3  Objectives  To  achieve  the  objectives  for  this  section,  you  must  successfully  •  describe  the  role  of  a  holistic  nursing  assistant  •  explain  the  requirements  for  nursing  assistants  to  become  certified  and  •  discuss  the  typical  responsibilities  of  a  holistic  nursing  assistant.  Key  Terms  Learn  these  key  terms  to  better  understand  the  information  presented  in  the  section.  activities  of  daily  living  (ADLs)  ambulating  certification  certified  nursing  assistant  (CNA)  compassion  contaminated  empower  holistic  care  hospice  infection  control  job  description  licensed  nursing  staff  licensed  practical/  vocational  nurse  (LPN/LVN)  patients  registered  nurse  (RN)  residents  scope  of  practice  vital  signs  Questions  to  Consider  •  Have  you  ever  taken  care  of  someone?  Maybe  you  took  care  of  your  mother,  friend,  younger  brother  or  sister,  or  even  your  pet.  How  did  you  feel  about  the  responsibility  of  providing  care?  What  did  you  do  to  make  sure  that  person  or  pet  was  cared  for  properly?  •  How  would  you  describe  the  caregiving  role  you  took  or  what  you  had  to  do?  What  daily  responsibilities,  abilities,  and  attitudes  helped  you  do  the  best  job  possible?  What  Is  a  Nursing  Assistant’s  Role?  Becoming  a  nursing  assistant  gives  you  a  special  opportunity  to  make  a  difference  in  someone  else’s  life.  It  is  also  an  excellent  way  to  grow  personally  by  gaining  knowledge  and  skills  as  you  journey  into  the  exciting  nursing  career  path.  A  certified  nursing  assistant  (CNA)  is  a  person  who  has  successfully  completed  the  education  and  training  needed  to  take  and  pass  a  state  certification  competency  examination.  The  certified  nursing  assistant  helps  deliver  care  and  is  supervised  by  licensed  practical/vocational  nurses  (LPNs/LVNs)  and  registered  nurses  (RNs).  In  some  states,  a  CNA  is  known  as  a  nurse  aide,  registered  nursing  assistant,  or  licensed  nursing  assistant.  Becoming  a  certified  nursing  assistant  (CNA)  may  be  your  first  step  toward  becoming  a  licensed  practical/vocational  nurse  (LPN/LVN)  or  a  registered  nurse  (RN).  An  LPN/LVN  is  a  member  of  the  licensed  nursing  staff  who  is  supervised  by  an  RN.  The  duties  of  LPNs/LVNs  vary  by  state,  but  typically  include  monitoring  and  reporting,  preparing  and  giving  medications,  and  inserting  catheters.  An  RN  is  a  licensed  nursing  staff  member  who  delivers  nursing  care  that  includes  assessment  providing  nursing  diagnoses  and  planning,  implementing,  and  evaluating  care.  A  nursing  assistant  is  an  important  member  of  the  healthcare  team  and  provides  care  to  residents  (Figure  1.1).  Healthcare  facilities  such  as  hospitals,  community  clinics,  skilled  nursing  facilities,  residential  care  or  long-term  care  facilities,  hospices  (healthcare  facilities  that  care  for  people  who  are  terminally  ill),  and  home  healthcare  services  hire  nursing  assistants.  Working  as  a  nursing  assistant  requires  much  more  than  just  meeting  the  basic  needs  of  those  in  your  care.  Nursing  assistants  are  often  the  first  to  communicate  with  residents  and  their  families.  This  is  because  nursing  assistants  spend  more  time  with  residents  than  LPNs/LVNs  or  RNs,  who  may  be  involved  in  other  work  (procedures  and  tasks).  1.1  section  Role  and  Responsibilities  Rob  Marmion/Shutterstock.com  Figure  1.1  Nursing  assistants  work  in  a  variety  of  settings,  including  long-term  care  facilities.  Copyright  Goodheart-Willcox  Co.,  Inc.