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CNA-NIC F25 CH3.17
Describe the Nursing Assistants Role In Change of Shift Reports and Rounds
| Question | Answer |
|---|---|
| what are the two types of shift reports | start of shift report, and an end of shift report |
| what are nursing assistants usually asked to attend | start of shift reports |
| what happens during start of shift reports | this is when the care team gathers to discuss and plan a resident's care for a shift |
| what types of reports are nurses present for | start of shift report, and end of shift report |
| how long are shift lengths | shift lengths vary by facility : a shift may be 8, 10 or 12 hours long |
| Guidelines for (start of shift) reports #1 | Arrive on time |
| Guidelines for (start of shift) reports #2 | Each staff member is given an assignment for the shift. For NAs listen for important information about all of the residents in your area |
| what does the assignment contain | this assignment lists each resident and the staff member who will be responsible for that resident during that shift. |
| what is considered the NA responsibility regardless of staff assignments | every resident, is considered every NAs responsibility (this means you must respond to any resident who needs your help) |
| Guidelines for (start of shift) reports #3 | The staff listens to a nurse from the prior shift who reports on the care of each resident. Listen carefully to this information |
| What are examples of information passed to the next shift | falls that occurred, appetite problems, difficulties with urination and bowel movements, complaints of pain, or changes in ability to move |
| Guidelines for (start of shift) reports #4 | The nurses give special instructions to the other staff members who will be providing resident care. Ask any questions you have. |
| what are examples of special information shared during a report | new admissions and transfers or discharges from the facility |
| Guidelines for (end of shift) reports #5 | Report resident information to the nurses before the end of shift report. nurses will share this information with the staff for the next shift |
| What sort of information should be reported to the nurses before end of shift report | changes in vitals (temperature, pulse rate, respiratory rate, and blood pressure) and skin changes that could signal the start of a pressure injury. |
| what do some facilities use as a method of reporting | ROUNDS |
| ROUNDS | staff members make scheduled visits to each resident's room to assess the resident's condition and needs and to discuss the care plan |
| what may a nursing assistant be involved in | rounds at his facility |
| if a nursing assistant is involved in rounds at his facility | he should listen closely and take notes. he can also share information residents to staff but should keep his voice low when doing so |
| what is a handoff | is the transfer of a resident and all of the care responsibilities for that resident from one care giver to another |
| what does a handoff involve | involves the formal acceptance of that resident by the receiving care giver |
| what is the goal of a handoff transfer process | is a careful transfer of the resident's care and information |
| what is required to achieve the goal of the handoff transfer process | effective communication between caregivers |
| the handoff process involves | senders and recievers |
| senders | are caregivers transferring care of the resident |
| recievers | are caregivers accepting the care of the resident |
| what does the joint commission work to provide | safer, high quality patient care |
| what has the joint commission crated for high quality handoffs | eight tips @ jointcommission.org |
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