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Understand Understand nurse aide’s nurse aide’s range of functionrange of function as a as a member of the member of the healthcare team.healthcare team.
Unit A Nurse Aide Workplace FundamentalsEssential Standard 1.00 Understand the range of function, legal and ethical responsibilities of the nurse aide within the healthcare system. Indicator 1.02 Understand nurse aide’s range of function as a member of the healthcare team.
11.02 Nursing Fundamentals HN43
FF YY II - - Intentional RepeatIntentional Repeat
There is intentional repeat of some HSII There is intentional repeat of some HSII course content in Nursing Fundamentals. course content in Nursing Fundamentals.
Repeating course content distributes learning Repeating course content distributes learning over time and increases long term memory. over time and increases long term memory.
Academic and skill competence must be Academic and skill competence must be maintained at a maintained at a very high level for direct very high level for direct resident careresident care. .
Nursing Fundamentals HN43 21.02
31.02 Nursing Fundamentals HN43
1.02 Introduction
As a member of the Nursing As a member of the Nursing Department, the nurse aide plays Department, the nurse aide plays an important role in resident an important role in resident care. care.
TheThe nurse aide spends more nurse aide spends more time in direct contact with the time in direct contact with the resident than any other member resident than any other member of the healthcare team. of the healthcare team.
41.02 Nursing Fundamentals HN43
1.02 Introduction
A knowledge of the range A knowledge of the range of function, legal of function, legal limitations, expected limitations, expected qualities, personal habits qualities, personal habits and obligations is and obligations is important to provide quality important to provide quality care. care.
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 51.02
• Assist the licensed nurse by Assist the licensed nurse by performing performing delegated tasks delegated tasks directly to residents who are directly to residents who are ill and unable to care for ill and unable to care for themselves. themselves.
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 61.02
•Nurse aide tasks Nurse aide tasks are are supervisedsupervised by by the the licensed nurse.licensed nurse.
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 71.02
• Serve as the Serve as the eyes eyes and and earsears for the healthcare for the healthcare teamteam
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 81.02
Make and report/record observations Make and report/record observations accurately regarding accurately regarding
1.1.Resident condition, care, and resident’s Resident condition, care, and resident’s response to careresponse to care
2.2.Resident’s environmentResident’s environment
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 91.02
Measure and report/record:Measure and report/record:
1.1.Vital signsVital signs
2.2.Height and weightHeight and weight
3.3.Intake and outputIntake and output
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 101.02
Help residents with personal needs:Help residents with personal needs:•HygieneHygiene•SafetySafety•NutritionNutrition•ExerciseExercise•EliminationElimination•MobilityMobility
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 111.02
Help residents with personal Help residents with personal needs: needs: (continued)(continued)
•CommunicationCommunication•Socialization activitiesSocialization activities•Comfort measuresComfort measures•Restorative proceduresRestorative procedures
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 121.02
• Assist in resident Assist in resident admission and discharge admission and discharge to the facilityto the facility
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 131.02
Maintains a Maintains a clean and clean and safe safe resident resident environmentenvironment
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 141.02
Assist in the collection of Assist in the collection of various specimensvarious specimens
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 151.02
Answer call signalsAnswer call signals
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 161.02
Call signals/lights Call signals/lights should should NOTNOT be be perceived as perceived as noise and noise and interruptioninterruption
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 171.02
Call signals/lights are Call signals/lights are an an important wayimportant way for for residents to request residents to request assistance!assistance!
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 181.02
Answering call lights in a timely Answering call lights in a timely manner:manner:1.1.helps prevent falls.helps prevent falls.2.2.improves rapport between resident/family improves rapport between resident/family and staff.and staff.3.3.increases resident/family confidence in the increases resident/family confidence in the staff’s ability to care for the needs of the staff’s ability to care for the needs of the resident.resident.
