...Certified Nursing Assistant “Certified Nursing Assistants (CNA’s) came about during World War I. The original name was Nursing Aides established by the American Red Cross to assist Nurses that were being overwhelmed with injured patients. At that particular time frame no qualifications were needed just minor training. In the late 1980’s former President Reagan passed the Omnibus Reconciliation Act (ORA) to set standards for CNA’s today” (2011-2017 Cnaprograms.org) Today CNA’s can be found working in various places such as hospitals, retirement homes personal care homes and as home health aides. Characteristics of being a great CNA ability to adapt to various situations, ability to pay attention to detail, patience, physical as well as emotional...
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... explaining when and what an RN can delegate, and describing the delegation process. Learning Objectives ⦁ ⦁ ⦁ Identify three factors that affect delegation. Discuss what registered nurses can and cannot delegate. Explain the steps of the delegation process. N ursing’s Social Policy Statement (American Nurses Association [ANA], 2010), the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001), and individual state nurse practice acts (NPAs) underscore the responsibility, authority, and accountability of registered nurses (RNs) for their nursing practice. The RN’s obligation to provide safe, quality care creates distinct challenges when delegating care to unlicensed assistive personnel (UAP). These challenges are amplified in today’s health care environment of shrinking resources; patients with complex, chronic conditions; hospitals, home care settings, and nursing homes with high patient acuity; and the use of sophisticated technology. An...
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...Nursing Is… There was never a time in my life I didn’t know I wanted to be a nurse. From a young age I feel I have taken the necessary steps to prepare myself for a career in the growing field. My dream on becoming a nurse was highly influenced by my mother who worked in labor and delivery for most of her career. Growing up I would often say “I wanted to be just like her”. At that age I was very clueless as to what a nurse entailed but my desire for nursing grew with the experiences I have encountered during the years. I attended a Technical High School, and chose Health Occupations as my Vocational Major. Throughout my 4 years at Whittier I experienced the fundamentals of the health care industry, participated in the Nurse’s Aide Training Program, obtained my credentials as a Certified Nursing Assistant.. I graduated in 2007 among the top 20 in my class of 350 students, with a 3.54 GPA. I thoroughly enjoyed my time and feel it provided me with a concrete foundation for which I could build upon. Out of high school I continued working as a CNA in a nursing home / rehabilitation facility, where I worked with the Registered Nurses on staff to monitor, treat and care for patients. I enjoyed working closely with the patients and took an immense amount of pride in the job I did. Currently I work in Boston. I float to various floors in the hospital expanding upon my knowledge and skill level. Working here I’ve surrounded myself competent and powerful nurses that exceed...
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...Restorative Care Training for the Certified Nursing Assistant Trainer Manual TABLE OF CONTENTS Introduction Making the Most of the Training Making the Most of the Lesson Plans Making the Most of the Activities Trainer Preparation Welcome Module Activity T1 Welcome to the training Activity T2 Common Rules to Follow Activity T3 Successful Completion Activity T4 You will learn Trainer Preparation Module one Module one Trainer Preparation Module two Module two Trainer Preparation Module three Module three Trainer Preparation Module four Module four Appendix A Feeding Assistance Appendix B Fall Prevention Page T3 Page T3 Page T3 Page T4 Page T5 Page T7 Page T7 Page T8 Page T8 Page 7a Page 8 Page 27a Page 28 Page 35a Page 37 Page 104a Page 105 Page 114 Page 123 T2 Restorative Care; Training for the Certified Nursing Assistant Introduction Welcome to the program Restorative Care. This is the trainer manual used by trainers to teach nurse assistants and home health aides about caring for the person with Restorative issues. This manual accompanies the student manual, Restorative Care. This training is activity based. Participants are encouraged to share in the training process, to talk about relevant experiences if they choose and to ask questions. Making the Most of the Training Program Use this training manual as a guide for training individually or in groups. If you train on an individual basis it will be more effective to brainstorm with them than to use the...
