2 The Nursing Assistant and The Care Team

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2
The Nursing Assistant and The Care Team
1. Identify the members of the care team and describe how the
care team works together to provide care
Define the following terms:
activities of daily living (ADLs)
daily personal care tasks, such as bathing; caring for skin,
nail, hair, and teeth; dressing; toileting; eating and drinking;
walking; and transferring.
assistive or adaptive devices
special equipment that helps a person who is ill or disabled to
perform activities of daily living.
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The Nursing Assistant and The Care Team
1. Identify the members of the care team and describe how the
care team works together to provide care
The care team is made up of the following individuals:
• Nursing assistant
• Registered nurse
• Licensed practical nurse/licensed vocational nurse
• Physician or doctor
• Physical therapist
• Occupational therapist
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The Nursing Assistant and The Care Team
1. Identify the members of the care team and describe how the
care team works together to provide care
Care team members (cont’d):
• Speech-language pathologist
• Registered dietitian
• Medical social worker
• Activities director
• Resident and resident’s family
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The Nursing Assistant and The Care Team
1. Identify the members of the care team and describe how the
care team works together to provide care
Think about this question:
Why are the resident and the resident’s family members
considered members of the care team?
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The Nursing Assistant and The Care Team
2. Explain the nursing assistant’s role
Define the following term:
charting
writing down important information and observations about
residents.
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The Nursing Assistant and The Care Team
2. Explain the nursing assistant’s role
There are two main ways in which nursing assistants provide
services for residents:
• Performing assigned nursing tasks
• Providing personal care or assisting with self-care
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The Nursing Assistant and The Care Team
2. Explain the nursing assistant’s role
Think about these questions:
What are some tasks nursing assistants regularly perform?
What are some tasks nursing assistants generally do not
perform?
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The Nursing Assistant and The Care Team
2. Explain the nursing assistant’s role
REMEMBER:
Nursing assistants interact closely with residents on a daily basis.
They have more contact with residents than any other member
of the care team. Because of this, they are the “eyes and ears” of
the healthcare team and play a very important role in providing
information on changes in the resident.
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The Nursing Assistant and The Care Team
3. Explain professionalism and list examples of professional
behavior
Define the following terms:
professional
having to do with work or a job.
personal
relating to life outside one’s job, such as family, friends, and
home life.
professionalism
how a person behaves when he is on the job; it includes how
a person dresses, the words he uses, and the things he talks
about.
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The Nursing Assistant and The Care Team
3. Explain professionalism and list examples of professional
behavior
Define the following terms:
compassionate
being caring, concerned, considerate, empathetic, and
understanding.
empathy
identifying with the feelings of others.
sympathy
sharing in the feelings and difficulties of others.
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The Nursing Assistant and The Care Team
3. Explain professionalism and list examples of professional
behavior
Define the following terms:
tactful
showing sensitivity and having a sense of what is appropriate
when dealing with others.
conscientious
guided by a sense of right and wrong; principled.
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The Nursing Assistant and The Care Team
3. Explain professionalism and list examples of professional
behavior
When dealing with residents, a professional nursing assistant
always makes a point of
• Being positive
• Doing only assigned tasks
• Keeping residents’ information confidential
• Being polite and cheerful
• Not discussing personal problems
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The Nursing Assistant and The Care Team
3. Explain professionalism and list examples of professional
behavior
Professional behavior for NAs when dealing with residents
(cont’d):
• Not using profanity
• Listening
• Calling residents by their proper names
• Not giving or accepting gifts
• Explaining care
• Following care practices
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The Nursing Assistant and The Care Team
3. Explain professionalism and list examples of professional
behavior
Professional behavior for a nursing assistant also includes doing
the following when interacting with employers:
• Completing duties
• Following policies/procedures
• Documenting and reporting care
• Reporting problems
• Reporting anything that keeps a nursing assistant from
completing duties
• Asking questions
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The Nursing Assistant and The Care Team
3. Explain professionalism and list examples of professional
behavior
Professional behavior for a nursing assistant interacting with
employers (cont’d):
• Taking directions and criticism
• Being clean and neatly dressed and groomed
• Being on time
• Notifying employer if absent
• Following chain of command
• Participating in education programs
• Being a role model for the facility
2 The Nursing Assistant and The Care Team
Transparency 2-1: Qualities of Great Nursing Assistants
• Compassionate
• Honest
• Tactful
• Conscientious
• Dependable
• Respectful
• Unprejudiced
• Tolerant
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The Nursing Assistant and The Care Team
4. Describe proper personal grooming habits
Think about this question:
Page 14 of the textbook contains a list of grooming tips for
nursing assistants. Why are these important tips for professional
nursing assistants to follow?
