understand patient’s rights and practice confidentiality€¦ · personal qualities of a health...

Personal Qualities of a Health Care Worker

Empathy – Identify with and understand another person’s feelings, situation, and

motives.

Honesty – Truthfulness and Integrity

Dependability – Must be prompt in reporting to work, good attendance, perform

assigned tasks on time and accurately

Personal Characteristics – Willingness to learn

Patience – Tolerant and understanding

Acceptance of criticism – Some will be constructive and allow you to improve in your

work

Enthusiasm – Enjoy work and display a positive attitude

Self-Motivation – Ability to determine things that need to be done and do them without

constant direction

Tact – Show consideration of the feelings of others at all times

Competence – Ability to follow instructions, know your limits, and ask for guidance

Responsibility – Willing to be held accountable for own actions

Discretion – Understand patient’s rights and practice confidentiality

Team Player – Work well with others

Personal Appearance of a Health Care Worker

Name Tag

Clean, wrinkle free uniform, and well fitting with white or neutral undergarments

White , clean, closed toe and heel shoes; no high heels or sandals

Watch with second hand, note pad and pen.

No tattoos

Clean, free of body odor, and good oral hygiene

Hair up and off collar

Sport fingernails only, NO acrylic nails, and NO nail polish

NO perfume, aftershave, or offensive odors such as tobacco, hairsprays, and lotions.

NO jewelry or visible body piercings

NO excessive makeup, should be natural, and attractive

SKILLS DATE DATE DATE DATE DATE DATE DATE DATE DATE

ASSIST TO USE A BEDPAN

MAKE AN OCCUPIED BED

MAKE AN UNOCCUPIED BED

TURN A PATIENT ON SIDE

ASSIST PATIENT DRESSING

FEED PATIENT

MEASURE & RECORD CONTENTS OF URINARY

DRAINAGE BAG

MEASURE & RECORD BP

MEASURE & RECORD TPR

MEASURE & RECORD WEIGHT

PERFORM PASSIVE ROM TO LOWER EXT.

PERFORM PASSIVE ROM TO UPPER EXT.

PROVIDE CATHETER CARE

PROVIDE FOOT CARE

PROVIDE HAIR CARE

PROVIDE MOUTH CARE TO PT WITH TEETH

PROVIDE MOUTH CARE TO PT WITH DENTURES

PROVIDE A PARTIAL BED BATH

PROVIDE A COMPLETE BED BATH

PROVIDE PERINEAL CARE

TRANSFER PT FROM BED INTO A W/C

SKILLS CHECKLIST

SKILLS DATE DATE DATE DATE DATE DATE DATE DATE DATE

WASH HANDS

AMBULATE RESIDENT USING GAIT BELT

DRESS THE RESIDENT WITH A WEAK ARM

PROVIDE HAIR AND NAIL CARE TO A RESIDENT

SKILLS CHECKLIST

Facility:

Student Name:

Date Time In Time Out Total Hours Supervisor Signature

CLINICAL ROTATION DOCUMENTATION

JOURNAL NOTES

Date: __________________ Clinicial Area:_________________________________________

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Date:__________________ Clinical Area:_________________________________________

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Crescent City Jr-Sr HIGH SCHOOL

NURSING ASSISTANT PROGRAM

Evaluation

Student Name_______________________________ Facility___________________________

Date:________ Time In:_______ Time Out:_______ Total Hours__________

Evaluation to be completed by assigned mentor:

1. Student in proper attire (scrubs, white shoes, name pin, hair pulled back, no rings, Yes___ No___

loop earrings, facial piercing, necklaces, and bracelets)

2. Student is equipped with stethoscope, pen, note pad, and watch with second hand. Yes___ No___

3. Student exhibited good initiative (keeping busy, offering to assist when needed, Yes___ No___

asking questions, and stays in area assigned).

4. Student exhibited professional attitude and behavior (courteous, attentive, good Yes___ No___

rapport with patients, and staff).

Evaluator’s Comments: please note any deficiencies, positive or critical on student’s performance of

skills, attitude, and appearance, etc.

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Evaluator’s Signature_________________________________________________Date:______________

STUDENT ACTIVITY LOG: (Document any skills that were you observed being performed, or any special

activities that you assisted with during clinical and explain why the procedure was done.)

You may use a separate sheet of paper to attach to this page.

