UAM COLLEGE OF TECHNOLOGY, MCGEHEE NURSING ASSISTANT...

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UAM COLLEGE OF TECHNOLOGY, MCGEHEE NURSING ASSISTANT PROGRAM

2014 FALL SYLLABUS

NA 1017 Nursing Assistant, 7 credit hours Class Meets: Monday, Wednesday, and Friday 8:00 a.m. – 11:00 a.m. Course Curriculum:

The Nursing Assistant (NA) course follows the mandated Nursing Assistant Program curriculum adopted in Arkansas. Emphasis is placed developing knowledge and skills, specific to nursing assistant duties. Classroom, applied lab, and clinical training in long-term healthcare facilities are included in this course. Students who successfully complete the NA Program are eligible to take the skills and written examination that leads to Arkansas State Certificate. Those students who successfully become certified are placed on the State Registry as a Certified Nurse Assistant (CNA). You must test within 12 months after completion of this course and you are allowed 3 attempts to pass within that designated timeframe. NOTE: This course may be transferable toward a limited number of associate and baccalaureate degrees. Contact advisor for information regarding transferability.

Prerequisites: No pre-requisites are required for this course.

Student Learning Outcomes: On completion of this course the student will be able to:

Perform uncomplicated nursing procedures and to assist licensed practical nurses or registered nurses in direct and indirect resident care.

Form a relationship, communicate and interact competently on a one-to-one basis with the residents as part of the team implementing resident care objectives.

Demonstrate sensitivity to resident emotional, social and mental health needs through skillful, directed interactions.

Assist residents in attaining and maintaining functional independence.

Exhibit behavior in support and promotion of residents’ rights.

Demonstrate observational and documenting skills needed in support of the assessment of residents’ health, physical condition and well-being.

Exhibit behaviors and attitudes which promote the healthy functioning of resident both physically and emotionally.

Instructors: Sarah Pambianchi,LPN. Peggie Orrell, R.N., B.S.N. [email protected] [email protected]

Cell Phone (870) 222-8412 Office Location: Allied Health Building, Room 112 Office Phone Number: (870)-222-5360, extension 2137 Office Hours: Monday and Wednesday 1:00 – 3:00 Tuesday and Thursday 8:00-11:00 Text: Mosby’s (Textbook and Workbook) for Nursing Assistants, 8th edition Elsevier, Publisher ISBN 978-0-323-08067-5 ISBN978-0-323-08157-3

mailto:[email protected]

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Homework:

Homework assignments are due at the beginning of the class period. Any late assignments will result in zero.

Clinical:

Clinical is an opportunity to show application of the student’s knowledge base from theory, as well as lab.

Clinical performance will be evaluated by the clinical instructor.

Clinical evaluations will be completed on weeks one (1), three (3) and five (5).

The clinical instructor will review each evaluation with the student during the next scheduled class.

Clinical will consist of five (5) nine (9) hour days. Absence is discouraged; students are allowed to miss up to 9 hours of clinical. Students who miss over 9 clinical hours will fail clinical and the course.

If you are below 78% prior to attending clinical you will not meet the necessary requirements to attend and will fail this course.

Policies of all clinical sites require students to be current on their PPD (TB Skin Test) and acquire a current CPR certification from a healthcare provider. We will be providing an opportunity for you to retain your CPR certification during the semester. You will be allotted a number of (3) three chances to pass your CPR certification. If you cannot pass the certification tests you will be ineligible to attend clinical and you will fail the course. YOU CANNOT ATTEND CLINICAL WITHOUT PROOF OF CURRENT PPD AND CPR. You MUST have proof of your PPD (TB Skin Test) no later than September 12, 2014

Students are required to follow all policies and procedures of all clinical sites. See Clinical Rules listed below: 1. Hair must be neat, of a natural color and up off the collar at all times.

NO JEWELRY with the exception of stud earrings (2 on each side only) and a plain wedding band (no facets on the ring). No facial piercings or tongue rings.

2. Only the approved UAMCT McGehee Nursing Assistant uniform will be worn to clinical. Sanders Uniforms from Greenville, MS will come with uniforms to try on and take orders prior to your scheduled clinical. Uniforms are to be clean, ironed (no wrinkles) and must fit appropriately.

3. White leather shoes ONLY! Sometimes all white is hard to find, check with the instructor before purchasing shoes with color on them.

4. Absolutely No Cell Phones! (You will be given an opportunity to check your phone when we dismiss for lunch).

BE ON TIME! Punctuality reflects professionalism, as well as responsibility and dependability. Students are required to follow all policies and procedures of all clinical sites. Clinical Disciplinary Procedure:

First violation will result in a verbal warning and you will be sent home to correct the situation and you will be docked for time.

Second violation will result in being written up and you will be sent home to correct the situation and you will be docked for time.

