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  • 2. OBJECTIVES • Identify key legal aspects of resident care as they relate to the role of the STNA • Define abuse, neglect and misappropriation and identify the STNA’s role and responsibility regarding the reporting of abuse, neglect and misappropriation of a resident’s property • Discuss the importance of keeping the resident’s personal information confidential • Identify the purpose of the incident/accident reports • Discuss the STNA’s responsibilities for own actions Slide 2
  • 3. LEGAL ASPECTS OF WORKING AS AN STNA • All duties are under the delegation and supervision of a licensed nurse. • Responsible for your acts in providing competent , basic care. • Performs only those activities and duties for which you are educated/trained. • Responsible for refusing to accept an assignment for which you are not trained. Slide 3
  • 4. LEGAL ASPECTS OF WORKING AS AN STNA • Responsible for helping maintain a safe environment for the resident. • Responsible for helping to safeguard the resident’s possessions. • Responsible to respect and safeguard the resident’s rights. Slide 4
  • 5. TYPES OF ABUSE • Physical • Verbal • Involuntary Seclusion • Neglect • You do not test water temperature before placing a resident under the shower. Water is too hot and the person is burned • Mrs Parks needs help to the bathroom. You do not answer the call light promptly. She gets up without help, falls and breaks her arm • Mrs. Clark complains of chest pain & you do not report it to the nurse. She has a heart attack and dies. • Misappropriation Slide 5
  • 6. INCIDENT/ACCIDENT REPORTS • An incident is any event that has harmed or could harm to a resident, visitor, or staff member. • Accidents • Injuries • Errors in care • Broken or lost items (clothing, dentures, glasses, cash) • Hazardous substances incidents • Workplace violence • Report is completed for the facility. • Completed as soon as possible after the incident. • Purpose: • Documentation of facts • Reviewed by risk management for patterns and trends. Slide 6
  • 7. YOU ARE RESPONSIBLE FOR YOUR OWN ACTIONS! • Know your responsibilities and limitations. • Know and FOLLOW the rules. • Report and record your actions and observations. Slide 7
  • 9. OBJECTIVES • Identify behaviors that will lead to successful job performance • Describe professional appearance Slide 9
  • 10. BEHAVIORS • Successful Behaviors • Attitude • Dependable • Accurate • Sensitive/respectful of feelings/needs of others • Cooperative • Communication • Honest • Proper speech & language • Follow safety practices • Use of personal electronics • Represent the LTFC to the family/community Slide 10
  • 11. APPEARANCE • Professional Cleanliness • Professional Clothing/Uniforms per policy • Well fitting • Clean & pressed • Appropriate under-clothing • Fingernails • Hair • Jewelry • Comfortable/non-permeable shoes • Facial Hair • Name tag Slide 11
  • 13. OBJECTIVES • Define communication • Describe behaviors that promote communication between people • Identify factors that promote good interpersonal relationships with the residents and their family and friends • Identify factors that may block effective communication between the residents and their family and friends • Identify factors that promote effective communication between the STNAs and their immediate supervisors • Describe the procedures for answering call light and the facility phone Slide 13
  • 14. WHAT IS COMMUNICATION? • Two Way Process • Three forms: oral, written or body language • STNAs communicate with health care team, residents & family Slide 14
  • 15. TIPS FOR VERBAL COMMUNICATION • Control volume & tone of voice. • Speak slowly, clearly & distinctly. • Avoid slang, profanity & vulgar words. • Repeat as necessary. • Ask questions one at a time. • Position self at eye level. Slide 15
  • 16. NON-VERBAL COMMUNICATION • More accurately reflects feelings - it’s not voluntary! • Includes gestures, postures, touch, facial expressions, eye contact, body movements & appearance • Touch is critical. . . . . Slide 16
  • 17. BEHAVIORS THAT PROMOTE COMMUNICATION • Understand and respect the resident as a person • Provide an opportunity for the resident to express thoughts & feelings • Observe non-verbal behavior during interaction • Listen carefully to expressed thoughts, feelings and to the tone of voice • Encourage focus on the resident’s concerns • AVOID gossip! • Assist the resident with personal communication • writing letters • making phone calls • report the resident’s wishes to the charge nurse • Control your emotions • Develop empathy • Be courteous • Be gentle Slide 17
  • 18. • Kindness • Patience • Listening to family members. • DO NOT INTERFER in private family business. Slide 18 FACTORS THAT PROMOTE GOOD INTERPERSONAL RELATIONSHIPS
  • 19. BLOCKS TO COMMUNICATION • Family’s feelings of guilt or grief over institutionalizing resident • Residents feelings of guilt or grief over institutionalization. • Concerns over money, their future or separation from loved ones • Unfamiliar language • Cultural differences. • Interrupting when others are speaking. • Excessive talking • Continuing to work or do other tasks while others are talking • Giving pat answers such as “don’t worry” • Illness or stress Slide 19
  • 20. • Reporting important information promptly! • Information that could help prevent harm • Changes in the resident’s behavior or condition • Personal information about you to could effect your ability to do the job • Complaints from the residents and/or visitors. • DOCUMENT when appropriate! Slide 20 GOOD COMMUNICATION BETWEEN YOU & YOUR SUPERVISOR
  • 21. “HOW TO” ANSWER A CALL LIGHT • As soon as it is activated! • Turn off the call signal as soon as you enter the room. • Complete helping the resident and leave the call light within reach before leaving the resident. Slide 21
  • 22. “HOW TO” ANSWER THE PHONE • State your name • Identify yourself and your position • Speak slowly, clearly & politely • Write down messages • Report information to the nurse in charge • Facility phones are for business use only! • DO NOT give resident information over the phone • Ask caller for name and phone number Slide 22