What is the chain of command of the nursing team? - Director of Nursing, Nursing
Managers, Registered Nurse, Licensed Vocational Nurse then
... [Show More] CNA
Long-term care - Skilled Nursing for residents needing 24 hour nursing care and rehab
services
Sub-acute care - level of care needed by a patient who does not require hospital acute
care, but who requires more intensive skilled nursing care than is provided to the
majority of patients in a skilled nursing facility.
acute care - Care given in hospitals and ambulatory surgical centers for people who
have an immediate illness.
Omnibus Budget Reconciliation Act 1987 - The federal legislation that changed the legal
expectations of nursing homes and their care protecting resident rights and requiring
that LTC attain and maintain the highest practicable physical, mental and psychosocial
well being for those cared for (Quality of Care).
Resident Rights - to be informed, to be treated with dignity, to make decisions about
care, participate in own care, to be aware of transfers or discharges, privacy and
confidentiality, quality care, visits and to make phone calls.
NA roles and responsiblities - Providing caring, compassionate, and empathetic care in
a legal and ethical manner. Duties include following infection control, personal hygiene,
delegated treatments, dietary care, reporting and emotional support for residents.
Rules of delegation - RN's can delegate tasks to LVN's; RN's & LVN's can delegate to
NA's. NA's can not delegate. If NA is delegated a task that is not in his or her scope of
practice, it is the NA responsibility to refuse the task and inform the RN/LVN with
reason.
Legal responsibilities of NA - To treat residents in respectful and safe manner, prevent
and report any forms of abuse, answer call lights, and report changes in conditions to
nurse promptly
NA work ethics - Trustworthy, Honest, Responsible for actions, Reports to work when
scheduled, Team Player by helping staff members when needed.
Reporting and Recording Rules - Write legibly, use black ink, use facility approved
abbreviations and terms, cross out mistakes with one line with reason and initial,
verbally and document changes in residents to nursing and other staff promptly, and
document only what your perform.
Communication rules - Using both verbal and non-verbal forms of words & gestures
which includes using familiar words, being brief and concise (to the point), tactful,
respecting religious and cultural differences, patience, speaking at eye level while being
direct and clear, including resident in conversation, and use of open-ended questions
(not "no or yes" questions) [Show Less]