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Third violation you will be sent home. Hours missed will be counted as absence; after missing 9 clinical hours you will fail clinical and the course. NOTE: You will sign a written agreement upon each offense acknowledging the event and with understanding that it goes in your permanent file.

Exams:

Exam scores and clinical evaluations will account for 90% of the final grade. Homework and class participation will account for 10% of the final grade. A comprehensive final will be given at the end of the course and will count as an exam grade. Class participation grades will come from class/lab evaluations.

To progress through the program, students must pass this course with a 78% or above.

100 -93% = A

92 – 85% = B

84 – 78% = C

77 – 65% = D

64 – Below= F

Final Exam: December 10 2014 at 8:00 am.

Absenteeism:

Attendance and participation are essential ingredients for a students’ success. It is important that students regularly and punctually attend all class sessions. Attendance will be recorded from the first day the class meets through the final exam. You must have 96 hours of theory and 35 hours of clinical to successfully complete this course, (Office of Long Term Care Regulation). There will be a sign-in sheet provided for every day of attendance; this time begins the very first day of class. You are allowed to miss nine (9) hours of class and nine (9) hours of clinical for the entire semester. Otherwise, you will not meet state requirements and will fail the course. Students absent without notification on a scheduled test day will receive a zero for that test. Students absent with notification on a scheduled test day will be given an opportunity to make up that test. A student will only be allowed to make-up a maximum of two (2) tests. The make-up test will have a 10 point deduction from the total possible points. All make-up tests will be given the day of the final.

Academic Dishonesty:

Cheating: Students shall not give, receive, offer, or solicit information on examinations, quizzes, etc. This includes but is not limited to the following classes of dishonesty:

Copying from another student’s paper;

Use during the examination of prepared materials, notes, or texts other than those specifically permitted by the instructor;

Collaboration with another student during the examination;

Buying, selling, stealing, soliciting, or transmitting an examination or any material purported to be unreleased contents of coming examinations or the use of any such material;

Substituting for another person during an examination or allowing such substitutions for you.

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Collusion: Collusion is defined as obtaining from another party, without specific approval in advance by the instructor, assistance in the production of work offered for credit to the extent that the work reflects the ideas of the party consulted rather than those of the person whose name is on the work submitted.

Duplicity: Duplicity is defined as offering for credit identical or substantially unchanged work in two or more courses, without specific advanced approval of the instructors involved. Plagiarism: Plagiarism is defined as adopting and reproducing as one’s own, to appropriate to one’s use, and to incorporate in one’s own work without acknowledgement of the ideas or passages from the writings or works of others.

For any instance of academic dishonesty that is discovered by the instructor, the result for the student (s) involved will be as follows:

Cheating: Students will receive an “F” for the course.

Collusion, Duplicity/Plagiarism: Student will receive a zero (0) on the work submitted.

Conduct Code:

Students at the University of Arkansas at Monticello – College of Technology are expected to conduct themselves appropriately, keeping in mind that they are subject to the laws of the community and standards of society. The student must not conduct him/herself in a manner that disrupts the academic community or breaches the freedom of other students to progress academically.

Disorderly Conduct: Any behavior which disrupts the regular or normal functions of the University community, including behavior which breaches the peace or violates the rights of others.

Students with disabilities:

It is the policy of the University of AR-Monticello to accommodate individuals with disabilities pursuant to federal law and the University’s commitment to equal educational opportunities. It is the responsibility of the student to inform the instructor of any necessary accommodations at the beginning of the course. Any student requiring accommodations should contact the Office of Special Student Services located at the College of Technology in McGehee on campus; room number 300; phone (870)-222-5360; fax number (870)-222-1105.

Cell Phone:

NOT ALLOWED IN CLASS AT ANY TIME.

Your phone is to be turned off before entering the class. You can check your messages during break-time which will be a 15 minute break every hour.

First offense – will be a verbal warning

Second offense – you will be asked to leave until the next scheduled break. NOTE: You will sign a written agreement upon each offense acknowledging the event and with understanding that it goes in your permanent file. If your cell were to ring during a test you will leave immediately and the test will be graded as incomplete.

Cameras: Photos are only allowed during Lab/Class Time. There are laws in place to protect patients; they have rights, no photos during clinical time. This would be a HIPPA violation and you could be fined up to $50,000.

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Fall 2014 Calendar of Events

August 20 (Wed) – First day of classes. Admission application deadline. August 22 (Fri) – Last day to register or add classes. September 1 (Mon) – Labor Day Holiday. Offices and classes closed. September 6 (Sat) – Parent/Family Appreciation Day. October 3 (Fri) – Deadline to apply for May graduation. October 11 (Sat) – Homecoming October 29 (Wed) – Last day to drop a class or withdraw from the term. Grade(s) will be W. November 3 (Mon) - Preregistration for Spring 2015 begins. November 14 (Fri) - Preregistration for Spring 2015 ends. November 26 (Wed) - Classes closed. November 27-28 (Thurs-Fri) - Thanksgiving Holiday. Offices and classes closed. December 5 (Fri) - Last day of classes. December 8-12 (Mon-Fri) - Final exam period. December 17 (Wed) - Fall conferral of degrees.

