1. Bellringer: A resident you are caring for is in the bathroom when the nurse brings his medication to him. The nurse tells you that she is very busy. The nurse then asks you to give the person his medication when he is finished in the bathroom. What should you do? Explain your actions and how your actions might affect the resident's safety.

2. MNA Mosby’s Long Term Care Assistant Chapter 3 The Nursing Assistant in LTC

3. History and Current Trends Formerly OJT New training requirements in 1987 (Omnibus Budget Reconciliation Act) Efforts to reduce health care costs

4. Federal and State Laws Nurse Practice Acts Describes scope and practice of RN, LPN, NA Laws for revoking license Omnibus Budget Reconciliation Act NA training Competence Evaluation Registry Retraining

5. Roles and Responsibilities of the Nursing Assistant Scope of Practice Assist the nurse in giving care Report to the nurse Never perform a task you have not been trained to do Read your job description

6. ROLE LIMITS Never give medications Never insert tubes or objects into a residents body opening Never take verbal or telephone orders from a doctor Never perform procedures alone that require sterile technique

7. ROLE LIMITS Never tell the resident or family the resident's medical diagnosis or treatment plans Never diagnosis or prescribe treatments or drugs Never ignore a request that you cannot or should not do

8. Delegation Delegation – to authorize another person to perform a task Responsibility – duty to perform a task Legal Consequences

9. The 5 Rights of Delegation The Right Task The Right Circumstance The Right Person The Right Directions The Right Supervision

10. Your Role in Delegation Accept a Task safety own actions Refuse a Task common sense unethical, illegal

11. Review Nursing practice is regulated by ? Nurse practice acts

12. Review You decide to refuse to perform a task. Your first action should be to ? Inform the nurse

13. Review Who is responsible for telling the resident the results of his blood test ? Doctor

14. Review You must perform all tasks and procedures as directed by the nurse. True or False

15. Review You make the decision about what should be done for the resident. True or False

16. Review All LTCF let NA perform the same task and procedures. True or False

17. Review You are allowed to give medication if the nurse asks you to. True or False

18. Review The doctor is your supervisor in the LTCF. True or False

19. Review You are not allowed to remove tubes from a residents body. True or False

20. Review You can refuse to complete a task if you do not like performing the task. True or False

21. Questions??