Upload
payneje
View
156
Download
2
Tags:
Embed Size (px)
Citation preview
NATCEP Day OneNATCEP Day OneProgram Overview
ObjectivesObjectives
Identify the purpose of the Training and Competency Evaluation Program (TCEP)
List the role and responsibilities of the PC/PI and NA
State the purpose of the TCEP conducted by the director
Describe how to be recorded and maintained in Ohio’s NA Registry
Discuss issues related to abuse, mistreatment, neglect and misappropriation of resident property
Discuss title of State Tested Nurse Aide (STNA)
Slide 2
Omnibus Budget Reconciliation Omnibus Budget Reconciliation Act of 1987 (OBRA)Act of 1987 (OBRA)
◦ The Omnibus Budget Reconciliation Act of 1987 (OBRA) is a federal law. Purpose is to improve the quality of life of
nursing center residents. This law sets minimum training and
competency evaluation requirements for nursing assistants.
Each state must have a nursing assistant training and competency evaluation program (NATCEP).
Slide 3
Omnibus Budget Reconciliation Omnibus Budget Reconciliation Act of 1987 (OBRA)Act of 1987 (OBRA)
◦ The training program OBRA requires at least 75 hours of instruction. There must be at least 16 hours of supervised
practical training (clinicals).◦ Competency evaluation
The competency evaluation has a written test and a skills test.
OBRA allows at least 3 attempts to successfully complete the evaluation.
Slide 4
Purposes of the Training Purposes of the Training Program in OhioProgram in Ohio
Prepare the nurse aide (NA) in a long-term care facility (LTCF) to care for the residents
Prepare the NA in the LTCF to take and pass the competency evaluation program
Prepare the NA to function as part of the team
Make the NA aware of the principles of nursing delegation
Slide 5
NATCEP Role & ResponsibilityNATCEP Role & Responsibility
Program Coordinator/Instructor Program Instructors = Mrs. Payne & Ms. Tway
◦Provide classroom & clinical knowledge/training◦Follow rules of the state program◦Provide materials and tools for program/testing◦Facilitate learning◦Evaluate performance◦Address specific learning needs of the individual
learner
Slide 6
NATCEP Role & ResponsibilityNATCEP Role & Responsibility
NA Student = YOU!Classroom
◦Attend class Can miss/makeup 16 hours Must achieve an average score of 75% on all
NATCEP Exams All missed work must be made up within 1 week
of return to school. State requirement = 60 days◦Follow program rules◦Review all handouts and obtain and review
skills booklet for testing
Slide 7
NATCEP Role & ResponsibilityNATCEP Role & Responsibility
NA Student = YOU!Long-term Care Facility (LTCF) = Clinicals
◦Occurs at the completion of classroom training◦Scheduled for March/April◦Provide care for the LTCF residents under the
direction of the program instructor◦Protect the LTCF resident◦Function as part of the team offering
information during the care conferences
Slide 8
Purpose of the State TestPurpose of the State Test
Test knowledge Test skills3 failures = must retrain
◦Available through PRCTC Adult Education◦Total Cost is $649
Slide 9
Successful Completion of the Successful Completion of the State Test for OhioState Test for Ohio
Complete 75 hour Nurse Aide Training and Competency Evaluation Program (NATCEP)
Pass the Competency Evaluation Program (CEP) written test with an 80%◦79 questions ◦Must have 64 questions correct
Pass the CEP skills test ◦5 of 25 possible◦Handwashing for everyone; 4 skills will be randomly
chosen◦80% plus all bolded items must be demonstrated
Slide 10
Omnibus Budget Reconciliation Omnibus Budget Reconciliation Act of 1987 (OBRA)Act of 1987 (OBRA)
◦ OBRA requires a nursing assistant registry in each state. It is an official record or listing of persons who
have successfully completed that state’s state-approved NATCEP.
The registry has information about each nursing assistant.
All information stays in the registry for at least 5 years.
Any agency can access registry information. You receive a copy of your registry information. You can correct wrong information.
