NC Department Of Health And Human Services NC Nurse Aide I . - NCDHHS

NC Department of Health and Human ServicesNC Nurse Aide I CurriculumModule AThe Nurse Aide IJuly 2019NCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 20191

Objectives (1) Describe the North Carolina Nurse Aide I Explain requirements for initial listing andrenewals on the North Carolina Nurse Aide IRegistry Describe resources available that outlinethe range of function of the North CarolinaNurse Aide I Describe the importance of delegation oftasks to nurse aidesNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 20192

Objectives (2) Describe the types of skills performed bynurse aides Compare basic nursing, personal care, andinterpersonal skills Describe the important characteristics of acompetent, caring nurse aide Explain the differences between aneffective and an ineffective teamNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 20193

Nurse Aide in the State of North CarolinaDefinition: A valued, unlicensed member of the healthcare team, responsible for providingdelegated nursing tasks, within a definedrange of function for residents (patients,clients) in a variety of settings and who islisted on the NC Nurse Aide I RegistryNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 20194

Omnibus Budget Reconciliation Act (OBRA)A federal law, enacted by Congress in 1987 Designed to improvequality of life forresidents living innursing homes Defines requirementsfor nurse aide trainingand competencyevaluation programsNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 20195

Range of Function for Nurse Aides North CarolinaBoard of NursingAdministrative Code North CarolinaBoard of NursingNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 20196

Regulatory Body North Carolina NurseAide I Registry North CarolinaHealth CarePersonnel RegistryNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 20197

Registry Listing RequirementsListed on North Carolina Nurse Aide IRegistry after passing NNAAP Successful completionof state-approvedNurse Aide I TrainingProgram Computer BasedTesting (CBT) Demonstration of five(5) skillsNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 20198

Nurse Aide I Listing Online RenewalsListings renewed through qualified workexperience every 24 monthsWhat is considered qualified work experience? Work requirement Payment for work Nursing or nursing-related activities Supervised by an RNA nurse aide who does not perform at least 8 hoursof qualified work during any 24-month period will berequired to retake a state-approved nurse aidetraining program and retake and pass the NNAAPexamNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 20199

Nurse Aide I Listing Online RenewalsRenewal forms will NO longer be mailed toNurse AidesThe nurse aide is responsible for their own renewalprior to expiration date. Use calendar or phone forreminder Complete the renewal form online – who? Complete the online renewal listing form on time –when? Use FAQ for online renewal, if needed – how?If listing expires, a nurse aide cannot workas a nurse aideNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201910

Nurse Aide I Renewal ResponsibilitiesPromptly reportchanges in nameor addressNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201911

Key Web SitesN.C. Board of Nursingwww.ncbon.comN.C. Division of Health Service Regulationwww.ncnar.orgNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201912

Job Responsibilities of Nurse Aide Basic nursing skills Personal care skills Interpersonal skillsNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201913

Delegation Definitions Nurses use delegationprocess to assignduties and tasks Improves efficiencyand shows trust 5 rights of delegation Questions nurse aideshould ask selfNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201914

Delegation – Points to Remember Nurse maintainsaccountability andresponsibility Nurse delegates on residentby-resident basis Never be afraid to ask forhelp Always ask questions tounderstand task Task beyond nurse aide skilllevel, talk with supervisorNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201915

Basic Nursing SkillsDefinition Essential skills required of nurse aides inhealth care setting Examples?Privacy isthe key!NCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201916

Basic Nursing Skills - ImportanceImportant duties of nurse aides:Following plan of care, directives fromsupervisors, and reporting important findingsare all critical to well-being of residentsNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201917

Personal Care Skills (1)Tasks dealing with person’s body,appearance, and hygieneNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201918

Personal Care Skills (2)HygieneNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 2019Grooming19

Personal Care Skills (3)What is a.m. care?What is p.m. care?NCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201920

Personal Care Skills (4)Hygiene & Grooming Dressing Eating Transferring Toileting Activities of Daily Living (ADLs)ASSISTING ASSIGNED RESIDENTSWITH ADLs IS AN IMPORTANTDUTY OF NURSE AIDESNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201921

