REVIEW EXAM
◉ Hospitals (acute care facilities). Answer: expensive, stay is kept
short
◉ subacute care facilities. Answer: after discharge from an acute
care hospital, some patients require continued medical management
and skilled nursing care in a less expensive facility.
◉ long term care facilities. Answer: provide care for individuals of all
ages who have permanent disabilities due to injuries, (chronic
illness)
◉ home health agencies. Answer: less expensive than facility based
care, patients prefer to remain in their homes. home health aides
follow a plan of care designed by physicians, therapists, and
registered nurses. Assist patients with activities of daily living (ADL)
(dressing, transferring, using toilet, eating, and walking
◉ Hospice facilities/ agencies. Answer: comfort and support to
patients and their families when treatment options for a cure are no
longer part of the care plan and the patient has a limited amount of
time to live, provided within facility or in patient's home
,◉ chain of command. Answer: the lines of authority in an
organization
◉ acute illness. Answer: illness that comes on suddenly and is
generally of short duration
◉ chronic illness. Answer: illness that develops slowly and continues
for a long period of time
◉ interdisciplinary team. Answer: group consisting of various health
care professionals and nonprofessionals who work together in the
care of an individual patient. Team ideally includes patient and
patient's family
◉ nursing assistant. Answer: help nurses carry out patient care,
carry out basic nursing functions under the direction and
supervision of a registered nurse
Perform:
- ADLs
- provide physical and emotional support to patients
- take direction from RN to carry out the nursing care plan
- make observations and report them according to the facility policy
,◉ Omnibus Budget Reconciliation Act (OBRA). Answer: creates a set
of national minimum set of standards of care and rights for people
living in certified nursing facilities.
◉ plan of care. Answer: written plan that provides direction for each
patient's care, including the goals for the patient and the actions
required to meet them
◉ activities of daily living (ADLs). Answer: Everyday activities or
tasks, including eating, dressing, bathing, and toileting.
◉ scope of practice. Answer: The range of activities that can legally
be performed within a particular health occupation.
◉ job description. Answer: list of duties and responsibilities that go
with a particular job
◉ job of nursing assistant. Answer: - help patients with personal
needs (eating, elimination, bathing, grooming)
- help make patients physically comfortable and assisting them with
mobility and activity needs
- attending patients' psychological comfort and social needs (call
bell, providing privacy, communication, show respect)
- ensure clean and safe environment for patients
, - assist nurse with assessment and care planning (vital signs,
observing patients, and report and recording observations)
- provide support services (transport patients/ clean equipments)
◉ OBRA (Omnibus Budget Reconciliation Act). Answer: 75 hours of
training, 16 hours of supervised practical training in a clinical
setting
- coverage of specific subjects: basic nursing skills, personal care
skills, basic restorative services, patients' rights, infection control,
and safety and emergency procedures
- evaluation: written test and demonstration of skills
- 3 chances to pass the evaluation
- nursing assistants who have not worked for 2 continuous years
must retake the training program and evaluation to be eligible to
work again
◉ Health Insurance Portability and Accountability Act (HIPAA).
Answer: all patients' personal health information (PHI) must be
protected and kept confidential, that health care facilities must have
policies and procedures in place to protect PHI, and all staff must
receive training on policies and procedures to protect PHI
◉ Patient Care Partnership. Answer: - receive considerate and
respectful care