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...Nurse practitioner From Wikipedia, the free encyclopedia In the United States, nurse practitioners have a national board certification. Nurse Practitioners can be educated and nationally certified in areas of Family Health (FNP), Pediatrics, including Pediatric Acute/Chronic Care, Pediatric Critical Care, Pediatric Oncology and general Pediatrics (PNP), Neonatology (NNP), Gerontology (GNP), Women's Health (WHNP), Psychiatry & Mental Health (PMHNP), Acute Care (ACNP), Adult Health (ANP), Oncology (FNP, ACNP, ANP, PNP or ANP) Emergency (as FNP or ACNP), Occupational Health (as ANP or FNP), etc. In Canada, NPs are licensed by the province or territory in which they practice. The advanced practice nursing role began to take shape in the mid-20th century United States. Nurse anesthetists and nurse midwives were established in the 1940s, followed by psychiatric nursing in 1954. The present day concept of the APN as a primary care provider was created in the mid-1960s, spurred on by a shortage of doctors. The first official training program for NPs in the United States was created in 1965, with a vision to help balance rising health care costs, increase the number of health care providers, and correct the inefficient distribution of health resources. There was some confusion about the varying titles and abilities of advanced practice nurses as the role was developed, which has persisted as the authority and responsibilities of the NP have evolved over time. ...
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...eaking in general terms is referred to a “style of project management in which everyone on the project team is held responsible for the quality and success of the project. Team based approach recognizes that for the team to become successful, all the members cannot work alone in isolation. Each member must always know and work well with team members and must appreciate their member’s strength and skills” (Rouse, M. 2011). In a hospital, “Team based, is when physicians, nurses, social workers, pharmacists and others work together in new ways. While physicians may service as team leaders, they and other team members share responsibility, authority and mutual goal improving quality while lowering costs” (Butcher, L. 2013). The patient’s case scenario for this team based is elderly woman, in her early eighty’s’, who’s had both knee replaced. “Knee replacement also known as Knee athroplasty, can help relive pain and restore function in severely knee joints. During knee replacement, a surgeon cuts away damaged bone and cartilage from your thighbone, shinbone and kneecap and replaces it with an artificial joint or metal alloys, high-grade plastics and polymers” (mayoclinic.com. 2013). This patient is at along term care facility and has been living there for a few months since the last knee replacement. Due to the replacements, patient now cannot walk and has no strength in both legs, which has caused major depression. Laying in bed majority of the time has caused bedsores to the...
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...clearly doesn’t happen overnight, especially if you are not a “born” leader. However, I believe that continuous training and education will improve my leadership skills. This paper will consist of several things to include: four different surveys and tallying up the scores to reflect my degree of emotional intelligence, assessments and scores that identify my strengths and weaknesses, and skills that I could use to improve my emotional intelligence to be an effective leader. I believe that there are different types of leadership styles in the workplace. Some people were assigned to be leaders from their mother’s womb and others require training. The style of a leader depends on three things: beliefs, values and skills. The characteristics of a good leader should consist of honesty, respectfulness, sense of humor, the ability to inspire and encourage, good communication skills, flexibility, confidence and commitment. I participated in several emotional skills assessments presented in the book entitle “Emotional Intelligence: Achieving Academic and Career Excellence” to tap into my emotional intelligence and to define the areas of growth that I need to become an effective leader. The first emotional skill assessment in the book that I decided to take was the social awareness assessment. Darwin Nelson and...
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...Elder Abuse in Residential Care Facilities Elder abuse is a catch all term referring to any deliberate or negligent act by a care giver or any other individual that results in harm or a major risk of harm to a vulnerable adult over the age of 60 years (Stefanacci & Haimowitz, 2013, p. 68). Under the umbrella definition for elder abuse, more specific types of abuse can be identified such physical abuse, sexual abuse, emotional abuse, exploitation, neglect and abandonment (Stefanacci & Haimowitz, 2013, p. 68). The physical abuse refers to the infliction, or threat to inflict, physical harm onto an elderly individual or the deprivation of their basic needs. Sexual abuse is defined as any form of nonconsensual sexual contact. Exploitation refers to the illegal misuse, theft, or concealment of an elderly individual’s funds, assets, or property. Neglect is the failure or refusal of a formal or informal caregiver to supply the vulnerable elder in their care with shelter, food, health care, or protection. Abandonment refers to the desertion of the vulnerable elder by either a legal custodian or anyone who has assumed responsibility for their care (Stefanacci & Haimowitz, 2013, p. 68). Residential care facilities (RCFs) have a multitude of different names across the Unites States but are most commonly referred to as assisted living facilities (ALFs), adult congregate living facilities, domiciliary care homes, and shelter care homes. Since the mid 1990’s, RCFs have made up one...
