Module 1, Introduction to Nurse Assistant. Section 1, Define Key Terminology. 1. Review the terms listed in the Terminology section.
A. California Code of Regulations, CCR, Title 22, Division 5. California state laws enacted by legislature to establish Licensing and certification standards of health facilities, minimum standards of care for the patient or resident, regulations which govern the nurse assistant training program, and nurse assistant certification requirements, initial and renewal. Skilled nursing facilities must be licensed. Skilled nursing facilities must have policies and procedures to ensure patient or resident's rights and safety.
Violations of Title 22 may lead to issuance of a state citation with a fine. Section 2 continued. Omnibus Budget Reconciliation Act, OBRA, of 1987, incorporated into federal law. 42 Code of Federal Violations CFR, Part 483, Subpart B. Requirement that nurse aides receive training and pass a competency exam within four months of employment in a skilled nursing facility.
Establishes standards of patient or resident care for Medicare and Medi-Cal reimbursement. Authorizes the federal government to contract the individual states to do federal on-site surveys for compliance with regulations. Violation of federal regulations may lead to remediation, such as Loss of the facility's ability to provide a nurse assistant training program Civil money penalties Directed in-services Denial of payment State monitoring And termination of facility license Section 3. Identify nurse assistant requirements as set forth in Title 22 and OBRA. Complete Nurse Assistant Training Course Approved by the California Department of Public Health, CDPH. Minimum of 60 hours of mandatory theory, including 10 required hours for Alzheimer's disease and elder abuse.
Minimum of 100 hours of clinical training in a skilled nursing facility. Course content must comply with Title 22 and OBRA. Students, who are employees of a skilled nursing facility, must be paid an hourly wage.
while in training. Criminal screening upon enrollment in a nurse assistant coursework, history and physical exam, tuberculosis clearance, HS 283 form. Successfully complete the state competency test.
It includes a written and skills test. You have three opportunities to pass. Pay a competency test fee. Facility must pay competency test fee if the student is an employee. If the student is hired by a skilled nursing facility within a year of passing the competency test, the facility must reimburse the competency test fee.
California has contracted with two vendors to give the state competency examination. First, the Chancellor's Office at the California Community Colleges, which contracts with Pearson VUE, administrators of the National Nurse Aid Assessment Program, NNAAP, Examination for the California Nurse Assistant Registry, or the American Red Cross. Section 3, Continued.
Criminal Clearance Prior to Certification. Certification Renewal Requirements. You must complete the CDPH renewal application.
Form HS-283C. Complete 48 hours of approved in-service. continuing education every two years with at least 12 of the 48 hours completed each of the two years 24 of these hours can be done online now verify at least one day of work for pay providing nurse related services in the past two years criminal clearance repeat fingerprinting not required competency evaluation approved by cdph if approved to test Candidate will receive the Certified Nurse Assistant Competency Evaluation Approval Form, CDPH-932. Form must contain the state stamp and seal to be valid.
Form lists date by which the candidate must successfully pass the evaluation. Form must be presented at the time of testing. Candidate's right thumb fingerprint will be applied to the form each time the candidate tests.
If the candidate does not pass testing, the candidate will need to retain the form for retesting. Section 4 Describe qualities of a successful nurse assistant. Dependable, considerate, pleasant, empathetic, flexible, honest, compassionate and caring, sensitive to others, respectful, cooperative, a team player, observant, well-groomed, organized, and respectful of cultural differences. Section 5. Identify nurse assistant requirements as set forth in Title 22 and OBRA.
Complete nurse assistant training course approved by the California Department of Public Health, CDPH. Minimum of 60 hours of mandatory theory, including 10 required hours for Alzheimer's disease and elder abuse. Minimum of 100 hours of clinical training in a skilled nursing facility.
Course content must comply with Title 22 and OBRA. Students who are employees of a skilled nursing facility must be paid an hourly wage while in training. Criminal screening upon enrollment in a nurse assistant coursework.
History and physical exam. Tuberculosis clearance. HS283B form.
Title of healthcare team members. Patient or resident. Family.
Registered Nurse, Nurse Practitioner, Physician's Assistant, Licensed Vocational Nurse, Certified Nurse Assistant, Restorative Nurse Assistant, Physician, Physical Therapist, Occupational Therapist, Speech Therapist, Dietitian, Activities Director, Social Worker, Clergy, and Ombudsman. Healthcare settings in which a nurse assistant is employed. Skilled nursing facility.
Acute hospital. Intermediate care facility. ICF.