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 191.02
Assist in the transportation Assist in the transportation of residents within a facilityof residents within a facility
Transporter Describes His JobTransporter Describes His Job
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 201.02
Cleaning and care of Cleaning and care of
equipmentequipment
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 211.02
Comply with infection control and Comply with infection control and safety practices, policies, and safety practices, policies, and procedures…procedures…
Standard PrecautionsStandard Precautions
Fire Drills/PreparednessFire Drills/Preparedness
Disaster Drills/PreparednessDisaster Drills/Preparedness
NURSE AIDE RANGE OF FUNCTIONNURSE AIDE RANGE OF FUNCTION
Nursing Fundamentals HN43 221.02
Resident Care Plan and Resident Care Resident Care Plan and Resident Care Conferences: Conferences:
•May attend Resident Care ConferencesMay attend Resident Care Conferences•Assist to develop/revise care plansAssist to develop/revise care plans•Share care suggestionsShare care suggestions•Report observationsReport observations
Ethical ResponsibilitiesEthical Responsibilities of the Nurse Aide of the Nurse Aide
Nursing Fundamentals HN43 231.02
Ethical Responsibilities of the Nurse AideEthical Responsibilities of the Nurse Aide
Nursing Fundamentals HN43 241.02
ETHICSETHICS•Discipline concerned with right or Discipline concerned with right or wrong conductwrong conduct•Guides to moral behaviorGuides to moral behavior•Making choices or judgmentsMaking choices or judgments
Ethical Responsibilities of the Nurse AideEthical Responsibilities of the Nurse Aide
Nursing Fundamentals HN43 251.02
•Put resident’s needs Put resident’s needs ahead of your ownahead of your own
• Be sincere, honest and trustworthy Be sincere, honest and trustworthy in performance of dutiesin performance of duties– caring and concernedcaring and concerned– ““golden rule” golden rule”
Ethical Responsibilities of the Nurse AideEthical Responsibilities of the Nurse Aide
Nursing Fundamentals HN43 261.02
• Show respect for each resident as an Show respect for each resident as an individualindividual
• Understand the limits of roleUnderstand the limits of role• Perform only acts for which Perform only acts for which
adequately preparedadequately prepared• Perform acts only within legal scope Perform acts only within legal scope
of nurse aideof nurse aide
Ethical Responsibilities of the Nurse AideEthical Responsibilities of the Nurse Aide
Nursing Fundamentals HN43 271.02
• Carry out assignments to best of Carry out assignments to best of abilityability
• Be loyal:Be loyal:• Maintain a positive attitude Maintain a positive attitude
toward institution that employs toward institution that employs youyou
• Support co-workersSupport co-workers
Ethical Responsibilities of the Nurse AideEthical Responsibilities of the Nurse Aide
Nursing Fundamentals HN43 281.02
• Be responsible citizen at all Be responsible citizen at all times times
• Respect othersRespect others• Respect values that differ Respect values that differ
from yoursfrom yours
Ethical Responsibilities of the Nurse AideEthical Responsibilities of the Nurse Aide
Nursing Fundamentals HN43 291.02
• Resident information should be kept confidentialResident information should be kept confidential• Discuss only in appropriate placesDiscuss only in appropriate places• Resident information should be kept confidentialResident information should be kept confidential
– Discuss only in appropriate placesDiscuss only in appropriate places– Discuss only with proper peopleDiscuss only with proper people– Refer questions from residents about their condition Refer questions from residents about their condition
to supervisorto supervisor• Discuss only with proper peopleDiscuss only with proper people• Refer questions from residents about their condition to Refer questions from residents about their condition to
supervisorsupervisor
Ethical Responsibilities of the Nurse AideEthical Responsibilities of the Nurse Aide
Nursing Fundamentals HN43 301.02
• Respect privacy of others:Respect privacy of others:– while dressingwhile dressing– while performing personal hygienewhile performing personal hygiene– during examination or treatmentduring examination or treatment– during visits with clergyduring visits with clergy– during visits with spouse or during visits with spouse or
significant othersignificant other
Ethical Responsibilities of the Nurse AideEthical Responsibilities of the Nurse Aide
Nursing Fundamentals HN43 311.02
• Do not accept monetary tipsDo not accept monetary tips– Residents are paying for serviceResidents are paying for service– You are paid to provide serviceYou are paid to provide service– Do not discriminate regardless of Do not discriminate regardless of
