2 The Nursing Assistant and The Care Team 1. Identify the members of the care team and describe how the care team works together to provide care Define

2 The Nursing Assistant and The Care Team

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 devicesspecial equipment that helps a person who is ill or disabled to perform activities of daily living.



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



Care team members (cont’d): • Speech-language pathologist • Registered dietitian • Medical social worker • Activities director • Resident and resident’s family



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.



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



Think about these questions:

What are some tasks nursing assistants regularly perform?

What are some tasks nursing assistants generally do not perform?



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.

professionalismhow 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.



Define the following terms:compassionate

being caring, concerned, considerate, empathetic, and understanding.

empathyidentifying with the feelings of others.

sympathysharing in the feelings and difficulties of others.



Define the following terms:tactful

showing sensitivity and having a sense of what is appropriate when dealing with others.

conscientiousguided by a sense of right and wrong; principled.



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



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



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



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


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 practicedefines the tasks that healthcare providers are legally allowed to do and how to do them correctly.


Transparency 2-2: Chain of Command




How does the chain of command show the importance of nursing assistants not performing tasks outside their 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).




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


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


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.



These are The Five Rights of Delegation:• Right task• Right circumstance• Right person• Right direction/communication• Right supervision/evaluation



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?



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


Where can an NA find help if he needs it?


ExamMultiple Choice. Choose the correct answer.1. Which member of the care team diagnoses disease and prescribes

treatment?(A) Nursing assistant (NA)(B) Resident(C) Physician (MD)(D) Dietitian (RDT)

2. 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

3. 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

4. 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

5. 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.

6. 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


Exam7. 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

8. 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


Exam9. 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

10. 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.


Exam11. 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 (D) Talking about management behind their backs

12. 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.


Exam13. 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

14. 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 PRACTICE1. 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

1. C-Empathy means being able to enter into the feelings of others

2. D- The care team revolves around the resident and his or her condition, treatment and progress.

3. C- Assessment, nursing diagnosis, planning, implementation, evaluation

Documents

2 The Nursing Assistant and The Care Team 1. Identify the members of the care team and describe how the care team works together to provide care Define