The document outlines the legal rights that must be respected for nursing home residents. These include rights to access medical records, refuse treatment, privacy, making personal choices, voicing grievances, engaging in activities, and living free from abuse. Residents can expect to be cared for in a safe, comfortable environment that promotes dignity and quality of life. The role of the long-term care ombudsman is to help residents understand and exercise their rights.
This document covers several topics related to the legal responsibilities and proper conduct of STNAs (student nurse aides). It discusses key legal aspects of resident care including issues like abuse, neglect, misappropriation and keeping resident information confidential. It also outlines the purpose of incident reports and emphasizes that STNAs are responsible for their own actions. The document then provides guidance on proper behaviors and appearance expected of STNAs as well as best practices for communication, interpersonal skills, and answering call lights and facility phones.
The document provides information on training and technical assistance from the SERVICEandINCLUSION organization regarding inclusion of people with disabilities. Topics covered include person-first language, the definitions of disability, qualified individual, and reasonable accommodation under Section 504 and the ADA. Guidelines are presented for creating a welcoming environment and ensuring equal access for individuals with disabilities.
The document discusses various legal terms and definitions related to ethical and legal issues including abandonment, assault, battery, false imprisonment, fraud, invasion of privacy, liability, malpractice, and negligence. It also covers mandatory reporting requirements, the purpose of service plans, following service plans, consumer rights including privacy and confidentiality, the need to know rule, allowing consumer decisions about services, living wills, durable medical power of attorney, and pre-hospital medical care directives (orange forms).
This document outlines the objectives and content covered in Day Sixteen of the NATCEP training program, which focuses on bathing residents. It discusses factors that affect residents' hygiene needs, the purposes of bathing, and general bathing guidelines. It also covers skills like partial bed baths, complete bed baths, backrubs, and perineal care. Finally, it provides instructions for giving tub/whirlpool baths, shower baths, and bag baths.
This document discusses maintaining a safe and comfortable environment for long-term care facility residents. It identifies key items in the resident's unit like call lights, furniture, and supplies. It emphasizes adjusting temperature and lighting for comfort and keeping belongings clean and within reach. Proper bed-making is also covered, identifying unoccupied, occupied, closed, and open bed styles and the importance of cleanliness and pressure ulcer prevention.
This document discusses urinary elimination and catheters. It provides objectives about the urinary system, changes with aging, signs of infection, incontinence prevention and treatment, catheter care, and observations of catheterized residents. The urinary system filters waste from the blood through the kidneys and ureters into the bladder, then through the urethra. With aging, the system becomes less efficient and muscles weaken, increasing risk of infection and incontinence.
This document discusses personal care skills for residents including hygiene, grooming, and dressing. It covers daily hygiene needs like bathing, oral care, hair care, nail care, and dressing/undressing. The nurse aide's role is to encourage independence and assist residents as needed. Considerations for care include the resident's preferences, safety, privacy, and any special instructions in their care plan. The overall goal is to promote each resident's comfort, dignity and well-being.
The document provides an overview of the objectives and content covered on day one of the NATCEP (Nurse Aide Training and Competency Evaluation Program). It discusses the requirements of the OBRA law which mandates nurse aide training programs, including 75 hours of instruction and 16 hours of clinical training. It also describes the roles and responsibilities of the program coordinator, instructors, and nurse aide students. Additional topics covered include the nurse aide's role on the healthcare team, maintaining resident rights and confidentiality, and the importance of policies and procedures.
This document covers several topics related to the legal responsibilities and proper conduct of STNAs (student nurse aides). It discusses key legal aspects of resident care including issues like abuse, neglect, misappropriation and keeping resident information confidential. It also outlines the purpose of incident reports and emphasizes that STNAs are responsible for their own actions. The document then provides guidance on proper behaviors and appearance expected of STNAs as well as best practices for communication, interpersonal skills, and answering call lights and facility phones.
The document provides information on training and technical assistance from the SERVICEandINCLUSION organization regarding inclusion of people with disabilities. Topics covered include person-first language, the definitions of disability, qualified individual, and reasonable accommodation under Section 504 and the ADA. Guidelines are presented for creating a welcoming environment and ensuring equal access for individuals with disabilities.
The document discusses various legal terms and definitions related to ethical and legal issues including abandonment, assault, battery, false imprisonment, fraud, invasion of privacy, liability, malpractice, and negligence. It also covers mandatory reporting requirements, the purpose of service plans, following service plans, consumer rights including privacy and confidentiality, the need to know rule, allowing consumer decisions about services, living wills, durable medical power of attorney, and pre-hospital medical care directives (orange forms).
This document outlines the objectives and content covered in Day Sixteen of the NATCEP training program, which focuses on bathing residents. It discusses factors that affect residents' hygiene needs, the purposes of bathing, and general bathing guidelines. It also covers skills like partial bed baths, complete bed baths, backrubs, and perineal care. Finally, it provides instructions for giving tub/whirlpool baths, shower baths, and bag baths.
