Chapter 2: The nursing assistant and the care team
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CHAPTER 2: THE NURSING ASSISTANT AND THE CARE TEAM LEARNING OBJECTIVES Describe how the care team works together to provide care Explain the nursing assistant’s role Explain professionalism in regards to the nurse assistant Describe proper personal grooming Differentiate between chain of command and scope of practice Discuss the resident care plan in regards to its purpose Describe the nursing process Describe the Five Rights of Delegation Demonstrate how to manage time and assignments MEMBERS OF THE CARE TEAM Care team: Nursing Assistant (NA) or Certified Nursing Assistant (CNA) Registered Nurse (RN) Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) Physician or doctor (MD – medical doctor or DO – doctor of osteopathy) Physical Therapist (PT) Occupational Therapist (OT) Speech-Language Pathologist (SLP) Registered Dietitian (RDT) Medical Social Worker (MSW) Activities Director Resident and Resident’s Family NURSING ASSISTANT’S ROLE Performing assigned nursing tasks Providing personal care or assisting with self-care PROFESSIONALISM AND PROFESSIONAL BEHAVIOR Professional vs. Personal Professionalism and the nurse assistant: Compassionate Honest Tactful Conscientious Dependable Respectful Unprejudiced Tolerant PERSONAL GROOMING HABITS Do: Don’t: Bathe or shower daily using deodorant or antiperspirant Brush teeth frequently Keep hair clean, neatly brushed, and tied back Keep facial hair short, clean, and neat Dress neatly in a clean, pressed uniform Wear comfortable, clean, closed-toed shoes Keep fingernails short, smooth, and clean Wear little or no make-up Wear perfume or cologne Wear a uniform that is Too tight or too baggy Torn or stained Too revealing Wear large jewelry Have visible tattoos and body piercings Wear artificial nails, extenders, or overlays CHAIN OF COMMAND AND SCOPE OF PRACTICE Chain of command Liability Scope of practice RESIDENT CARE PLAN THE NURSING PROCESS Assessment Diagnosis Planning Implementation Evaluation THE FIVE RIGHTS OF DELEGATION Right Task Right Circumstance Right Person Right Direction/Communication Right Supervision/Evaluation TIME AND ASSIGNMENT MANAGEMENT Plan ahead Prioritize Make a schedule Combine activities Get help REVIEW Members of the care team The five rights of delegation Nursing assistant’s role Time and assignment management Professionalism and professional behavior Personal grooming habits Chain of command and scope of practice Resident care plan The nursing process
