Protecting Your Profession Lesson 30 Objectives The student

Protecting Your Profession Lesson 30

Objectives • The student will be able to describe the common causes of stress/burnout in the healthcare industry • The student will be able to explain the meaning and give examples of abuse, neglect, and misappropriation of resident property and the role of the NA in responding to and reporting allegations of each • The student will be able to explain the function of the CNA registry and the requirements for obtaining, maintaining, and renewing certification in INDIANA

Getting a Job • • • Job Search Resume/Cover Letter Professional Portfolio Application Interview Thank You Letter WE WILL BE DOING ALL OF THESE EVENTUALLY IN CLASS

Job Descriptions Important points about job descriptions: Agreement between employer and employee States responsibilities and tasks Includes skills required, to whom employee reports, and salary Protects both parties Protects employee from change in duties without notification Protects employee from being fired for something unrelated to job description – Protects employer from employee saying that she did not know certain duties were required – Reduces misunderstandings – Can be used if legal issues arise – – –

Conflict Resolution **Everyone experiences conflict at some point, but conflict at work may effect productivity and the workplace environment if it is not managed or resolved.

Constructive Criticism • Your Tool To ULTIMATE SUCCESS, Don’t take it Personal • The best response to hostile criticism is “I’m sorry you are so disappointed. ” • Ask for details. • Ask for suggestions. • Apologize and move on.

Resignation • CNA’s should give at least 2 weeks notice in a written and verbal approach • Without giving notice, staff and most importantly, resident care suffers when a facility suddenly becomes understaffed when people leave without proper notice • Leaving without proper notice also puts you at risk for future employment We will eventually practice writing one of these as well!

Stress/Burnout stress the state of being frightened, excited, confused, in danger, or irritated. stressor something that causes stress. Positive and Negative situations can cause stress. It is important to be aware of stress levels and manage stress effectively, no matter the cause.

Stress Management – Healthy diet – Exercise – Enough sleep – Not smoking – Doing something relaxing (bath, reading, movie, being in nature, something artistic, yoga, exercise, massage, music, meditation) We all have things that help us cope with stress, but is what you do really healthy for you? Become more aware of your coping mechanisms…

Stress Management What are signs that I might not be managing stress well? – Showing anger or being abusive toward residents/clients – Arguing with your supervisor – Having poor relationships with coworkers and residents/clients – Complaining about your job and your responsibilities – Feeling work-related burnout – Feeling tired even when you are rested – Having a difficult time focusing

Stress Management Who can help me manage my stress? – Supervisor/care team member – Family – Friends – Support group – Place of worship – Doctor – Mental health agency – Phone hotline **It is never appropriate to discuss your stress with residents or their family members.

Abuse Physical Abuse- willfully inflicted physical force that may result in bodily injury, physical pain or impairment Emotional or Psychological Abuse- infliction of anguish, pain or distress through verbal or nonverbal actions Could be done by caregivers, family, or other residents, but regardless provide for residents safety and call for the nurse immediately

Abuse Signs: bruises, welts, lacerations, cuts, open wounds, change in behavior, comments from residents should be taken seriously ABUSE/NEGLECT/MISAPPROPRIATION REVIEW LESSON 2 (Resident Rights)

Neglect • Failure to provide goods and services necessary to avoid physical harm, mental anguish, or mental illness • Examples: Abandonment of a resident, keeping necessary support/services away from the residents such as food, clothing, shelter, medical care, companionship, failing to provide personal hygiene and/or toileting needs

Misappropriation • Deliberate misplacement, exploitation, or wrongful, temporary or permanent use of a resident’s belongings, meds, and/or money w/o resident’s consent • Examples: misplacing or misusing a resident’s belongings, stealing or breaking/destroying a resident’s belongings

Abuse & Neglect • What to do? Stay with the resident (safety), call for assistance Ask the offending caregiver/family/visitor to leave the room WHO, WHAT, WHEN, WHERE? ?

Reporting Abuse/Neglect/Misappropriation – Know your facility’s policy regarding reporting abuse • To whom should the Nurse Aide report? His/her immediate/direct supervisor • How should you report? – Verbally –to your immediate/direct supervisor – In writing –if requested by your immediate/direct supervisor – Form used –be familiar with the facility form to report concerns voiced by staff, family or residents • When should a Nurse Aide report? – Immediately!

Reporting Abuse/Neglect/Misappropriation • The Nurse Aide Must Report When he/she… – Actually sees/witnesses an incident that you suspect is abuse or neglect – Observe signs that “suggest” abuse or neglect may have happened – If the aide hears of an alleged incident from a resident or co-worker then it should be reported • Remember a NA is not an investigator therefore it is not your job to determine whether or not something “has” or “has not” occurred and then decide whether to report. If you suspect it, report it!!

Reporting Abuse/Neglect/Misappropriation The facility administration can conduct a very short investigation, but by law they are required to report any complaints or suspects of abuse to the Indiana State Department of Health within 24 hours of the conclusion of the facility’s investigation. ONLINE Reporting Formhttp: //www. in. gov/isdh/20510. htm

Think about these questions: – Why did you choose to become an NA or HHA? – What does it mean to you to be able to help others? – How will you remind yourself of the value of the work you have chosen?

State Registry – Required by OBRA as a result of increased complaints of abuse/neglect in LTC – Often maintained by state’s Department of Health – Contains NA’s training information, results of exams, any findings of abuse, neglect, or theft – Employers can access to verify certification and check for abuse investigations/findings

Indiana Regulations Obtaining Certification • At least 30 classroom hours • At least 75 clinical hours • Must pass a 100 ? written test (multiple choice) • Must pass a competency evaluation conducted by state approved training entity (Ivy Tech) • Allowed 3 attempts to pass both portions

Indiana Regulations -Some facilities employ Nursing Assistants before they complete the State Certification Testing if so: The individual has 120 days to achieve certification from the date of hire -Candidates who wait to test must achieve certification within 2 years from the date they complete the training program, if not, they must retake the training program and apply for retest

Indiana Regulations -Maintaining Certification • The CNA must be offered at least 12 hours of in-service education per year • The CNA must work for a health care provider at least one eight hour shift every twenty-four months • The CNA must never have a verified complaint against them on the registry. If a complaint of abuse or misappropriation of resident’s property or funds is found to be valid, the CNA will lose certification in all 50 states permanently (Negligence= 2 -5 yr suspension) • The CNA must be evaluated yearly for performance and offered in-service education on any weaknesses identified

Indiana Regulations • The nurse aide must remain professional – Be responsible, calling the facility if unable to work the scheduled shift – Be on time for your scheduled shift – Arrive to work clean and neatly dressed and groomed – Maintain a positive attitude – Follow facility policies and procedures – Document and report carefully and correctly – Always ask questions, if uncertain – Report anything that keeps you from completing your duties/assignment – Offer suggestions for improving the living and working environment

Indiana Regulations • Certification Renewal – The CNA must renew certification with the ISDH CNA Registry on-line at the time of expiration – Proof of continued good standing on the registry must be provided to the employer – Also notify the registry anytime you have a name/address/phone number change

Indiana Registry • ISDH Website to: -Renew license -Check CNA registry -Report a complaint -Print/obtain a certification/license card • http: //www. in. gov/isdh/20510. htm