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Student Signature___________________________________________________ Date:______________

HEAD TO TOE ASSESSMENT

LOC & ORIENTATION Alert to Person Place Time

Purpose

HEENT/Neuro Head-Shape and symmetry Condition of hair and scalp Eyes- hearing aids, pain? Conjunctive and sclera, pupils;

reactivity to light and ability to follow your finger or a light Speak in a whisper: can he hear you and comprehend? Turn away to make sure he isn’t reading your lips Nose: Drainage, congestion, difficulty breathing, sense of smell Throat and mouth: mucous membranes, any lesions, teeth or

dentures, odor, swallowing, trachea, lymph nodes, tongue

Integumentary

Breaks in skin Scars Lesions Wounds Redness Irritation

Turgor Color temperature Moisture

Lungs Assess lung sounds front and back Sounds- clear, stridor, wheezing, SOB

Heart Assess cardiac sounds front and back AP sounds- regular or irregular

Abdomen Auscultate bowel sounds in 4 quadrants Observe-distended Palpate- soft, firm or pain and tenderness

Extremities Assess for temperature Capillary fill and ROM Hand Grip-weak, strong,

equal on both sides

Palpate pedal pulses Lesions, lumps or pain Dorsi/plantar flexion-

strong & equal

Other Questions? Pain- location, radiates Level of Pain (1-10)

Burning with urination Cough Discharge

Depression or Sadness Change in appetite Diaphoretic Nausea O2

NAE/CSO- Please Circle the skill that is being tested

before handing to candidate

BLOOD PRESSURE

Resident’s Name: DO NOT NEED TO COMPLETE FOR TEST

Date: DO NOT NEED TO COMPLETE FOR TEST

Blood Pressure Measurement: ____________/______________(mm hg.)

WEIGHT



Weight: _______________(lbs)

Weight:_______________(kg)

PULSE



Pulse:______________/min Respiration:___________/min

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Candidate Name

INTAKE AND OUTPUT FORM

(I & O)



Intake: (oral, IV, Tube Feeding)

TIME ROUTE Amt In cc’s Initials

Output: (urine, emesis, diarrhea)

TIME ROUTE Amt In cc’s Initials

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Candidate Name

FOOD ACCEPTANCE FORM (RECORD)



Instructions: Record food intake as a percentage (%) of food eaten.

Record: X Next to the % category that best matches the resident’s intake R If the resident refuses to eat

Snack (% eaten) Mark “X” next to

75 – 100 %

50 – 75%

25 – 50%

0 – 25%

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Candidate Name

Blood Coagulation (Hemostasis) Partial thromboplastin time (PTT) 28-38 seconds Prothrombin time (PT) 10-13 seconds Hemogram Back to Top

Hematocrit (Hct) Female 0.370-0.460 Male 0.420-0.520 Hemoglobin (Hb) Female 123-157 g/L Male 140-174 g/L Mean corpuscular volume (MCV) 80-100 fL Mean corpuscular hemoglobin (MCH) 27-34 pg Platelet count 130-400 X 109/L Red blood cells (RBC) Female 4.0-5.2 X 1012/L Male 4.4-5.7 X 1012/L Red cell distribution width (RDW) 11.5-14.5% Reticulocyte count 20-84 X 109/L Erythrocyte sedimentation rate (Westergren) Female < 10 mm/hour Male < 6 mm/hour White blood cells & differential White blood cell count (WBC) 4-10 X 109/L Segmented neutrophils 2-7 X 109/L Band neutrophils <0.7 X 109/L Basophils <0.10 X 109/L Eosinophils <0.45 X 109/L Lymphocytes 1.5-3.4 X 109/L Monocytes 0.14-0.86 X 109/L Chemical Constituents Back to Top

Albumin (serum) 35-50 g/L Alkaline phosphatase (serum) 35-100 U/L Aminotransferase (transaminase) (serum) Alanine (ALT; SGPT) 3-36 U/L Aspartate (AST; SGOT) 0-35 U/L Gamma glutamyl transferase Female 10-30 U/L Male 10-35 U/L Amylase (serum) <160 U/L Bicarbonate (HCO3) (serum) 24-30 mmol/L Bilirubin (serum) Direct (conjugated) <7 µmol/L Total <26 µmol/L Calcium (serum) Total 2.18-2.58 mmol/L Ionized 1.05-1.30 mmol/L Chloride (serum) 98-106 mmol/L Cholesterol (serum) <5.2 mmol/L Low density lipoprotein (LDL) <3.37 mmol/L High density lipoprotein (HDL) >0.9 mmol/L Cortisol 160-810 mmol/L Creatine kinase (CK) (serum) 5-130 U/L Creatinine (serum) Female 50-90 µmol/L Male 70-120 µmol/L Ferritin 10-250 µg/L Folic (Folate) 7-36 nmol/L Glucose fasting (serum) 3.3-5.8 mmol/L Hemoglobin A1C 4-6% Iron (serum) 11-32 µmol/L Lactate dehydrogenase (LDH) (serum) 95-195 U/L Lipase (serum) <160 U/L Magnesium (serum) 0.75-0.95 mmol/L Osmolality (serum) 280-300 mmol/kg Oxygen saturation (arterial blood) (SaO2) 96-100%