race, creed, color, age, financial race, creed, color, age, financial resourcesresources
– Provide care based on needProvide care based on need
Ethical Responsibilities of the Nurse AideEthical Responsibilities of the Nurse Aide
Nursing Fundamentals HN43 321.02
• Do not accept monetary tips Do not accept monetary tips (continued)(continued)
– Display tactful and courteous Display tactful and courteous refusal of tipsrefusal of tips
– Display continued desire to be Display continued desire to be helpful helpful
Legal Parameters of Legal Parameters of Nurse Aide WorkNurse Aide Work
Nursing Fundamentals HN43 331.02
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 341.02
• BON does not recognize the term BON does not recognize the term “practice” for nurse aides. BON states “practice” for nurse aides. BON states the phrase “practice” is reserved for the the phrase “practice” is reserved for the professional nurse.professional nurse.
• NCDHSR will use the phrase “range of NCDHSR will use the phrase “range of function” to enumerate what the nurse function” to enumerate what the nurse aide can and cannot do.aide can and cannot do.
• NCDPI will use the phrase “range of NCDPI will use the phrase “range of function” to be consistent with NCDHSRfunction” to be consistent with NCDHSR
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 351.02
• Nurse aides do not do sterile procedures.Nurse aides do not do sterile procedures.• Nurse aides do not give information Nurse aides do not give information
about the diagnosis or treatment plans to about the diagnosis or treatment plans to the resident or his/her family.the resident or his/her family.
• Nurse aides do not give medications.Nurse aides do not give medications.• Nurse aides do not insert or remove Nurse aides do not insert or remove
tubes from the resident’s body.tubes from the resident’s body.
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 361.02
• Nurse aides do not take oral or Nurse aides do not take oral or telephone orders from a physiciantelephone orders from a physician
• Nurse aides do not diagnose or Nurse aides do not diagnose or prescribe treatments or medications prescribe treatments or medications for residents.for residents.
• Nurse aides do not supervise the Nurse aides do not supervise the work of other nurse aides.work of other nurse aides.
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 371.02
Nurse aides do not agree to Nurse aides do not agree to do something beyond the do something beyond the nurse aide’s range of nurse aide’s range of function as defined by the function as defined by the North Carolina Board of North Carolina Board of Nursing.Nursing.
BRAIN STORMBRAIN STORM
38
ThinkThinkWhat are the consequences of working What are the consequences of working out of the range of function for a nurse out of the range of function for a nurse aide?aide?
ActActRaise your hand and share your Raise your hand and share your thoughts! Wait to be called on.thoughts! Wait to be called on.
1.02 Nursing Fundamentals HN43
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 391.02
Legal issues related to nurse aide work Legal issues related to nurse aide work and all of healthcare are legislatedand all of healthcare are legislatedby state and federal governments. by state and federal governments.
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 401.02
Healthcare legal issues are based Healthcare legal issues are based on one of two types of law:on one of two types of law:
Civil – Fines are imposedCivil – Fines are imposed
Criminal – You can go to prisonCriminal – You can go to prison
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 411.02
Healthcare legal Healthcare legal issues typically issues typically
involve involve CIVIL LAWCIVIL LAW
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 421.02
Malpractice:Malpractice:•Giving care for which you are not Giving care for which you are not legally allowed to dolegally allowed to do
•Providing improper or “BAD” Providing improper or “BAD” carecare
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 431.02
Malpractice examples:Malpractice examples:
Nurse aide giving medicationNurse aide giving medication
Nurse aide performing treatmentNurse aide performing treatment
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 441.02
Negligence:Negligence:•Unintentional wrongUnintentional wrong
•Failure to provide goods and services Failure to provide goods and services (patient care) necessary and normally (patient care) necessary and normally expected to avoid physical harm, expected to avoid physical harm, mental anguish, or mental illness.mental anguish, or mental illness.
