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.

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

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

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?

2. Explain the nursing assistant’s role Define the following term: charting writing down important information and observations about residents.

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

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?

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.

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.

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.

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.

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

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

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

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

Transparency 2-1: Qualities of Great Nursing Assistants Compassionate Honest Tactful Conscientious Dependable Respectful Unprejudiced Tolerant

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?

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.

Transparency 2-2: Chain of Command

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?

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).

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?

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?

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.

Transparency 2-3: Resident Care Plan 1

Transparency 2-4: Resident Care Plan 2

Transparency 2-5: Nursing Process

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?

8. Describe The Five Rights of Delegation Define the following term: delegation transferring responsibility to a person for a specific task.

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

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?

8. Describe The Five Rights of Delegation REMEMBER: A nursing assistant can provide better care if she asks for help when she needs it.

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.

9. Demonstrate how to manage time and assignments Think about this question: Where can an NA find help if he needs it?

Exam Multiple Choice. Choose the correct answer. Which member of the care team diagnoses disease and prescribes treatment? (A) Nursing assistant (NA) (B) Resident (C) Physician (MD) (D) Dietitian (RDT) Which of the following care team members are licensed professionals who delegate jobs to nursing assistants? (A) NAs, nurses (B) Resident’s family (C) Nurses, PTs, OTs (D) NAs, physicians

Exam Which of the following statements is true of residents as a part of the care team? (A) Residents cannot make their own decisions. (B) Residents are not care team members. (C) Residents should not try to make choices about the care they want to receive. (D) The care team revolves around the resident and his or her condition, treatment, and progress.

Exam Which of the following statements is true of a nursing assistant’s responsibilities if an activity is not listed in the care plan? (A) The NA should not perform the activity if it is not listed on the care plan. (B) The NA should perform the activity if he or she believes it is best for the resident. (C) The NA should only perform the activity if the resident says he wants it performed. (D) The NA should consult other NAs to see if they would perform the activity.

Exam What is one reason why reporting a resident’s changes and problems to the supervisor is a very important role of the nursing assistant? (A) The care plan must be updated as the resident’s condition changes. (B) Reporting changes is not a task that the NA performs. (C) Depending on the resident’s changes, the NA can decide if she wants to work that day or not. (D) The NA can decide what medication to prescribe for the resident’s current condition. Which of the following is a typical task that an NA performs? (A) Changing a sterile dressing on an open wound (B) Helping residents with toileting needs (C) Administering medication (D) Prescribing treatments

Exam Which of the following tasks is outside the scope of practice for an NA? (A) Giving a resident a bath (B) Inserting tubes into a resident’s body (C) Helping a resident eat dinner (D) Transferring a resident from the bed to a chair A professional relationship between an NA and a resident includes (A) Telling the resident about problems with the supervisor (B) Calling the resident Dearie and Sweetie (C) Letting a resident know if the NA is in a bad mood (D) Keeping resident information confidential

Exam Proper personal grooming for an NA means (A) Wearing artificial nails and large rings (B) Keeping hair clean and neatly brushed (C) Wearing nose rings (D) Keeping tattoos visible by wearing a low-cut blouse What does the term empathy mean? (A) Empathy means being alert. (B) Empathy means being able to document honestly. (C) Empathy means being able to enter into the feelings of others. (D) Empathy means taking responsibility for one’s own actions.

Exam Which of the following is an example of a professional relationship with an employer? (A) Documenting carefully (B) Never bothering the nurses with questions (C) Trying not to be late more than twice a week Talking about management behind their backs What does the chain of command do? (A) It determines which residents go in which rooms. (B) It determines which shift an NA works. (C) It describes the care plan for each resident. (D) It helps protect nursing assistants and their employers from liability.

Exam The correct order of the nursing process is (A) Planning, evaluation, assessment, implementation, nursing diagnosis (B) Evaluation, implementation, nursing diagnosis, assessment, planning (C) Assessment, nursing diagnosis, planning, implementation, evaluation (D) Evaluation, assessment, nursing diagnosis, planning, implementation What is the single best way for an NA to manage his or her time efficiently? (A) See the NA’s favorite residents first (B) Let other care team members answer call lights so that the NA can finish assignments (C) Plan ahead by making a list of tasks to do (D) Save time by washing hands only after caring for residents who are obviously sick

CHAPTER 2 PRACTICE 1. What does the term “empathy” mean? (A) Empathy means being alert. (B) Empathy means being able to document honestly. (C) Empathy means being able to enter into the feelings of others. (D) Empathy means taking responsibility for one’s own actions. 2. Which of the following statements is true of residents as a part of the care team? (A) Residents cannot make their own decisions. (B) Residents are not care team members. (C) Residents should not try to make choices about the care they want to receive. The care team revolves around the resident and his or her condition, treatment, and progress. 3. The correct order of the nursing process is (A) Planning, evaluation, assessment, implementation, nursing diagnosis (B) Evaluation, implementation, nursing diagnosis, assessment, planning (C) Assessment, nursing diagnosis, planning, implementation, evaluation (D) Evaluation, assessment, nursing diagnosis, planning, implementation

CHAPTER 2 PRACTICE-ANSWERS C-Empathy means being able to enter into the feelings of others D- The care team revolves around the resident and his or her condition, treatment and progress. C- Assessment, nursing diagnosis, planning, implementation, evaluation