Slide 11
Omnibus Budget Reconciliation Omnibus Budget Reconciliation Act of 1987 (OBRA)Act of 1987 (OBRA)
◦ Other OBRA requirements Retraining and a new competency evaluation
program are required for nursing assistants who have not worked for 24 months.
Agencies covered under OBRA must provide 12 hours of educational programs to nursing assistants every year.
Performance reviews also are required.
Slide 12
Ohio Nurse Aide RegistryOhio Nurse Aide Registry
Managed through the Ohio Department of Health
List of all State-Tested Nurse Aides (STNAs) in Ohio
Rules are located at http://www.odh.ohio.gov
Slide 13
Ohio Nurse Aide RegistryOhio Nurse Aide Registry
Entered into registry◦ Successfully pass all both the written and skills components of the
CEPSTNAs working outside of the LTCF setting must provide
proof of employment as an STNA to the registry every 2 years
Name and address changes must be sent in writing to the Nurse Aide Registry (NAR)
Social Security changes must be accompanied by 2 pieces of documentation to verify
Registry cards are issued by the testing company; contact them for replacement
Contact number = 800-582-5908
Slide 14
Abuse, Mistreatment, Neglect or Abuse, Mistreatment, Neglect or Misappropriation of Resident Misappropriation of Resident PropertyProperty
Allegations of abuse, mistreatment, neglect or misappropriation of a resident’s property against STNA◦Investigation◦Consequences
Reported to registry
If you witness it, report to charge nurse! Findings of abuse are never removed from the
registry
Slide 15
State Tested vs. CertifiedState Tested vs. Certified
Train vs. Regulate practiceCompleted requirements vs. licensedMonitor vs. renew
Slide 16
NATCEP Day OneNATCEP Day OneWork Environment
Slide 17
ObjectivesObjectives
Describe his or her role as a STNA on the interdisciplinary team
Discuss the roles of the other interdisciplinary team members
Define levels of care and where LTCF fits in the health care system
Describe primary purpose of long-term care
Slide 18
STNA RoleSTNA Role
NAs spend the most time with residentsWork under the delegation & supervision
of a licensed nurse (RN or LPN)Inform the nurse of any changes in the
resident’s conditionWorks from the plan of care developed by
an interdisciplinary team for each resident
Slide 19
Interdisciplinary Team MembersInterdisciplinary Team MembersNursingNursing
Director of Nursing◦Responsible for resident care; supervises
nursing staff◦Reports to the Administrator
Licensed Nurse◦RN – Registered Nurse◦LPN – Licensed Practical Nurse◦CNP – Certified Nurse Practitioner (RN)
STNA
Slide 20
Interdisciplinary Team MembersInterdisciplinary Team MembersMedicineMedicine
Medical Director◦Oversees the quality and delivery of medical
care◦Maintains surveillance of the employees’ health
statusPrivate Physician for resident
◦Hired by the resident of other significant other◦Directs the resident’s medical care including
medications & treatments
Slide 21
Interdisciplinary Team MembersInterdisciplinary Team MembersProfessional StaffProfessional Staff
DieticianSocial WorkerPhysical TherapistActivity DirectorOccupational TherapistSpeech/Hearing TherapistSpiritual Care TeamRespiratory TherapistPsychologistPharmacist
Slide 22
Interdisciplinary Team MembersInterdisciplinary Team MembersOther MembersOther Members
Food Service Secretary/ClerkMaintenanceHousekeepingLaundryBusiness OfficeMedical RecordsSecurity
Slide 23
Interdisciplinary Team MembersInterdisciplinary Team MembersAdministrationAdministration
Administrator◦Responsible for the overall operation of the
facility◦Responsible to the governing board or owner(s)
Slide 24
Interdisciplinary Team MembersInterdisciplinary Team MembersGoverningGoverning BodyBody
Determines the facility’s mission◦Logan Elm
“We remain a leader in health care because of the high standards we have set for ourselves. We are committed to providing the highest quality of care possible and to preserve the dignity of every person we serve by effectively meeting his or her medical, social, emotional & spiritual needs.”