This document discusses maintaining a safe and comfortable environment for long-term care facility residents. It identifies key items in the resident's unit like call lights, furniture, and supplies. It emphasizes adjusting temperature and lighting for comfort and keeping belongings clean and within reach. Proper bed-making is also covered, identifying unoccupied, occupied, closed, and open bed styles and the importance of cleanliness and pressure ulcer prevention.
This document discusses urinary elimination and catheters. It provides objectives about the urinary system, changes with aging, signs of infection, incontinence prevention and treatment, catheter care, and observations of catheterized residents. The urinary system filters waste from the blood through the kidneys and ureters into the bladder, then through the urethra. With aging, the system becomes less efficient and muscles weaken, increasing risk of infection and incontinence.
This document discusses personal care skills for residents including hygiene, grooming, and dressing. It covers daily hygiene needs like bathing, oral care, hair care, nail care, and dressing/undressing. The nurse aide's role is to encourage independence and assist residents as needed. Considerations for care include the resident's preferences, safety, privacy, and any special instructions in their care plan. The overall goal is to promote each resident's comfort, dignity and well-being.
The document provides an overview of the objectives and content covered on day one of the NATCEP (Nurse Aide Training and Competency Evaluation Program). It discusses the requirements of the OBRA law which mandates nurse aide training programs, including 75 hours of instruction and 16 hours of clinical training. It also describes the roles and responsibilities of the program coordinator, instructors, and nurse aide students. Additional topics covered include the nurse aide's role on the healthcare team, maintaining resident rights and confidentiality, and the importance of policies and procedures.
This document outlines safety procedures and precautions for nursing assistants to prevent common risks for long-term care residents, including falls, burns, choking, and elopement. It identifies causes of safety risks like impaired mobility and dementia. Guidelines are provided for fall prevention through non-slip footwear and handrails. Burns are addressed through supervised bathing and monitoring of heating equipment. Choking risks are reduced by following diet orders and feeding slowly. Elopement is defined and responding to missing residents is emphasized. Carrying techniques like two-person seats are demonstrated to safely transport residents.
This document discusses practices for preventing the spread of pathogenic microorganisms. It identifies methods such as handwashing, cleaning, handling linens and waste correctly, and keeping residents and equipment clean. It also discusses controlling microorganisms through disinfection and sterilization of supplies and equipment. The importance of proper handwashing techniques before and after contact with residents to prevent the spread of microbes from person to person is emphasized. Standard precautions like gloves, gowns, and masks are outlined as well as isolation techniques for residents.
This document discusses general safety practices and procedures for oxygen and oxygen equipment. It identifies various modes of oxygen delivery including cannulas, masks, wall units, oxygen tanks, and oxygen concentrators. It outlines important safety precautions for oxygen use such as posting signs outside rooms, no smoking, avoiding static electricity, and ensuring oxygen equipment is secured and functioning properly. The role of nursing assistants is to report any issues or improper oxygen use to nurses.
This document defines key terms related to mental health and developmental disabilities. It discusses identifying a resident's strengths to reinforce positive behavior and redirect negative behavior. The roles and responsibilities of nurse aides include knowing the resident's treatment plan, monitoring for behavior changes, and reporting them promptly while maintaining safety and focusing on the resident as a person. The document also defines sex and sexuality, and discusses how illness, injury, aging and medications can affect sexuality. It outlines how nurse aides should protect residents' privacy and sexuality while appropriately responding to any perceived sexual advances.
This document provides guidance for nurse aides on promoting positive mealtimes and nutrition for residents. It outlines objectives like describing measures to promote independence at meals and identifying actions to address dysphagia and choking risks. The document discusses promoting comfort and social engagement during meals, using adapted utensils and cutting food to support independence. It also outlines proper feeding techniques, signs of dysphagia, and actions for aspiration prevention. Modified diets and the roles of nursing staff and dietary services are reviewed. The importance of hydration and encouraging fluid intake is stressed. Tube feeding and IV therapy are described along with related nurse aide responsibilities.
The crew of the NATCEP mission has now completed 30 days in space. They continue conducting experiments on the effects of long term space exposure and have begun preparations for returning to Earth in 10 days. All systems on the space station remain operational and the crew is in good health as they near the halfway point of their 2 month mission.
This document discusses caring for dying patients and their families. It outlines the physical signs of approaching death, the emotional needs of the dying, and how to support families through grief. It also describes the five stages of grief - denial, anger, bargaining, depression, and acceptance - and appropriate nursing responses for each stage. Finally, it covers post-mortem care and how staff and residents can process and acknowledge the death.
This document discusses depression and confusion in older adults. For depression, it defines the disorder, lists common signs and symptoms, potential causes, and the nurse aide's role in recognizing symptoms and providing interventions like one-on-one interaction and activities. For confusion, it identifies potential causes like medical issues and changes in environment. Symptoms include forgetfulness and inappropriate behavior. This can negatively impact residents, but causes can be minimized and interventions like reality orientation and validation therapy can help residents feel more secure.