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...should be to influence the quality of patients care through good nursing leadership. Effective nursing leaders are generally not born knowing how to positively affect people, their powers of persuasion are developed with a willingness to serve and old with fashion sweat equity. Attributes such as honesty, empathy, communication, flexibility, direction and conviction are some of the ingredients which comprise a phenomenal leader. During this interview I will refer to this leader as (CT) which are her initials. Henceforth, this is why I choose to interview this leader and ask the following question: Background and Role you have Today This nursing leader (CT) began her career with humble beginnings. She started out as a certified nursing assistant and worked in this capacity for a couple of years. Due to the limitations of her current job she was compelled to go to school to become a Licensed Practical Nurse (LPN). She worked for several years as LPN until her children were in middle school. Work as a LPN was rewarding, However, there were restrictions on her practice- depending on what facility she was working in. She stated, “I was smart enough to put in a heparin lock, but not competent enough to flush it”. This was frustrating at times and was the deciding factor for her to return to school to further her nursing career. Henceforth, she went to her local community college and obtain her associates in nursing degree (ASN). While, working as associated prepared nurse was rewarding...
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...Medical assistants perform administrative and clinical tasks to keep the offices of physicians, podiatrists, chiropractors, and other health practitioners running smoothly. The duties of medical assistants vary from office to office, depending on the location and size of the practice and the practitioner's specialty. In small practices, medical assistants usually do many different kinds of tasks, handling both administrative and clinical duties and reporting directly to an office manager, physician, or other health practitioner. Those in large practices tend to specialize in a particular area, under the supervision of department administrators. Medical assistants should not be confused with physician assistants, who examine, diagnose, and treat patients under the direct supervision of a physician (www.bls.gov). Some medical assistants may help doctors examine and treat patients. They may check the height, weight, temperature, and blood pressure of each patient. Assistants write down patients' medical histories and run simple laboratory tests. Sometimes they answer patients' questions about medicines and treatment at home. Assistants may also give injections, apply bandages, and take X-rays. Many assistants take electrocardiograms, which measure the electrical impulses of the heart. Medical assistants are sometimes in charge of buying and maintaining medical equipment and furniture for the doctor's office. They may also act as office managers. They plan the doctor's schedule...
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...Research Critique, Part 1 XXX Grand Canyon University: NRS 433V XXX Research Critique: A Qualitative Study Researchers completed a study seeking out barriers to the implementation of non pharmacological interventions for patients with dementia by nursing home staff. To better recognize and understand these barriers and to in hopes of providing a stronger evidence base for cultural change, researchers elicited nursing staff, recreational therapists, activity personnel and medical directors in a study titled “Its About Time: Use of Nonpharmacological Interventions in the Nursing Home.” Problem Statement Dementia is one of the most common diagnoses on the rise amongst the geriatric population. Alzheimer’s The most common form of dementia is Alzheimers, affecting well over 5 million people nationally. Institutionalization is common amongst this population as the disease begins to progress, typically bringing on behavioral and psychological symptoms of dementia (BPSD) including agitation, aggression and depression. This population is recognized as vulnerable and fragile, both mentally and physically. Many frequently have physical comorbidities along with dementia. This issue of suffering from comorbidities brings on the prescribing of multiple medications, which over time interact and accelerate their functional decline (Kolanowski, Fick, Frazer, Penrod, 2009). Due to the lack of beneficial effects when weighted against both short and long term adverse effects of various...
