Nursing Assistant Unit 1 Ch 2: The Nursing Assistant

Nursing, Past and Present  Nursing involves caring for others  Work to keep people healthy through education and prevention  Florence Nightingale  British nurse  Founder of modern nursing  Started training for nurses  First time nurses regarded as professionals  Early nursing assistants did not have any training  Nursing involves caring for others  Work to keep people healthy through education and prevention  Florence Nightingale  British nurse  Founder of modern nursing  Started training for nurses  First time nurses regarded as professionals  Early nursing assistants did not have any training

Education of the Nursing Assistant  OBRA requirements for certification  Vocational schools, community colleges, or private training academies  Nurse Aide Competency Evaluation Program (NACEP)  All programs must submit proof that they meet stadnards  State specific standards  Minimum of 75 hours of training  Classroom and clinical  Competency Evaluation  Written and hands-on test  Some states (FL does) allow people to challenge the test without training  OBRA requirements for certification  Vocational schools, community colleges, or private training academies  Nurse Aide Competency Evaluation Program (NACEP)  All programs must submit proof that they meet stadnards  State specific standards  Minimum of 75 hours of training  Classroom and clinical  Competency Evaluation  Written and hands-on test  Some states (FL does) allow people to challenge the test without training

Education of the Nursing Assistant  Registry  OBRA requires every state to maintain a registry of everyone who has completed the nursing assistant traingin program  Full name, including maiden name and any married names  Last known home address  Social security number  DOB  Date competency evaluation was passed  Reported incidents of abuse, neglect, or theft  Employers check this registry  Registry  OBRA requires every state to maintain a registry of everyone who has completed the nursing assistant traingin program  Full name, including maiden name and any married names  Last known home address  Social security number  DOB  Date competency evaluation was passed  Reported incidents of abuse, neglect, or theft  Employers check this registry

Education of the Nursing Assistant  Reciprocity  Some states will accept certification from other states  May be required to apply and pay for new certification  Reciprocity  Some states will accept certification from other states  May be required to apply and pay for new certification

Education of the Nursing Assistant  Continuing Education  Must complete a minimum of 12 hours per year  Some states require more  Most employers provide this training  IT IS YOUR RESPONSIBILITY  Continuing Education  Must complete a minimum of 12 hours per year  Some states require more  Most employers provide this training  IT IS YOUR RESPONSIBILITY

Responsibilities of the Nursing Assistant  Vary according to setting  All perform basic nursing functions  Most responsibilities relate to physical needs  Hygeine  Safety  Comfort  Nurtrition  Exercise  Elimination  Vary according to setting  All perform basic nursing functions  Most responsibilities relate to physical needs  Hygeine  Safety  Comfort  Nurtrition  Exercise  Elimination

Responsibilities of the Nursing Assistant  Emotional needs as well  Kind words  Gentle touch  Willingness to listen  Observe and Communicate  Most opportunity to interact with patients  Changes, canges, changes  Emotional needs as well  Kind words  Gentle touch  Willingness to listen  Observe and Communicate  Most opportunity to interact with patients  Changes, canges, changes

The Nursing Team  Subset of the Health Care Team  Mimimum members of a nursing team  Licensed Practical Nurse (LPN or LVN)  Registered Nurse (RN)  Charge Nurse (usually RN)  Director of Nursing (DON)  Subset of the Health Care Team  Mimimum members of a nursing team  Licensed Practical Nurse (LPN or LVN)  Registered Nurse (RN)  Charge Nurse (usually RN)  Director of Nursing (DON)

The Nursing Team  Nursing Team Organizational Models  Primary Nursing  One nurse assigned to several patients  Nurse performs all duties  Functional (modular) Nursing  Each member of team carries out the same assigned tasks for all the patients  Team Nursing  Team leader (RN) determines all of the nursing needs and assigns team members  Patient-centered  Designed around the needs of the patient  Members of the team cross-trained  Nursing Team Organizational Models  Primary Nursing  One nurse assigned to several patients  Nurse performs all duties  Functional (modular) Nursing  Each member of team carries out the same assigned tasks for all the patients  Team Nursing  Team leader (RN) determines all of the nursing needs and assigns team members  Patient-centered  Designed around the needs of the patient  Members of the team cross-trained

Delegation  Have another person perform a task on your behalf  Nurse may delegate to the nursing assistant  Nurse still responsible  Delegated task MUST be in the Nursing Assistan’s SCOPE OF PRACTICE  Hygeine  Comfort  Exercise  Data collection  Documentation  CANNOT delegate tasks to nursing assistants that require professional judgement  Have another person perform a task on your behalf  Nurse may delegate to the nursing assistant  Nurse still responsible  Delegated task MUST be in the Nursing Assistan’s SCOPE OF PRACTICE  Hygeine  Comfort  Exercise  Data collection  Documentation  CANNOT delegate tasks to nursing assistants that require professional judgement

Delegation  Nursing Council of State Boards (NCSBN) Five Rights of Delegation  Right Task  Right Circumstance  Right Person  Right Direction  Right Supervision  YOU are the final decision maker  PROTECT YOUR LICENSE!!!!  Nursing Council of State Boards (NCSBN) Five Rights of Delegation  Right Task  Right Circumstance  Right Person  Right Direction  Right Supervision  YOU are the final decision maker  PROTECT YOUR LICENSE!!!!