Introduction to Nurse Assistant

Section 1: Define Key Terminology

• Review and accurately spell and pronounce terms.
• Use terms in the correct context.

Section 2: Legal Implications of Regulations

California Code of Regulations (CCR) Title 22, Division 5

• Purpose: Establishes licensing and certification standards.
• Requirements: Minimum standards of care, training program regulations.
• Consequences: Violations may lead to fines.

Omnibus Budget Reconciliation Act (OBRA) of 1987

• Federal Law: Codified at 42 CFR, Part 483, Subpart B.
• Training: Requires nurse aides to complete training and competency exam within four months.
• Enforcement: Federal surveys for compliance.
• Penalties: Loss of training program ability, fines, and license termination.

Section 3: Nurse Assistant Requirements

Training and Certification

• Course: Approved by California Department of Public Health (CDPH).
  • 60 hours of theory, 10 hours on Alzheimer’s and elder abuse.
  • 100 hours of clinical training.
• State Competency Test: Includes written and skills test.
  • Three attempts allowed.
  • Facility reimburses test fee if hired within a year.
• Vendors: Chancellor’s Office, Pearson VUE, American Red Cross.

Certification Renewal

• Requirements: CDPH renewal application, 48 hours of continuing education every 2 years.
• Form HS-283C: Necessary for renewal.

Section 4: Qualities of a Successful Nurse Assistant

• Dependable, empathetic, flexible, honest, compassionate, respectful, and organized.

Section 5: Scope and Responsibilities

Training

• Requirements: As per Title 22 and OBRA.
  • Mandatory theory and clinical hours.

Scope of Practice

• Definition: Tasks permitted by law and facility policies.
• Patient Care: Provide safe environment, assist with ADLs, and maintain documentation.
• Psychosocial Needs: Support emotional and cultural needs.

Mandated Reporting

• Responsibilities: Report abuse or neglect using SOC 341.
• Professional Conduct: Punctuality, teamwork, and supply conservation.

Section 6: Professionalism

• Definition: Ethical, competent, and high-standard patient care.
• Behaviors: Truthfulness, responsibility, and skill improvement.

Section 7: Ethical Conduct

Patient Care Ethics

• Principles: Protect life, preserve dignity, and maintain confidentiality.

Work Ethics

• Conduct: Arrive on time, follow supervisor’s instructions, and cooperate with team.
• Unacceptable Behaviors: Abuse, theft, falsifying records, intoxication.

Section 8: Confidentiality

Maintenance

• Practices: Discuss information only with authorized personnel.
• Breaches: Inappropriate sharing of personal information.