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117 terms

CNA Exam 1

Hartman's Nursing assistant Care, long-term care.
STUDY
PLAY
loss of mental bilities, such as thinking, rembering, reasoning and communicating.
Dementia
50 to 90
Percent of Dementia
Is vital for elderly to live outside of a facility.
Support system
Lack of outside support given to residents.
Reason to treat "whole person"
A course of action that should be taken every time a certain situation occurs.
Policy
must remain confidential.
Basic policy includes that healthcare information...
HIPAA, care plan, no non-job description tasks done, report events to RN, personal problems not discussed with resident, no gifts, on time
Policy's include all of the following
Are done to make sure long-term care facilities follow state and federal regulations.
Inspections
9 to 15 months
Inspections are done every...
To find a problem through a survey.
Cite
Study how well staff care for residents.
Surveyors
F or N
Tags by surveyors
Independent non-profit organization that evaluates and accredits healthcare organizations.
Joint commission (JCAHO)
Improve safety and quality of care.
JCAHO goal
Undergo survey process every 3 years.
JCAHO accreditation
transferring authority to a person for a specific task.
Delegation
Charting writing down important information about the resident
Charting
care plan, observations, report, following policies and procedures.
Professionalism includes
entering the feeling of others.
Empathy
sharing the feelings and difficulty of others
Sympathy
always trying your best. dependable Make and keep commitments.
Conscientious
set minimum standards for nursing assistant training.
Omnibus budget reconciliation act (OBRA)
75 hours.
NA must complete how many hours of training?
detailed form with guidelines for assessing residents.
Minimum data set (MDS)
14 days.
Facilities must complete the MDS for every resident within how many days?
3 months.
MDS for each patient must be reviewed after how many months?
assigned by law as the legal advocate for residents.
Ombudsman (OAA)
group of residents who meet to discuss issues in the long term facility.
Residents council
protects healthcare information by congress.
Heath insurance and accountability act (HIPPA)
law that says a persons health information must be kept private.
Protected health information (PHI)
relate to how residents must be treated while living in a facility.
Residents rights
Best care available with dignity, choice and independence.
Quality of life
Receive correct care, as healthy as possible.
Services and activities to maintain a high level of wellness
Residents must be told what care and services are avilible.
The right to be fully informed about rights and services
Residents have the right to participate in thier treatment, care and discharge.
The right to participate in their own care
Process by which a person with the help of a doctor makes informed decisions about his or her health care.
Informed consent
Choices about doctors, care, treatments and personal decisions.
The right to make independent choices
Privacy when care is given
The right to privacy and confidentially
Residents must be treated with respect and dignity by caregivers.
Right to dignity, respect and freedom
Possessions must be safe at all times
The right to security of possessions
location changes must be made safely and with the residents knowledge.
Rights during transfers and discharges
Residents have the right to complain.
The right to complain
Right to have visits from family and friends.
The right of visits
The care faculty must provide residents with access to social services.
Rights with regard to social services
actions to act or provide the proper care.
Negligence
Person is injured due to professional misconduct.
Malpractice
threatening
Assault
Attacked
Battery
Not an option it's the law
Reporting abuse is
People who are legally required to report suspected abuse.
Mandated reporters
process of exchanging
Communication
sender, receiver and feedback
Three step communication
system of learned behaviors
Culture
Face them, speak slowly and clearly.
Resident does not hear you or understand.
Be patient and take time to listen
Resident is difficult to understand
Phrases that are used over and again but don't mean anything.
Cliches
based on what you see hear touch or smell
Objective information
something you cannot or did not observe, but is based on what the resident has said which may or may not be true.
Subjective information
When a resident skin is pale or blue.
Cyanotic
Accident during the course of care.
Incident
Identify name and facility. If needed place on hold ask if OK. Write messages down, with name number and short message. Say thanks and goodbye.
phone educate
Loss of function or ability.
Impairment
Stroke; caused when blood is cut to the brain.
Cerebrovascular accident (CVA)
Paralysis on one side of the body
Hemiplegia
Weakness on one side of the body
Hemiparesis
Inability to speak or speak clearly.
Expressive aphasia
Inability to understand spoken or written words.
Receptive aphasia
Laughing or crying inappropriately.
Emotional lability
Difficulty swallowing
Dysphagia
measures practiced in healthcare to prevent and control the spread of disease.
Infection control
in the bloodstream and is spread throughout the body. (fever chills confusion)
Systemic infection
confided to a specific location in the body and has local symptoms. (hot red painful)
Localized infection
Infections that patients acquire within healthcare settings that result from treatment for other conditions.
Healthcare-associated infections (HAIs)
free from microorganisms, not just pathogens. (sterile technique)
Surgical asepsis
disease transmitted from human to human
(Links:Causative agents, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host)
Chain of infection
Causes diseases bacteria, fungi and protozoa
Causative agents
place where pathogen grows, lungs blood and large intestine
reservoir
any body opening on an infected person that allows pathogens to leave, nose mouth, eyes or cut.
portal of exit
Pathogen travels from one person to another. (Indirect or direct)
mode of transmission
Any body opening on an uninfected person that allows pathogens to enter.
portal of entry
Government agency that issues information to protect the health of individuals and communities.
Centers for disease control and prevention (CDC)
Standard Precautions and Transmission-based (or Isolation, precautions)
Two tiers for Centers for disease control and prevention (CDC)
Treat body fluid's as if infectious
Standard precautions
Equipment to protect you from hazards. (Gown gloves mask)
Personal protective equipment (PPE)
A must have for employers designed to eliminate employee exposurer to infectious material.
Exposure control plan
(methicillin-resistant staphylococcus aureus) Illness caused by hospitals
MRSA
spores in feces
C-diff
5 seconds at 140 F
Temp and time for serious burns
Organs and tissues do not receive enough blood supply.
Shock
30 compressions 2 breaths with 5 cycles
CPR cycles
Hypo: cold clammy trembling nervousness
Hypoglycemia vs Hyper
Too little insulin
Diabetic Ketocidosis (DKA)
mini stroke, lack of oxygen to brain.
Transient ischemic attack
vomiting
Emesis
The science of designing equipment and work tasks to suit the worker's abilities.
Ergonomics
Belt to help walk
Gait belt
walking
Ambulation
Hospice care
Palliative care
slow irregular respiration's
Cheyne-stokes
latin for stiffness of death
Rigor mortis
75 hours
OBRA minimum level of training hours
12 hours
ANNUAL OBRA minimum level of training hours as well a continuing education
2 hours
How many hours do patients need to be shifted?
2 days
Mandated reporters send report in how many days
1.Smile 2.Raise arms 3.Speak a simple sentance
Stroke Steps
SOB
Shortness of breath initials
Difficulty breathing
Dyspea
Fast breathing
Tachypnea
Slow breathing
Bradypnea
Confused and anxious due to lack of oxygen
Shortness of breath causes people to feel?
7 days
Long-term MDS how many days
2 years 48 hours
In-service when should you renew license?
observed
Always record what you...
Physical, safety, love, esteem, actualization
Maslow list of needs
Written polices available for patient rights. These may only be denied by a doctor's order and the law.
Title 22
Pull pin, Aim, Squeeze, Sweep
PASS
Remove resident, Activate alarm, Contain fire, Extinguish
RACE