This document outlines the rights of patients and residents in healthcare facilities. It discusses their rights to information, treatment decisions including refusing treatment, privacy, personal choice, voicing complaints, work, social activities, personal items, freedom from abuse and restraints, quality of life, and a safe environment. Federal laws like OBRA and the Patient Care Partnership establish these rights and require facilities to protect residents' dignity, autonomy, and well-being. Representatives can exercise the rights of those unable to do so themselves.
Presentation by Josie Prioletti (facilitator) from field - Disability and Sexuality Forum held on Thursday 18 March at Darebin Arts and Entertainment Centre, Preston.
dr seema dixit ppt on dental ethics - Copy.pptSeema Dixit
This document discusses the key principles of dental ethics:
1) It provides an introduction to dental ethics and its importance in guiding moral conduct for dentists in their treatment of patients.
2) It outlines six main international principles of dental ethics: non-maleficence, beneficence, autonomy, justice, veracity, and confidentiality.
3) These principles guide dentists' obligations to do no harm, provide benefit, respect patient autonomy and informed consent, promote fairness and justice, be truthful, and maintain confidentiality.
This 8-hour training course covers the requirements for providers of Medicaid waiver services in Ohio. It includes basic concepts of serving individuals with developmental disabilities, their rights, and requirements for providing home and community-based services. The training objectives are to understand philosophies for supporting those with disabilities, individual service plans, reporting incidents, preventing infectious diseases, Medicaid waivers and documentation. The course involves readings, narratives and a quiz requiring 100% accuracy.
This document provides an employee handbook for direct support professionals working with individuals who have intellectual and developmental disabilities. It outlines job responsibilities, core principles, policies, procedures, and guidelines for maintaining professional boundaries, transportation, communication, and caring for customers with specific medical conditions. Key responsibilities for DSPs include assisting customers with daily living activities while promoting independence, maintaining customer safety, and ensuring customers are involved in community activities. The handbook also details codes of ethics, dress code, handling of customer funds, reporting requirements, and acknowledgement of policies.
An ombudsman is an advocate who helps residents of long-term care facilities such as nursing homes and assisted living facilities. They investigate and resolve complaints, ensure residents' rights are being upheld, mediate between residents and staff, and educate about residents' rights. An ombudsman can help with any concern regarding a resident's quality of life, care, or rights. They make unannounced visits to facilities and represent residents' interests to government to help improve laws, policies, and care standards. Anyone can contact an ombudsman with a complaint regarding a resident's health, safety, or rights.
The document discusses various types of eldercare available and factors to consider when choosing care for an aging loved one. It describes adult day programs, independent living facilities, assisted living facilities, nursing home care, and family or in-home care. It also contrasts the differences between home care agencies and caregiver registries. When choosing care, it's important to understand the needs and preferences of the aging loved one, ensure their safety, and find a solution that provides ongoing oversight, assessment and support as needs change. Raleigh Geriatric Care Management can help families navigate eldercare options.
This document provides guidance for long-term care facilities on managing challenging residents, including developing policies and procedures, screening prospective residents, using behavior contracts, handling incidents, investigating complaints, and evicting residents if needed. Key recommendations include reviewing existing policies, implementing new screening and response protocols as needed, training staff, thoroughly documenting all relevant communications and actions, and having an attorney investigate serious issues to preserve information.
The care value base is a set of standards that guide health and social care professionals to improve clients' quality of life. It focuses on fostering equality and diversity by recognizing individual needs, respecting rights and responsibilities, and maintaining confidentiality of client information. Professionals are expected to provide individualized care without discrimination and keep private information private in accordance with legal requirements.
This document discusses how human rights apply to adults with intellectual disabilities. It notes that historically, individuals with intellectual disabilities faced segregation, institutionalization, and a lack of basic human rights. However, laws like the ADA, CRIPA, and IDEA have helped protect the rights of those with intellectual disabilities and require their integration into community-based settings. A 2008 investigation found that Virginia institutions were not complying with these laws. As a result, Virginia agreed to transition residents out of institutions and into more integrated community-based housing and services by 2020.
Presentation by Josie Prioletti (facilitator) at the My Home, Your Workplace...Disability & Sexuality Forum -
Enabling people with disabilities to express and fulfill their sexual identity, needs and desires.
Forum held on Wednesday 18 April 2012.
Further information visit www.field.org.au
This document discusses core values in nursing care. It defines core values as the values put on one's work, clients, and self that guide care and living. Core values in caring encompass empathy, respecting clients' rights and privacy, and treating each client as an individual. The document also discusses barriers to care like discrimination and poverty. It emphasizes the importance of considering each client's holistic needs and using nursing models to understand the whole person.
This document outlines safety procedures and precautions for nursing assistants to prevent common risks for long-term care residents, including falls, burns, choking, and elopement. It identifies causes of safety risks like impaired mobility and dementia. Guidelines are provided for fall prevention through non-slip footwear and handrails. Burns are addressed through supervised bathing and monitoring of heating equipment. Choking risks are reduced by following diet orders and feeding slowly. Elopement is defined and responding to missing residents is emphasized. Carrying techniques like two-person seats are demonstrated to safely transport residents.