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 451.02
Negligence examples:Negligence examples:
Brakes on wheelchair not locked and Brakes on wheelchair not locked and resident fallsresident falls
Defective equipment not reported and Defective equipment not reported and resident is harmedresident is harmed
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 461.02
Assault and Battery:Assault and Battery:These terms are closely These terms are closely related and often used related and often used together.together.
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 471.02
Assault and Battery:Assault and Battery:•AssaultAssault – threatening or attempting to – threatening or attempting to touch a person without his consent, touch a person without his consent, causing that person to fear bodily causing that person to fear bodily harmharm
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 481.02
Assault examples:Assault examples:
Threatening to restrain a residentThreatening to restrain a resident Angry gesture – shaking a fist in Angry gesture – shaking a fist in someone’s face or acting as if you are someone’s face or acting as if you are going to slap someonegoing to slap someone
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 491.02
Assault and Battery:Assault and Battery:
•Battery Battery – touching of – touching of another without consentanother without consent
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 501.02
Battery examples:Battery examples:
Performing procedure resident has Performing procedure resident has refusedrefused
Restraining a resident to prevent them Restraining a resident to prevent them from leaving a roomfrom leaving a room
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 511.02
A B U S EA B U S E
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 521.02
ABUSE:ABUSE:Willful infliction of injury, Willful infliction of injury, unreasonable confinement, unreasonable confinement, intimidation or punishment intimidation or punishment with resulting physical harm, with resulting physical harm, pain or mental anguish.pain or mental anguish.
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 531.02
Types of Abuse:Types of Abuse:•Physical Physical •VerbalVerbal•PsychologicalPsychological•SexualSexual•Others Others http://www.preventelderabuse.org/elderabuse/http://www.preventelderabuse.org/elderabuse/
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 551.02
Signs of Signs of Abuse:Abuse:Unexplained Unexplained bruises, bruises, fractures, fractures, burns, or burns, or injuries.injuries.
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 561.02
Signs of Signs of Abuse:Abuse:Signs of Signs of neglect such neglect such as poor as poor hygienehygiene
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 571.02
Signs of Signs of Abuse:Abuse:Irrational fears Irrational fears or change in or change in personalitypersonality
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 581.02
Signs of Signs of Abuse:Abuse:Aggressive, Aggressive, withdrawn, or withdrawn, or paranoid paranoid behaviorbehavior
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 591.02
Signs of Signs of Abuse:Abuse:Resident Resident statements statements that indicate that indicate abuse or abuse or neglectneglect
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 601.02
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 611.02
FINANCIAL
PHYSICAL
SELF-N
EGLE
CT
VE
RB
AL
EMTOTIO
NAL
SE
XU
AL
NEGLECT
PSYCHOLO
GICAL
Abuse Abuse MUSTMUST be reported!!!! be reported!!!!
1.02 Nursing Fundamentals HN43 62
Elder AbuseDisabled adults of any age are protected in North Carolina under State law (N.C. General Statute 108A-102), which mandates that "any person having reasonable cause to believe that a disabled adult is in need of protective services shall report such information." The county departments of social services provide adult protective services under the supervision of the State Division of Aging and Adult Services.
Abuse Abuse MUSTMUST be reported!!!! be reported!!!!
1.02 Nursing Fundamentals HN43 63
If observed in the resident care facility, stop If observed in the resident care facility, stop abuse and report IMMEDIATELY to supervisor abuse and report IMMEDIATELY to supervisor if at work.if at work.
