Unit A Nurse Aide Workplace Fundamentals Essential Standard 1.00 Understand the range of function, legal and ethical responsibilities of the nurse aide within the healthcare system. Indicator 1.02 Understand nurse aide’s range of function as a member of the healthcare team. Nursing Fundamentals 7243 Understand nurse aide’s range of function as a member of the healthcare team. 1.02 Nursing Fundamentals 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Assist the licensed nurse by performing delegated tasks directly to residents who are ill and unable to care for themselves. 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Nurse aide tasks are supervised by the licensed nurse. 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Serve as the eyes and ears for the healthcare team 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Make and report/record observations accurately regarding Resident condition, care, and resident’s response to care Resident’s environment 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Measure and report/record: Vital signs Height and weight Intake and output 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Help residents with personal needs: Hygiene Safety Nutrition Exercise Elimination Mobility 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Help residents with personal needs: (continued) Communication Socialization activities Comfort measures Restorative procedures 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Assist in resident admission and discharge to the facility 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Maintains a clean and safe resident environment 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Assist in the collection of various specimens 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Answer call signals 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Call signals/lights should NOT be perceived as noise and interruption 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Call signals/lights are an important way for residents to request assistance! 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Answering call lights in a timely manner: helps prevent falls. improves rapport between resident/family and staff. increases resident/family confidence in the staff’s ability to care for the needs of the resident. 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Assist in the transportation of residents within a facility 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Cleaning and care of equipment 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Comply with infection control and safety practices, policies, and procedures… Standard Precautions Fire Drills/Preparedness Disaster Drills/Preparedness 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

NURSE AIDE RANGE OF FUNCTION Resident Care Plan and Resident Care Conferences: May attend Resident Care Conferences Assist to develop/revise care plans Share care suggestions Report observations 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Ethical Responsibilities of the Nurse Aide 1.02 Nursing Fundamentals 7243

Ethical Responsibilities of the Nurse Aide ETHICS Discipline concerned with right or wrong conduct Guides to moral behavior Making choices or judgments 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Ethical Responsibilities of the Nurse Aide Put resident’s needs ahead of your own Be sincere, honest and trustworthy in performance of duties caring and concerned “golden rule” 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Ethical Responsibilities of the Nurse Aide Show respect for each resident as an individual Understand the limits of role Perform only acts for which adequately prepared Perform acts only within legal scope of nurse aide 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Ethical Responsibilities of the Nurse Aide Carry out assignments to best of ability Be loyal: Maintain a positive attitude toward institution that employs you Support co-workers 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Ethical Responsibilities of the Nurse Aide Be responsible citizen at all times Respect others Respect values that differ from yours 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Ethical Responsibilities of the Nurse Aide Resident information should be kept confidential Discuss only in appropriate places Discuss only with proper people Refer questions from residents about their condition to supervisor 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Ethical Responsibilities of the Nurse Aide Respect privacy of others: while dressing while performing personal hygiene during examination or treatment during visits with clergy during visits with spouse or significant other 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Ethical Responsibilities of the Nurse Aide Do not accept monetary tips Residents are paying for service You are paid to provide service Do not discriminate regardless of race, creed, color, age, financial resources Provide care based on need 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Ethical Responsibilities of the Nurse Aide Do not accept monetary tips (continued) Display tactful and courteous refusal of tips Display continued desire to be helpful 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work 1.02 Nursing Fundamentals 7243

Legal Parameters of Nurse Aide Work BON does not recognize the term “practice” for nurse aides. BON states the phrase “practice” is reserved for the professional nurse. NCDHSR will use the phrase “range of function” to enumerate what the nurse aide can and cannot do. NCDPI will use the phrase “range of function” to be consistent with NCDHSR 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Nurse aides do not do sterile procedures. Nurse aides do not give information about the diagnosis or treatment plans to the resident or his/her family. Nurse aides do not give medications. Nurse aides do not insert or remove tubes from the resident’s body. 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Nurse aides do not take oral or telephone orders from a physician Nurse aides do not diagnose or prescribe treatments or medications for residents. Nurse aides do not supervise the work of other nurse aides. 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Nurse aides do not agree to do something beyond the nurse aide’s range of function as defined by the North Carolina Board of Nursing. 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Legal issues related to nurse aide work and all of healthcare are legislated by state and federal governments. 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Healthcare legal issues are based on one of two types of law: Civil – Fines are imposed Criminal – You can go to prison 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Healthcare legal issues typically involve CIVIL LAW 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Malpractice: Giving care for which you are not legally allowed to do Providing improper or “BAD” care 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Negligence: Unintentional wrong Failure to provide goods and services (patient care) necessary and normally expected to avoid physical harm, mental anguish, or mental illness. 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Assault and Battery: These terms are closely related and often used together. 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Assault and Battery: Assault – threatening or attempting to touch a person without his consent, causing that person to fear bodily harm 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Assault and Battery: Battery – touching of another without consent 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work A B U S E 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work ABUSE: Willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain or mental anguish. 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Types of Abuse: Physical Verbal Psychological Sexual Others http://www.preventelderabuse.org/elderabuse/ 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

1.02 Nursing Fundamentals 7243

Legal Parameters of Nurse Aide Work Signs of Abuse: Unexplained bruises, fractures, burns, or injuries. 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Signs of Abuse: Signs of neglect such as poor hygiene 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Signs of Abuse: Irrational fears or change in personality 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Signs of Abuse: Aggressive, withdrawn, or paranoid behavior 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Signs of Abuse: Resident statements that indicate abuse or neglect 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work PHYSICAL SELF-NEGLECT FINANCIAL VERBAL SEXUAL PSYCHOLOGICAL EMTOTIONAL NEGLECT 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Abuse MUST be reported!!!! Elder Abuse Disabled adults of any age are protected in North Carolina under State law (N.C. General Statute 108A-102), which mandates that "any person having reasonable cause to believe that a disabled adult is in need of protective services shall report such information." The county departments of social services provide adult protective services under the supervision of the State Division of Aging and Adult Services. 1.02 Nursing Fundamentals 7243

