1. Identify the members of the care team and describe how the care team works together to provide care

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

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1. Identify the members of the care team and
describe how the care team works together to
provide care

• 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

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1. Identify the members of the care team and
describe how the care team works together to
provide care

• Care team members (contd)
• Speech-language pathologist
• Registered dietitian
• Medical social worker
• Activities director
• Resident and residents family

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1. Identify the members of the care team and
describe how the care team works together to
provide care

• Think about this question
• Why are the resident and the residents family
  members considered members of the care team?

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2. Explain the nursing assistants role

• Define the following term
• charting
• writing down important information and
  observations about residents.

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2. Explain the nursing assistants role

• 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

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2. Explain the nursing assistants role

• Think about these questions
• What are some tasks nursing assistants regularly
  perform?
• What are some tasks nursing assistants generally
  do not perform?

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2. Explain the nursing assistants role

• 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.

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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 ones job, such as
  family, friends, and home life.
• professionalism
• how 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.

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3. Explain professionalism and list examples of
professional behavior

• Define the following terms
• compassionate
• being caring, concerned, considerate,
  empathetic, and understanding.
• empathy
• identifying with the feelings of others.
• sympathy
• sharing in the feelings and difficulties of
  others.

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3. Explain professionalism and list examples of
professional behavior

• Define the following terms
• tactful
• showing sensitivity and having a sense of what
  is appropriate when dealing with others.
• conscientious
• guided by a sense of right and wrong principled.

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3. Explain professionalism and list examples of
professional behavior

• 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

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3. Explain professionalism and list examples of
professional behavior

• Professional behavior for NAs when dealing with
  residents (contd)
• Not using profanity
• Listening
• Calling residents by their proper names
• Not giving or accepting gifts
• Explaining care
• Following care practices

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3. Explain professionalism and list examples of
professional behavior

• 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

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3. Explain professionalism and list examples of
professional behavior

• Professional behavior for a nursing assistant
  interacting with employers (contd)
• 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

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Transparency 2-1 Qualities of Great Nursing
Assistants

• Compassionate
• Honest
• Tactful
• Conscientious
• Dependable
• Respectful
• Unprejudiced
• Tolerant

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4. Describe proper personal grooming habits

• Think about this question
• 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?

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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 practice
• defines the tasks that healthcare providers are
  legally allowed to do and how to do them
  correctly.

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Transparency 2-2 Chain of Command
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5. Explain the chain of command and scope of
practice

• Think about this question
• How does the chain of command show the importance
  of nursing assistants not performing tasks
  outside their scope of practice?

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5. Explain the chain of command and 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).

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5. Explain the chain of command and scope of
practice

• Think about these questions
• 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?

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6. Discuss the resident care plan and explain its
purpose

• Think about these questions
• Why does each resident have a different care
  plan?
• How might residents care plans be different from
  each other?

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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.

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Transparency 2-3 Resident Care Plan 1
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Transparency 2-4 Resident Care Plan 2
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Transparency 2-5 Nursing Process
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7. Describe the nursing process

• Think about these questions
• 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 assistants role important to
  the nursing process?

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8. Describe The Five Rights of Delegation

• Define the following term
• delegation
• transferring responsibility to a person for a
  specific task.

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8. Describe The Five Rights of Delegation

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

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8. Describe The Five Rights of Delegation

• 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?

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8. Describe The Five Rights of Delegation

• REMEMBER
• A nursing assistant can provide better care if
  she asks for help when she needs it.

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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.

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9. Demonstrate how to manage time and assignments

• Think about this question
• Where can an NA find help if he needs it?

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Exam

• Multiple Choice. Choose the correct answer.
• Which member of the care team diagnoses disease
  and prescribes treatment?
• (A) Nursing assistant (NA)
• (B) Resident
• (C) Physician (MD)
• (D) Dietitian (RDT)
• Which of the following care team members are
  licensed professionals who delegate jobs to
  nursing assistants?
• (A) NAs, nurses
• (B) Residents family
• (C) Nurses, PTs, OTs
• (D) NAs, physicians

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Exam

• 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.

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Exam

• Which of the following statements is true of a
  nursing assistants 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.

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Exam

• What is one reason why reporting a residents
  changes and problems to the supervisor is a very
  important role of the nursing assistant?
• (A) The care plan must be updated as the
  residents condition changes.
• (B) Reporting changes is not a task that the NA
  performs.
• (C) Depending on the residents 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 residents current condition.
• 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

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Exam

• 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 residents body
• (C) Helping a resident eat dinner
• (D) Transferring a resident from the bed to a
  chair
• 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

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Exam

• 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
• 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 ones
  own actions.

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Exam

• 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
• Talking about management behind their backs
• 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.

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Exam

• 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
• What is the single best way for an NA to manage
  his or her time efficiently?
• (A) See the NAs 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