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CNA-NIC F25 CH 1.10
Discuss the Facility Chain of Command
| Question | Answer |
|---|---|
| CHAIN OF COMMAND | describes the line of authority in the facility |
| what is an example of the chain of command | the nurse will usually be the NAs immediate supervisor |
| what does an NA do if they have problem with someone in another department | the NA will report this to the proper person- this is usually an immediate supervisor or the CHARGE NURSE the NA would not go directly to the person in the other department to discuss the problem (that would not be following the chain of command) |
| CHARGE NURSE | is a nurse responsible for a team of healthcare workers |
| what does the chain of command do for staff | helps to protect staff from LIABILITY |
| LiABILITY | is a legal term that means a person can be held responsible for harming someone else |
| what is an example of a liability consideration | resident is injured while NA providing care.if care was assigned/done according to policy/procedure NA may not b liable 4 harming resident. if NA performs task that is not assigned/is not within scope of practice/harms resident NA could be held liable |
| why is it important for team members to follow instructions and for the facility to have a chain of command | doing this helps promote proper care and lessen the risk of liability |
| slide chain of command | see slide chain of command |
| 1st in Command (TOP) | Administrator |
| Administrator | manages non medical aspects of the facility, administers finances, and coordinates policy in consultation with medical professionals |
| 2nd in Command | Medical Director (MD) |
| what is the abbreviation for Medical Director | MD |
| Medical Director | reviews and consults on medical aspects of care, coordinating with attending physicians and nursing staff and encouraging quality care |
| 3rd in Command | Director of Nursing (DON) |
| what is the abbreviation for Director of Nursing | DON |
| Director of Nursing | manages the nursing staff at the facility |
| Other Services 3rd in Command | Physical Therapist (PT), Occupational Therapist (OT), Speech Language Pathologist (SLP) |
| what is the abbreviation for Physical therapists | PT |
| what is the abbreviation for occupational therapists | OT |
| what is the abbreviation for speech language pathologist | SLP |
| physical therapists | administers therapy to increase movement, promote healing, reduce pain and prevent disability |
| occupational therapist | helps residents learn to adapt to disabilities and trains them to perform ADLs |
| speech language pathologists | identifies communication disorders and swallowing problems and develops a plan of care |
| 4th in Command | Assistant Director of Nursing (ADON) |
| what is the abbreviation for assistant director of nursing | ADON |
| assistant director of nursing | assists the DON with management of nursing staff |
| 5th in Command | Staff development coordinator |
| staff development coordinator | directs the training of employees at a facility |
| 6th in Command | Minimum Data Set (MDS) Coordinator/ Resident Assessment Coordinator |
| Minimum Data Set (MDS) Coordinator/ Resident Assessment Coordinator | manages the assessment of resident needs and delivery of required care in a long term care facility (usually a specially trained nurse) |
| 7th in Command | Nursing Supervisor |
| Nursing Supervisor | supervises and supports nursing staff of entire facility or multiple nursing units, assisting with resident care as needed |
| 8th in Command | Charge Nurse |
| Charge Nurse | supervises and supports nursing staff of a particular unit and treats a limited number of residents |
| 9th in Command | Staff Nurses (RN, LPN/LVN) |
| Staff Nurses | provide nursing care as prescribed by a physician |
| 10th in Command (Bottom) | Nursing Assistants (NA, CNAs) |
| Nursing Assistants | perform assigned nursing tasks, assist with routine personal care and observe and report any changes in residents conditions and abilities |
| what does the chain of command help ensure | that residents receive proper care |
| what does the chain of command do | describes the line of authority in a facility |
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