cna report patient abnormalities to senior nurses

What happens if a male CNA fails to comply?

A male CNA failed to comply with a series of substance abuse Monitoring agreements. DISCIPLINARY ACTION – Suspension of CNA certification. As you can see, violations ranged from bad judgment (e.g., not re-paying student loans) to egregious breaches by the nurse aides or nurse assistants (CNAs).

What should I Ask my CNA during a report?

If the patient has a wound or has some really bad skin issues, definitely give your CNA a heads up so they can be particularly careful. Then you want to make any requests that you need from the CNA during report. If you need a urine specimen or a stool specimen, CNA can help with that.

What are the most frequently reported issues at a nursing home?

Frequently reported issues include the following: Inadequate staffing levels. Lack of personal protective equipment and PPE violations. Unsafe, unsanitary work environments. Violence in areas such as emergency rooms and psychiatric units.

What to do if a female CNA fails to appear for hearing?

DISCIPLINARY ACTION – Letter of Reprimand and take courses in ethics and professional boundaries. Female CNA failed to appear for a properly noticed hearing for allegations of abandonment and unprofessional conduct against her in a complaint filed with the agency.

What should be included in a nurse to nurse report?

What to cover in your nurse-to-nurse handoff reportThe patient's name and age.The patient's code status.Any isolation precautions.The patient's admitting diagnosis, including the most relevant parts of their history and other diagnoses.Important or abnormal findings for all body systems:More items...•

What are 3 tasks that nurse assistants not allowed to perform?

What are three tasks that nursing assistants do not usually perform? Inserting and removing tubes, give tube feedings, and changing sterile dressings. List ten ways a nursing assistant can show professional behavior.

How do you document inappropriate patient behavior?

In the patient's medical record, document exactly what you saw and heard. Start with the date and time the incident occurred, the location, and who was present. Describe the patient's violent behavior and record exactly what you and the patient said in quotes.

What is the role of the CNA in patient assessment?

Patient Assessment Certified nursing assistants may check and record a patient's vital signs daily. These include the patient's temperature, pulse, blood pressure and respiration. The CNA also measures the patient's height and weight, monitors intake and output and collects specimens to test.

What are 5 responsibilities of a nursing assistant?

Turn, reposition and move patients between wheelchairs, seats and beds. Serve meals and help patients eat their food. Measure vital signs like blood pressure and temperature. Listen to patients regarding any health concerns they might have and report details to a Registered Nurse or Doctor.

When can a CNA refuse to perform a delegated task?

1. The assignment is not within the CNA Scope of Practice; 2. The CNA has not been trained to perform the assigned task; 3. The CNA feels the assigned task is illegal or unethical; 4.

What do you say to an inappropriate patient?

Explicitly state that the patient's request is inappropriate. For example, it might be poor medical care, illegal, dishonest, or against policy. Couple this statement with a brief explanation but avoid lengthy explanations, which often create room for debate.

What to do if a patient is being inappropriate?

If a patient's behavior…is making you uncomfortable or causing you to feel unsafe, leave the situation immediately. Your personal safety and well-being are the most important. Federal laws on sexual harassment apply regardless of whether the harassment is taking place at a hospital or a doctor's office.”

What can you not put in nursing notes?

Don'tsDon't chart a symptom such as “c/o pain,” without also charting how it was treated.Never alter a patient's record - that is a criminal offense.Don't use shorthand or abbreviations that aren't widely accepted.Don't write imprecise descriptions, such as "bed soaked" or "a large amount"More items...

What should you remember when you are documenting CNA?

Medical Documenting: 5 Important Things to RememberWrite Clearly and Legibly. According to a report in Medscape, the modern health care system puts increasing demands on nurses' time. ... Handle Records with Care. ... Document All Your Actions. ... Record Only Objective Facts. ... Capture Orders Correctly.

What is the nursing assistant allowed to chart?

Documentation, also called charting, is a clear and accurate method of keeping track of everything that happens to each patient. It is a part of the CNA job description, a way to communicate with other team members about the patient so the team can plan for and provide the best care.

What are the roles and responsibilities of a CNA?

CNA Responsibilities: Providing great patient care. Answering patient calls and determining how best to help them. Providing physical support for patients or residents with daily activities and personal hygiene, including bathing, dressing, getting out of bed, - using the toilet, walking, standing, or exercising.

What is the next step in a CNA?

A physical exam is the next step. This is where the CNA often assists the nurse. When we are asked to get heights and weights, vital signs, record food/fluid intake and output, it is almost always for the purpose of assessment.

What is nursing history?

