Long term care and the nursing
assistant’s role
Settings where the CNA may work
•Acute care
•Hospitals and _____________________ centers
•Pts are admitted for short stays for surgery or diseases
•Offers _______ hour skilled care for temporary but
serious illness or injury
Settings where the CNA may work
•Acute or subacute care (Hospitals and surgical
centers)
•Outpatient Care
•Rehabilitation
•Home Care
•Assisted Living
•Hospice Care
Settings where the CNA may work
• Long-term care (________)
•Patients who require _________ hour care and assistance
for long term conditions
•Nursing home, skilled nursing facility, nursing facility,
extended care facility are common names
•Patients are ______________ elderly and/or disabled; may
have terminal illnesses and/or chronic illnesses
Settings where the CNA may work
•LTC
•Nursing staff will have ______________ relationships
with LTC residents than in any other facility
•Patients who live in nursing homes are called
__________________
•Residents within a LTC facility have differing diagnoses
(medical conditions) requiring different
__________________ of care for each person
LTC facilities
•May offer different levels of care; may also
______________________ in a specific population
of resident (ex. Alzheimer’s)
•Skilled nursing care
•Assisted living
•Dementia care
•Sub-acute care
•Typically offer __________________ care for all
residents and more specialized care on a resident
by resident basis
Types of residents of LTC facilities
•_________________
•Disabled
•Physically
•Mentally
•Individuals requiring skilled nursing care
•________________
•Post acute care
•Other
Protecting the Resident’s Right to Privacy
Keep all information about the person
confidential.
Cover the person when he or she is being
moved in hallways.
Screen the person/close the door when
giving care. Also close drapes and window
shades.
Expose only the body part involved in a
treatment or procedure.
Protecting the Resident’s Right to Privacy
•Do not discuss the person or the person’s
treatment with anyone except the nurse
supervising your work.
•Ask visitors to leave the room when care is
given.
•Do NOT open the person’s mail.
•Allow the person to visit with others in
private.
•Allow the person to use the phone in
private.
Role of the CNA
So, what is the role of the CNA?
•The CNA performs ______________________
____________________________________, such as
taking a resident’s temperature.
•A CNA also _____________________________.
•May also be called a nursing assistant,
___________________, patient care tech (PCT) or
certified nursing assistant
•
CNA duties
•________________________
•Helping residents with
______________________________________________
•Assisting residents ______________ safely around the facility
•Keeping residents’ living areas neat and clean
•Encouraging residents to eat and drink
•Caring for supplies and equipment
•______________________________________________
•Making beds
•Giving back massages
•Assisting residents with _____________________________
•To name a few ☺
What am I NOT supposed to do?
•________________________
•Insert/remove tubes
•Change ___________________________
•Give tube feedings
CNA
•CNAs spend __________________with
residents than anyone else on the health care
team
•YOU are the “___________________” of the health
care team
•___________________________ is a key!
•_______________________________________
•Writing important information down is a must and
very helpful (documentation/charting)
Chain of Command
•The CNA carries out instructions given to
him/her by _________________
•The Nurse acts on instructions from the
____________________
•Guarantees residents get proper care and
protects the CNA and their employer from
liability
Liability
•Liability—_____________________________
_____________________________________
•If you accidentally harm a resident while caring
for him and the task you were performing was
within the care plan, you aren’t responsible.
However, if you harm a resident performing a
task not within the care plan, you are
responsible
Liability
•CNAs must understand __________________
_________________________________ so that
they don’t harm a resident or cause a lawsuit.
•Scope of practice— _____________________
________________________ is allowed to do
and how to perform tasks correctly
Policies and Procedures
•Policy—a course of action that should be taken
every time a certain situation occurs
•Ex: a patient’s plan of care must be followed
•Procedure— ______________________________
_________________________________________.
•There is a procedure for reporting information about your
residents
•All employers will have polices and procedures for
every resident care situation
•You are responsible for knowing all policies and
procedures!
•_____________________________________________
Professionalism
•How you behave when you are on the job
•__________________
•Your speech
•___________________
•Being on time
• Completing tasks
•___________________________
•For the CNA—follow the care plan, being careful to
make observations and always report accurately
Professional relationships with residents
•_________________________________________
•Doing only the tasks assigned and ones you are trained
to do
•Speaking politely and cheerfully to the resident,
____________________________________________
•Never discussing any of your personal problems
• _________________________________________
•_______________________________
•Explaining the care you will provide before you provide
it
•Always following care practices, such as hand washing,
to protect yourself and the resident
Professional relationships with your employer
•Maintain a positive attitude
•_________________________________________
•Consistently following all policies and procedures
•_______________________________________
_________________________________
•Communicating problems with residents or duties
•Reporting anything that keeps you from completing
duties
•_________________________________________
_________________________________________
Professional relationships with your employer
•______________________________________
___________________________________
•Being clean, neatly dressed and on time
•___________________________________
•Following the chain of command
•Participating in educational programs
•Being a positive role model for your facility at all
times
Qualities of a great CNA
•Compassionate
•__________________________________
•Honest
•Conscientious
•Always trying to do your best
•Dependable
•________________
• Considerate
•Understanding of the resident’s feelings and privacy
•______________
Residents Express Thanks!
•Thoughts about video??
•______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
____________________________