Date post: | 01-Apr-2015 |
Category: |
Documents |
Upload: | daniel-ingram |
View: | 213 times |
Download: | 0 times |
Role of the Nursing Role of the Nursing AssistantAssistant
Interdisciplinary Health Care Interdisciplinary Health Care TeamTeam
Includes:Includes: Patient, family members, Patient, family members,
physician, nursing team, & physician, nursing team, & specialistsspecialists
Nursing team provides:Nursing team provides: Skilled nursing careSkilled nursing care Plans & directs physicians ordersPlans & directs physicians orders
Training periodTraining period
Trained to assist with patient Trained to assist with patient carecare
Short time frame because the Short time frame because the NA responsibilities and skills are NA responsibilities and skills are not as greatnot as great
Growth and learning will Growth and learning will continue throughout the careercontinue throughout the career
Registered NurseRegistered Nurse
Passes national licensure examPasses national licensure exam Associate or bachelor degreeAssociate or bachelor degree Duties are to assess, plan, Duties are to assess, plan,
evaluate and coordinate patient evaluate and coordinate patient carecare
Licensed Practical NurseLicensed Practical Nurse
1 yr – 18 month program1 yr – 18 month program Pass national licensure examPass national licensure exam Works under supervision of RN, Works under supervision of RN,
physician or dentistphysician or dentist
Nursing AssistantNursing Assistant
Trained to assist with patient Trained to assist with patient carecare
90 hours training90 hours training
OrganizationOrganization
Primary nursingPrimary nursing Functional Functional
NursingNursing Team NursingTeam Nursing Patient Focused Patient Focused
carecare
Primary NursingPrimary Nursing
Care is given by the registered nurseCare is given by the registered nurse Assigned to that patient for the entire Assigned to that patient for the entire
hospitalizationhospitalization LPN/LVN & CNA’s help w/ care and LPN/LVN & CNA’s help w/ care and
follow directions of the RNfollow directions of the RN Enables patient to relate directly to Enables patient to relate directly to
one specific nurseone specific nurse May be responsible for 6-8 patientsMay be responsible for 6-8 patients
Functional NursingFunctional Nursing
Task-oriented careTask-oriented care Nurse in charge is the person Nurse in charge is the person
responsible for all patientsresponsible for all patients Staff is assigned specific tasks:Staff is assigned specific tasks:
Giving meds; providing tx’s; Giving meds; providing tx’s; providing hygiene careproviding hygiene care
Patient’s may find it confusing Patient’s may find it confusing because many people are because many people are involved in the careinvolved in the care
Team NursingTeam Nursing
Most common methodMost common method RN team leader determines the RN team leader determines the
nursing needs of all the patients nursing needs of all the patients assigned to the teamassigned to the team
Team members receive their Team members receive their instructions and report back to instructions and report back to the team leaderthe team leader
Includes family in the planned Includes family in the planned care for the patientcare for the patient
Patient Focused CarePatient Focused Care
Goals are:Goals are: Limits the number of people involved in Limits the number of people involved in
patient carepatient care Contains costContains cost Meets patient’s needs efficientlyMeets patient’s needs efficiently
Staff members are prepared as Staff members are prepared as multi-skilled workers by cross-multi-skilled workers by cross-training them to perform special training them to perform special duties that are normally carried out duties that are normally carried out by someone elseby someone else Ie: drawing blood, obtaining statistics, Ie: drawing blood, obtaining statistics,
etc.etc.
RegulationRegulation
NA’s must understand the scope NA’s must understand the scope of practiceof practice
All states required to specificially All states required to specificially address duties & responsibilities address duties & responsibilities of NA as well as educationof NA as well as education
OBRA – Federal law that OBRA – Federal law that regulates the education & regulates the education & certification of NA’s (falls under certification of NA’s (falls under DHHS)DHHS)
continued . . .continued . . .
