MNA Mosby’s Long Term Care Assistant Chapter 3 The Nursing Assistant in LTC

History and Current Trends Formerly OJT New training requirements in 1987 (Omnibus Budget Reconciliation Act) Efforts to reduce health care costs

Federal and State Laws Nurse Practice Acts Describes scope and practice of RN, LPN, NA Laws for revoking license Omnibus Budget Reconciliation Act NA training Competence Evaluation Registry Retraining

Roles and Responsibilities of the Nursing Assistant Scope of Practice Assist the nurse in giving care Report to the nurse Never perform a task you have not been trained to do Read your job description

ROLE LIMITS Never give medications Never insert tubes or objects into a residents body opening Never take verbal or telephone orders from a doctor Never perform procedures alone that require sterile technique

ROLE LIMITS Never tell the resident or family the resident's medical diagnosis or treatment plans Never diagnosis or prescribe treatments or drugs Never ignore a request that you cannot or should not do

Delegation Legal Consequences Responsibility – duty to perform a task Delegation – to authorize another person to perform a task Responsibility – duty to perform a task Legal Consequences

The 5 Rights of Delegation The Right Task The Right Circumstance The Right Person The Right Directions The Right Supervision

Your Role in Delegation Accept a Task safety own actions Refuse a Task common sense unethical, illegal

Review Nursing practice is regulated by ? Nurse practice acts

Inform the nurse Review You decide to refuse to perform a task. Your first action should be to ? Inform the nurse

Review Who is responsible for telling the resident the results of his blood test ? Doctor

Review You must perform all tasks and procedures as directed by the nurse. True or False

Review You make the decision about what should be done for the resident. True or False

Review All LTCF let NA perform the same task and procedures. True or False

Review You are allowed to give medication if the nurse asks you to . True or False

Review The doctor is your supervisor in the LTCF . True or False

Review You are not allowed to remove tubes from a residents body . True or False

Review You can refuse to complete a task if you do not like performing the task. True or False

Questions??