• 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
• Discuss the STNA’s responsibilities for own actions
LEGAL ASPECTS OF WORKING AS AN
• All duties are under the delegation and supervision
of a licensed nurse.
• Responsible for your acts in providing competent ,
• 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.
LEGAL ASPECTS OF WORKING AS AN
• Responsible for helping maintain a safe
environment for the resident.
• Responsible for helping to safeguard the resident’s
• Responsible to respect and safeguard the resident’s
TYPES OF ABUSE
• Involuntary Seclusion
• You do not test water temperature before placing a
resident under the shower. Water is too hot and the person
• 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
• An incident is any event that has harmed or could
harm to a resident, visitor, or staff member.
• 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.
• Documentation of facts
• Reviewed by risk management for patterns and trends.
YOU ARE RESPONSIBLE FOR YOUR OWN
• Know your responsibilities and limitations.
• Know and FOLLOW the rules.
• Report and record your actions and observations.
• Identify behaviors that will lead to successful job
• Describe professional appearance
• Successful Behaviors
• Sensitive/respectful of feelings/needs of others
• Proper speech & language
• Follow safety practices
• Use of personal electronics
• Represent the LTFC to the family/community
• Professional Cleanliness
• Professional Clothing/Uniforms per policy
• Well fitting
• Clean & pressed
• Appropriate under-clothing
• Comfortable/non-permeable shoes
• Facial Hair
• Name tag
COMMUNICATION & INTERPERSONAL SKILLS
NATCEP DAY THREE
• Define communication
• Describe behaviors that promote communication
• Identify factors that promote good interpersonal
relationships with the residents and their family and
• 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
WHAT IS COMMUNICATION?
• Two Way Process
• Three forms: oral, written or body language
• STNAs communicate with health care team,
residents & family
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.
• More accurately reflects feelings - it’s not voluntary!
• Includes gestures, postures, touch, facial
expressions, eye contact, body movements &
• Touch is critical. . . . .
BEHAVIORS THAT PROMOTE
• 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
• Listening to family members.
• DO NOT INTERFER in private family business.
FACTORS THAT PROMOTE GOOD
BLOCKS TO COMMUNICATION
• Family’s feelings of guilt or grief over institutionalizing
• Residents feelings of guilt or grief over institutionalization.
• Concerns over money, their future or separation from
• Unfamiliar language
• Cultural differences.
• Interrupting when others are speaking.
• Excessive talking
• Continuing to work or do other tasks while others are
• Giving pat answers such as “don’t worry”
• Illness or stress
• 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!
GOOD COMMUNICATION BETWEEN
YOU & YOUR SUPERVISOR
“HOW TO” ANSWER A CALL LIGHT
• As soon as it is activated!
• Turn off the call signal as soon as you enter the
• Complete helping the resident and leave the call
light within reach before leaving the resident.
“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