Day 1: 6/26/23

Question 1

Long Term Care (LTC)

Answer 1

6 months or more

Question 2

Short Term

Answer 2

6 months or less

Question 3

What are types of LTC?

Answer 3

Assisted Living; Skilled Care/Nursing Home/SNF

Question 4

SNF

Answer 4

Skilled Nursing Facility

Question 5

Independent

Answer 5

they can do tasks on their own/ they don’t need help

Question 6

Dependent

Answer 6

need help performing tasks

Question 7

Are residents independent or dependent in Assisted Living Facilities?

Answer 7

Independent

Question 8

Are residents in Skilled Care/ Nursing Homes/ SNF independent or dependent?

Answer 8

Dependent

Question 9

Geriatrics/ Older Adults

Answer 9

branch of medicine dealing with health and care of people age 65 and up

Question 10

Who makes up the Healthcare Team?

Answer 10

Large group of people who help; not just the nurses (lab techs, doctors, family, patient)

Question 11

Healthcare Team

Answer 11

Anyone that influences the care of the resident or patient

Question 12

Charge Nurse

Answer 12

Nurse responsible for direct patient / resident care. Direct supervisor of the CNAs

Question 13

Relationship between Charge Nurses and CNAs

Answer 13

Any questions or something has changed, tell your Nurse. Nurse is go to for questions and anything

Question 14

What is my role?

Answer 14

If something is wrong, tell the nurse

Question 15

Unit Manager/ Nurse Supervisor

Answer 15

Nurse that is responsible for all the work done by the Charge Nurse; go to them if there are issues with the charge nurse

Question 16

Director of Nursing (DON)

Answer 16

Nurse in charge of the Nursing Department

Question 17

Who is involved in the Nursing department?

Answer 17

CNAs and nurses

Question 18

Administrator

Answer 18

Professional in charge of the entire Long Term Care Facility (all departments)

Question 19

What is the Hierarchy or levels of power in a Facility as a CNA?

Answer 19

CNA -> Charge Nurse -> Unit Manager/Nurse Supervisor -> Director of Nursing (DON) -> Administrator

Question 20

Scope of Practice

Answer 20

Procedures and actions a health care professional is permitted to do under their professional licence

Question 21

What are some examples of tasks that are NOT in your scope of practice?

Answer 21

diabetic nail care; nurse charting; medications - must pass a class; treatments (wound care); supervise other CNAs

Question 22

Scope of Practice 2

Answer 22

State specific - every state has its own Scope

Question 23

Should you do what the Nurse says to do, even if it goes against Scope?

Answer 23

NO

Question 24

Always KNOW your faciality policies ->

Answer 24

Facility cannot “expand” your scope (give medications) but can restrict (say no to colostomy bags)

Question 25

Activities of Daily Living (ADLs)

Answer 25

Activities Performed Daily for most Residents

Question 26

What are some examples of ADLs?

Answer 26

Getting dressed, hygiene, helping eat, preparing food, exercise, games (bingo, cards, puzzles), pet care, vitals/ monitoring health

Question 27

Careplan

Answer 27

care expectations for all staff and all shifts

Question 28

Example of a Careplan

Answer 28

ADL sheet - a Bethany Retirement Living consolidated version of the care plan

Question 29

CNAs involvement in a Careplan

Answer 29

CNAs cannot physically change the careplan but can by telling the nurse anything that they learned while with the resident

Question 30

What type of patient care do we have now?

Answer 30

Patient Centered Care

Question 31

Patient Centered Care

Answer 31

Care focused on what is important to the patient; we have to know our residents

Question 32

Autonomy

Answer 32

Allowing the resident to make their OWN CHOICES WITHOUT INFLUENCE form the staff member

Question 33

What is Healthcare workers job in relationship to Autonomy?

Answer 33

Job is education and inform but to NOT influence

Question 34

Empathy

Answer 34

Trying to understand how another person feels

Question 35

Sympathy

Answer 35

compassion; sharing the emotion of another

Question 36

What is the best thing to do on a stressful day?

Answer 36

Leave your stress at the patient's door; they don't need any more on them as they are dealing with their own issues

Question 37

Ethics/Ethical Code/ Ethical Issues

Answer 37

Moral principles that govern a person's behavior or knowledge of right and wrong

Question 38

What to do in uncomfortable situations or discussions

Answer 38

can disengage or divert the conversation and rather be a listening ear

Question 39

Abuse

Answer 39

Intentional harm or injury to a person

Question 40

What are the 5 most common types of abuse?

Answer 40

Physical, Psychological, Sexual, Misappropriation of Property; and Neglect

Question 41

Physical Abuse

Answer 41

infliction of physical injury by another person

Question 42

Signs of Physical Abuse

Answer 42

bruising, cuts, if verbal - might tell you, change in mood/demeanor, decline in health (change in ADLs)

Question 43

Psychological Abuse

Answer 43

threat of violence, harassment, denying autonomy

Question 44

signs of psychological abuse

Answer 44

change in mood/demeanor, anxious, worried, frightened

Question 45

sexual abuse

Answer 45

sexual behavior between individuals when one does not consent or have the ability to consent

Question 46

sexual abuse signs

Answer 46

bruising, bleeding in the genitals, flinching, guarding, change in mood/demeanor; isolated

Question 47

Misappropriation of Property/ Financial Abuse

Answer 47

Economic abuse in the form of taking objects or money from an individual

Question 48

sings of misappropriation of property

Answer 48

no signs really; more on the back end with family members; money missing or objects missing in the room

Question 49

What types of gifts can you accept from residents?

Answer 49

Handmade gifts; NO MONEY OR A GIFTCARD

Question 50

Neglect/Negligence

Answer 50

failure to provide proper care; accident or mistake; way less common than abuse; almost always PREVENTABLE

Question 51

False Imprisonment

Answer 51

To restrict ones personal movement without justification or consent

Question 52

restraint

Answer 52

physical device used to prevent injury to the resident or others

Question 53

When should you use restraint in a justified manner?

Answer 53

only use or justified when any immediate threats or actions of harm against self or others; Bethany does not restrain but rather call an ambulance or police

Question 54

invasion of privacy

Answer 54

the violation of another person's right to be left alone

Question 55

Ways to protect privacy of residents

Answer 55

knock, close door, close curtain. if resident does not answer door, be verbal and allow 15-20 seconds and announce when coming in

Question 56

Confidentiality

Answer 56

To have personal, identifiable medical information kept private

Question 57

HIPAA

Answer 57

patient confidentiality; Federal Law that created standards for privacy and confidentiality of health information

Question 58

Omnibus Reconciliation Act (OBRA)

Answer 58

Federal law that protects the welfare, quality of care, rights and safety of Residents

Question 59

Resident Bill of Rights

Answer 59

OBRA standards to promte and protect the rights of each resident (right to refuse care, right to know medical staff)

Question 60

Ombudsman

Answer 60

A neutral Third party who investigates and attempts to resolve complaints and problems; advocate for patient

Question 61

Patient Advocate

Answer 61

Person that cares about the patient and their preferences

Question 62

Survey

Answer 62

inspection by the state to ensure resident's are receiving proper care

Question 63

What happens if Ombudsman find anything that is concerning?

Answer 63

They take the issues up to the State and Survey