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CNA Fundamentals
| Question | Answer |
|---|---|
| Who supervises a CNA? | nurse |
| What are some other names a CNA may be called in a healthcare setting? | Patient Care Attendant, Clinical Support Associate, Health Care Assistant, Personal Care Assistant, Patient Care Technician |
| What does OBRA stand for? | Omnibus Budget Reconciliation Act |
| How did the OBRA law impact the CNA's role? | It provided minimum education training requirements in order to become a CNA. |
| What does a CNA do? | Provides physical care and emotional support to patients |
| Who regulates the CNA's job? | The Maryland Board of Nursing (MD BON) |
| What is scope of practice? | skills that a healthcare worker is trained for and allowed to use |
| What is an organizational chart? | A physical guide that spells out the line of authority and illustrates how each department relates to other departments |
| What is delegation? | transfer of responsibility of a nursing activity from the nurse to the CNA |
| When may a CNA refuse a delegated task? | Not in the CNA's scope of practice, not been taught how to do the task, activity may harm the patient |
| What are the 5 rights of delegation? | Right Circumstance, right person, right direction, right communication, right supervision |
| What is an observation? | Information that is obtained by using one's senses: seeing, hearing, smelling or feeling. |
| What is an objective observation? | One that is observed or measured (rash, vital signs, etc.) |
| What is a subjective observation? | One that the patient describes (pt reports they are in pain) |
| What types of observations must be reported immediately to the nurse? | Pain (specifically chest pain), dyspnea, cyanosis, vomiting, bleeding, any obvious sign of injury, abnormal vital signs. Use your instinct! If you think there is a problem, report it. |
| What are common names for the transfer of information from one worker to another in a healthcare facility? | Report, Shift Report, Handoff, Handoff Report, Handover, Transfer of Information, Transfer of care |
| By law, who is the only member of the nursing team that can assess a patient? | RN |
| What is a CNA's "assignment"? | the patients they are assigned to care for that day |
| What is an oral report? | Verbally giving information about a patient to another healthcare worker |
| Minimally, when does a CNA give oral report? | Change of shift, anytime they leave the unit, change in patient's condition |
| Minimally, what should be included in oral report? | Name of patient, location of patient, care given during shift, observations you made during the shift |
| What is SBAR? | S: Situation B: Background A: Assessment R: Recommendation |
| What is "making rounds"? | checking on patients regularly |
| When should a CNA make rounds on their patients? | As soon as possible after report |
| What is the purpose of rounding on patients? | identifying patient needs and problems, developing a plan for each patient, communicating with patients and their families, helping to organize priorities for the day |