This document discusses practices for preventing the spread of pathogenic microorganisms. It identifies methods such as handwashing, cleaning, handling linens and waste correctly, and keeping residents and equipment clean. It also discusses controlling microorganisms through disinfection and sterilization of supplies and equipment. The importance of proper handwashing techniques before and after contact with residents to prevent the spread of microbes from person to person is emphasized. Standard precautions like gloves, gowns, and masks are outlined as well as isolation techniques for residents.
This document discusses general safety practices and procedures for oxygen and oxygen equipment. It identifies various modes of oxygen delivery including cannulas, masks, wall units, oxygen tanks, and oxygen concentrators. It outlines important safety precautions for oxygen use such as posting signs outside rooms, no smoking, avoiding static electricity, and ensuring oxygen equipment is secured and functioning properly. The role of nursing assistants is to report any issues or improper oxygen use to nurses.
This document defines key terms related to mental health and developmental disabilities. It discusses identifying a resident's strengths to reinforce positive behavior and redirect negative behavior. The roles and responsibilities of nurse aides include knowing the resident's treatment plan, monitoring for behavior changes, and reporting them promptly while maintaining safety and focusing on the resident as a person. The document also defines sex and sexuality, and discusses how illness, injury, aging and medications can affect sexuality. It outlines how nurse aides should protect residents' privacy and sexuality while appropriately responding to any perceived sexual advances.
This document provides guidance for nurse aides on promoting positive mealtimes and nutrition for residents. It outlines objectives like describing measures to promote independence at meals and identifying actions to address dysphagia and choking risks. The document discusses promoting comfort and social engagement during meals, using adapted utensils and cutting food to support independence. It also outlines proper feeding techniques, signs of dysphagia, and actions for aspiration prevention. Modified diets and the roles of nursing staff and dietary services are reviewed. The importance of hydration and encouraging fluid intake is stressed. Tube feeding and IV therapy are described along with related nurse aide responsibilities.
The crew of the NATCEP mission has now completed 30 days in space. They continue conducting experiments on the effects of long term space exposure and have begun preparations for returning to Earth in 10 days. All systems on the space station remain operational and the crew is in good health as they near the halfway point of their 2 month mission.
This document discusses caring for dying patients and their families. It outlines the physical signs of approaching death, the emotional needs of the dying, and how to support families through grief. It also describes the five stages of grief - denial, anger, bargaining, depression, and acceptance - and appropriate nursing responses for each stage. Finally, it covers post-mortem care and how staff and residents can process and acknowledge the death.
This document discusses depression and confusion in older adults. For depression, it defines the disorder, lists common signs and symptoms, potential causes, and the nurse aide's role in recognizing symptoms and providing interventions like one-on-one interaction and activities. For confusion, it identifies potential causes like medical issues and changes in environment. Symptoms include forgetfulness and inappropriate behavior. This can negatively impact residents, but causes can be minimized and interventions like reality orientation and validation therapy can help residents feel more secure.
This document outlines the rights of patients and residents in healthcare facilities. It discusses their rights to information, treatment decisions including refusing treatment, privacy, personal choice, voicing complaints, work, social activities, personal items, freedom from abuse and restraints, quality of life, and a safe environment. Federal laws like OBRA and the Patient Care Partnership establish these rights and require facilities to protect residents' dignity, autonomy, and well-being. Representatives can exercise the rights of those unable to do so themselves.
Presentation by Josie Prioletti (facilitator) from field - Disability and Sexuality Forum held on Thursday 18 March at Darebin Arts and Entertainment Centre, Preston.
dr seema dixit ppt on dental ethics - Copy.pptSeema Dixit
This document discusses the key principles of dental ethics:
1) It provides an introduction to dental ethics and its importance in guiding moral conduct for dentists in their treatment of patients.
2) It outlines six main international principles of dental ethics: non-maleficence, beneficence, autonomy, justice, veracity, and confidentiality.
3) These principles guide dentists' obligations to do no harm, provide benefit, respect patient autonomy and informed consent, promote fairness and justice, be truthful, and maintain confidentiality.
This 8-hour training course covers the requirements for providers of Medicaid waiver services in Ohio. It includes basic concepts of serving individuals with developmental disabilities, their rights, and requirements for providing home and community-based services. The training objectives are to understand philosophies for supporting those with disabilities, individual service plans, reporting incidents, preventing infectious diseases, Medicaid waivers and documentation. The course involves readings, narratives and a quiz requiring 100% accuracy.
This document provides an employee handbook for direct support professionals working with individuals who have intellectual and developmental disabilities. It outlines job responsibilities, core principles, policies, procedures, and guidelines for maintaining professional boundaries, transportation, communication, and caring for customers with specific medical conditions. Key responsibilities for DSPs include assisting customers with daily living activities while promoting independence, maintaining customer safety, and ensuring customers are involved in community activities. The handbook also details codes of ethics, dress code, handling of customer funds, reporting requirements, and acknowledgement of policies.
