Hospital

and
Nursing
Centers
Acute
illness
Chronic
Illness
Population
Hospitals
Acute
illness
Board and
Care
Home
Assisted
Living
residences
Hospices
Nursing
Centers
& Dementia
Care Units
Long-term
Care
centers
Short term
Residents
Respite
Care
Life Long
Care
mentally ill
terminally ill
developmental dis
complete care
Your
Text
Long
Term
Care
Group
Homes
Board
and Care
Home
House
Sharing/Roo
mates
Assisted Living
Residences
Services?
Mobility
Required
Nursing
Centers
Nursing
Homes
Subacute
care
Skilled
Nursing
Facility
Hospices
Comfort not cure
6 months
physical, emotional, social and spiritual needs (FAMILY)
Hospitals, nursing centers, home care agency
Alzheimers Dementia Increasing memory loss
and Confusion
DEMENTIA CARE UNITS
usually closed unit
ORGANIZATION
Nurse Manager
Nursing Supervisor
Charge Nurse
LPN/RN
Certified Nursing Assistant
Chief Nursing Officer
Director of Nursing
RNs/LPNs DON CNAs
2
1
3
Nursing
Care
Patterns
Primary Nursing
RN=Total Care
ICU
Team Nursing
Team Leader
Members
RN/LPN
Counselors
CNAs
Social Workers
Case
Management
home health
Functional Nursing
drugs
wound
respiratory
Patient-
focused care
doppler
xray
blood draw in bedside
$Money
Private - individual, families
Group-organizations/employee benefit
Medicare-65 older/disability/dialysis
Medicaid-low income(federal government, run by states
length of
stay/cost
determined
at
beginning
of care
PROSPECTIVE PAYMENT SYSTEMS
BEFORE SERVICES GIVEN BASED ON
ASSESSMENT
Care cost less =
facility/agency
profit


Care cost more =
facility/agency loss
profit
Hospital
SNF
Rehab Centers
Home Health
HMO PPO
FOLDER
&
TABS
SURVEYS (JCAHO, IDPH)
YOUR ROLE
QUALITY CARE
RESIDENTS RIGHTS
SAFETY; SELF AND OTHERS
CLEAN
PROFESSIONALISM
ETHICS
KNOWLEDGE OF
POLICY/PROCEDURE
YOU WILL BE WATCHED OR ASKED
THE
PERSONS
RIGHTS
2
PAGE 9
2003 1987
OBRA
All 50 States
TO PROVIDE
QUALITY
OF LIFE
HEALTH
SAFETY
Adopted
The Patient Care
partnership:
Understanding
Expectations, Rights,
Responsibilities
Provides the clients
rights and
expectations during
hospital stays. The
(Therapeutic)
relationship between
the doctor, health
team, and patient is
stressed
AMERICAN
HOSPITAL
ASSOCIATION
RESIDENTs
RIGHTS!!!!!
NURSING
ASSISTANT
TRAINING
AND
COMPETENCY
EVALUATION
ARE PORT OF
OBRA
Omnibus Budget
Reconciliation Act
QUALITY OF LIFE TREATMENT
PRIVACY
ABUSE/NEGLECT
MISTREATMENT
maintain, restore, improve,
relieve symptoms
RIGHTS
PROMOTES
DIGNITY AND
RESPECTS
BOX 2-1
Refuse and Advance
Directive
Persons Body
Bathroom use
Visits / Visitors
Phone Call
Mail
HIPPA
Verbal, Sexual, Physical, Mental
Involuntary Seclusion
Against the Persons Will
Healthcare worker found guilty?
INFORMATION
GRIEVANCES
PERSONAL
CHOICE
WORK
RIGHTS
GROUPS:
SOCIAL, CULTURAL,
RELIGIOUS,
COMMUNITY EVENTS
PERSONAL ITEMS
(QUALITY OF LIFE)
FREEDOM
FROM
RESTRAIN
OLDER
AMERICAN
ACT
Ombudsman
page 13 pride
(1 more leaf
needed)
THE
NURSING
ASSISTANT
NURSE
PRACTICE
ACT
Your Text
PROTECTS THE PUBLIC
NURSE
PRACTICE
ACT
SCOPE AND PRACTICE
DENIES, REVOKING SUSPENDING LICENSE
TO PROTECT THE PUBLIC
BOX 3-1
NURSING
ASSISTANT
REGISTRY
COMPETENCY
EVALUATION
CERTIFICATION
ROLES AND
RESPONSIBILITIES
RANGE OF
FUNCTIONS
BOX 3-2
BOX 3-3 BOX 3-4
RULES OF
NURSING
ASSISTANT
DELEGATION
To authorize another person to perform
a nursing task in a certain situation.
nursing
assistant
cannot
delegate
who can
delegate?
Delegation
Process
page 22
Step 1
Asses and Plan
Five Rights of
Delegation
Box 3-5
Ethical
Aspects
Boundaries
Code of Conduct
box 3-6
Legal Aspects