Effective 1990, anyone working Effective 1990, anyone working as NA must complete a as NA must complete a competency evaluation program competency evaluation program (state approved course)(state approved course)
Actual training/education of NA Actual training/education of NA is under individual state is under individual state jurisdiction guided by federal jurisdiction guided by federal regulationsregulations
NACEPNACEP
Nurse Aide Competency Nurse Aide Competency Evaluation ProgramEvaluation Program
Guide for individual programs Guide for individual programs that register and awards that register and awards credentials to NAcredentials to NA
Specifies minimum skills to be Specifies minimum skills to be achievedachieved
Meets the requirements of Meets the requirements of OBRAOBRA
continued . . .continued . . .
Georgia requirements:Georgia requirements: Minimum 90 hours classroom timeMinimum 90 hours classroom time Minimum 24 hours clinical practiceMinimum 24 hours clinical practice Passing written exam score of 75 Passing written exam score of 75
or betteror better Skills practicumSkills practicum
Randomly chosen by evaluatorRandomly chosen by evaluator One must be vital signsOne must be vital signs
Guidelines for NAGuidelines for NA
Only perform tasks you have Only perform tasks you have been trained to perform and are been trained to perform and are legally within your scope of legally within your scope of practicepractice
Better to ask for clarification or Better to ask for clarification or help than to make an error and help than to make an error and cause an injurycause an injury
Personal AdjustmentsPersonal Adjustments
Certain amount of adjustments Certain amount of adjustments may be needed due to work may be needed due to work situationssituations Following orders promptlyFollowing orders promptly Ensuring rules are followed Ensuring rules are followed Accepting criticismAccepting criticism Willing to learn and growWilling to learn and grow DependabilityDependability Respect for co-workersRespect for co-workers Learning to be tactfulLearning to be tactful
Interpersonal relationshipsInterpersonal relationships
Interactions between peopleInteractions between people Warm; acceptingWarm; accepting Positive attitudePositive attitude Smiling at others when you don’t Smiling at others when you don’t
feel like itfeel like it Cooperative Cooperative
AttitudeAttitude
Most important characteristicMost important characteristic Shown through behaviorShown through behavior Attitude should reflect:Attitude should reflect:
CourtesyCourtesy CooperationCooperation Emotional controlEmotional control Empathy (understanding)Empathy (understanding) TactTact SympathySympathy
Patient relationshipsPatient relationships
All ages become illAll ages become ill Good NA shows empathy for Good NA shows empathy for
patient by being gentle and kind patient by being gentle and kind even when they may be nasty even when they may be nasty and meanand mean
When person is ill, they are When person is ill, they are frightened – personalities frightened – personalities changechange
Meeting patient’s needsMeeting patient’s needs
Patient may have difficulty Patient may have difficulty meeting social, spiritual and meeting social, spiritual and physical needs due to limits of physical needs due to limits of illnessillness
Offer emotional support, Offer emotional support, listening skills and meeting listening skills and meeting patient’s needs as best you canpatient’s needs as best you can
Family’s needsFamily’s needs
Concern for family members Concern for family members adds stress to their livesadds stress to their lives
Need reassurance that person is Need reassurance that person is being cared forbeing cared for
Co-workers who are ill add Co-workers who are ill add stressstress
Need patience and tactNeed patience and tact Be aware of body language, not Be aware of body language, not
just wordsjust words
Staff relationshipsStaff relationships
All staff members share same All staff members share same goal – to help patientgoal – to help patient
Good interpersonal skillsGood interpersonal skills Do not criticize othersDo not criticize others Cheerful, positive attitudeCheerful, positive attitude Watch body languageWatch body language
Personal grooming Personal grooming
Essential because of close Essential because of close contact w/ patientscontact w/ patients
Includes:Includes: Daily showersDaily showers Mouth careMouth care No strong perfumes/lotions (can No strong perfumes/lotions (can
make patient sick)make patient sick) Keep hair/nails cleanKeep hair/nails clean No dangling jewelryNo dangling jewelry
Stress !!!!Stress !!!!
Work is physically and mentally Work is physically and mentally demanding. To stay healthy:demanding. To stay healthy: Sufficient restSufficient rest Good nutritionGood nutrition Satisfying leisure activitiesSatisfying leisure activities Burnout is total mental, emotional, Burnout is total mental, emotional,
and sometimes physical and sometimes physical exhaustionexhaustion