Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 25 - Division of Provider Services and Quality Assurance › Rule 016.25.19-001 - Long Term Care Nursing Assistant Training Program

Current through Register Vol. 49, No. 6, June, 2024
UNIT 1
Lesson # 1
(1 hour)
Title: Introduction to the Role of the Nurse
				Aide
Lesson Objectives
:
I. The student will be able to describe Long
			 Term Care in comparison with other healthcare settings.
II. The student will be able to describe the
			 role of the Nursing Assistant, including the Scope of Practice and the role of
			 facility policies and procedures which may govern care and conduct.
III. The student will be able to explain the
			 members and roles of the Interdisciplinary Care Team and the Chain of
			 Command.
IV. The student will be
			 able to describe the importance of both verbal and non- verbal communication,
			 barriers to effective communication, and interpersonal skills.
V. The student will be able to explain
			 culture change/resident-centered care and the need to incorporate into daily
			 care.
Key Terms:
Abuse
- any intentional unnecessary physical act
				that inflicts pain on, or causes injury, to an endangered person or an impaired
				person (nursing home resident);
A. Any
			 intentional and unnecessary physical act that inflicts pain on or causes injury
			 to an endangered person or an impaired person, excluding court-ordered medical
			 care or medical care requested by the patient or long-term care facility
			 resident or a person legally authorized to make medical decisions on behalf of
			 the patient or long-term care facility resident;
B. Any intentional act that a reasonable
			 person would believe subjects an endangered person or an impaired person,
			 regardless of age, ability to comprehend, or disability, to ridicule or
			 psychological injury in a manner likely to provoke fear or alarm, excluding
			 necessary care and treatment provided in accordance with generally recognized
			 professional standards of care;
C.
			 Any intentional threat that a reasonable person would find credible and
			 non-frivolous to inflict pain on or cause injury to an endangered person or an
			 impaired person except in the course of medical treatment or for justifiable
			 cause; or
D. Any willful infliction
			 of injury, unreasonable confinement, intimidation, or punishment with resulting
			 physical harm, pain, or mental anguish.
Activity Director (AD)
- an individual who plans
				the activities for the residents and assists them to socialize and to stay
				physically and mentally active.
Activities of Daily Living (ADLs)
- personal daily
				care tasks, including bathing, dressing, caring for teeth and hair, toileting,
				eating, and drinking.
Acute
- a current illness that has severe symptoms
				and may be as a result of a sudden onset.
Administrator
- manages all departments within the
				facility.
Adult Day Care
- care given at a facility during
				day time hours; generally for individuals who need some assistance and/or
				supervision but are not seriously ill or disabled; usually reside outside of
				the facility.
Advanced Practice Nurse
- a registered nurse
				having education beyond the basic nursing education and certified by a
				nationally recognized professional organization in a nursing specialty, or
				meeting other criteria established by a Board of Nursing.
Assisted Living
- facilities where residents live
				who need limited assistance, but do not require skilled care.
Bedfast
- Bedridden. Confined to bed, especially
				for a long or indefinite period of time, due to illness or injury
Call Light
- a device used to communicate a need
				for assistance to staff.
Certified Nursing Assistant (CNA)
- an individual
				who has completed a state-approved course and has successfully completed
				certification testing. A CNA provides direct care under the supervision of a
				Registered Nurse (RN) or a Licensed Practical Nurse (LPN).
Certified Occupational Therapist Assistant (COTA)
- helps patients develop, recover, and improve the skills needed for daily
				living and working. Occupational therapy assistants provide therapy to patients
				under the direct supervision of occupational therapists.
Chain of Command
- the line of authority in the
				facility which addresses to whom each employee/department reports.
Chronic
- the disease or condition is long term or
				will be long lasting.
Clichés
- phrases that are used frequently
				and which often have a different meaning, making it difficult for the resident
				to understand.
Communication
- the process of exchanging
				information with others.
Criminal Record Check
- the process of reviewing
				an individual's criminal history in order to determine if he/she is eligible
				for employment in a long term care facility. State and/or national records may
				be reviewed for this process.
Cultural Differences
- beliefs, values, habits,
				diet and health practices that relate to a person's culture or religion.