An ombudsman is an advocate who helps residents of long-term care facilities such as nursing homes and assisted living facilities. They investigate and resolve complaints, ensure residents' rights are being upheld, mediate between residents and staff, and educate about residents' rights. An ombudsman can help with any concern regarding a resident's quality of life, care, or rights. They make unannounced visits to facilities and represent residents' interests to government to help improve laws, policies, and care standards. Anyone can contact an ombudsman with a complaint regarding a resident's health, safety, or rights.
The document discusses various types of eldercare available and factors to consider when choosing care for an aging loved one. It describes adult day programs, independent living facilities, assisted living facilities, nursing home care, and family or in-home care. It also contrasts the differences between home care agencies and caregiver registries. When choosing care, it's important to understand the needs and preferences of the aging loved one, ensure their safety, and find a solution that provides ongoing oversight, assessment and support as needs change. Raleigh Geriatric Care Management can help families navigate eldercare options.
This document provides guidance for long-term care facilities on managing challenging residents, including developing policies and procedures, screening prospective residents, using behavior contracts, handling incidents, investigating complaints, and evicting residents if needed. Key recommendations include reviewing existing policies, implementing new screening and response protocols as needed, training staff, thoroughly documenting all relevant communications and actions, and having an attorney investigate serious issues to preserve information.
The care value base is a set of standards that guide health and social care professionals to improve clients' quality of life. It focuses on fostering equality and diversity by recognizing individual needs, respecting rights and responsibilities, and maintaining confidentiality of client information. Professionals are expected to provide individualized care without discrimination and keep private information private in accordance with legal requirements.
This document discusses how human rights apply to adults with intellectual disabilities. It notes that historically, individuals with intellectual disabilities faced segregation, institutionalization, and a lack of basic human rights. However, laws like the ADA, CRIPA, and IDEA have helped protect the rights of those with intellectual disabilities and require their integration into community-based settings. A 2008 investigation found that Virginia institutions were not complying with these laws. As a result, Virginia agreed to transition residents out of institutions and into more integrated community-based housing and services by 2020.
Presentation by Josie Prioletti (facilitator) at the My Home, Your Workplace...Disability & Sexuality Forum -
Enabling people with disabilities to express and fulfill their sexual identity, needs and desires.
Forum held on Wednesday 18 April 2012.
Further information visit www.field.org.au
This document discusses core values in nursing care. It defines core values as the values put on one's work, clients, and self that guide care and living. Core values in caring encompass empathy, respecting clients' rights and privacy, and treating each client as an individual. The document also discusses barriers to care like discrimination and poverty. It emphasizes the importance of considering each client's holistic needs and using nursing models to understand the whole person.
Adult protection and safeguarding presentationJulian Dodd
This document discusses safeguarding vulnerable adults from abuse. It defines key terms like abuse, vulnerable adults, and the legal framework around safeguarding. It provides statistics on abuse including most common types of abuse, locations it occurs, demographics of victims and abusers. It also outlines how to recognize, report and respond to abuse, including enabling disclosure, understanding indicators of distress, and issues around confidentiality and consent.
This document summarizes a presentation on ethics for social workers and attorneys. It discusses key differences in their roles, with social workers focused on clients' overall circumstances and attorneys advocating for individual clients' expressed wishes. The presentation covers ethics rules around competence and confidentiality that are important for both professions. It also explains when social workers should refer clients to attorneys, such as for legal advice regarding estate planning, guardianship, and Medicaid eligibility. The presenters are experts in elder law who provide their contact information.
This document discusses human rights, duties, and responsibilities. It identifies key rights such as the right to life, private ownership, marriage, faith, and work. It also examines violations of human rights that can occur in the family, school, community, or nation. Maintaining everyone's rights is important for civil society to function properly. The document provides terms related to rights, duties, and roles. It discusses specific rights of Filipino children and the relationship between rights and responsibilities. Students are tasked to identify statements as rights or roles and provide examples of human rights violations and solutions to preserve rights.
The document discusses disability in the workplace and the Americans with Disabilities Act (ADA). It explains that before the ADA, employers could deny employment simply due to a person's disability. The ADA established rules to protect disabled individuals from discrimination and ensure equal treatment and rights in the workplace. It also clarifies what constitutes a disability under the ADA. As a result of these protections, more people with disabilities now feel confident applying for jobs knowing they cannot be denied employment solely based on their disability.
This document discusses human rights protections for mentally ill patients. It notes that mentally ill individuals frequently experience violations of their rights through inadequate care, degrading treatment, and poor living conditions in institutions. It also discusses the stigma and discrimination they face outside institutions. International laws and declarations are aimed at protecting the rights of mentally ill persons, including rights to dignity, non-discrimination, freedom from torture, and liberty. Nurses have a responsibility to ensure patients' rights are upheld.
The document discusses societal views on disabilities and inclusion over time. It focuses on the Americans with Disabilities Act and how it prohibits discrimination. It also discusses labeling people, describing human differences, and the roles of professionals in supporting those with disabilities. Finally, it outlines services and supports needed to ensure a bright future for people with disabilities.
