the task competently.
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• Have the additional knowledge, skill and judgement to teach the task to others. The d
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elegating nurse is responsible for providing all necessary teaching, but not everyone is
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able to teach others how to perform something.Good communication skills and patien
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ce required. f
• Accept responsibility for teaching the task to the support worker.The nurse must first d
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etermine the risks and benefits of teaching the task and be able to confidently predict its o
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utcome.
• Assess your performance.The nurse must determine if you're able to perform the task
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correctly.
• Determineifthetaskthatistaughtcan beperformed formore thanoneclient.Each client i f f f f f f f f f f f f f f f f f
s unique.
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• Monitor you over time to ensure you remain able to perform the task correctly and safely
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.
In the community the nurse may provide you with written instructions, predicted outcome
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nd what to record.
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13. You can refuse a task to be delegated to you if:: • you have concerns about your a
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bility to do the task f f f f
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• it is beyond your scope of practice
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• the client's condition changes f f f
14. 5 RIGHTS OF DELEGATION: right task f f f f f
rightcircumstance rig f f
ht person
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rightdirection/communication ri f f
ght supervision/evaluation
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15. The right task: Can the task be delegated? Does the provincial nursing act or healt
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h professions act allow the nurse to delegate the task? Is the task in your job description
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? Have you been trained to do the task? A job description should be available.
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16. The right circumstances: What are the client's physical, emotional, social, spiritu
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al and cognitive needs currently? Do you understand the purpose of the task fortheclient
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? Do you have theequipment andsupplies needed toperform the task? Do you know how
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to use the equipment and supplies?
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17. The right person: Do you have the training and experience tosafelyperformthe task f
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or this client? Do you have concerns about performing the task?
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18. The right directions and communication: has the nurse provided clear di-
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rections and instruction? Has the nurse told you what to do, when to do it, what observati
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ons to make and when to report back? Are the directions legal, ethical, and consistent wi
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th employer policies? Can you review the task with the nurse? Do you understand what t
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he nurse expects? f f
19. The right supervisions and evaluation: Is a nurse available to answer ques-
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tions? Is a nurse available if a client's condition changes or if problems occur? After the ta
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sk is completed, does the nurse assess howthe task affected the client?Does the nurse di
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scuss your performance with you, telling you what you did well and how to improve your w
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ork?
20. culture: the characteristics of a group of people, including: language, val- f f f f f f f f f f
ues, beliefs, customs, habits, ways of life, rules for behaviour, music and tradition
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21. CULTURE: makes a society distinctive.It refers to the characteristics of agroup of pe f f f f f f f f f f f f f f
ople, the language, values, beliefs,wayof life, habits, implied rules and behav-
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iours, music and traditions that are shared or perhaps even passed down generation to ge
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neration. Culture may be influences by age, race, gender, occupation sexual orientatio
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n or lifestyle.
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Everyoneispartofaculture.Somepeople belongtomore thanoneculture.Cultural chara f f f f f f f f f f f f f f f
cteristics which are learned bylivingin agroup influence aperson's behaviours and attitud
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es.
Ethnicity is an important influence on a person's culture but it is not the only influe
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nce.
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Some people have chosen to assimilate their styles of dress, eating habits, or other behav
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ours when with people from another culture. f f f f f f
A person's culture can change over time as the person leaves one group and joins anothe
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or encounters new life experiences.
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22. Culture and Religion: In most cultures, religion is very important. Religion relates t f f f f f f f f f f f f
o spiritual beliefs,needs, and practices and aypromote beliefs and practices relatedtodail
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ylivinghabits,behavioursrelationships withothers,diet, healing,days of worship, birth a
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nd birth control, medicine and death.Many people rely on religion for comfort during illne
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ss.They may want to pray, observe certain practices and may want a visit from a spiritual
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leader/advisor.Promptly report this request to your supervisor.Never try to convert a clie f f f f f f f f f f f f f
nt and treat all religious items with respect - do not touch unless permitted.
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23. Maslow's Hierarchy of Needs: A need is something that is necessary or desir- f f f f f f f f f f f f
able for maintaining life and psychosocial well-
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being. According to Maslow, certain basic needs must be met for a person to survive and
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function.These needs are arranged in a hierarchy, or order or importance. Lower-
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level needs must be met before higher-level needs. f f f f f f f
The basic needs from the lowest-level to the highest-level as follows:
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• Physical needs (must be met first):oxygen, food, water, elimination, rest and shelt f f f f f f f f f f f f
er.
• Need for safety: protection from harm, danger, fear and pain. f f f f f f f f f
• Need for love and belonging: Romantic and physical love.The need for a rightful place
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in society, in a peer group and in family
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• Need for self- f f
esteem: thinking well of oneself and being well thought of by others. When self-
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esteem is fulfilled, a person feels confident, adequate and useful. f f f f f f f f f
• Need for self actualization, or the fulfillment of one's potential (last need to be met) Learn
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ing, understanding, and creating one's best life.
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24. Charter or Rights and Freedoms: federal legislation that applies to all Canad f f f f f f f f f f f
ians regardless of where they live. It includes the following:: • freedom of conscien
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ce and religion f f
• freedom of thought, belief, opinion, and expression f f f f f f
• freedom of peaceful assembly and association (usually associated with the right to fo f f f f f f f f f f f f
rm a union and strike) f f f f
• the right to vote f f f
• the right to enter, stay in, or leave Canada f f f f f f f f
• the right to life, liberty and security f f f f f f
• the right to equalitybefore and under the law, without discrimination based on race, ethni
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c origin, colour, religion, gender, age, or mental or physical disability.
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