Cultural Diversity
- the variety of people living
				and working together in the facility.
Culture
- the way of life, especially the general
				customs and beliefs, of a particular group of people at a particular
				time.
Culture Change
- a philosophy that focuses on
				providing person-centered care to residents and creating a positive work
				environment for healthcare workers.
Denial
- rejection of a thought or feeling.
Dependent
- requires staff assistance to carry out
				activities of daily living.
Displacement
- transferring a strong negative
				feeling to something or someone else.
Endangered Adult
- A long-term care facility
				resident or an Arkansas State Hospital resident who:
A. Is found to be in a situation or condition
			 that poses an imminent risk of death or serious bodily harm to the long-term
			 care facility resident; and
B.
			 Demonstrates a lack of capacity to comprehend the nature and consequences of
			 remaining in that situation or condition.
Exploitation
- illegal or unauthorized use or
				management of an endangered person's or an impaired person's (nursing home
				resident) funds, assets, or property;
A. Misappropriation of property of a
			 long-term care facility resident, that is, the deliberate misplacement,
			 exploitation, or wrongful, temporary, or permanent use of a long-term care
			 facility resident's belonging or money without the long-term facility
			 resident's consent.
Health Insurance Portability and Accountability Act
				(HIPAA)
- federal law that protects the privacy of
				individually-identifiable health information; sets national standards for the
				security of electronic, protected health information; and protects identifiable
				information being used to analyze patient safety events and improve patient
				safety.
Home Health Care
- care provided in a person's
				home.
Hospice Care
- care for individuals who have an
				estimated six months or less to live. Hospice provides physical and emotional
				care and comfort.
Housekeeping Department
- responsible to maintain
				the facility in a clean and sanitary manner.
Impaired Person
- a person eighteen (18) years of
				age or older who as a result of mental or physical impairment is unable to
				protect himself or herself from abuse, sexual abuse, neglect or exploitation. A
				long-term care facility resident is presumed to be an impaired person.
Independent
- able to carry out activities of
				daily living without staff assistance.
Intermediate Care Facilities/Individuals with
				Intellectual Disabilities (ICF/IID)
- facilities that specialize in
				providing care to developmentally disabled individuals.
Interdisciplinary Team
- professionals from each
				discipline within the nursing facility who meet to discuss and plan the care of
				the resident.
Laundry Department
- oversees laundering of
				facility linens and residents' personal clothing.
Licensed Practical Nurse (LPN)
- A licensed
				professional who has completed 1 to 2 years of nursing education and has passed
				an exam for licensure; nurse who provides care under the direction of
				registered nurses or physicians.
Long Term Care (LTC)
- care for persons who
				require 24-hour care and assistance.
Long Term Care Facility Resident
- means a person,
				regardless of age, living in a long-term care facility.
Long Term Care Facility Resident Maltreatment
-
				abuse, exploitation, misappropriation of a resident's property, neglect, or
				sexual abuse of a long-term care facility resident as defined by Arkansas
				law.
Maintenance Department
- maintains facility and
				grounds in good repair.
Medical Director
- physician who provides
				oversight to the nursing staff regarding care provided to the residents.
Medical Doctor (MD)
- physician
Medication Assistive Person (MAP)
- a certified
				nursing assistant who has completed required state training and has completed
				examination in an effort to administer medications and certain treatments in
				accordance with the specific scope of practice of the MAP.
Neglect
- an act or omission by a caregiver
				responsible for the care and supervision of an endangered person or an impaired
				person (nursing home resident) constituting:
A. Negligently failing to provide necessary
			 treatment, rehabilitation, care, food, clothing, shelter, supervision, or
			 medical services to an endangered person or an impaired person;
B. Negligently failing to report health
			 problems or changes in health problems or changes in the health condition of an
			 endangered person or an impaired person to the appropriate medical
			 personnel;
C. Negligently failing
			 to carry out a treatment plan developed or implemented by the facility;
			 or
D. Negligently failing to
			 provide goods or services to a long-term care facility resident necessary to
			 avoid physical harm, mental anguish, or mental illness.
Non-Verbal Communication
- communication without
				using words, such as facial expressions, tone of voice, posture, gestures,
				touch, body language, etc.