MNA Residents Rights Chapter 2 Jacki Byrd RN

MNA Residents Rights Chapter 2 Jacki Byrd, RN, BSN Montgomery Co. ATC

Resident Rights 1987 OBRA: Omnibus Budget Reconciliation Act Federal Law Certain standards for LTCF Requires training and testing of all Nursing assistants

Resident Rights Residents have rights Rights must be posted through out facility Rights must presented orally and in writing Presented during admission Be given in a way the resident understands If unable to exercise rights a representative is appointed.

Resident Rights Information: Access to all records Know about condition Report request to nurse

Residents Rights Refuse Treatment Find out why refusing Educate about problems that may occur if refuse treatment (walking) Offer other options Report refusals to nurse

Residents Rights Privacy and Confidentiality Personal privacy Must give permission for students Close curtains Drape to prevent unnecessary exposure Right to visit others, make phone calls, see mail in private All resident information kept confidential

Residents Rights Personal Choice Choose doctor Take part in planning care Clothing Activities Visitors

Residents Rights Disputes and Grievances Voice concerns, questions, complaints No punishment for voicing concerns

Residents Rights Work Does not work for care, care items or other privileges Can choose to work if desired (garden, clean, sew, repair work)

Residents Rights Taking Part in Resident Groups Can discuss concerns and suggest improvements Support, plan and take part in educational activities

Residents Rights Personal Items Keep and use personal items Treat with care and respect Creates home like setting Label items Do not go thru personal items w/o permission (good idea to have witness)

Residents Rights Freedom from Abuse, Mistreatment and Neglect Abuse: • Injury, confinement, intimidation or punishment that cause physical harm or mental anguish • Depriving of goods or services needed. • Right to be free from involuntary seclusion

Residents Rights Freedom from Restraint Cannot restrict body movement May be needed to protect resident from harming self or others Dr. order is required

Residents Rights Quality of Life Care for in a manner that promotes dignity and self respect. Speak in polite courteous manner Good, honest quality care.

Residents Rights Activities enhance physical, mental, psycho-social well being. Promote creativity, self esteem, pleasure, comfort, education, independence May be small or large group

Ombudsman Program Supports or promotes needs and interest of another person. Employed by state agency or volunteer Not nursing center employees Act on behalf of residents

Ombudsman Program Investigates and resolves complaints Monitors Educates about services, issues concerning long term care Center must post: Names, address and phone numbers of Ombudsman.

Review A resident can refuse a treatment or procedure. True or False

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

Review Nursing assistants have the right to open resident’s mail. True or False

Review Each resident has the right to decided what to wear. True or False

Review Personal choice is important for quality of life. True or False

Review Residents can be restrained to prevent them from leaving the center. True or False

Review Residents can suggest ways to improve the center True or False

Review What does an Ombudsman do? • investigates complaints made by resident • monitors nursing centers • informs residents about how to obtain needed services

Questions? ?