Define the following terms: Activities of daily living (ADLs) personal daily care tasks, such as bathing, dressing, caring for teeth and hair, toileting, eating and drinking, walking, and transferring. Assistive (or adaptive) devices special equipment that helps a person who is ill or disabled to perform ADLs

1. Identify the members of the care team and describe how the care team works together to provide care Each member of the care team has a role in providing care: 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

Define the following terms: Delegation the act of transferring authority to a person to for a specific task. Charting writing down important information and observations about residents.

2. Explain the nursing assistant’s role NAs provide services for residents by Performing assigned nursing tasks Providing personal care or assisting with self-care

2. Explain the nursing assistant’s role REMEMBER: There are specific tasks NAs do perform (e.g. helping to dress residents, caring for supplies and equipment) and tasks NAs generally do not perform (e.g. giving medications, changing sterile dressings).

2. Explain the nursing assistant’s role REMEMBER: NAs are the “eyes and ears” of the healthcare team. Your observations are very important.

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 on the job; it includes how a person dresses, the words he uses, and the things he talks about. Compassionate caring, concerned, considerate, empathetic, and understanding.

Define the following terms: Empathy entering into the feelings of others. Sympathy sharing in the feelings and difficulties of others. Tact the ability to understand what is proper and appropriate when dealing with others; being able to speak and act without offending others. Conscientious guided by a sense of right and wrong; having principles.

3. Explain professionalism and list examples of professional behavior These important points help maintain professional relationships with residents: Be positive Be clean and neatly dressed Do only assigned tasks Keep residents’ information confidential Be polite and cheerful

3. Explain professionalism and list examples of professional behavior Points for maintaining professional relationships with residents (cont’d.): Never discuss personal problems Do not use profanity Listen Call residents by their proper names Do not give or accept gifts Explain care Follow care practices

3. Explain professionalism and list examples of professional behavior These important points will help you maintain professional relationships with employers: Complete duties Follow policies/procedures Document and report care Communicate problems Ask questions

3. Explain professionalism and list examples of professional behavior Points for maintaining professional relationships with employers (cont’d.): Take directions and criticism Be on time Notify if absent Follow chain of command Participate in education programs Be a role model for the facility

Transparency 2-1: Qualities of Great Nursing Assistants Compassion Honesty Tact Conscientiousness Dependability Respect Lack of prejudice Tolerance

4. Describe proper personal grooming habits When working as an NA you should not wear Clothes that are tight, baggy, in poor repair, or revealing Large jewelry Artifical nails Too much makeup Perfume or cologne

4. Describe proper personal grooming habits When working as an NA you should Bathe or shower daily Use deodorant or antiperspirant Brush teeth frequently Keep hair clean and neat (tied back if long) Keep facial hair neat, clean, and short Cover tattoos or body piercings (except earlobes) Dress in a clean and pressed uniform Keep nails short, smooth and clean Wear comfortable, high-quality shoes

4. Describe proper personal grooming habits Think about this question: Why do you think an NA’s grooming affects how a resident feels about the care that NA gives?

Define the following terms: Liability a legal term that means someone can be held responsible for harming someone else. Scope of practice defines the things 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 REMEMBER: Some tasks are never performed by NAs (e.g. administering medications, performing procedures involving sterile technique, making diagnoses). NAs must never honor a request to do something outside their scope of practice, and such requests must be reported to the nurse.

6. Define “care plan” and explain its purpose The care plan Is created for each resident by the nurse or doctor Lists steps and tasks the care team must perform Is a guide to help the resident reach and maintain the best health possible Should involve input from resident, family, care team members Must be followed very carefully

6. Define “care plan” and explain its purpose REMEMBER: Activities not listed on the care plan should not be performed.

Transparency 2-3: Resident Care Plan 1

Transparency 2-4: Resident Care Plan 2

Transparency 2-5: Nursing Process Assessment: Getting information from many sources Diagnosis: Identifying health problems Planning: Setting goals and creating care plan Implementation: Putting care plan into action Evaluation: Examining to see if goals were met

7. Describe the nursing process REMEMBER: The nursing process is how the care team communicates to best meet the resident’s changing needs.

8. Describe “The Five Rights of Delegation” The five “rights” of delegation are Right Task Right Circumstance Right Person Right Direction/Communication Right Supervision/Evaluation

8. Describe “The Five Rights of Delegation” NAs must consider these questions before accepting tasks: 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: You can provide better care by asking questions and asking for help when you need it.

9. Demonstrate how to manage time and assignments Remember the following five basic strategies for managing time: Plan ahead. Prioritize. Make a schedule. Combine activities. Get help.

9. Demonstrate how to manage time and assignments Think about this question: The last item on the list of time management strategies is “get help.” Where can an NA get help?