Effective
communication skills are extremely important in the healthcare field. This is
because they help to build and maintain strong relationships between both
healthcare professionals and patients, and healthcare professionals and their
associates. There are many reasons that healthcare professionals must have
effective communication. Communication is the exchange of information-a
message sent is received and correctly interpreted by the intended person. For
good communication Use words that mean the same thing to you and the message
receiver. Avoid words with more than 1 meaning. Use familiar words. You will learn medical
terms. If someone uses a strange term, ask what it means. Or use a dictionary.
You must understand the message. Otherwise communication does not occur. Also,
avoid terms that the person and family do not understand be brief and concise.
Do not add unrelated or unnecessary information. Stay on the subject. Do not
wander in thought or get wordy. Give information in a logical and orderly way.
Organize your thoughts. Present them step-by-step. Give facts and be specific.
Give the receiver a clear message. (Sorrento & Remmert, pg. 68,
2017) 

Nonverbal is another form of
communication and is very important. Nonverbal communication does not use word. Messages
are sent with gestures, facial expressions, posture, body movements, touch, and
smell. Nonverbal messages more accurately reflect a person’s feelings than
words do. They are body movements, touch, and smell. Nonverbal messages more
accurately reflect a person’s feelings than words do. They are usually
involuntary and hard to control. A person may say one thing but act another
way. Watch the person’s eyes, hand movements, gestures, posture, and other
actions. They may tell you more than words. (Sorrento & Remmert, pg. 99, 2017).

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Report unsafe conditions

            In a safe setting, a person has little risk of
illness or injury. The person’s setting is free of hazards to the extent
possible. The person feels safe and secure physically and mentally. The risk
for infection, falls, burns, poisoning, and other injuries is low. Safety is a
basic need. Patients and residents are at great risk for accident and falls. Some
accidents and injuries cause death. The health team must provide for safety.
This includes Nursing assistants. Sometimes extraordinary measurements are
needed. If a CNA observes something wrong and it is out their scope of
training, they must report the situation or incident. You may see something unsafe. Correct the matter
right away if it is something you can do. For example: Wipe up spills right
away. Do so even if you did not cause the spill. A person is sliding out of a
wheelchair sit the person correctly in the chair. Position a person who have
problems holding a coffee cup. Offer to help the person. Do so even if a
co-worker is responsible for the person’s care. Some issues you want be able to
correct. Follow agency policy to report such problems. They included electrical
outlets or switches coming out of the wall, electrical outlets that do not work,
and broken or damaged windows or furniture. Others are water leaks from
windows, doors, ceilings, pipes, faucets,
tubs, showers, toilets, water heaters, and other sources. Toilets that do not
work properly and  

water
from faucets that does not warm up or that is very hot. (Sorrento
& Remmert, pg. 155, 2017). These
are just to name a few but nursing assistant should always remember to practice
in the scope of their training.

Reinforce instructions from other health
professional to resident and patient

Direct all information to appropriate team members.
Health care professional’s instructions must be accurately reinforced with the
resident and resident’s family members in accordance with established facility
guidelines. Always check orders to follow compliance. Identity of residents request to appropriate
health team members.  Understand
observations, complete tasks assigned, outcomes and goals. Know who the health
professional is, how to interpret the resident health care plan, and
Identification of resident and their special needs.  Instructions must be given to resident and
family including how to use equipment, knowledge of rules and regulations, know
resident’s rights. Do not exceed resident’s
capabilities, encourage and have patience with the resident or family member.
Always double check when in doubt, provide verbal instructions to resident and
family. Verify resident’s and family members’ understanding of instructions. Compensate
for communication barriers, interpret sign and body language, orders from other
departments to reach goal, evaluate the progress. Communicate effectively, Use

equipment properly, provide privacy and dignity.

