CHAPTER 2: THE NURSING ASSISTANT AND THE CARE TEAM

LEARNING OBJECTIVES

Describe how the care team works together to provide care

Explain the nursing assistant’s role

Explain professionalism in regards to the nurse assistant

Describe proper personal grooming

Differentiate between chain of command and scope of practice

Discuss the resident care plan in regards to its purpose

Describe the nursing process

Describe the Five Rights of Delegation

Demonstrate how to manage time and assignments

MEMBERS OF THE CARE TEAM Care team: Nursing Assistant (NA) or Certified Nursing Assistant

(CNA) Registered Nurse (RN) Licensed Practical Nurse (LPN)/Licensed Vocational

Nurse (LVN) Physician or doctor (MD – medical doctor or DO –

doctor of osteopathy) Physical Therapist (PT) Occupational Therapist (OT) Speech-Language Pathologist (SLP) Registered Dietitian (RDT) Medical Social Worker (MSW) Activities Director Resident and Resident’s Family

NURSING ASSISTANT’S ROLE

Performing assigned nursing tasks

Providing personal care or assisting with self-care

PROFESSIONALISM AND PROFESSIONAL BEHAVIOR Professional vs. Personal

Professionalism and the nurse assistant: Compassionate Honest Tactful Conscientious Dependable Respectful Unprejudiced Tolerant

PERSONAL GROOMING HABITS Do: Bathe or shower daily using deodorant or antiperspirant

Brush teeth frequently Keep hair clean, neatly brushed, and tied back

Keep facial hair short, clean, and neat Dress neatly in a clean, pressed uniform

Wear comfortable, clean, closed-toed shoes

Keep fingernails short, smooth, and clean

Wear little or no make-up

Don’t: Wear perfume or cologne Wear a uniform that is

Too tight or too baggy Torn or stained Too revealing

Wear large jewelry Have visible tattoos and body piercings

Wear artificial nails, extenders, or overlays

CHAIN OF COMMAND AND SCOPE OF PRACTICE Chain of command

Liability

Scope of practice

RESIDENT CARE PLAN

THE NURSING PROCESS

Assessment

Diagnosis

Planning

Implementation

Evaluation

THE FIVE RIGHTS OF DELEGATION Right Task

Right Circumstance

Right Person

Right Direction/Communication

Right Supervision/Evaluation

TIME AND ASSIGNMENT MANAGEMENT Plan ahead

Prioritize

Make a schedule

Combine activities

Get help

REVIEW

Members of the care team

Nursing assistant’s role

Professionalism and professional behavior

Personal grooming habits

Chain of command and scope of practice

Resident care plan

The nursing process

The five rights of delegation

Time and assignment management