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Unit A Nurse Aide Workplace Fundamentals Essential Standard 1.00 Understand the range of function, legal and ethical responsibilities of the nurse aide within the healthcare system. Indicator 1.01 Understand healthcare facilities and organizational structure with focus on LTC. 1 1.01 Nursing Fundamentals 7243 Understand healthcare facilities and organizational structure with focus on LTC.

Unit A Nurse Aide Workplace Fundamentals Essential ... · Nurse Aide Workplace Fundamentals Essential Standard 1.00 ... 1.01 Nursing Fundamentals 7243 . What does Terminal mean? 17

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Page 1: Unit A Nurse Aide Workplace Fundamentals Essential ... · Nurse Aide Workplace Fundamentals Essential Standard 1.00 ... 1.01 Nursing Fundamentals 7243 . What does Terminal mean? 17

Unit A

Nurse Aide Workplace Fundamentals

Essential Standard 1.00

Understand the range of function, legal and ethical responsibilities of the nurse aide within the healthcare system.

Indicator 1.01

Understand healthcare facilities and organizational structure with focus on LTC.

1 1.01 Nursing Fundamentals 7243

Understand

healthcare facilities

and organizational

structure with

focus on LTC.

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F Y I - Intentional Repeat

There is intentional repeat of some HSII course content in Nursing Fundamentals.

Repeating course content distributes learning over time and increases long term memory.

Academic and skill competence must be maintained at a very high level for direct resident care.

2 1.01 Nursing Fundamentals 7243

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BRAIN STORM

3

Think Where do you think Nurse Aides work?

Act Raise your hand and share your thoughts!

1.01 Nursing Fundamentals 7243

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4

NAs can work in a variety of settings

Clinics

Hospitals

Rehab Centers

Homes for Aged

HOME CARE

LTC

Psychiatric Facilities

1.01 Nursing Fundamentals 7243

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Provide care for individuals of all ages with a broad range of health problems

5 1.01 Nursing Fundamentals 7243

Hospitals

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Hospitals

Services varied and extensive

• Diagnostic

• Therapeutic

• Medical

• Surgical

• Emergency

6 1.01 Nursing Fundamentals 7243

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So what does Diagnostic mean?

7

Remind me from HSII…

Pertaining to the Identification of

a medical condition or disease as

determined by a physician. A

statement of what is wrong with a

resident.

1.01 Nursing Fundamentals 7243

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So what does Therapeutic mean?

8

aaaand….

Pertains to treating,

fixing, or correcting a

medical or surgical

problem

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So what does Medical mean?

9

• Pertaining to the science of treatment that

includes drugs, diet, exercise and other

non-surgical means.

aaaaaaaand ….

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Surgical …

10

Pertains to the treatment of injury,

deformity, and disease by manual

and instrumental

operations.

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So what does Emergency mean?

11

and last but not least….

Sudden occurrence of a

serious and urgent nature

that demands immediate

attention.

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Stick diagnostics

12

Open your mouth and say aaaaaanswer

Diagnostic

Therapeutic

Medical

Surgical

Emergency

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BRAIN STORM

13

Think Consider situations that are NOT

emergencies that may be considered

emergencies by some people.

Act Raise your hand and share your thoughts!

Wait to be called on.

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Hospitals

14

Types of Care

Acute Chronic Terminal / Palliative

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So what does Acute mean?

15

OK so…..remind me

• An acute illness has a sudden onset from

which the resident is expected to recover.

• Acute therapy is short-term medical

treatment, usually in a hospital, for patients

having an acute illness or injury or recovering

from surgery.

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Chronic means….

16

Then…

• A chronic illness has slow or gradual on set, for

which there is no known cure, the illness can be

controlled and complications prevented.

• Chronic care is medical and nursing services that

focus on long term care of people with chronic

diseases or conditions, either at home or in a

medical facility. It includes measures specific to the

problem, as well as others to encourage self-care,

promote health, and prevent loss of function.

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What does Terminal mean?

17

An illness from which

the resident is not

expected to recover and

will die.

Residents with terminal

illnesses are given

Palliative (comfort)

care instead of curative

care.

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Acute

18

Open your mouth and say aaaaaanswer

Acute

Chronic

Terminal

Palliative

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LONG TERM CARE FACILITIES

Referred to as:

• Extended care facilities

• Skilled care facilities

• Nursing homes

• CCRC – continuing care retirement community (includes skilled nursing)

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LONG TERM CARE FACILITIES

Provide healthcare services to individuals unable to care for themselves:

• elderly persons

• disabled or handicapped persons

• people with chronic illness

20 1.01 Nursing Fundamentals 7243

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21

LTC Services Provided

Medical

Nursing

Nutritional

Recreational

Rehabilitation

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Long term care… Have we got it?