Assist with unit discharge procedure

Knowledge of proper discharge
procedure of resident, the nurse assistant must assist with the safe discharge
of the resident and with packing all the resident’s personal belongings from
the facility. Nursing Assistants needs to know and report resident’s current
abilities, if needed equipment such as, cane, walker, wheelchair, etc. will be
leaving with the resident. Make sure the correct patient being discharged, room
and bed number, and time being discharged. Know how to identify and collect all
resident belongings and pack. Collect any items stored in safe. Verify and reinforce resident’s discharge plan support
services, special instructions, diet etc. Assist resident into wheelchair &
accompany to exit. Record discharge data and file forms. Refer to family and charge
nurse prior to letting resident leave, identify self and let resident know
being discharged. Fold clothes neatly, Strip beds and empty all drawers. Report
to nurse that room is ready for housekeeping.

Calculate, report, and record food and fluid intake

All
resident intake data must be recorded precisely and correctly daily using the
resident’s intake chart/record in accordance with established facility
guidelines and reported to the charge nurse Be accurate and follow protocol for
facility. Record resident data neatly, accurately,
calculate and convert intake measurements. Read diet plate and measurements,
judge and record amount missing in containers. Report any numbers that are not
ordinary, convert fractions to ml, and Identify his or herself and explain the
procedure to the resident. Obtain resident’s in or take chart or record use infection control, maintain resident’s
safety, provide privacy and dignity, weigh resident same time each day using
same scale.

Calculate,
report, and record food and fluid intake

All
resident intake data must be recorded precisely and correctly daily using the
resident’s intake chart and record in accordance with established facility
guidelines and reported to the charge nurse. Record resident data neatly, accurately,
calculate and convert intake measurements. Read diet plate and measurements,
judge and record amount missing in containers. Report any numbers that are not
ordinary, convert fractions to ml, and Identify his or herself and explain the
procedure to the resident. Obtain resident’s in or take chart or record use
infection control, maintain resident’s safety, provide privacy and dignity,
weigh resident same time each day using same scale.

Calculate,
report and record output

Accurately
and neatly record and report all urine, emesis (resident output data) on
correct form. Using resident’s output chart or record in accordance with
established facility guidelines and reported to the charge nurse. Pour output in correct container
to measure. Record on form correct time and date. Wear gloves, wash hands
before and after, Wash container with hot water after use and store. Dispose of
output properly, identify self and explain procedure to resident. Obtain
resident’s output chart or record, calculate resident’s output, and report
resident data to supervisor. Record resident data neatly and accurately, calculate,
convert output measurements, and provide residents with privacy, dignity,
respect.

Communicate
need for changes in care plan.

Report
pertinent information to supervisor. The nurse assistant must effectively
communicate the need for a change in the resident’s care plan in accordance
with facility guidelines/procedures. Always tell supervisor of why change is
needed. Listen, utilize professional verbal
and written communication skills. Observe and report changes in resident.
Obtain and record resident changes in care plan and report changes made in care
plan.  Identify and follow facility
guidelines and procedures, Provide verbal communication to all appropriate
staff, and present resident changes in professional and timely manner.

Instruct
residents in use of body mechanics

To
instruct residents good body mechanics to help save energy, prevent injuries,
and muscle strain, must be able to demonstrate proper body mechanics. Follow
guide that best suits patient to ensure alignment to help from harming staff. Resident uses correct body
mechanics without injury or incident. Required resident data, facility guidelines,
and use your body in most effective way to remain safe. Correctly operate equipment, compensate
for communication barriers, communicate and effectively, interpret body language.
Instruct and demonstrate correct body mechanics. Observe, use good
communication skills, and read chart. Know what proper alignment is best for patient
use gait belt properly.

Check
current documentation of resident status and care

The nurse
assistant must verify the resident’s status and care information on the
resident’s care plan prior to providing care to the resident. Resident status
and care must be verified based on current resident documentation (records). Communicate effectively with appropriate
staff, HIPPA guidelines, listen closely to information that is given, utilize
proper communication skills, read English at a functional level, locate &
interpret resident status and care data, maintain security of resident’s
documentation, obtain shift records from nurse, verify completeness of
documentation, follow policy procedures for resident’s identity, report
resident changes to charge nurse, clarify resident information with charge
nurse.

Observe resident’s rights (privacy),
information documented on proper forms, resident’s documentation must be kept safe
and returned to proper location, verify resident’s identity, follow established
facility guidelines concerning resident status and care, communicate properly
with all healthcare team.

 

 

 

 

 

 

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