The document provides instructions for performing venipuncture, including preparing supplies and the patient, identifying the patient, selecting a vein, performing the puncture, and handling specimens properly. It describes patient preparation, required documentation, vein selection, antiseptic use, tourniquet application, puncture technique, handling tubes and needles, applying pressure, and delivering specimens to the laboratory.
This document provides learning objectives and information about blood collection by venipuncture. It discusses different equipment used for venipuncture including evacuated tube systems, syringes, and winged blood collection sets. It describes various blood collection tubes including their components, additives, and purposes. It also covers topics like needle sizes, safety needles, tube order of draw, skin antiseptics, and quality control of equipment. The overall document provides guidance on properly performing venipuncture and collecting blood samples.
This document provides an introduction to blood collection, including the importance of proper techniques and safety precautions. It discusses the learning objectives, which focus on correct collection methods, specimen integrity, and quality assurance. Types of specimens that can be collected include whole blood, plasma, serum, and differences between them. Anticoagulants prevent clotting to obtain certain specimens. Venous blood is preferred but arterial or capillary can also be collected with proper training and procedures.
Chapter one introduction to blood collectionpayneje
This document provides an introduction to blood collection, including the importance of proper techniques and safety precautions. It discusses the learning objectives, which focus on correct collection methods, specimen integrity, and quality assurance. Types of specimens that can be collected include whole blood, plasma, serum, and differences between them. Precautions like standard precautions, needle safety, and specimen handling are covered. Venipuncture, arterial, capillary and venous blood collection are also introduced.
This document discusses depression and confusion in elderly residents. It defines depression and lists its signs and symptoms. Common causes of depression in the elderly include loss of loved ones, health, independence, and loneliness. The nurse aide's role is to recognize symptoms, encourage independence, monitor intake, and report changes. For confusion, possible medical and environmental causes are identified, along with symptoms like incoherence and hallucinations. Implications include fear, reduced contact and independence. Interventions include treating underlying causes, improving nutrition/hydration, and using reality orientation, validation therapy, and clear communication.
The crew has now been on the space station for 30 days conducting experiments and maintenance. They repaired a faulty oxygen generator and replaced a computer that was malfunctioning. Overall the crew is in good health and spirits and looking forward to completing their scheduled tasks over the next few weeks before returning home.
Nutrition is the study of food and how it nourishes the body. It is important for wellness and preventing disease. The major nutrients that provide energy and building blocks for the body are carbohydrates, proteins, fats, vitamins, minerals, and water. Nutrients must be digested, absorbed, and metabolized by the body. Maintaining good nutrition involves eating a balanced diet from the five major food groups according to guidelines like MyPlate.
This document provides information on urinary elimination and catheters. It discusses catheter types including condom, straight, indwelling, and suprapubic catheters. Proper technique is outlined for inserting and removing catheters as well as caring for a patient with a catheter. Complications during insertion and their management are also reviewed.
The document describes the organizational divisions and sections within a clinical laboratory. It outlines the departments of pathology, including anatomical pathology, cytology, histology, cytogenetics, and clinical pathology. The clinical pathology department contains sections for hematology, chemistry, blood bank, serology, microbiology, and urinalysis. Each section is described in terms of its functions, common tests performed, and specimen requirements. The document also discusses laboratory personnel roles and requirements.
This document provides information on wound healing and care. It begins with objectives around wound observation, promotion of healing, and wound/drain care. It then covers anatomy of the skin including layers, functions, and risks for wound development. Types of wounds are defined including descriptions. Phases of wound healing and factors influencing healing are explained. Signs of infection and types of wound drainage are outlined. Dressing changes, wound complications, and observations are also summarized.
This document summarizes aging changes and common diseases affecting the cardiovascular, respiratory, endocrine, urinary, and nervous body systems and describes related nursing care. Key points include: the heart pumps less efficiently with age and arteries lose elasticity, increasing risk for hypertension, heart disease, and heart failure; lung capacity decreases and secretions increase risk for infections; diabetes and vitamin deficiencies impact fluid balance and nutrition; urinary changes cause incontinence and infections; and nervous system changes impact mobility, cognition, and sensitivity. The summary provides an overview of the main topics and systems covered in the document.
This document discusses the feelings and actions related to resident admission and discharge from long-term care facilities. At admission, residents may feel lonely, lost, angry, depressed, confused or relieved. Families may feel guilt. Nurse aides should prepare the resident's room, greet them, provide an orientation, assist with personal items, observe abilities, and check on them frequently. At discharge, residents can feel anxious or worried about the change. Nurse aides should allow residents to discuss anxieties, help gather belongings, and transport according to facility policy.
Immobility can lead to many complications for the body. Nurses use range of motion exercises and encourage activity to prevent issues like pressure ulcers, muscle atrophy, and blood clots. Good nursing care includes repositioning patients every two hours, promoting self-care activities, keeping good alignment, and range of motion exercises for all major joints. Devices like trapezes, foot boards, and trochanter rolls can also help maintain position and mobility.