If observed or have reasonable suspicion of If observed or have reasonable suspicion of abuse in private life, call the county abuse in private life, call the county Department of Social Services where the Department of Social Services where the abuse occurred. abuse occurred.
Not reporting is aiding and abetting!
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 641.02
Residents at risk of being Residents at risk of being abused:abused:•Noisy residentsNoisy residents•Residents who wanderResidents who wander•Philandering residentsPhilandering residents•Socially or logistically isolated residentsSocially or logistically isolated residents•Residents with a history of aggressive Residents with a history of aggressive behavior are at risk to abuse other residentsbehavior are at risk to abuse other residents
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 651.02
Perpetrator’s ActionPerpetrator’s Action……•May be cause for immediate dismissalMay be cause for immediate dismissal•If abuse is proven, perpetrator’s name is If abuse is proven, perpetrator’s name is posted on the posted on the NC Healthcare Personnel NC Healthcare Personnel RegistryRegistry AND AND The National Practitioner Data The National Practitioner Data Bank-Healthcare Integrity and Protection Bank-Healthcare Integrity and Protection Data BankData Bank•May be cause for civil or criminal chargesMay be cause for civil or criminal charges
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 661.02
Invasion of PrivacyInvasion of Privacy::
Unnecessary exposure of an Unnecessary exposure of an Individual Individual
Revealing personal informationRevealing personal informationwithout consentwithout consent
The Bottom Line
Nursing Fundamentals HN43 671.02
““Do not expose Do not expose their their bodybodyor their or their businessbusiness!!””
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 681.02
Invasion of PrivacyInvasion of Privacy: examples: examples
•Exposing the entire body when Exposing the entire body when only a body part should be only a body part should be exposed.exposed.•Leaving a door or curtain open Leaving a door or curtain open during a procedure. during a procedure.
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 691.02
Invasion of PrivacyInvasion of Privacy: examples: examples
•Leaving resident information in Leaving resident information in plain viewplain view•Discussing residents in public Discussing residents in public areasareas
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 701.02
False imprisonmentFalse imprisonment::
•Restraining an individualRestraining an individual•Restricting residents freedomRestricting residents freedom•Confining an individual against Confining an individual against his/her willhis/her will
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 711.02
False imprisonmentFalse imprisonment: examples: examples
•Use of physical restraints without Use of physical restraints without authorization or justificationauthorization or justification•Preventing resident from leaving Preventing resident from leaving facility against their willfacility against their will
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 721.02
DefamationDefamation::False statements that cause a False statements that cause a resident to be ridiculed or cause resident to be ridiculed or cause damage to their reputationdamage to their reputation•SSpoken – poken – SSlanderlander•Written – Written – LLiable (iable (LLetter)etter)
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 731.02
