N.C. Nurse Aide I Curriculum - Piedmont Community College...Hygiene Grooming DHSR/HCPR/CARE NAT I...

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N.C. Nurse Aide I Curriculum

MODULE AThe Nurse Aide I

DHSR/HCPR/CARE NAT I Curriculum - July 2013

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Objectives

n Describe the North Carolina Nurse Aide I.

n Explain requirements for initial listing andrenewals on the North Carolina Nurse Aide IRegistry.

n Describe resources available that outline therange of function of the North Carolina NurseAide I.

n Describe the importance of delegation of tasksto nurse aides.


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Objectives

n Describe the types of skills performed by nurse

aides.

n Compare basic nursing skills, personal careskills, and interpersonal skills.

n Describe important characteristics of a

competent, caring nurse aide.

n Explain the differences between an effective

team and an ineffective team.


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Nurse Aide in the State ofNorth Carolina - Definition

A valued, unlicensed member of the healthcare team, responsible for providingdelegated nursing tasks, within a definedrange of function, for residents (patients/clients) in a variety of settings and who islisted on the N.C. Nurse Aide I Registry


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Omnibus BudgetReconciliation Act

n Designed to improvequality of life forresidents living innursing homes

n Defined requirementsfor nurse aide trainingand competencyevaluation

OBRAFederal Law, enacted by Congress, in 1987


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Range of Function forNurse Aides

n North CarolinaBoard of NursingAdministrativeCode

n North CarolinaBoard of Nursing


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Regulatory Body

n North CarolinaNurse Aide IRegistry

n North CarolinaHealth CarePersonnel RegistrySection


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Registry ListingRequirements

n Written/oral exam

n Demonstration of five (5) skills

Listed on North Carolina Nurse Aide IRegistry after Passing NNAAP


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Listing Renewals

What is considered qualified work experience?

Listings renewed through qualified workexperience every 24-months

**Any nurse aide who does not work duringthe 24-month listing period, will be required

to retake and pass the NNAAP exam**


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Listing Renewals

n Complete the renewal listing form – who?

n Send in the renewal listing form on time – when?

n Request a replacement form, if needed – how?

**A nurse aide CANNOT work as a nurse

aide if listing expires**


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RenewalResponsibilities

Promptly reportchanges in nameor address


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Web site Alert………

N.C. Board of Nursingwww.ncbon.org

N.C. Division of Health Service Regulationwww.ncnar.org


Job Responsibilities of Nurse Aides

n Perform delegated basic nursing skills

n Perform delegated personal care skills

n Use appropriate interpersonal skills

13DHSR/HCPR/CARE NAT I Curriculum - July 2013

Delegation

n Definitions

n Nurses use to assign duties and tasks

n Improves efficiency and shows trust

n 5 Rights of Delegation

n Questions nurse aide should ask self


Delegation

n Nurse is accountable andresponsible

n Made on resident-by-residentbasis

n Never be afraid to ask for help

n Always ask

n If you think you do not havethe skills, talk to supervisor

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Points toRemember


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Basic Nursing Skills:Definition

n Essential skills required of nurse aides

n Examples?

Privacy isthe key!


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Basic Nursing Skills:Importance

Important duties of nurse aides

Following plan of care,directives fromsupervisors, and reportingimportant findings –critical to well-being ofresidents


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Personal Care Skills

Tasks dealing with person’s body, appearance,and hygiene


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Hygiene

GroomingDHSR/HCPR/CARE NAT I Curriculum - July 2013

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A.m. care?

P.m.care?


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Hygiene & Grooming + Dressing +Eating + Transferring + Toileting =

Activities of Daily Living

*ASSISTING WITH ADLS OF

ASSIGNED RESIDENTS IS

IMPORTANT DUTY OF NURSE AIDES*DHSR/HCPR/CARE NAT I Curriculum - July 2013

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When Providing Personal Care:

n Help residents remain independent andencourage self-care

n Maintain professional manner andprovide privacy

n Observe resident’s skin, mobility,comfort, and cognition


Interpersonal Skills

n Essential skills used whenworking with others

n Determined by many things

n In a health care setting,refers to ability to getalong while getting the jobdone


Interpersonal Skills

Why are interpersonalskills important?


Interpersonal Skills:Nurse Aide’s Role

n When caring for residents

– Empathize

– Anticipate needs

– Treat as unique individuals/honor

requests

– Display patience and tolerance

– Be sensitive to moods and reactions

n Be respectful to family and understand concerns

n Maintain open, positive, and professional relationship with team

n Effectively communicate and work well with others


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The Nurse Aide as Employee –Important Qualities

Must act, behave, and function in aprofessional manner

Must have anexcellent workethic

A work ethic is…


Appearance NOHEARTS AT

WORK

Wears cleanundergarmentsin appropriatecolor and style

n Follows dress coden Dresses neatlyn Wears appropriate shoes and…


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Appearance

n Covers permanent body art

n Maintains neat nailsn Maintains simple hairstyle

and…

Maintains excellentpersonal hygiene


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Appearance

n Wears clean stockings/socks

n Wears no jewelry ineyebrows, nose, lips,or tongue

n Flashes a warm/friendlysmile and…

Wears no heavymake-up

Is mymake-uptoo heavy?


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It takes 15 seconds to make a first impression……


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Attitude

n Patient/understanding

n Honest/trustworthy

n Conscientious/always

tries to do the best

n Enthusiastic/enjoys job

n Courteous, considerate

and respectful and…Cheerful


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Attitude

Cares – really, really cares

Dependable, responsible,

tolerant,self-aware,and…

accountable,


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Strive to be the best nurse aide youcan be because the residents of North

Carolina are depending on you


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As a Nurse Aide…

n Understand requirements andmaintain current listing onNurse Aide I Registry

n Know what legally allowedto do

n Have concern for othersand make lives happierand easier

n Look good

Jo SmithNurse Aide


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As a Nurse Aide…

n Show up for workn Use sick time for sick

timen Honest day’s work for

an honest day’s payn Show respect to bossn Perform tasks delegated


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As a Nurse Aide…

n Be gentle and kindn Put self in other person’s

shoesn Be pleasantn Respect others and their

possessionsn Always try to do your bestn Do not be afraid to ask


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To be a Nurse Aide –Nurse Aide’s Role

n Treat others with dignity

n Be a team player

n Be careful and alert

n Be eager and excited aboutgoing to work and…

Do not

goss

ip


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To be a Nurse Aide –Nurse Aide’s Role

n Never lie, cheat, orsteal

n Always seek the goodin others

n Remain loyal to facilityand employer

n Praise others and…

I can’tbelieve shesaid that!!!

Do not cuss or telloff-color jokes


If you are not sure what you are about to do is right, don’t

do it…..it’s your conscience talking.

“LET HIM GO!LET HIM GO!”

“EAT HIM! EATHIM!”

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Definition of a Team

A group of people, with a common purpose, assigned

tasks, and coordinated effort to get a job done


Team Members

n Work together andfunction as a whole

n Communicate

n Coordinate and share

n Receive team assignmentsto know what to do, whatis expected and how to plan


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Qualities of an Effective Team


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Qualities of an IneffectiveTeam


With a Strong Group Commitment,Members…….

n Feel strong sense of belonging

n Enjoy being with each other

n Ask each other for advice

n Seek and provide support in times ofdifficulty


With a Strong Group Commitment,Members…….

n Value each other and contribution

n Are motivated and want to do a good job

n Share good feelings openly

n Feel the goals of the group are important andachievable



GO TEAMWORKSHEET

The End


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