Let’s check and see

22

Stick diagnostics

Student Name A

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HOMES FOR THE AGED (HA) HOMES FOR THE AGED LICENSE (HAL)

Formerly called:

•Rest home

•Assisted living

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HOMES FOR THE AGED

Types: • Family Care Home – serves 2-6

unrelated persons

• Adult Care Home – serves 7 or more unrelated persons

• Group Home – for developmental disabled adults

• Multi unit housing with services

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HOMES FOR THE AGED

• Assists resident with medication administration

• Assists with personal care, dressing, or grooming

• Provides three meals a day

• Provides housekeeping

• LIMITED MEDICAL SUPERVISION

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HOMES FOR THE AGED

• Monitored by Adult Home Specialist within County Department of Social Services

26

• Licensed by

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Homes for the AGED Have we got it?

Let’s check and see

27

Stick diagnostics

1.01 Nursing Fundamentals 7243

What are other names for homes for the aged?

How much medical supervision is given in HAs?

What agency issues licenses to HAs?

What agency monitors HAs?

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HOME CARE AGENCIES

Provide care in the home for people needing health services, but not hospitalization

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HOME CARE AGENCIES

Services provided include:

29

• Nursing / CNA / PCA • Physical therapy • Occupational therapy • Speech therapy • Social services • Nutritional and food services • Respiratory therapy • Homemaker services

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Home Care Agencies Have we got it?

Let’s check and see

30

Stick diagnostics

Student Name A

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HEALTHCARE FACILITY ORGANIZATIONAL STRUCTURE

• Displays chain of command

• Shows lines of authority

• Identifies health care worker’s position

• Identifies immediate supervisor

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HEALTHCARE FACILITY ORGANIZATIONAL STRUCTURE

• Responsible for provision of safe and adequate care at a reasonable cost

• Makes facility policies

• Delegates management to an administrator

Governing body = (Board of Directors)

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HEALTHCARE FACILITY ORGANIZATIONAL STRUCTURE

Department heads

–Have specific areas of responsibilities

– Supervise department staff

• Finance

• Ancillary services

• Nursing

33 1.01 Nursing Fundamentals 7243

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HEALTHCARE FACILITY ORGANIZATIONAL STRUCTURE

Medical Director

Supervises medical staff activities

•Physicians

•Residents

• Interns

34 1.01 Nursing Fundamentals 7243

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HEALTHCARE FACILITY ORGANIZATIONAL STRUCTURE

Director of Nursing and Assistant DON

• Supervises nursing staff activities

• Responsible for safe nursing care

• Registered nurses

35 1.01 Nursing Fundamentals 7243

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HEALTHCARE FACILITY ORGANIZATIONAL STRUCTURE

Nursing supervisor

• Assists director of nursing

• Licensed nurse

• Assigned areas of responsibility

• Assigned to specific shift

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HEALTHCARE FACILITY ORGANIZATIONAL STRUCTURE

Charge Nurse

–Has specific areas of responsibility

–Responsible for resident care in specific area

37 1.01 Nursing Fundamentals 7243

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HEALTHCARE FACILITY ORGANIZATIONAL STRUCTURE

Charge Nurse

Supervises staff in specific area

•Registered nurses (RNs)

• Licensed practical nurses (LPNs)

•Nurse aides (NAs)

38 1.01 Nursing Fundamentals 7243

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LTC Healthcare organization structure…

Have we got it?

Let’s check and see

39

Stick diagnostics

1.01 Nursing Fundamentals 7243

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LTC FACILITIES REGULATION

40

Federal Level

State Level

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41

Federal Level

• Federal agency that works

with state agencies

• Runs two national care

programs

Medicare

Medicaid

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42

Federal Level

• Helps pay for health care

including nursing home care

• Sets quality standards for

long term care facilities

• Nursing homes must be

certified to receive Medicare

and Medicaid funds

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43

Federal Level

Nursing Home Compare for Consumers http://www.cms.gov/CertificationandComplianc/Downloads/consumerppt.pdf

• Five Star rating system

• Quality of care information

• Characteristics of nursing homes

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LTC FACILITIES REGULATION

44

State Level

Two Sections of DHSR:

