Continuing Care Assistants in Nova Scotia Quiz

What is the scope of practice for Continuing Care Assistants in Nova Scotia regarding the application of medicated creams, ointments, and drops as defined in the Joint Practice Guideline?

• To prescribe medication

• To apply topically applied medicated creams, ointments, or drops as defined by an individual care plan

• To diagnose skin issues

• To perform surgical procedures

According to the Joint Practice Guideline, who must assess the client before a Continuing Care Assistant can perform the task of applying medicated creams, ointments, and drops?

• A family member

• A Continuing Care Assistant

• A physician, nurse practitioner (NP), registered nurse (RN), or licensed practical nurse (LPN)

• A pharmacist

Which of the following is NOT included as a clinical indicator to alert the Continuing Care Assistant (CCA) when health outcomes are not being achieved or client response are not as expected?

• Known responses to the medication or low risk for unanticipated outcomes

• Clinical indicators to alert the CCA when health outcomes are being achieved

• Clinical indicators to alert the CCA when health outcomes are not being achieved or client response are not as expected

• An established process to support communication between the CCA and physician, NP, RN, LPN or family member

What is essential to the delivery of safe, competent and ethical care according to the Guiding Principles in the document?

• Regular health check-ups

• Communication and an expectation between care providers and clients

• Self-medication by clients

• Independent decision-making by the CCA

What is the first step in ensuring a plan of care to manage the clients' issue according to the RN/LPN practice guidelines?

• Establish clinical indicators that signal outcomes are being met

• Ensure an understanding of the intent of the medication

• Ensure a baseline assessment is conducted

• Apply the medicated creams, ointments, or drops as prescribed

According to the CCA practice guidelines with nursing support, what should be done when the client's responses to medicated creams, ointments, or drops are not as expected?

• Change the medication immediately

• Report to the nurse when responses are not as expected

• Stop administering the medication

• Document the unusual response in the client's personal diary

What is a necessary action for CCAs to take when administering medicated creams, ointments, or drops without nursing support?

• Adjust the medication plan as they see fit

• Observe the client's response to the medication

• Provide a new prescription for the medication

• Teach the client about alternative medications

Which of the following is NOT listed as a component to document in the medication administration/client record for both RN/LPN and CCA practice contexts?

• When the medicated creams, ointments, or drops have been applied

• Observations about the client's response

• The client's dietary preferences

• Communication with client, family, other care providers or employer