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Mod1 Terminology

This document provides an overview of the legal implications of California Code of Regulations Title 22, Division 5 and the Omnibus Budget Reconciliation Act (OBRA) for certified nursing assistants (CNAs) in California. It outlines the state and federal regulations that CNAs must follow regarding their training requirements, duties and responsibilities in providing care, maintaining ethics and confidentiality. Key topics covered include CNA certification and renewal processes, professional conduct, and the consequences of violating applicable regulations.

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90 views5 pages

Mod1 Terminology

This document provides an overview of the legal implications of California Code of Regulations Title 22, Division 5 and the Omnibus Budget Reconciliation Act (OBRA) for certified nursing assistants (CNAs) in California. It outlines the state and federal regulations that CNAs must follow regarding their training requirements, duties and responsibilities in providing care, maintaining ethics and confidentiality. Key topics covered include CNA certification and renewal processes, professional conduct, and the consequences of violating applicable regulations.

Uploaded by

pilsen_01
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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BAY AREA COLLEGE OF NURSING

Module 1: Introduction
TERMINOLOGY A. Activities of Daily Living (ADL) sheet B. Citation C. Confidentiality D. Dignity E. Ethics F. Health and Safety Code G. HIPAA H. Insubordination I. J. Job Description Long-term Care Facility

K. Medicare L. Medi-Cal M. Nursing N. OBRA O. Privacy P. Professional Q. Scope of Practice R. Skilled Nursing Facility S. California Code of Regulations Title 22, Division 5 Violation

THE LEGAL IMPLICATIONS OF CALIFORNIA CODE OF REGULATIONS TITLE 22, DIVISION 5 AND OBRA

T. California Code of Regulations (CCR) Title 22, Division 5.


1. California state laws enacted by legislature to establish: a. health facilities b. c. Program d. renewal 2. Licensing and certification standards of

Minimum standards of care for the residents Regulations which govern the CNA Training CNA certification requirements initial and

Skilled Nursing Facilities must be licensed.

3. Skilled Nursing Facilities must have policies and procedures to ensure residents rights and safety. 4. Violations of Title 22 may lead to issuance of a state citation with a fine. U. Omnibus Budget Reconciliation Act (OBRA) of 1987 incorporated into Federal law (42 Code of Federal Regulations (CFR) part 483 subpart B) the requirement that nurse aides receive training and pass a competency exam within four months of employment in a skilled nursing facility.

1.

Establishes standards of resident care for Medicare and Medi-Cal reimbursements. 2. Authorizes the Federal Government to contract with the individual states to do Federal onsite surveys for compliance with regulations. 3. Violation of Federal regulations may lead to remedies such as: a. b. c. d. e. f. Loss of facilitys ability to provide a CNA training program Civil money penalties Directed in-services Denial of Payment State monitoring Termination of facility license

CNA REQUIREMENTS AS SET FORTH IN TITLE 22 AND OBRA V. Complete CNA training course approved by the Department of Health Services (DHS): 1. Minimum of 50 hours of mandated theory, plus 10 hours recommended Alzheimers disease and Elder Abuse.

2. Minimum of 100 hours clinical training in a skilled nursing facility. 3. Course content must comply with Title 22 and OBRA.

4. Students who are employees of a skilled nursing facility must be paid an hourly wage while in training. 5. Criminal screening upon enrollment in nurse assistant course work.

6. 7.
W.

History and Physical exam, Tuberculosis clearance DHS 283B Initial application form

Successfully complete the state competency test: 1. 2. Includes a written and skills test Three opportunities to pass

3. Must be taken within two years of successfully completing the course. 4. Competency test fee

5. Facility must pay competency test fee if the student is an employee 6. If student is hired by a facility within a year of passing the competency test, the facility must reimburse the test fee.

X.

California has contracted with two vendors to give the state competency examination: 1. Chancellors Office, California Community Colleges 2. American Red Cross

Y. Criminal clearance prior to certification. Z. Certification renewal requirements: 1. Complete the DHS renewal application

2. Complete 48 hours of approved in-service/continuing education hours every two years 3. Verify 8 hours of paid work s a CNA in the last two years

4. Criminal clearance fingerprinting not required 5. Submit money order, cashiers check or personal check for amount of renewal fee. QUALITIES OF A SUCCESSFUL CNA THE ROLE AND RESPONSIBILITIES OF THE CNA CNAs role as a member of the health care team:

1. Health care settings where CNAs are employed 2. Members of the health team CNAs are responsible to AA. Responsibility of the CNA in resident care is to:

1. Provide a safe environment for the resident. 2. Meet the residents physical needs. 3. Assist the residents to meet their psychosocial, spiritual and cultural needs. a. Resident rights are to: 1. Be treated with dignity and respect 2. Feel secure 3. Be recognized as an individual 4. Love and be loved 5. Feel a sense of accomplishment 6. Feel good about themselves 7. Follow personal beliefs BB. Fulfill responsibility to employer.

PROFESSIONALISM FOR THE CNA CC. DD. Definition of professionalism. Carrying out resident care in a certain manner. Examples of professional behaviors or attitudes for the CNA

THE ETHICAL BEHAVIOR EXPECTED OF THE CNA EE. Ethical behavior for resident care

FF. GG.

Ethical behavior for work Unacceptable behaviors which may result in dismissal

BEHAVIORS WHICH MAINTAIN CONFIDENTIALITY HH. Confidentiality can be maintained by discussing personal information only with appropriate health team members at appropriate times and appropriate places. Examples of maintaining confidentiality Examples of breaching confidentiality include discussing personal information

II. JJ.

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