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The Nursing Assistant and The Care Team
5. Explain the chain of command and scope of practice
Define the following terms:
chain of command
the line of authority within a facility or agency.
liability
a legal term that means someone can be held responsible for
harming someone else.
scope of practice
defines the tasks that healthcare providers are legally allowed
to do and how to do them correctly.
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Transparency 2-2: Chain of Command
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The Nursing Assistant and The Care Team
5. Explain the chain of command and scope of practice
Think about this question:
How does the chain of command show the importance of nursing
assistants not performing tasks outside their scope of practice?
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The Nursing Assistant and The Care Team
5. Explain the chain of command and scope of practice
REMEMBER:
Laws and regulations are different from state to state, but certain
tasks are never performed by NAs (e.g. performing procedures
involving sterile technique or making diagnoses).
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The Nursing Assistant and The Care Team
5. Explain the chain of command and scope of practice
Think about these questions:
Why must a nursing assistant never honor a request to do
something outside his scope of practice?
What should an NA do if he receives such a request?
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The Nursing Assistant and The Care Team
6. Discuss the resident care plan and explain its purpose
Think about these questions:
Why does each resident have a different care plan?
How might residents’ care plans be different from each other?
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The Nursing Assistant and The Care Team
6. Discuss the resident care plan and explain its purpose
REMEMBER:
A nursing assistant must never perform any activity not listed on
the care plan.
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Transparency 2-3: Resident Care Plan 1
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Transparency 2-4: Resident Care Plan 2
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Transparency 2-5: Nursing Process
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The Nursing Assistant and The Care Team
7. Describe the nursing process
Think about these questions:
In which of the steps in the nursing process (evaluation,
assessment, diagnosis, planning, implementation) does a nursing
assistant play a role?
How is the nursing assistant’s role important to the nursing
process?
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The Nursing Assistant and The Care Team
8. Describe The Five Rights of Delegation
Define the following term:
delegation
transferring responsibility to a person for a specific task.
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The Nursing Assistant and The Care Team
8. Describe The Five Rights of Delegation
These are The Five Rights of Delegation:
• Right task
• Right circumstance
• Right person
• Right direction/communication
• Right supervision/evaluation
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The Nursing Assistant and The Care Team
8. Describe The Five Rights of Delegation
A nursing assistant should consider these questions before
accepting a task:
• Do I have all the information I need to do this job? Are there
questions I should ask?
• Do I believe that I can do this task? Do I have the necessary
skills?
• Do I have the needed supplies, equipment, and other
support?
• Do I know who my supervisor is and how to reach him/her?
• Do we both understand who is doing what?
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The Nursing Assistant and The Care Team
8. Describe The Five Rights of Delegation
REMEMBER:
A nursing assistant can provide better care if she asks for help
when she needs it.
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The Nursing Assistant and The Care Team
9. Demonstrate how to manage time and assignments
There are five important strategies for NAs to use in managing
their time and usefulness:
• Plan ahead.
• Prioritize.
• Make a schedule.
• Combine activities.
• Get help.
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The Nursing Assistant and The Care Team
9. Demonstrate how to manage time and assignments
Think about this question:
Where can an NA find help if he needs it?
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