2 the nursing assistant and the care team define the following terms: activities of daily living...

2The Nursing Assistant and The Care Team

Define the following terms:

Activities of daily living (ADLs)personal daily care tasks, such as bathing, dressing, caring for teeth and hair, toileting, eating and drinking, walking, and transferring.

Assistive (or adaptive) devicesspecial equipment that helps a person who is ill or disabled to perform ADLs

2The Nursing Assistant and The Care Team1. Identify the members of the care team and describe how the care team works together to provide care

Each member of the care team has a role in providing care:• Nursing Assistant• Registered Nurse • Licensed Practical Nurse/Licensed Vocational Nurse • Physician or Doctor • Physical Therapist • Occupational Therapist

2The Nursing Assistant and The Care Team1. Identify the members of the care team and describe how the care team works together to provide care

Care team members (cont’d.):• Speech Language Pathologist • Registered Dietitian • Medical Social Worker • Activities Director • Resident and Resident’s Family



Delegationthe act of transferring authority to a person to for a specific task.

Chartingwriting down important information and observations about residents.


2. Explain the nursing assistant’s role

NAs provide services for residents by • Performing assigned nursing tasks • Providing personal care or assisting with self-care



REMEMBER:There are specific tasks NAs do perform (e.g. helping to dress residents, caring for supplies and equipment) and tasks NAs generally do not perform (e.g. giving medications, changing sterile dressings).



REMEMBER:NAs are the “eyes and ears” of the healthcare team. Your observations are very important.



Professionalhaving to do with work or a job.

Personalrelating to life outside one’s job, such as family, friends, and home life.

Professionalismhow a person behaves when on the job; it includes how a person dresses, the words he uses, and the things he talks about.

Compassionatecaring, concerned, considerate, empathetic, and understanding.



Empathyentering into the feelings of others.

Sympathysharing in the feelings and difficulties of others.

Tactthe ability to understand what is proper and appropriate when dealing with others; being able to speak and act without offending others.

Conscientiousguided by a sense of right and wrong; having principles.

2The Nursing Assistant and The Care Team3. Explain professionalism and list examples of professional behavior

These important points help maintain professional relationships with residents:• Be positive • Be clean and neatly dressed • Do only assigned tasks • Keep residents’ information confidential • Be polite and cheerful


Points for maintaining professional relationships with residents (cont’d.):• Never discuss personal problems • Do not use profanity • Listen• Call residents by their proper names• Do not give or accept gifts • Explain care • Follow care practices


These important points will help you maintain professional relationships with employers: • Complete duties • Follow policies/procedures • Document and report care • Communicate problems • Ask questions


Points for maintaining professional relationships with employers (cont’d.):• Take directions and criticism • Be on time • Notify if absent • Follow chain of command • Participate in education programs • Be a role model for the facility

2 The Nursing Assistant and The Care Team

Transparency 2-1: Qualities of Great Nursing Assistants

• Compassion • Honesty • Tact • Conscientiousness • Dependability • Respect • Lack of prejudice • Tolerance


4. Describe proper personal grooming habits

When working as an NA you should not wear• Clothes that are tight, baggy, in poor repair, or revealing• Large jewelry• Artifical nails• Too much makeup• Perfume or cologne



When working as an NA you should• Bathe or shower daily• Use deodorant or antiperspirant• Brush teeth frequently• Keep hair clean and neat (tied back if long)• Keep facial hair neat, clean, and short• Cover tattoos or body piercings (except earlobes)• Dress in a clean and pressed uniform• Keep nails short, smooth and clean• Wear comfortable, high-quality shoes



Think about this question:Why do you think an NA’s grooming affects how a resident feels about the care that NA gives?



Liabilitya legal term that means someone can be held responsible for harming someone else.

Scope of practicedefines the things that healthcare providers are legally allowed to do and how to do them correctly.


Transparency 2-2: Chain of Command


5. Explain the chain of command and scope of practice

REMEMBER:• Some tasks are never performed by NAs (e.g. administering

medications, performing procedures involving sterile technique, making diagnoses).

• NAs must never honor a request to do something outside their scope of practice, and such requests must be reported to the nurse.


6. Define “care plan” and explain its purpose

The care plan• Is created for each resident by the nurse or doctor• Lists steps and tasks the care team must perform• Is a guide to help the resident reach and maintain the best

health possible• Should involve input from resident, family, care team

members• Must be followed very carefully


6. Define “care plan” and explain its purpose

REMEMBER:Activities not listed on the care plan should not be performed.


Transparency 2-3: Resident Care Plan 1


Transparency 2-4: Resident Care Plan 2


Transparency 2-5: Nursing Process

Assessment: Gettinginformation from many

sources

Diagnosis:Identifying health problems

Planning: Setting goals andcreating care plan

Implementation: Puttingcare plan into action

Evaluation: Examining tosee if goals were met


7. Describe the nursing process

REMEMBER:The nursing process is how the care team communicates to best meet the resident’s changing needs.


8. Describe “The Five Rights of Delegation”

The five “rights” of delegation are• Right Task • Right Circumstance • Right Person • Right Direction/Communication • Right Supervision/Evaluation



NAs must consider these questions before accepting tasks: • Do I have all the information I need to do this job? Are there

questions I should ask? • Do I believe that I can do this task? Do I have the necessary

skills? • Do I have the needed supplies, equipment, and other support? • Do I know who my supervisor is, and how to reach him/her? • Do we both understand who is doing what?



REMEMBER:You can provide better care by asking questions and asking for help when you need it.


9. Demonstrate how to manage time and assignments

Remember the following five basic strategies for managing time: • Plan ahead.• Prioritize.• Make a schedule.• Combine activities.• Get help.


9. Demonstrate how to manage time and assignments

Think about this question:The last item on the list of time management strategies is “get help.” Where can an NA get help?

2 the nursing assistant and the care team define the following terms: activities of daily living...

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