This document provides information on measuring and assessing vital signs, including temperature, pulse, respirations, and blood pressure. It defines each vital sign and what constitutes normal ranges. For each vital sign, the document outlines how to measure it accurately, what can cause variations from normal ranges, appropriate documentation, and situations requiring reporting abnormalities. The document concludes with instructions to practice vital sign assessment techniques on peers.
This document provides information on bowel and bladder training programs. It discusses the goals of establishing regular elimination patterns and maintaining self-esteem. Preparation factors like reviewing past patterns and establishing routines are also covered. The document then outlines the steps for both bowel and bladder training, which include diet, exercise, scheduled times and positive reinforcement. It provides details on normal and abnormal bowel elimination, as well as how aging impacts the gastrointestinal tract. Signs of constipation and methods to prevent or relieve it are listed. The role of STNAs in observing, reporting, and providing skin care and toileting assistance to incontinent residents is also summarized.
This document discusses measuring fluid intake and output (I&O) to monitor fluid balance and identify potential imbalances. It defines fluid balance as equal intake and output, while imbalance is excessive retention or loss. Measuring I&O is important for diagnosis, treatment monitoring, and daily weights. Intake of all liquids and foods that liquefy at body temperature should be measured in mL. Output like urine and emesis must also be measured following safety protocols. Regular I&O measurements can help identify issues related to aging, disorders, or medical interventions that could disrupt fluid balance.
This document provides information on urinary elimination and catheters. It discusses catheter types including condom, straight, indwelling, and suprapubic catheters. It outlines proper procedures for catheter insertion and removal, including preparing the patient, lubricating the catheter, and deflating the balloon before removal. Potential problems during insertion like inserting into the vagina are addressed. The document also covers care of patients with catheters, including emptying bags and providing peri-care. Urinary diversions are briefly discussed.
This document provides information on wound healing and care. It begins with the anatomy and functions of healthy skin. The three layers of skin - epidermis, dermis and subcutaneous tissue - are described. The four phases of wound healing are explained: inflammatory, proliferative, maturation and remodeling. Types of wounds and factors influencing healing are defined. Proper wound observation, cleaning, dressing and drainage are outlined as important for promoting healing.
This document discusses personal care skills training for nursing assistants, including objectives around dressing, undressing, hair care, beard care, shaving, and nail care. It provides guidance on assisting residents with these tasks, using gentle techniques and encourage independence. Assistive devices that can aid with dressing are also outlined. Maintaining good hygiene and grooming is emphasized as important for residents' well-being.
This document covers personal care skills training for nursing assistants over two days. It discusses dressing and undressing residents, using assistive devices, and providing hair, beard, shaving and nail care. For dressing, residents should dress themselves when possible and assistants should remove clothing gently. Assistive devices like shoe horns and fasteners can help. Hair care includes combing and shampooing residents based on their preferences. Beard care involves washing and trimming only with consent. Shaving should follow care plans and preferences for location and frequency. Nail care involves cleaning but assistants should not cut nails and notify nurses if cutting is needed.
2. OBJECTIVES
Identify legal rights of the resident contained in the ORBR
Discuss ways to respect residents’ rights
3. RESIDENT RIGHTS
Legal Rights of the residents
Outlined in OBRA
Must be read and signed by each resident and/or their legal
representative and be included in the medical record
19. OBJECTIVES
Describe the role of the Ohio long-term care ombudsman program
Identify examples of ways to promote the residents’ right to
personal choices
Describe methods of providing the resident with privacy
Describe methods to maintain confidentiality
Describe ways to ensure the security of the resident’s
possessions
Describe abuse, mistreatment, neglect and exploitation
Demonstrate techniques to help the resident resolve grievances
or complaints
20. THE ROLE OF THE OMBUDSMAN
Basic Role
Investigate and resolve complaints
Educator for residents, family and staff
Consultant to LTCF
Contact information for the ombudsman is located in each facility
21. RESIDENT CHOICES
Encourage participation in self-care
Know activities available – facilitate participation
Understand right not to participate
Encourage and facilitate resident’s participation in resident and
family groups
22. PRIVACY
In the resident’s room
Knock & get permission before entering
Keep doors open or closed as preferred
Enter closets and drawers only with permission
During visits
Knock & get permission before entering
Close doors if requested
Don’t eavesdrop
23. PRIVACY
During phone conversations
Provide privacy
During treatments, procedures and/or exams
Close door
Draw privacy curtain
Use sheets or blankets to shield body
24. CONFIDENTIALITY
Discuss information only with those involved in the care of the
resident
Be aware of where you are discussing
Refer questions to the charge nurse
Never release information to the news media
Violate?