FraudFraud::•Intentional deception or misrepresentation Intentional deception or misrepresentation by a person with knowledge that deception by a person with knowledge that deception could result in some unauthorized benefit to could result in some unauthorized benefit to himself or some other personhimself or some other person•Includes any act that constitutes fraud under Includes any act that constitutes fraud under applicable Federal or State lawapplicable Federal or State law
Legal Parameters of Nurse Aide WorkLegal Parameters of Nurse Aide Work
Nursing Fundamentals HN43 751.02
WillWillLegal document giving direction on how Legal document giving direction on how resident wants property distributed after resident wants property distributed after death.death.Refer requests to prepare will to supervisorRefer requests to prepare will to supervisorNurse aide may witness signing of willNurse aide may witness signing of will•Check facility of policyCheck facility of policy•Discuss with supervisorDiscuss with supervisor
Nurse Aide Qualities Nurse Aide Qualities and Characteristicsand Characteristics
Nursing Fundamentals HN43 761.02
Characteristics of Nurse AideCharacteristics of Nurse Aide
Nursing Fundamentals HN43 771.02
• CheerfulCheerful• EnthusiasticEnthusiastic• ResponsibleResponsible• ConsiderateConsiderate• CourteousCourteous• CooperativeCooperative
Characteristics of Nurse AideCharacteristics of Nurse Aide
Nursing Fundamentals HN43 781.02
• Willing to learnWilling to learn• TactfulTactful• CompetentCompetent• Committed to Committed to
jobjob• PunctualPunctual• Self-awareSelf-aware
Characteristics of Nurse AideCharacteristics of Nurse Aide
Nursing Fundamentals HN43 791.02
• DependableDependable• EmpatheticEmpathetic• HonestHonest• PatientPatient• RespectfulRespectful• TrustworthyTrustworthy
Nurse Aide Personal Nurse Aide Personal Hygiene and HealthHygiene and Health
Nursing Fundamentals HN43 801.02
Personal Hygiene PracticesPersonal Hygiene Practices
Nursing Fundamentals HN43 811.02
• Taking a daily bath or showerTaking a daily bath or shower• Using Using
deodorants/antiperspirantsdeodorants/antiperspirants• Brushing teeth and using Brushing teeth and using
mouthwashmouthwash• Keeping hair clean and neatly Keeping hair clean and neatly
styledstyled• Cleaning and maintaining short, Cleaning and maintaining short,
smooth nailssmooth nails
Personal Hygiene PracticesPersonal Hygiene Practices
Nursing Fundamentals HN43 821.02
• Washing hands after using Washing hands after using bathroombathroom
• Wearing clean underwear, Wearing clean underwear, socks or stockings and uniform socks or stockings and uniform dailydaily
• Do not use products having Do not use products having odors that might be offensive to odors that might be offensive to residentsresidents
Factors that Promotes Good HealthFactors that Promotes Good Health
Nursing Fundamentals HN43 831.02
• Rest and sleepRest and sleep• DietDiet• ExerciseExercise• Good posture and body Good posture and body
mechanicsmechanics• Eye examinationsEye examinations• Dental careDental care• No use of drugs, alcohol or No use of drugs, alcohol or
cigarettescigarettes
Professional DressProfessional Dress
Nursing Fundamentals HN43 841.02
• Uniform clean, pressedUniform clean, pressed• Shoes polished and Shoes polished and
comfortablecomfortable• Shoe laces cleanShoe laces clean• Stockings without Stockings without
holes/runsholes/runs• Jewelry limited to watch Jewelry limited to watch
and wedding ringand wedding ring
BRAIN STORMBRAIN STORM
85
ThinkThinkWhy is it important to look and feel Why is it important to look and feel healthy while working as a nurse aide?healthy while working as a nurse aide?
ActActRaise your hand and share your Raise your hand and share your thoughts! Wait to be called on.thoughts! Wait to be called on.