• Nursing Home Licensure and

Certification Section

• Health Care Personnel Registry

Section

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LTC FACILITIES REGULATION

45

Nursing Home Licensure and

Certification Section

• Determines location and number of nursing homes

needed in NC

• Issues licenses to nursing homes giving permission

to operate and provide care

• "Surveyors" conduct inspections to find out whether

the nursing home meets federal rules

Routine inspections take place in nursing homes

that receive payment through Medicare and

Medicaid every 9 to 15 months

Surveys take three days on average

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LTC FACILITIES REGULATION

46

Responsibilities of the nurse aide during the

survey process

• Provide quality care

• Protect residents rights

• Provide for resident and personal safety

• Keep center clean and safe

• Conduct yourself in a professional

manner

• Demonstrate good work ethics

• Follow center policies and procedures

• Answer surveyor questions honestly

and completely

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LTC FACILITIES REGULATION

47

LTCs can be put on

“SANCTION” because

of:

• Substandard care

• CMP – Civil Money Penalty

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LTC FACILITIES REGULATION

CMP-Civil Money Penalty

48

• Fines collected as a result of

nursing home violations

• Fines are redirected back in the

nursing home industry to improve

the quality of care

• In NC – Win A Step Up is funded by

CMP

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LTC FACILITIES REGULATION

49

Health Care Personnel Registry

SECTION

There are two branches:

1. Investigations Branch

2. Center for Aide Regulation and

Education (CARE) Branch

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LTC FACILITIES REGULATION

50

Health Care Personnel Registry SECTION

Investigations BRANCH

responsible for: 1. Health Care Personnel Registry

2. Receiving reports from health care

facilities

3. Unlicensed health care worker

investigations

4. Listing "Pendings" and "Findings"

on the Nurse Aide I and Health Care

Personnel Registries

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LTC FACILITIES REGULATION

51

Health Care Personnel Registry SECTION

Center for Aide Regulation and

Education (CARE) BRANCH is

responsible for 1. Nurse Aide I Registry, training and

competency programs

2. Medication Aide Registry and competency

programs

3. Geriatric Aide Registry and training

4. Feeding assistant training curriculum

5. Providing registry access and listing

verification

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LTC FACILITIES REGULATION

52

NC New Organizational Vision Award

~NC NOVA~ http://www.ncnova.org/index.html

NC Special State License that honors

excellence in the workplace for

people employed by home care

agencies, adult care homes, and

nursing homes.

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LTC FACILITIES REGULATION

53

NC New Organizational Vision Award

NC NOVA facilities have the

following:

1. Well trained staff, satisfied and

loyal workers helping families by

caring for their loved ones;

2. Stronger links among workers,

residents, families, and

management;

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LTC FACILITIES REGULATION

54

NC New Organizational Vision Award

NC NOVA facilities have the

following:

3. Chances for staff to better their

skills and advance their careers;

4. Stable, quality worker available

now and for the future.

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LONG TERM CARE REGULATIONS – SO WHAT?

55

Nurse Aides must

provide good care

and comply with

state and federal

and regulations.

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Consequences of inappropriate actions by the Nurse Aide Student or CNA

Name of the Nurse Aide will be listed on the Health Care Personnel Registry for a "pending" allegation or substantiated allegation "finding(s)".

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Consequences of inappropriate actions by the Nurse Aide Student or CNA

Nursing homes and other facilities must access the NC DHSR Health Care Personnel Registry before they hire unlicensed staff. Listings include: • Name of the Nurse Aide

• Nature of the finding or allegation

• Status of the investigation

• Listings on the NC Health Care Personnel Registry will also be listed on the National Practitioner Data Bank

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58

NPDB-HIPDB – National Practitioner

Data Bank / Healthcare Integrity and

Protection Data Bank

• Nurse Aides are considered “practitioners”

• Substantiated negative “Findings” for nurse

aides will appear in this national data bank!

http://www.npdb-hipdb.hrsa.gov/

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Consequences of inappropriate actions by the Nurse Aide Student or CNA

Deficiencies may be cited against the LTC where the Nurse Aide is employed

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Prevent Problems

• Good resident care

• Given with a good heart

• Using Good standards

• Each and every day

• Equals a GREAT CNA who has nothing to fear and everything to gain.

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Prevent Problems

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• Understand healthcare facilities and

organizational structure with focus

on LTC.

62

END

1.01

1.01 Nursing Fundamentals 7243