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...Hospital (Cuba Memorial Hospital) went thru a significant downturn around 2008 due to fraud and theft of education funding and much more. Not only do they lose funding, but also they also almost get shutdown every six months due to not meeting regulations in controlling heat and air-conditioning, as well as having asbestos in the pipes, and a lack of food as they have maxed out their credits with many companies. It has been a roller coaster for many years. The main contributor for many issues among the organization is lack of morale and ethics within the company and this contribute to a very high turnover rate overall. Employees are not very good as well due to the lack of appreciation of everyone’s hard work, very low pay for nurses and nursing assistants, as well as the need to work long hours because the people always call in. There are no incentive and are lucky to get a Christmas cookie, while having to work 16 hour shifts all of the time with little to no breaks. I will be discussing how these issues that are symptoms to contributing to the lack of success among the organization, creates lack...
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...A. Functional Differences A Board of Nursing serves many functions. The Virginia Board of Nursing is in charge of developing and establishing the guidelines for the education programs that include but not limited to Registered Nurses, Licensed Practical Nurses, and Certified Nurse Assistants. The Virginia Board of Nursing is responsible for providing the licensing for health practitioners to practice the different levels of care in the state. The Board serves to look after the public’s wellbeing through directing and certifying the safe practice of nursing. The Board is responsible for ensuring compliance with state laws of practice, that each level abide by the laws for their nursing practice, and by discipline nurses found to have hazardous practices. The Board of Nursing reports to the office of the Governor of Virginia. The American Association of Critical-Care Nurses is the principal specialty group found in nursing. The AACN focuses on educating nurses that provide care too critically, and acutely ill patients. They sponsor national symposiums, and hold local and regional assemblies. The AACN offers nurses in the ICU settings the opportunity to become certified by taking and passing an intensive exam, which in turn is used to corroborate the abilities and expertise of the nurse. The differences between the Board of Nursing and the AACN are varied. The BON is responsible for advancing the standards that nurse’s use in their practice. The BON also requires the nurse to...
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...managing the human resources function for your specific organization. One of the main challenges for human resources for a nursing facility is the nursing staff, admissions, and social worker. Due to the nature of the business, caring for the elderly, patients with dementia, etc. it’s very difficult to find the special kind of persons needed for this type of environment. Most facilities have a high turnover rate in nursing, especially CNA’s (certified nursing assistants). This is due partially because CNA’s are usually nursing students, or those who are studying to obtain their LPN (licensed practical nurse) or RN (registered nurse) license. A nursing home is not for everyone. The following staffing standards statistics are summarized primarily from a December 2010 study, “Nursing Home Staffing Standards in State Statutes and Regulations”, by Charlene Harrington, Ph.D. R.N. “Federal Staffing Standards Section 483.30: Nursing Services requires that "... the facility must have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care..." MA Staffing Standards Section 150.007: Nursing Services requires that "...all facilities provide appropriate, adequate and sufficient nursing services to meet the needs of patients or residents and to assure that preventive measures, treatments, medications, diets...
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...Characteristics and Environments of a Human Service Organization Nicole Kirk BSHS/462 August 6, 2012 Karen Korotzer Characteristics and Environments of a Human Service Organization The local organization chosen is the E. Carlton Powell Hospice Center, which provides care within the center for patients who have been given 6 months or less to live and are not able to remain in their homes. Apart from the hospice center they also have a home care agency that provides care for patients that remain in their home or in nursing facilities. This paper will discuss the vision, mission, how it is governed and staffed, the stakeholders and their influences on the organization, marketing strategies and importance, values of diversity, and any environmental trends in which they are faced. Mission and Vision The Community Home Care and Hospice provides care within the Carolinas and is the largest provider. The agency was developed in 1995, by the Carrolton Management Corporation. The agency has grown in response to the increase in admissions, the 24/7 care, and the efforts of personal care. The foundation is non-profit 501 © 3 organization. The mission and visions of the agency is: “As a charitable wing of Community Home Care Hospice, the Community Hospice Foundation raises funds to support the crusade against life-limiting conditions by contributing to community awareness and education; scholarships and research; and programs that engage in the practical ministry...
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