Unit II | ||
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What is an MDRO?
microorganisms, predominantly bacteria, that are resistant to one or more classes of antimicrobial agents
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What are common tasks for Nursing Assistants?
Activities of daily living (ADLs)
bathing dressing grooming mouth care toileting eating & hydration caring for skin; prevention of pressure ulcers Bed making Taking/recording vital signs; height & weight Observing/reporting resident changes to licensed nurse Maintaining safety, including fall prevention Caring for equipment Infection control |
What is the MDS?
assessment tool
provides structured, standardized approach to care helps identify resident health care problems |
What are different types of health care?
Independent living
Home health care—Health care provided in a persons home. Adult day care—Care for people who need some assistance or supervision during certain hours, but do not live in the facility where the care is given. |
What are three components of communication?
Three components of communication
message sender receiver |
What is objective data?
information that can be seen,
heard, touched, smelled |
What are payment options for long term care facilities?
Medicaid-medical assistance program for low-income residents that pays for the resident’s healthcare
Medicare health insurance program for residents over the age of 65 pays for resident’s healthcare funded by Social Security Minimum Data Set (MDS) report required for each Medicaid resident |
What components of non-verbal communication?
posture
appearance eye contact gestures facial expressions touch level of activity |
What is subjective data?
cannot be observed, may be
heard or something the resident said |
What is the Omnibus Budget Reconciliation Act of 1987 (OBRA-87)
Federal regulation
Set standards of care for long-term care facilities Requires all nurse aides in long-term care facilities to: complete training program pass certification exam Requires each state to have a registry of nurse aides (see Unit XIV) available to the public contains information on nurse aide’s performance, including resident abuse information to be kept minimum of five (5) years Requires continuing education--minimum of 12-hours in-service each year for nurse aides Requires nurse aide who has not worked for 2 consecutive years to retake the certification exam |
What are barriers to communication?
talking too fast or too softly
avoiding eye contact belittling resident’s feelings physical distance false reassurance changing subject giving advice use of slang/medical jargon |
What is the nursing process?
assessment by the RN
physical inspection medical record identifies resident’s actual or potential health care problems |
What is the health care team?
resident
physician registered dietitian/nutritionist physical therapist occupational therapist family member social worker licensed nurse nurse aide activities/enrichment |
What are components of the medical chart?
admission sheet
health history examination results physician’s orders physician’s progress notes health team notes lab test results special consents |
What is shift report?
received at beginning of shift from previous shift
given to on-coming shift before nurse aide leaves unit at end of shift includes observations of changes in resident’s condition or behavior |