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MNA Working in Long Term Care Chapter 1

MNA Working in Long Term Care Chapter 1

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MNA Working in Long Term Care Chapter 1

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  1. MNAWorking in Long Term Care Chapter 1

  2. Long Term Care Centers • Board and Care Homes Can be in a home setting Can be part of a nursing facility SUPPORTIVE CARE Meals, housekeeping, laundry, transportation, medication reminders

  3. Long Term Care Centers • Assisted Living Residence Home like setting, apartment like Provides housing, personal care, health care, social activities. Assistance with ADL. Residents

  4. Long Term Care Centers • Nursing Centers Require continuous care LTCF Licensed Staff Provide: medical, nursing, dietary, rehab care recreation and social services, laundry and housekeeping Residents

  5. Long Term Care Centers • Nursing Centers Skilled Nursing Facilities SNF More complex care provided

  6. Purposes and Goals of Nursing Centers Promote Physical and Mental Health • Eat properly • Exercise • Prevent communicable disease • Treat chromic illness • Rehab or restorative care

  7. Purposes and Goals of Nursing Centers Promote Physical and Mental Health • Eat properly and Exercise • Do as much for themselves as possible • Encourage appetite • Quality of life

  8. Purposes and Goals of Nursing Centers Promote Physical and Mental Health • Prevent Communicable Diseases • Disease spread from one person to another • Hand washing

  9. Purposes and Goals of Nursing Centers Promote Physical and Mental Health • Treat chromic illness • Slow or gradual onset • No cure • acute illness • Sudden onset • Should recover

  10. Purposes and Goals of Nursing Centers Promote Physical and Mental Health • Rehab or restorative care • Return to highest possible level off functioning • Begins on admission • Entire staff involved

  11. OTHER SERVICES provided by Nursing Centers Hospice Alzheimer’s Unit Rehab and Sub-acute care

  12. Accreditation • JCAHO • Standards and practices • Improves quality of care • Yearly review

  13. Nursing Center Organization • Owned by person or corporation • Local, state and federal regulations • Must have a medical director • Nursing is a major department

  14. Organizational Structure ADMINISTRATOR DO FINANCE DO ENVIRONMENTAL SERVICES DO NURSING - RN Shift Supervisor - RN PAYROLL HOUSEKEEPING Floor Charge Nurse - RN RN LPN Nursing Assistant

  15. Registered Nurse • 2 year degree - Associate • 4 year degree - Bachelors • Assess, plan, implement, evaluate nursing care • Must pass Licensing exam • Must continue education • DO NOT Diagnose

  16. Licensed Practical Nurse • LPN (Also called LVN) • 12 -18 month Program • Community College or Technical School • Must pass Licensing exam • Must continue education • Under the supervision of an RN

  17. Nursing Assistant • 75 hour program Required by the Omnibus Budget Reconcilation Act of 1987 (OBRA) • 59 classroom, 16 hours clinical • Must pass a state exam to be placed on registry • Must continue education • Under the supervision of an RN, LPN

  18. Nursing Assistant State Exam • Written exam – 75 questions • Performance exam – 5 skills • Must be taken within one year of course completion • 3 attempts

  19. Nursing Care Functional Nursing Tasks and jobs Team Nursing Team led by RN Delegation based on staff ability and patient need Primary Nursing Primary RN is responsible forTotal Care

  20. Health Care Team Activities Coordinator Dentist Dietician Lab Tech Physical Therapist Pharmacist Respiratory Therapist Podiatrist Social Worker Radiology Tech

  21. Payments Private Insurance Group Insurance Medicare Medicaid Federal health care insurance program for 65 or older Health care payment program sponsored by the federal govt and operated by the states. Available to low income, blind, disabled, elderly

  22. Payments DRG – Diagnosis Related Groups Managed Care - Limits

  23. Review Helping persons return to their highest physical and mental functioning is called? rehabilitation

  24. Review Persons in a LTCF are referred to as ? residents

  25. Review Which facility provides 24 hour nursing care? Nursing center (LTCF)

  26. Review When does rehab start? On admission

  27. Review What is the nursing center goal or purpose? Promote Physical and Mental Health

  28. Review Who is the person “in charge” in a health care facility? Administrator

  29. Review Who is the person in charge of the nursing department? DON

  30. Review A health care program for the dying person is ? Hospice

  31. Review An illness with slow, gradual onset, usually no cure is called? chronic

  32. Review Who would qualify for Medicaid? Low income, blind, disabled, elderly

  33. Review Doctors are part of the nursing team. True or False

  34. Review Nursing assistants often supervise others. True or False

  35. Review Medicare is for persons age 65 and older. True or False

  36. Review All nursing centers must be JCAHO accredited. True or False

  37. Review DRG are used to control the cost of health care. True or False

  38. Review Residents are often encouraged to work at the LTCF to lower the cost of their health care. True or False

  39. Review Nursing assistants must pass a state exam in order to be put on the state registry True or False

  40. Review What is ADL? Activities of Daily Living

  41. Questions??