Developmentally disabled habilitative. Developmentally disabled nursing. Hospice.
Assisted living. Residential care. Board and care facilities. Psychiatric facilities. Clinics.
Prison system facilities. and Alzheimer's units. Supervision of a nurse assistant. The direct supervisor of a nurse assistant is a licensed nurse that is functioning as the charge nurse. May also be accountable to the Director of Staff Development, Director of Nursing, Facility or Agency Administrator, and Physician in a clinic setting.
Nurse Assistant Scope of Practice. Scope of practice are the tasks that the nurse assistant is allowed to perform according to state and federal law and facility policies. Provide uniform, safe care. Provide care according to educational standards. Legal concept.
Functioning within a scope of practice protects the nurse assistant and the facility. Responsibility of the nurse assistant in a patient or resident care. Provide a safe environment for the patient or resident. proper use of equipment and protective devices, awareness of potential hazards such as liquid spills, practice personal hygiene and cleanliness, care for patient or resident's personal property, and adhere to standard precautions.
Section 5, meet the patient or resident's physical needs. Observe changes in the patient or resident's physical status and report as needed. Assist with activities of daily living.
Assist with medical and rehabilitative activities, such as vital signs, turning, collecting specimens, ambulation, etc. Maintain a clean environment. Assist with ADLs in a timely manner. Document care provided as required by facility policy.
Assist the patient or residents to meet their psychosocial, emotional, spiritual, and cultural needs. Observe changes in the patient or resident's mental status and report as needed. Assist with patient or resident comfort and anxiety relief. By protecting the patient's rights, the nurse assistant will ensure that the patient or resident will be treated with dignity and respect. Feel secure.
Be recognized as an individual. Love and be loved. Feel a sense of accomplishment. Feel good about themselves. Follow personal beliefs.
Receive nursing care that assures cultural recognition and acceptance. Mandated Reporter Nurse assistants are legally required to report suspected or observed abuse or neglect. Use the Abuse Report Form SOC 341. Responsibilities of the Nurse Assistant to the Employer Report to work on time. Fulfill assigned schedule reliably.
Notify supervisor when ill in a timely manner. Work as a team member. Perform one's job to the best of his or her ability as specified by the job description. Conserve supplies and equipment. Section 6. Describe professionalism for the nurse assistant.
Definition of professionalism. Carrying out patient-resident care in a manner that is ethical, competent, knowledgeable, careful. Committed and representative of high standards. Professional behaviors and attitudes.
Being skilled and caring while performing care. Being responsible, trustworthy, truthful, such as reporting the change of address to CDPH. Keeping a record of in-service education and CEUs.
Attending in-service or educational activities to improve skills and knowledge. Show compassion for others. Be a team player. Do the best job possible.
Ask for assistance when necessary. And be a mandated reporter. Understanding scope of practice for licensed personnel.
The Nurse Practice Act. Delegation of duties. Job description of permitted nursing skills for nurse assistant.
Maintaining current nurse assistant certification. Maintaining a professional appearance. Daily bath or shower and use of deodorant.
Shampoo hair on a regular basis. Uniform should be clean and pressed daily. Follow facility policy for body piercings and tattoos.
Section 7. Explain the ethical behavior expected of the nurse assistant. Ethical behavior for the patient or resident care means the nurse assistant should protect life. promote health, preserve dignity, keep personal information confidential, respect each person as an individual, such as their religious beliefs and cultural differences, and give care based on need, not gratuities.
Section 7 continued ethical behavior for work includes working your assigned shift, arriving on time for work, being absent only when necessary. Notifying employer prior to necessary absences in a timely manner. Follow instructions given by supervisor within scope of practice.
And be a loyal, flexible, cooperative team member. Unacceptable behaviors which may result in dismissal are Abuse of any patient or resident. Stealing or willfully damaging property. Insubordination. Neglecting duties.
altering or falsifying records or reports, working under the influence of alcohol or drugs, dishonesty in any form, and breaching confidentiality. Section 8. Describe behaviors that maintain confidentiality. Confidentiality can be maintained by discussing personal information only with appropriate health team members, at appropriate times, and appropriate places. Section 8 continued, examples of maintaining confidentiality.
Adhering to HIPAA guidelines. Discussing observations with nurse or patient residence physician. Discussing the patient or residence care while participating in team conferences or planning. Section 8 continued, examples of breaching confidentiality include discussing personal information with another patient or resident.
concerned friends or visitors, members of the news media, members of the nurse assistant's family, persons in the community. and health team members not directly involved with the patient or resident's care.