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Neglect

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Failure to provide for a dependent person's basic physical needs; form of physical abuse

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Nonverbal Communication

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- facial expressions - drawings - pictures - symbols/signs - behavior - writing

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Nursing Team

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1. CNA 2. RN 3. LPN 4. doctor 5. PT 6. OT 7. SLP 8. registered dietician (RD) 9. medical social worker (MSW) 10. activities director 11. resident family 12. resident

question

Prevent Slips and Falls

answer

- clear pathway of clutter, cords, and rugs - use rugs w/non-slip backing - residents should avoid hanging clothes that drag - tie shoelaces with non-slip shoes - answer call lights immediately - clean up spills immediately - report loose hand rails - mark uneven floors - improve lighting - return bed to lowest position when finished w/care - get help moving residents - leave furniture in the same place - lock bed wheels and wheelchairs when helping in/out

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Wash Hands

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- b/a patient care - b/a shift - after bathroom - b/a handling food - b/a handle dirty things - b/a cleaning - b/a handle body fluids - after smoking - after removing gloves or other PPE

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Delegation Process

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1. assess/plan (nurse) 2. communication (nurse/you) 3. supervision (nurse observes you) 4. evaluation/feedback (by nurse)

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Restraints

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1. a doctors order is required 2. informed consent is required 3. Are only used after other measures have failed 4. unnecessary restraint is "false imprisonment" Need to be checked every 15 minutes

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False Imprisonment

answer

confining another person against his or her will

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Fraud

answer

deception that could cause harm to another person; A deliberate deception intended to secure an unfair or unlawful gain

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Battery

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touching a person w/o his or her consent

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Assault

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A threatened or attempted physical touch a person w/o his or her consent, causing that person to fear bodily harm.

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False Imprisonment

answer

Confining another person against his or her will

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Libel

answer

A written statement that unfairly or falsely harms the reputation of the person about whom it is made; a form of defamation

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Slander

answer

spoken statements that injure someone's reputation; form of defamation

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Malpractice

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negligence committed by people who hold licenses to practice their profession, such as doctors, nurses, lawyers, dentists, and pharmacists

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Tort

answer

a violation of civil law

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Assault

answer

A threatened or attempted physical touch a person w/o his or her consent, causing that person to fear bodily harm.

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Ombudsman

answer

A person from state appointed to receive and investigate complains made by individuals about abuse ect. The liezon between family and facility.

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How would you physically restrain a person?

answer

A device that is attached to or near a person's body to limit a person's freedom of movement or access to his or her body

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How would you chemically restrain a person?

answer

Any medication that alters a person's mood or behavior, such as a sedative or tranquilizer.

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When/why would restraints be appropriate?

answer

When there is a doctors orders.

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objective reporting

answer

info that can be seen, touched, smelled, or heard and report

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subjective reporting

answer

information you have heard and report

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Abraham Maslow Hierarchy of Needs

answer

developed a theory of motivation based on a hierarchy of physical and emotional needs... a model of essential human needs arranged according to their priority, in which basic physiological and safety needs must be satisfied before a person can afford to focus on higher-level psychological needs. Only when these basic needs are satisfied can you pursue higher needs, culminating in self-actualization. 5 .self actualization needs 4. Self-esteem needs 3. Love and belonging needs 4. Safety and security needs 5. physiologic needs

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First Level of Maslow Hierarchy?(Bottom)

answer

physiologic needs

question

Second Level of Maslow Hierarchy?

answer

Safety and security needs

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Third Level of Maslow Hierarchy?

answer

Love and belonging needs

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Fourth Level of Maslow Hierarchy?

answer

Self-esteem needs

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Fifth Level of Maslow Hierarchy?(Top)

answer

self actualization needs

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OSHA

answer

Occupational Safety and Health Administration A government agency in the Department of Labor to establish safe and healthy work standards

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CDC

answer

Centers for Disease Control and Prevention a federal agency based in Atlanta, Georgia that is dedicated to protecting the health and safety of people in the U.S.

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Acute Care

answer

24 hour skilled care given in hospital and ambulatory surgical center, short term, immediate care for illness or injury

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REPORT to Nurse Immediately

answer

- change in behavior - change in appetite - signs of abuse - incidences - accidental harm to resident or yourself - abnormal BP, temp, respiratory rate, pulse, pain mgmt

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RACE

answer

- rescue/remove - activate alarm - contain fire - evacuate/extinguish

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Visually Impaired Resident Care

answer

- makes sure glasses are clean - knock on door and identify yourself; don't touch first - always tell them what you are doing - give specific directions "right in front of you" - talk directly to the resident; do not talk to others - proper lighting - when you enter a new room, orient them to the area - don't use words such as "see," "look," "watch" - tell the resident where the call light is - use the face of an imaginary clock as a guide to explain object positions - don't more furniture w/out permission; put back where it was found - use larger print font - clocks that chime

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Hand Washing

answer

Is the most important way to prevent the spread of infection

question

What happens when you do not document something?

answer

If you don't document it, it didn't happen

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Subacute Care

answer

given in hospital or long-term care facility for people who need less care than acute but more than long-term care

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HIPPA

answer

patient confidentiality

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OBRA

answer

Federal Law Omnibus Reconciliation Act of 1987 laws that requires long term care facilities to provide care in a manner or setting that IMPROVES a persons QUALITY of life, health and safety Agencies under OBRA must provide 12 hours of educational programs to nursing assistants every year

question

FDA

answer

Food and Drug Administration. The agency that is responsible for determining if a food or drug is safe and effective enough to be sold to the public.

question

requirements to renew CNA licenses

answer

48 in total 8 hours worked 12 hours in each year and 24 hours can be completed online

question

What are potential complications for residents who are incontinent if urine

answer

UTI

question

Care Plan

answer

a written plan for each resident created by a nurse; outlines the steps taken by the staff to help the resident reach his or her goals

question

Residents Bill of Rights

answer

1. Right to make decisions about care 2. Right to privacy 3. Right to be free from physical or psychological abuse 4. Right to receive visitors; share room w/ spouse 5. Right to use personal possessions 6. Right to control fiancés 7. Right to eligibility medical/Medicaid; protected from discrimination 8. Right to information about facility 9. Right to remain at facility unless can't pay, moves, ect. 10. Right to be part of a group at facility 11. Right to info about advocacy groups 12. Right to work at facility as an volunteer or employee

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