When providing personal care: Encourage residentindependence and selfcare Maintain professionalmanner and provideprivacy Observe resident’sskin, mobility, comfort,and cognitionNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201922

Interpersonal Skills (1) Essential skills used when working withothers Determined by many things In a health care setting, refers to ability toget along while getting the job doneNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201923

Interpersonal Skills (2)Why are interpersonalskills important?NCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201924

Interpersonal Skills – Nurse Aide’s Role (1)When caring for residents: Empathize Anticipate needs Treat as unique individuals/honor requests Display patience and tolerance Be sensitive to moods and reactionsNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201925

Interpersonal Skills – Nurse Aide’s Role (2) Be respectful to family Maintain professional relationships withteam Communicate and work well with othersNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201926

The Nurse Aide as EmployeeImportant qualities: Act, behave, and function in a professionalmanner Have an excellent work ethicA work ethic is NCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201927

Appearance (1) Follows dress code Dresses neatly Wears appropriate shoes and Wears cleanundergarmentsin appropriatecolor and styleNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201928

Appearance (2) Covers permanent body art Maintains neat nails Maintains simple hairstyleand Maintains excellentpersonal hygieneNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201929

Appearance (3) Wears clean stockings/socks Wears no face or tongue jewelry Flashes a warm/friendly smileand Wears no heavymake-upNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201930

It takes 15 seconds to make a first impressionNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201931

Attitude (1)A nurse aide is: Patient/understanding Honest/trustworthy Conscientious/always tries to do the best Enthusiastic/enjoys job Courteous, considerate, respectful, and CheerfulNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201932

Attitude (2)Dependable, responsible, accountable,tolerant, self-aware, and Cares – really, really caresNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201933

Strive to be the best nurse aide youcan be; the residents of North Carolinaare depending on youNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201934

As a Nurse Aide (1) Understand requirementsand maintain currentregistry listing on NurseAide I Registry Know what a nurse aide islegally allowed to do Have concern for othersand make lives happierand easier Look professionalNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201935

As a Nurse Aide (2) Show up for work Use sick time for sicktime Give an honest day’swork for an honest day’spay Show respect tosupervisor Perform delegated tasksNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201936

As a Nurse Aide (3) Be gentle and kind Put self in other person’sshoes Be pleasant Respect others and theirpossessions Always try to do yourbest Do not be afraid to askfor helpNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201937

Role of the Nurse Aide (1) Treat others withdignity Be a team player Be careful and alert Be eager and excitedto go to work and No gossiping ortalking about othersNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201938

Role of the Nurse Aide (2) Never lie, cheat orsteal Always seek thegood in others Take pride in yourwork Praise others and Keep your language clean; nocursing or telling off-color jokesNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201939

Role of the Nurse Aide (3)If you are not sure what you are about todo is right, don’t do it it’s yourconscience talkingNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201940

Definition of a TeamA group of people with a commonpurpose, assigned tasks, and coordinatedeffort to get a job doneNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201941

Team Members Work together and function as a whole Communicate Coordinate and share Receive team assignments to know whatto do, what is expected, and how to planNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201942

Qualities of an Effective TeamNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201943

Qualities of an Ineffective TeamNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201944

Group Commitment (1)With a strong group commitment, members Feel a strong sense of belonging Enjoy being with each other Ask each other for advice Seek and provide support in times of difficultyNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201945

Group Commitment (2)With a strong group commitment, members Value each other and contributions membersmake Are motivated and want to do a good job Share group feelings openly Believe the goals of the group are important andachievableNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201946

GO TEAM WORKSHEETNCDHHS/DHSR/HCPEC Module A The Nurse Aide I July 201947

Nursing or nursing-related activities Supervised by an RN. Nurse Aide I Listing Online Renewals. Listings renewed through qualified work experience every 24 months. A nurse aide who does not perform at least 8 hours of qualified work during any 24 -month period will be required to retake a state- approved nurse aide