1.02 Nursing Fundamentals HN43
Nurse Aide Work AssignmentNurse Aide Work Assignment
Nursing Fundamentals HN43 871.02
• Made by a licensed nurseMade by a licensed nurse• Based on needs of residents Based on needs of residents
and availability of staffand availability of staff• Allows staff to work as teamAllows staff to work as team• Includes being cooperative Includes being cooperative
and helping others when and helping others when askedasked
Nurse Aide Work AssignmentNurse Aide Work Assignment
Nursing Fundamentals HN43 881.02
• Includes Includes never never ignoring a resident ignoring a resident that needs helpthat needs help, is , is uncomfortable or in uncomfortable or in dangerdanger
Nurse Aide Work AssignmentNurse Aide Work Assignment
Nursing Fundamentals HN43 891.02
• Includes notifying the Includes notifying the supervisor of unfinished supervisor of unfinished assignmentsassignments
• Includes answering call Includes answering call signals even though not signals even though not assigned to the residentassigned to the resident
Nurse Aide Work Plan ConsiderationsNurse Aide Work Plan Considerations
Nursing Fundamentals HN43 901.02
• WorkloadWorkload• Resident conditionResident condition• TimeTime• Support services assignedSupport services assigned
Establishing Priorities for Resident CareEstablishing Priorities for Resident Care
Nursing Fundamentals HN43 911.02
• Activities of daily livingActivities of daily living• Meeting hygiene needsMeeting hygiene needs• Positioning and providing for Positioning and providing for
exerciseexercise• Maintaining proper nutritionMaintaining proper nutrition• Providing for elimination of Providing for elimination of
wasteswastes
Establishing Priorities for Resident CareEstablishing Priorities for Resident Care
Nursing Fundamentals HN43 921.02
Special procedures: Special procedures: •Taking vital signs Taking vital signs •Measuring urineMeasuring urine
Establishing Priorities for Resident CareEstablishing Priorities for Resident Care
Nursing Fundamentals HN43 931.02
• Support servicesSupport services• Providing drinking waterProviding drinking water• Delivering and picking up meal Delivering and picking up meal
traystrays• Providing clean linen and Providing clean linen and
making bedsmaking beds• Cleaning and caring for Cleaning and caring for
equipmentequipment
Establishing Priorities for Resident CareEstablishing Priorities for Resident Care
Nursing Fundamentals HN43 941.02
• Documentation/ Documentation/ reportingreporting
• Presenting oral Presenting oral reports to supervisorreports to supervisor
• Writing on record if Writing on record if directed to do sodirected to do so
Identification of Team MembersIdentification of Team Members
Nursing Fundamentals HN43 971.02
Nurse Aide MUST wear Nurse Aide MUST wear name tag or photo ID!name tag or photo ID!North Carolina G.S. 90-640 reads as written: North Carolina G.S. 90-640 reads as written:
§ 90-640. Identification badges required. § 90-640. Identification badges required.
Working with Others - GuidelinesWorking with Others - Guidelines
Nursing Fundamentals HN43 981.02
• Know the responsibilities, functions Know the responsibilities, functions and role expectations listed in job and role expectations listed in job descriptiondescription
• Display qualities and characteristics Display qualities and characteristics befitting a nurse aidebefitting a nurse aide
• Be prompt in reporting to workBe prompt in reporting to work
Working with Others - GuidelinesWorking with Others - Guidelines
Nursing Fundamentals HN43 991.02
• Notify facility of absence ASAPNotify facility of absence ASAP• Display good health and hygiene Display good health and hygiene
practicespractices• Follow facility dress code policyFollow facility dress code policy• Practice ethical & legal actionsPractice ethical & legal actions• Direct questions about things you don’t Direct questions about things you don’t
understand to supervisorunderstand to supervisor
Working with Others - GuidelinesWorking with Others - Guidelines
Nursing Fundamentals HN43 1001.02
• Follow instructions and directions of Follow instructions and directions of supervisor supervisor
• Display pride in appearance Display pride in appearance • Promptly report unusual Promptly report unusual
observations to the supervisorobservations to the supervisor• Make supervisor aware of family and Make supervisor aware of family and
resident complaintsresident complaints
Working with Others - GuidelinesWorking with Others - Guidelines
Nursing Fundamentals HN43 1011.02
• Perform duties in spirit of cooperationPerform duties in spirit of cooperation• Do not waste supplies and equipmentDo not waste supplies and equipment• Follow facility rules and regulationsFollow facility rules and regulations• Be accurate in measuring, recording Be accurate in measuring, recording
and reportingand reporting• Notify supervisor when leaving and Notify supervisor when leaving and
returning to unit returning to unit
Working with Others - GuidelinesWorking with Others - Guidelines
Nursing Fundamentals HN43 1021.02
• Assist other healthcare workers Assist other healthcare workers willingly willingly
• Never use supplies or Never use supplies or equipment belonging to the equipment belonging to the facility or residentfacility or resident
• Never discuss personal Never discuss personal problems with the residentsproblems with the residents