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PSW: Final Exam Study Set – Complete Guide
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PSW: Final Exam Study Set – Complete GuideHolistic Care ✔️Ans - Considering the whole person. Considering their
physical, social, emotional, cognitive and spiritual dimensions.
Professionalism ✔️Ans - an approach to work that demonstrates respect for
others, commitment, competence, and appropriate behaviours.
Professional Boundaries ✔️Ans - Appropriate limitations on behaviour,
meant to protect the vulnerable client from the caregiver who has access to
private knowledge about him or her.
Regulation of a PSW ✔️Ans - The PSW is an unregulated profession. For an
unregulated care provider there are clearly identified services we provide
under the supervision of the client, family member, regulated health care
provider or employer. There is no legislation to regulate PSW's or an
organization of professional college that governs the role. There is no official
code of ethics but they must adhere to the codes of behaviour from their
employer.
Regulated Health Professions Act ✔️Ans - Regulated Health Professions. In
Ontario, regulated health professions are governed under the Regulated
Health Professions Act, 1991 (RHPA) and health profession Acts (i.e., Medicine
Act, 1991). This legislative framework establishes health regulatory colleges,
which regulate the professions in the public interest. i.e. the college of nurses.
Role of the occupational therapist ✔️Ans - Focuses on rehabilitation;
teaches clients skills needed to perform ADLs; designs adaptive equipment for
ADLs
Role of the physical therapist ✔️Ans - Focuses on rehabilitation; assist
clients with musculo-skeletal impairments; focuses on restoring function and
preventing disability from illness or injury
Role of Registered Nurse (RN) ✔️Ans - assesses, makes nursing diagnoses,
plans, implements, and evaluates nursing care. Tends to clients with unstable
health conditions; provides direct client care, administers medications,
supervises support workers
,Role of RPN Licenced practical nurse (LPN) ✔️Ans - a health care provider
licensed and regulated by the province or territory to carry out nursing
techniques and provide client care. Known as a registered practical nurse
(RPN) in Ontario.
ALL RULES REGARDING DELEGATION ✔️Ans - Only regulated health care
providers like nurses have the authority (legal right) to perform certain tasks
because they have the knowledge, skill and training to perform them. They are
called controlled acts and are considered harmful if they are performed by
unqualified people. In some circumstances some acts will be delegated to you.
In order to do this, specific conditions called "exceptions" must be met for
delegation to be permitted. The nurse must feel confident the support worker
understands what the responsibilities are when performing the task, knowns
when and who to ask for assistance, and knowns when, how and whom to
report the outcome of the task.
Tasks that may be delegated to support workers must be routine ones with
predictable outcomes that require little supervision and can only be delegated
for stable clients.
Delegation tasks may include: suctioning a permanent tracheotomy in and out
catherization; administering glucometers, dressings, tube feedings and
medication.
Only some nursing tasks can be delegated. Your employer's policies and
guidelines, your job description and provincial or territorial legislation
determine what tasks can be delegated to you.
Sometimes these rules vary between community and LTC.
In Ontario an RN, RPN and LPN can delegate.
A delegated task is not transferrable to another client. Just because you did it
for one person, does not mean you are able to perform the SAME task on
another client without training.
Before delegating tasks, the nurse must know the following: ✔️Ans - • What
tasks your province or territory allows support workers to perform.
• The tasks included in your job description.
• What you were taught in your training program.
• What skills you have learned and how they were evaluated.
• Your work experiences.
,A nurse who delegates a task is required to: ✔️Ans - • Have the knowledge,
skill, and judgement to perform the task competently.
• Have the additional knowledge, skill and judgement to teach the task to
others. The delegating nurse is responsible for providing all necessary
teaching, but not everyone is able to teach others how to perform something.
Good communication skills and patience required.
• Accept responsibility for teaching the task to the support worker. The nurse
must first determine the risks and benefits of teaching the task and be able to
confidently predict its outcome.
• Assess your performance. The nurse must determine if you're able to
perform the task correctly.
• Determine if the task that is taught can be performed for more than one
client. Each client is unique.
• Monitor you over time to ensure you remain able to perform the task
correctly and safely.
In the community the nurse may provide you with written instructions,
predicted outcome and what to record.
You can refuse a task to be delegated to you if: ✔️Ans - • you have concerns
about your ability to do the task
• it is beyond your scope of practice
• the client's condition changes
5 RIGHTS OF DELEGATION ✔️Ans - right task
right circumstance
right person
right direction/communication
right supervision/evaluation
The right task ✔️Ans - Can the task be delegated? Does the provincial
nursing act or health professions act allow the nurse to delegate the task? Is
the task in your job description? Have you been trained to do the task? A job
description should be available.
The right circumstances ✔️Ans - What are the client's physical, emotional,
social, spiritual and cognitive needs currently? Do you understand the
purpose of the task for the client? Do you have the equipment and supplies
needed to perform the task? Do you know how to use the equipment and
supplies?
, The right person ✔️Ans - Do you have the training and experience to safely
perform the task for this client? Do you have concerns about performing the
task?
The right directions and communication ✔️Ans - has the nurse provided
clear directions and instruction? Has the nurse told you what to do, when to
do it, what observations to make and when to report back? Are the directions
legal, ethical, and consistent with employer policies? Can you review the task
with the nurse? Do you understand what the nurse expects?
The right supervisions and evaluation ✔️Ans - Is a nurse available to
answer questions? Is a nurse available if a client's condition changes or if
problems occur? After the task is completed, does the nurse assess how the
task affected the client? Does the nurse discuss your performance with you,
telling you what you did well and how to improve your work?
culture: the characteristics of a group of people, including ✔️Ans - language,
values, beliefs, customs, habits, ways of life, rules for behaviour, music and
tradition
CULTURE ✔️Ans - makes a society distinctive. It refers to the characteristics
of a group of people, the language, values, beliefs, way of life, habits, implied
rules and behaviours, music and traditions that are shared or perhaps even
passed down generation to generation. Culture may be influences by age, race,
gender, occupation sexual orientation or lifestyle.
Everyone is part of a culture. Some people belong to more than one culture.
Cultural characteristics which are learned by living in a group influence a
person's behaviours and attitudes.
Ethnicity is an important influence on a person's culture but it is not the only
influence.
Some people have chosen to assimilate their styles of dress, eating habits, or
other behaviours when with people from another culture.
A person's culture can change over time as the person leaves one group and
joins another or encounters new life experiences.
Culture and Religion ✔️Ans - In most cultures, religion is very important.
Religion relates to spiritual beliefs, needs, and practices and ay promote
beliefs and practices related to daily living habits, behaviours relationships
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