MNA Mosby ’ s Long Term Care Assistant Chapter 46 Rehabilitation and Restorative Nursing Care.
MNA Mosby’s Long Term Care Assistant Chapter 3 The Nursing Assistant in LTC.
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MNA Mosby’s Long Term Care Assistant Chapter 3 The Nursing Assistant in LTC
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Transcript of MNA Mosby’s Long Term Care Assistant Chapter 3 The Nursing Assistant in LTC.
MNAMosby’s Long Term Care Assistant Chapter 3 The Nursing Assistant in LTC
History and Current Trends
Formerly OJT New training requirements in
1987 (Omnibus Budget Reconciliation Act)
Efforts to reduce health care costs
Federal and State Laws
Nurse Practice ActsDescribes scope and practice of
RN, LPN, NA
Laws for revoking license
Omnibus Budget Reconciliation Act
NA training
Competence Evaluation
Registry
Retraining
Roles and Responsibilities of the Nursing Assistant
Scope of Practice
•Assist the nurse in giving care
•Report to the nurse
•Never perform a task you have not been trained to do
•Read your job description
ROLE LIMITS
Never give medications
Never insert tubes or objects into a residents body opening
Never take verbal or telephone orders from a doctor
Never perform procedures alone that require sterile technique
ROLE LIMITS
Never tell the resident or family the resident's medical diagnosis or treatment plans
Never diagnosis or prescribe treatments or drugs
Never ignore a request that you cannot or should not do
Delegation
Delegation – to authorize another person to perform a task
Responsibility – duty to perform a task
Legal Consequences
The 5 Rights of Delegation
The Right Task
The Right Circumstance
The Right Person
The Right Directions
The Right Supervision
Your Role in Delegation
Accept a Task
safety
own actions
Refuse a Task
common sense
unethical, illegal
Review
Nursing practice is regulated by ?
Nurse practice acts
Review
You decide to refuse to perform a task. Your first action should be to ?
Inform the nurse
Review
Who is responsible for telling the resident the results of his blood test ?
Doctor
Review
You must perform all tasks and procedures as directed by the nurse.
True or False
Review
You make the decision about what should be done for the resident.
True or False
Review
All LTCF let NA perform the same task and procedures.
True or False
Review
You are allowed to give medication if the nurse asks you to .
True or False
Review
The doctor is your supervisor in the LTCF .
True or False
Review
You are not allowed to remove tubes from a residents body .
True or False
Review
You can refuse to complete a task if you do not like performing the task.
True or False
Questions??