Lab Values

Please note: Lab Values may vary among Laboratories

http://www.mcc.ca/objectives_online/objectives.pl?lang=english&loc=values#Top

http://www.mcc.ca/objectives_online/objectives.pl?lang=english&loc=values#Top

PaCO2 (arterial blood) 35-45 mm Hg PaO2 (arterial blood) 85-105 mm Hg pH 7.35-7.45 Phosphorus (inorganic) (serum) 0.8-1.5 mmol/L Potassium (serum) 3.5-5.0 mmol/L PSA (Prostate Specific Antigen) 0-4 µg/L Protein (serum) Total 60-80 g/L Albumin 35-50 g/L Sodium (serum) 135-145 mmol/L Thyroid-stimulating hormone (sensitive) 0.4-5.0 mU/L T3 (free) 3.5-6.5 pmol/L T4 (free) 8.5-15.2 pmol/L TIBC (Total Iron Binding Capacity) 45-82 µmol/L Transaminase - see Aminotransferase Triglycerides (serum) <2.20 mmol/L Troponin T (TnT) <0.01 µg/L Urea nitrogen (BUN) (serum) 2.5-8.0 mmol/L Uric acid (serum) 180-420 µmol/L Vitamin B12 74-516 pmol/L

NOTES

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Medical Terminology

Relating to weights and measurements ad lib As much as desired

cc cubic centimeter

ml millimeter

dr dram

gr grain

gtt drop

kg kilogram

L liter

lb pound

mg milligram

fl fluid

fl oz fluid ounce

g gram

Relating to medications sc, sub-q subcutaneous

IM intramuscular

IV intravenous

PO By Mouth

PR Per rectum

cap capsule

Rx take

per by

sig. instruction

Relating to time NPO nothing by mouth

ac before meals

pc after meals

bid twice a day

tid three times a day

qid four times a day

q every

q lh every one hour

qod every other day

qd everyday

qhs every night

hs night or bedtime

PRN as needed

STAT at once, NOW

EDC estimated day of confinement

Studies of the Body

Anatomy- study of the structure of the body and its relationship of its parts

Physiology- study of the normal functions and activities of the body

Embryology- study of the development of the body from the ovum (egg) after

the union with the male sperm

Biology- study of all forms of life

Histology- microscopic study of the structure, functions, and composition of

normal cells and tissues

Pathophysiology- study of the changes in the structures and functions of the body

caused by disease

Positions and directions Anterior - toward the front

Posterior- toward the back

Medial- near the midline

Lateral- towards the outside

Internal- inside

External- outside

Distal- away from the midline

Proximal- close to the midline

Superior- above

Inferior- below

Cranial- towards the head

Caudal- towards the tail

Adduct- move toward the midline

Abduct-move away from the midline

Anatomical Postures Erect - Standing or upright position

Supine - body flat on back, horizontal

Prone - body flat on abdomen

Lateral Recumbent - body horizontal, on either side, with knees bent

Knee Chest - on knees with head down

Movement Flexion- bending at a joint

Rotation- movement turning a body on its axis

Pronation - Turning downward

Supination - turning upward

Eversion- turning outward

Inversion - turning inward

Systems Skeletal Muscular Integumentary Gastrointestinal — Digestive

Cardiovascular Lymphatic Respiratory Endocrine Nervous Genitourinary

Relating to Physical Examination

BP - Blood Pressure

LLL - left lower lobe (lung)

LLQ - left lower quadrant

LUL - left upper lobe

LUQ - left upper quadrant

RLL- right lower lobe (lung)

RLQ - right lower quadrant

RUL- right upper lobe

RUQ - right upper quadrant

RML - right middle lobe

os - mouth

O. S . - left eye

O.D. - right eye

O.U. - both eye

P.E., PE - Physical Examination

TPR - Temperature, Pulse, Respiration

R/O - Rule Out

c.c. - chief complaint

Dx - Diagnosis

Sx - Symptom

Relating to Medical Specialist

Pediatric- devoted to caring and curing diseases of children

Gynecology- devoted to treat the diseases of female genitourinary tract

Obstetrics- devoted to deal with pregnancy, labor and delivery

Surgery- treats diseases by operative procedures

EENT- (Eyes, Ears, Nose & Throat)- Otology-study of the disease of the ear Laryngology- study of the nose, throat, and tracheobronchial tree

Radiology- devoted to the study & treatment of the disease by means of X-ray

Nuclear Medicine- treats disease with radiation

Urology- study of the urinary system and disease

Cardiology- study of the heart and its great vessels

Thoracic Surgery- surgical treatment of the chest and its great vessels

Endocrinology- study of the endorcrine glands and their hormone secretions

Dermatology- study of the skin

Internal Medicine- treatment of diseases of the internal organs

Physical Medicine- treatment with Physical Therapy

Sports Medicine- treatment of sport injury or prevention of injury

Psychiatry- study of the mind

Geriatrics- study of the elderly

Orthopedics- study of the bones

Oncology- study of cancer

Neurology- study of the brain and nervous system

General Medicines- treatment of all ages

Emergency Medicines- treatment of person in an emergency or life threatening situation

Regions and Quadrants

understand patient’s rights and practice confidentiality€¦ · personal qualities of a health...

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