Abuse MUST be reported!!!! If observed in the resident care facility, stop abuse and report IMMEDIATELY to supervisor if at work. If observed or have reasonable suspicion of abuse in private life, call the county Department of Social Services where the abuse occurred. Not reporting is aiding and abetting! 1.02 Nursing Fundamentals 7243

Legal Parameters of Nurse Aide Work Residents at risk of being abused: Noisy residents Residents who wander Philandering residents Socially or logistically isolated residents Residents with a history of aggressive behavior are at risk to abuse other residents 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Perpetrator’s Action… May be cause for immediate dismissal If abuse is proven, perpetrator’s name is posted on the NC Healthcare Personnel Registry AND The National Practitioner Data Bank-Healthcare Integrity and Protection Data Bank May be cause for civil or criminal charges 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Invasion of Privacy: Unnecessary exposure of an Individual Revealing personal information without consent 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

“Do not expose their body or their business!” The Bottom Line “Do not expose their body or their business!” 1.02 Nursing Fundamentals 7243

Legal Parameters of Nurse Aide Work Invasion of Privacy: examples Exposing the entire body when only a body part should be exposed. Leaving a door or curtain open during a procedure. 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Invasion of Privacy: examples Leaving resident information in plain view Discussing residents in public areas 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work False imprisonment: Restraining an individual Restricting residents freedom Confining an individual against his/her will 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Defamation: False statements that cause a resident to be ridiculed or cause damage to their reputation Spoken – Slander Written – Liable (Letter) 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Fraud: Intentional deception or misrepresentation by a person with knowledge that deception could result in some unauthorized benefit to himself or some other person Includes any act that constitutes fraud under applicable Federal or State law 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Legal Parameters of Nurse Aide Work Will Legal document giving direction on how resident wants property distributed after death. Refer requests to prepare will to supervisor Nurse aide may witness signing of will Check facility of policy Discuss with supervisor 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Nurse Aide Qualities and Characteristics 1.02 Nursing Fundamentals 7243

Characteristics of Nurse Aide Cheerful Enthusiastic Responsible Considerate Courteous Cooperative 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Characteristics of Nurse Aide Willing to learn Tactful Competent Committed to job Punctual Self-aware 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Characteristics of Nurse Aide Dependable Empathetic Honest Patient Respectful Trustworthy 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Nurse Aide Personal Hygiene and Health 1.02 Nursing Fundamentals 7243

Personal Hygiene Practices Taking a daily bath or shower Using deodorants/antiperspirants Brushing teeth and using mouthwash Keeping hair clean and neatly styled Cleaning and maintaining short, smooth nails 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Personal Hygiene Practices Washing hands after using bathroom Wearing clean underwear, socks or stockings and uniform daily Do not use products having odors that might be offensive to residents 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Factors that Promotes Good Health Rest and sleep Diet Exercise Good posture and body mechanics Eye examinations Dental care No use of drugs, alcohol or cigarettes 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Professional Dress Uniform clean, pressed Shoes polished and comfortable Shoe laces clean Stockings without holes/runs Jewelry limited to watch and wedding ring 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Nurse Aide Work Assignment 1.02 Nursing Fundamentals 7243

Nurse Aide Work Assignment Made by a licensed nurse Based on needs of residents and availability of staff Allows staff to work as team Includes being cooperative and helping others when asked 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Nurse Aide Work Assignment Includes never ignoring a resident that needs help, is uncomfortable or in danger 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Nurse Aide Work Assignment Includes notifying the supervisor of unfinished assignments Includes answering call signals even though not assigned to the resident 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Nurse Aide Work Plan Considerations Workload Resident condition Time Support services assigned 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Establishing Priorities for Resident Care Activities of daily living Meeting hygiene needs Positioning and providing for exercise Maintaining proper nutrition Providing for elimination of wastes 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Establishing Priorities for Resident Care Special procedures: Taking vital signs Measuring urine 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Establishing Priorities for Resident Care Support services Providing drinking water Delivering and picking up meal trays Providing clean linen and making beds Cleaning and caring for equipment 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Establishing Priorities for Resident Care Documentation/ reporting Presenting oral reports to supervisor Writing on record if directed to do so 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Healthcare Team Member Practices 1.02 Nursing Fundamentals 7243

Identification of Team Members Nurse Aide MUST wear name tag or photo ID! North Carolina G.S. 90-640 reads as written: § 90-640. Identification badges required. 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Working with Others - Guidelines Know the responsibilities, functions and role expectations listed in job description Display qualities and characteristics befitting a nurse aide Be prompt in reporting to work 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Working with Others - Guidelines Notify facility of absence ASAP Display good health and hygiene practices Follow facility dress code policy Practice ethical & legal actions Direct questions about things you don’t understand to supervisor 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Working with Others - Guidelines Follow instructions and directions of supervisor Display pride in appearance Promptly report unusual observations to the supervisor Make supervisor aware of family and resident complaints 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Working with Others - Guidelines Perform duties in spirit of cooperation Do not waste supplies and equipment Follow facility rules and regulations Be accurate in measuring, recording and reporting Notify supervisor when leaving and returning to unit 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.

Working with Others - Guidelines Assist other healthcare workers willingly Never use supplies or equipment belonging to the facility or resident Never discuss personal problems with the residents 1.02 Nursing Fundamentals 7243 1.02 Understand nurse aide's range of function as a member of the healthcare team.