Before Class starts

1. Nursing Assistant and
Health Care Team
Chapter 2

2. Members
 Nursing Assistant (NA)
◦ Performs delegated tasks
◦ VS, ADLs
◦ Eyes and ears of the nurse
◦ Training – At least 75 hours
 Observes and Reports changes in
Patient
◦ Very important role!

3. Registered Nurse
 Delegates tasks to LPN & NA
 Coordinates, manages, & provides
skilled care
 Supervises staff under him/her
 Training – 2 – 4 years - Licensed

4. Licensed Practical Nurse
 Also called LVN
 Takes direction from RN
 Gives meds and performs treatments
 May also supervise NA
 Training 1 year – Licensed

5. Physician, MD, Doctor
 Diagnoses, prescribes meds
 Gives orders to RN for patient status
changes
 Training – About 10 years! - Licensed

6. Physical Therapist (PT)
 Helps pt increase mobility
 Teaches use of cane, walker, wc
 Training: 5 years - licensed

7. Occupational Therapist (OT)
 Helps residents learn how to perform
ADLs again after medical event
(stroke, accident, surgery, other
disability)
 Teaches use of assistive/adaptive
equipment
 Training – 4 – 6 years - Licensed

8. Speech Therapist
 Helps with speech/swallowing issues
 Teaches new ways to communicate
(white board for writing, use of
pictures)
 Training – 4 – 5 years- Licensed

9. Dietician (RD)
 Manages nutritional needs of patients
 Works with ST to determine adequate
diet for pt related to health situation
◦ Swallowing, nutrition (malnourished),
renal, diabetes
 Training – 4 – 5 years

10. Medical Social Worker
 Determines resident’s needs & helps
with support services both in facility
and community upon discharge
◦ Counseling, individual and family
◦ Clothing
◦ Appointment set-up
 Training – 5 years - Licensed

11. Activities Director
 Plans activities for residents
◦ Improves well-being
◦ Minimizes disability
◦ Keeps residents engaged
 Training – 2 – 4 years or work
experience

12. Resident & Family
 Resident and family have the right to
be involved in the care & planning
 Care should revolve around the
resident
 Resident-centered care

13. NA Role
 Perform delegated tasks
 Assist with ADLs
 Promote independence and self-care
 Assist with ambulation and ROM
 Keep resident area clean and neat

14. What NAs may not do…
 Give meds
 Insert tubes
 Change sterile dressings
 Give tube feedings

15. Other important duties…
 Report changes to nurse
 Charting – paper or computer
 Have an assignment of patients to
care for
 But……
 If a resident needs help who is not in
your assignment…you help anyway

16. Professionalism
 Definition: How you behave on the
job
◦ Appropriate dress
◦ Speech
◦ Actions
◦ Following plan of care
◦ Following policies & procedures
◦ Being on time, completing tasks, keeping
professional separate from personl

17. Professional relationship with
Residents
 Showing positive attitude
 Only performing tasks that are in care
plan
 Keeping resident information confidential
 Being polite & cheerful even when not
feeling
 Not discussing your personal problems
 Not using profanity, even though resident
may
 LISTENING TO RESIDENT!!!!!!

18. Professional relationship with
Residents (continued)…
 Calling resident by “Mr ____” or
“Mrs_____” or by whatever name is
comfortable for that person
 Never giving or accepting gifts
 Always explain what you are going to
do
 Providing privacy
 Using good hand washing before and
after resident contact

19. Professional relationship with
employer
 Completing tasks
 Following policy & procedure
 Asking if you do not know
 Being on time
 Calling when you can’t be there, as
soon as you can
 Following the chain of command

20. Nursing assistants must be….
 Compassionate
 Empathetic
 Sympathetic
 Tactful
 Conscientious
 Dependable
 Respectful
 Unprejudiced
 Tolerant

21. Good grooming habits:
Professional appearance
 Daily showering
 Use deodorant
 Brush you teeth
 Keep facial hair clean, short, and neat
 Keep hair clean and off shoulders
 No visible tatoos
 Fingernails short, no artificial
nails…Why?
 Little or no make-up

22. Chain of Command
 Administrator
 Medical Services Director (MD)
 DNS
 Assistant DNS
 Staff development director
 Nursing supervisor
 Charge nurse
 Staff nurse (RN, LPN)
 NAs

23. Chain of Command - Visual

24. Scope of Practice
 Defines what the discipline is allowed to
do.
 Laws and regulations differ from state to
state
 NAs do not:
◦ Give meds, do anything outside of scope or
care plan, perform procedures requiring
sterile technique
◦ Diagnose or prescribe
◦ Tell family or resident diagnosis or medical
treatment plan…nurse’s or MD job

25. Care plan
 Based on nursing process & resident
problems – Created by RN
◦ Assessment
◦ Diagnosis
◦ Planning
◦ Implementation
◦ Evaluation

26. 5 rights of delegation
The RN makes sure of these 5 things:
 Right task
 Right circumstance
 Right person
 Right direction/communication
 Right supervision/evaluation

27. What should the NA ask?
 Do I have all the information?
 Can I do this?
 Do I have what I need?
 Do I know who to ask when I have
questions?
 Do we both understand who is doing
what?
 Do not be afraid to ask questions. The
resident’s welfare is at stake!

28. Managing time
 Plan ahead
 Prioritize
 Make a schedule if you need to
 Combine activities in a resident’s room
 Get help if you need it.