1. Careers in Nursing Chapter 14 Medical Careers

2. Key Terms Advocate: – one who represents the needs of the client Long-Term care facility: – Nursing home Omnibus Budget Reconciliation Act (OBRA): – Long term care facilities wanting Medicare or Medicaid funding are to provide services so that each resident can “attain and maintain her highest practicable physical, mental, and psychosocial well-being.” – creates a set of national minimum set of standards of care and rights for people living in certified nursing facilities.

3. Licensed vs Unlicensed Nursing Personal Unlicensed personnel: able to perform basic nursing tasks after specific training Licensed personnel: take post-secondary education, must pass a licensing test, held accountable for actions through standards set by the state agency

4. Importance of Unlicensed Nursing Personnel Due to the rapidly rising cost of health care, there needs to be a more cost effective way of delivering health care

5. Four levels of unlicensed nursing personnel Certified Nursing Assistant – Performs basic health care task, ie: Activities of Daily Living (ADLs) – Works under the supervision of licensed personnel Home Health Aide: – Works with clients in the home – Assists with medications, cleaning, laundry, shopping, transportation, ADLs

6. Educational Requirements of Nursing Personnel Certified Nursing Assistant: – 75 hours of training, completion of a manual and written test Home Health Aide: – on-the-job training in most states… some states require formal training – If assisting with medication federal government suggests 75 hours of training (med aide)

7. Dialysis Technician: – Operates the kidney dialysis machine Surgical Technician: – Operating room assistants – Perform sterilization procedures, know order of surgical tools needed during surgery, prepares clients for surgery, checks vital signs

8. Dialysis Technician – Often nursing personnel are trained in this area – 16 to 18 weeks of training for lay person Surgical Technician – 9 to 24 month program of training at an accredited program

9. Three Levels of Licensed Nursing Personnel Licensed Practical Nurse (LPN): – Take vital signs, do treatment procedures, administer medication, care of dressings, catheter insertion and care, assessments, assist in L & D, education of client

10. Three Levels of Licensed Nursing Personnel Registered Nurse (RN): – Provides holistic health care, may work independently or in a team, responsibilities range from basic care to administrative positions, a client Advocate

11. Licensed Practical Nurse (LPN): – 1 to 2 years of education, must pass a licensing exam Registered Nurse (RN): – 2 to 4 years of education, must pass a licensing exam

12. Advanced Practice Nurse: – RN who successfully completes additional training requirements – Works under the supervision of a physician – Able to diagnose (dx) and treat (tx) common ailments – Nurse Practitioners (NP) able to prescribe medication

13. Advanced Practice Nurse: – 4 years of nursing education (Bachelors degree) plus one to two years of graduate-level education

14. REMEMBER!!! Primary responsibility of the Registered Nurse is to be a patient ADVOCATE!

15. Job Opportunities for Nursing Industrial Health Office Nursing Long-term Care Facilities Hospital Nursing Home Health Nursing

16. Job Opportunities for Nursing School Nursing Traveling Nurse Research NursingNurse Educator Flight Nurse

17. Job Opportunities for Nursing Health Administration Psych Nursing Forensic Nursing Nurse Supervisor Legal Nursing Nurse Missionaries

18. Advanced Practice Nursing RN who successfully completes additional training requirements and obtain an advanced practice certification or degree

19. Three Types of Advanced Practice Nurses Clinical Nurse Specialist: – Specializes in specific nursing areas Obstetrics Med-Surg Pediatrics – Nurse Anesthetist Trained in the use of anesthetics – Certified Nurse-Midwife Trained in the care of the pregnant woman, assists with the delivery of babies

20. Nurse Practitioner – see patients of all ages – treat both physical and mental conditions – physical exams – order tests and therapies – Prescribe medication – Work under the supervision of a physician

21. Nursing Shortage Average age of Nurses is 45 to 48 years Large majority retiring in the next 12 years Not enough people going into nursing field to cover the nurses leaving Baby-Boomers are getting older and needed more care Therefore a BIG nursing shortage!!!!!! 