PCT Chapter 3 – The Nursing Assistant

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certification
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Official recognition by a state that standards or requirements have been met
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endorsement
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A state recognizes the certificate, license, or registration issued by another state; reciprocity or equivalency
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job description
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A document that describes what the agency expects you to do
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nursing task
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Nursing care or a nursing function, procedure, activity, or work that can be delegated to nursing assistants when it does require a nurse’s professional knowledge or judgment
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NATCEP
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Nursing assistant training and competency evaluation program
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NCSBN
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National Council of State Boards of Nursing
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SRNA
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State registered nurse aide (Kentucky)
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STNA
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State tested nurse aide (Ohio)
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when was nurse assistant training required by law?
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By the 1980s
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hospital closings
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Many do not make enough money to stay open.
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hospital mergers
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Hospitals share resources and avoid the same costly services (ex. one hospital offers heart surgery, the other helps children)
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health care systems
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Agencies join together as one provider of care
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managed care
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Insurers have contracts with doctors, hospitals, and health care systems for reduced rates
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staffing mix
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Hospitals hire RNs, LPNs/LVNs, and nursing assistants. Most hospitals require a state approved nursing assistant training and competency evaluation for employment. More training is given for tasks not learned in the training program.
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patient-focused care
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Services are moved from departments to the bedside. Staff are cross-trained to perform basic skills of other health team members. Fewer staff provide services, which lowers cost.
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nurse practice act
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– Defines RN and LPN/LVN and their scope of practice – Describes RN and LPN/LVN education and licensing requirements – Protects the public from persons practicing nursing without a license. Persons who do not meet the state’s requirements cannot perform nursing functions.
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why would your nursing license be denied, suspended, or revoked?
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– Being convicted of a crime in any state – Selling or distributing drugs – Using a person’s drugs for oneself – Placing a person in danger from the over-use of alcohol or drugs – Demonstrating grossly negligent nursing practice – Being convicted of abusing or neglecting children or older persons – Violating a nurse practice act and its rules and regulations – Demonstrating incompetent behaviors – Aiding or assisting another person to violate a nurse practice act and its rules and regulations – Making medical diagnoses – Prescribing drugs and treatments
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RNA
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Registered nurse aide (West Virginia)
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LNA
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Licensed nursing assistant (Arizona, New Hampshire, Vermont)
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after how long is re-training and a new competency evaluation program required for nursing assistants who have not worked?
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24 months
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how do you find the state agency responsible for NATCEPs and the nursing assistant registry?
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– Contacting your current nursing assistant registry – Go to the NCSBN website and find the link to the state agency
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false or misleading information may lead to?
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– Denial of certification (a license, registration) – Disciplinary action – A fine
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scope of practice/range of functions
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Understanding what you can do, what you cannot do, and the legal limits of your role.
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nurse assistant tasks are to meet the person’s?
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Hygiene, safety, comfort, nutrition, exercise, and elimination needs
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nursing practice is regulated by
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Nurse practice acts
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what state law affects what nursing assistants can do?
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Nurse practice act

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