Sets & approves policy, budget, & capital expenditures
Has legal & financial responsibility for the facility
Slide 25
Interdisciplinary Team MembersInterdisciplinary Team MembersOthersOthers
VolunteersPetsSurveyors
◦From Ohio Dept of Health: inspect facilities to make sure that they comply with state & federal standards of care
Ombudsman◦Located in the Ohio Dept of Aging. Works as
the resident’s advocate among the residents, family & facility
Slide 26
Levels of Care: LTCF RolesLevels of Care: LTCF Roles
Acute CareSubacute CareLong-term CareHome CareHospiceAssisted LivingAdult Day CareAlzheimer/dementia CareMental Health
Slide 27
Primary Purpose of the LTFCPrimary Purpose of the LTFC
To assist resident/client to achieve and maintain a maximum level of functioning (Quality of Life) and maintain their sense of individuality (Quality of Life)◦Person-centered care◦Restorative/rehabilitative care◦End-of-Life care
Comfort Palliative
Slide 28
NATCEP Day OneNATCEP Day OneRoles and Responsibilities of the
STNA
Slide 29
ObjectivesObjectives
State purpose of STNA role in ADLs Describe the STNA’s responsibility in caring for the resident’s
unit Describe the STNAs responsibility in providing and recording
residents’ nourishment Describe the STNA’s responsibility with record keeping and
communication Describe the STNA’s responsibility in promoting residents’ rights Describe the STNA’s role in maintaining confidentiality State an understanding of time management as it relates to
resident care Describe the STNA’s role in resident’s safety Identify the STNA’s responsibility for attending in-services
Slide 30
ActivitiesActivities of Daily Living of Daily Living
Dress and UndressBathe and maintain hygieneMobility/WalkingElimination – ToiletingEating and DrinkingBed mobility
Slide 31
Care of the Resident’s Care of the Resident’s UnitUnit
Make bedMaintain a safe and clean environment
Slide 32
NourishmentNourishment
Assure correct dietFeed or assistFill water pitcher and assist in obtain fluidsCalculate and record what is eatenAssist to and from dining room
Slide 33
Recordkeeping & Recordkeeping & CommunicationCommunication
Record intake and outputRecord vital signsAssist in admission, transfer and
discharge Document care on flow sheets or other
formsAssignment sheetsComplete assignmentReport on/off duty
Slide 34
Promote Promote ResidentResident RightsRights
Established within Omnibus Budget Reconciliation Act of 1987 (OBRA)
Legal rights of residents as US citizensProtected by state and federal lawCenters cannot interfere with these rights
◦Information◦Refusing Treatment◦Privacy & Confidentiality◦Personal Choice◦Work
Slide 35
ConfidentialityConfidentiality
Trusting others with personal and private information
Need to Know RecordsAway from work
Slide 36
Prioritizing/Prioritizing/TimeTime ManagementManagement
Organize work and set priorities◦What do you need to do first?◦Resident condition?◦Does the resident have any treatments
scheduled or appointments?◦What can be done while the residents are eating?◦What can be done while resident is at therapy or
an activity?◦When are special rooms available (shower)?◦What do you need help with?
Slide 37
Assuring Resident Assuring Resident SafetySafety
First Priority!Guard against accidentsPrevent accidentsKnow what to do in the event of an
emergency◦Fire◦Falls◦Drills◦Medical Emergencies
Slide 38
In-servicesIn-services
Training Expected to attend as required by
employerOBRA requires employer to provide 12
hours per year required◦Examples
CPR Training
Slide 39
NATCEP Day OneNATCEP Day OnePolicy & Procedure Manuals
Slide 40
ObjectivesObjectives
Identify the purpose of the facility’s policy and procedure manual
Describe how to use the policy and procedure manuals
Slide 41
PurposePurpose
Contains the facility’s position regarding the implementation/enforcement of a procedure (WHY)
Slide 42
Use of Policy & Procedure ManualsUse of Policy & Procedure Manuals
Policy Manual explains “why” behind practices or standards set by the facility
Procedure Manual: how-to guide◦Step by step◦All caregivers must provide care in same way
following procedures◦Foundation for good nursing practice◦Standard of care
Location: Nursing Station
Slide 43