The nursing history is mostly subjective data. Often, the patient’s perception of his health problems makes up a large portion of the health history. Nurses should find out how the patient coped with a similar illness, what interventions worked, didn’t work etc. A physical exam is the next step. This is where the CNA often assists the nurse.

What is the second step in nursing?

Nurses are taught skills to perform a physical assessment in their schools. Step Two: Nursing Diagnoses. Nurses are licensed to identify and treat certain human reactions and potential health problems associated with the illness, disease etc.

What are the steps of the nursing process?

Over the years this process has been refined to what we know today. The nursing process is divided into five steps. 1) Assessment. 2) Nursing Diagnoses. 3) Planning. 4) Intervention.

Is nursing history subjective?

To perform the assessment, nurses should: The nursing history is mostly subjective data. Often, the patient’s perception of his health problems makes up a large portion of the health history.

Who evaluates nursing reports?

State boards of nursing, which are in charge of nursing licensure, evaluate reports about nurses who may be unsafe. An attorney. Speaking to a nurse attorney or another attorney when considering reporting or in the aftermath of a safety issue can help nurses protect themselves. The public.

What are the problems with RNs?

Nurse practitioners and staff RNs report a variety of problems within health care facilities. Frequently reported issues include the following: 1 Inadequate staffing levels. 2 Lack of personal protective equipment and PPE violations. 3 Unsafe, unsanitary work environments. 4 Violence in areas such as emergency rooms and psychiatric units. 5 Colleagues whose unsafe practices endanger patients.

What is a nurse manager?

Sometimes called a head nurse, the nurse manager oversees operations for the entire unit and serves as a liaison between staff nurses and upper nursing and hospital management. Director of nursing.

What is a charge nurse?

With each new shift, a charge nurse is assigned to manage oncoming nurses on a particular unit, often in addition to his or her own direct patient care responsibilities. Nurse manager.

What is the job of a chief nursing officer?

Chief nursing officer. Also known as a chief nursing executive, the chief nursing officer usually reports to the hospital CEO. Risk management director. Also known as a hospital risk manager, this individual works proactively to prevent situations that could result in liability.

How can the nurse's problem be addressed?

The nurse's problem can now be addressed through treatment and confidential monitoring programs – and patients are no longer endangered. "It's important to say that 99% of nurses are extremely safe and very competent practitioners," Alexander emphasizes.

What is an assignment despite objection?

In some hospitals with nursing unions, an additional system of reporting called an "assignment despite objection" exists. "It's a special form that our union has and we can fill out to escalate (the response to) problems with safety," Arlund says.

Why is it important to let nurses know if a patient presents abnormal vital signs?

It is REALLY important to let your nurses know if a patient presents any abnormal vital signs. From a critical view ( worst case scenario), these values can be symptoms of a potentially fatal problem that the patient is experiencing and could save a life if spotted and acted upon early.

Do RNs need to be aware of vital signs?

In my experience, some RNs will want to be promptly made aware of every patients' vitals whether they are abnormal or not, whereas other RNs will only want to be made aware of vital signs that are not within normal limits.

What did a female CNA do?

Female CNA took provocative pictures of women from a magazine and posted them on the headboard of a patient where she worked as a joke and while on duty. The patient, who had cognitive limitations, “prompted a response by the patient”. CNA admitted her conduct and was remorseful.

How long did a CNA license suspension last?

DISCIPLINARY ACTION – CNA credentials suspended by department for at least two (2) years. In one state alone, 509 CNAs failed to re-pay their student loans. Disciplinary Action – Suspension of licenses.

How long does it take to get a CNA license suspended?

DISCIPLINARY ACTION – CNA license suspended for six (6) months, CNA must complete mandatory re-training on patients’ rights, patient abuse, and duties of a CNA, and an appearance before the Board before license is reinstated. Female CNA was convicted of second degree assault of a patient, a Class B Felony in her state.

What is a CNA convicted of?

Female CNA was convicted of second degree assault of a patient, a Class B Felony in her state. DISCI PLINARY ACTION – Certificate of CNA suspended for at least five (5) years. Female CNA took money from a resident while employed at a nursing home.

What is a CNA license?

As you know, your certification, registration or license as a nurse aide or nurse assistant (CNA) is administered and enforced by the regulatory agency in your state. That agency may be a department of health or the state board of nursing. In either case, the importance of CNAs following their practice acts without fail is essential.

Can a CNA practice again?

Regardless of their seriousness, the professional lives of the CNAs involved are forever affected. Some will never practice again while others will have a difficult time finding a job. Others may find work but be forever taunted by their actions. So, always be mindful of your practice act and its mandates.