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

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

3. 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

4. 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

5. 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

6. 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

7. 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

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

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

10. Review
Nursing practice is regulated by ?
Nurse practice acts

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

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

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

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

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

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

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

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

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

20. Questions??