25. RESIDENT’S POSSESSIONS
Know how the resident want them handled
Make suggestions – how to secure
Know related facility policies
Help residents access stored items
26. ABUSE
Verbal
Name calling, foul language directed at resident intended to cause mental
anguish
Physical
Inflict physical harm/injury
Hit
Pinch
Slap
Kick
Push
28. NEGLECT
Fail to provide care that a reasonably prudent person with the
same training would provide in the same situation that results in
injury to the person
Fail to clean an incontinent resident
Lice – didn’t provide personal hygiene care
30. MENTAL
Includes, but is not limited to:
Humiliation
Harrassment
Threats of punishment
Threats of deprivation
“I will make sure you don’t get your supper”
31. SEXUAL
Includes, but is not limited to:
Sexual Harrassment
Coercing sex
Sexual Assault
32. GRIEVANCES OR COMPLAINTS
Know facility policies and procedures
Know role of ombudsman and state agencies
Where are contact numbers located?
Know your duty when a resident wants to report abuse, neglect or
mistreatment
Editor's Notes
The request for information may be oral or written.
Information is given in a language and in words the person can understand. Interpreters are used as needed. Sign language or other aids are used for those with hearing losses.
Doctor information must include the doctor’s name, specialty, and how to contact him or her.
Report requests for information to the nurse. You do not give the information to the person or family.
Treatment is the care provided to maintain or restore health, improve function, or relieve symptoms.
The center must:
find out the reason for the refusal.
educate the person about the problems that can result from the refusal.
offer other treatment options.
continue to provide all other services.
Advance directives are written instructions about health care when the person is not able to make such decisions.
Expose the person’s body only as necessary. Protect privacy by closing privacy curtains, doors, and window coverings; removing residents from public view; providing clothes or draping the person to prevent unnecessary exposure of body parts.
Leaving the person without a gown, clothing, or bed covers violates the person’s right to privacy, so does leaving the room door open when the person uses the bathroom or a bedpan.
If requested, the center must provide private space for residents to visit with others.
Calls must not be where they can be overheard. Centers provide cordless phones or phone jacks in resident rooms. Phones for hearing-impaired persons are also available.
The person has the right to send and receive mail without others interfering. Unopened mail is given to the person within 24 hours of delivery to the center. Mail that the person sends is delivered to the postal service within 24 hours on days of regular delivery or pick-up service.
You must allow personal choice whenever safely possible.
The person is not required to perform services for the center.
The desire or need for work is part of the person’s care plan.
Families have the right to meet with other families.
Residents have the right to take part in social, cultural, religious, and community events. They also have the right to help in getting to and from events of their choice.
Personal items may include clothing and furnishings.
Possession of personal items relate to the resident’s personal choice, dignity, a home-like setting, and quality of life. Treat them with care and respect.
The person and family are advised not to keep jewelry and other costly items in the center.
You may be asked to inspect closets and drawers; follow center policy for reporting and recording the inspection.
Abuse means:
willful infliction of injury, unreasonable confinement, intimidation, or punishment that results in physical harm, pain, or mental anguish.
depriving the person of the goods or services needed to attain or maintain well-being.
separating the person from others against his or her will.
keeping the person to a certain area.
keeping the person away from his or her room without consent.
Residents are protected from center staff, volunteers, and staff from other agencies or groups, other residents, family members, friends, visitors, and legal representatives.
Nursing centers cannot employ persons who were found guilty by a court of law for abusing, neglecting, or mistreating others or have a finding entered into the state’s nursing assistant registry about abuse, neglect, mistreatment, or wrongful acts involving the person’s money or property.
Restraints and certain drugs can restrict body movements. Some drugs restrain the person by affecting mood, behavior, and mental function.
Residents may be restrained to protect them from harming themselves or others but only with a doctor’s order. Staff may not use restraints for their convenience or to discipline a person.
Provide care in a manner that maintains or enhances the person’s self-esteem and feelings of self-worth.
Promote physical, mental, and social well-being.
Be polite and courteous when speaking to the person.
Good, honest, and thoughtful care enhances the person’s quality of life.
The intent is to promote self-esteem, pleasure, comfort, education, creativity, success, and independence.
Activities must have meaning for the person; they are meaningful when they:
reflect the person’s interests and lifestyle.
are enjoyed by the person.
help the person feel useful or produce something useful.
provide a sense of belonging.
Activities may involve large or small groups; they may also be something the person does alone. You may also need to help them with the activities.
The center must try to change schedules, call systems, and room arrangements to meet the person’s desires and needs when a person:
refuses a bath because he or she prefers a shower.
prefers to have a shower at a different time or day.
refuses a shower because of the fear of falling.
is uneasy about the staff assigned to help him or her.
is worried about falling.
cannot reach or use the signal light.
cannot reach personal items.
does not like the food served.
An ombudsman is someone who supports or promotes the needs and interests of another person. They act on behalf of persons receiving health care at home and in hospitals, nursing centers, assisted living residences, adult day care, and other settings.
Long-term care ombudsmen are employed by a state agency. Some are volunteers. They are not nursing center employees. Ombudsmen protect a person’s health, safety, welfare, and rights.
Residents have the right to communicate privately with anyone of their choice. They can share concerns with anyone outside the center.
You must know state and center policies and procedures for contacting an ombudsman. Their services are useful when there is a concern about a person’s care or treatment or if someone interferes with a person’s rights, health, safety, or welfare.