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UAM College of Technology McGehee Fall 2014

Final Exam Schedule

Late afternoon and evening classes which meet once per week will have their final examination during their normal class time during the final exam week. Other finals are scheduled as follows:

Class meets: Final Exam Time:

Monday, December 8 MW 8:10 a.m.................................................8:00-10:00 MW 11:10 a.m. ...........................................10:30-12:30 MW 1:40 p.m……………………………………………….1:30-3:30 MW4:00 p.m………………………………………………..4:00-6:00

Tuesday, December 9

TH 8:10 a.m………………………………………….8:00-10:00 TH 9:40 a.m………………………………………..10:30-12:30 TH 3:10 p.m……………………………………………1:30-3:30 TH 5:00 p.m……………………………………………5:00-7:00

Wednesday, December 10

All sections MATH 183 and 1043……………..8:00-10:00 MW 9:40 a.m………………………………………..10:30-12:30 MW 3:10 p.m……………………………………………1:30-3:30 MW 5:00 p.m. or 5:40 p.m……………………….5:00-7:00

Thursday, December 10

All sections MATH 143 ……….……………………8:00 – 10:00 TH 11:10 a.m or 12:00 p.m.. …………..........10:30 - 12:30 TH 1:40 p.m………………………………………………….1:30-3:30

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Date Assignments/Homework

Exam Video Demonstration Lab Practice Check Offs

8/20 Syllabus Day

8/22 Unit I (2 hrs)& Unit II (1 hr); Unit I follows chapters 1 ,3, 5,6,7,8,9,10, 11,16, &39 in text book. Unit II follows Chapter 15 in text book.

none Interpersonal skills for Healthcare Providers; (MNAS) #1, Principles for the Nursing Assistant (MNAS). Blocks to Therapeutic Communication, Concept Media (CM).

none none None

8/25 Unit II (1 hr) Unit III (1 hr) Unit II – Chapter 15 Unit III follows Chapters 12 &13

Unit I Shirley Holmes Tracks Down Germs, MedCom (MC) Breaking the Chain of Nosocomial Infections.

Hand washing, isolation technique, Preparing Unit, mask, gown, & gloves.

Hand washing, isolation technique, preparing unit, mask, gown, & gloves.

Hand washing

8/27 Unit III (2 hrs) Unit III- Chapters 12 &13

Unit II Lifting, moving, & positioning; Range of Motion Exercise #2 (MNAS). Body Mechanics & Exercise, Disk # 2

none Isolation technique, Preparing unit; mask, gown, & gloves.

Isolation technique, preparing unit; mask, gown, & gloves.

8/29 Unit III (1 hr) & Unit IV (2 hrs) Unit IV follows Chapters 2 &4 in text book.

none Nutrition & Oral hygiene #7 (MNAS)

Heimlich Maneuver

Heimlich Maneuver

None

9/1 holiday

9/3 Unit IV (1 hr) & Unit V (1 hr)

Unit III Nutrition (CM) none Heimlich Maneuver

Heimlich Maneuver

9/5 Unit V (2 hrs) Unit V follows chapters 18 &19

Unit IV & chp 2&4 Bedmaking (MNAS) #4

Bedmaking: unoccupied- open & closed. Serving a meal tray.

Bedmaking: unoccupied- open & closed. Serving a meal tray.

None

9/5 Unit V (2 hrs) Unit IV Bedmaking Bedmaking: Bedmaking: None

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Unit V- Chapters 18 &19

(MNAS) #4 unoccupied- open & closed. Serving a meal tray.

unoccupied- open & closed. Serving a meal tray.


Exams Video Demonstration Lab Practice Check Offs

9/8 Unit V ( 3 hrs) Unit V- Chapter 18 &19

none Disk #1 Bedmaking- Disk #2 Nutrition & fluids

none Bedmaking- unoccupied- open & closed. Serving a meal tray.

Bedmaking- unoccupied-open & closed. Serving a meal tray.

9/10 Unit VI & Chapter 20 Review questions, even #’s

Unit V Bed Bath & Perineal Care & Back Massage #5 (MNAS). Personal Hygiene & Grooming, Disk #3

Bed Bath, Partial Bath, Tub/Whirlpool bath, shower, backrub, & oral hygiene.

Bed Bath, Partial Bath, Tub/Whirlpool bath, shower, backrub, & oral hygiene.

None


Chapter 20 Disk #2 Nutrition & fluids

Feeding a resident unable to feed self, feeding with an asepto syringe, measuring I&O

Feeding a resident unable to feed self, feeding with an asepto syringe, measuring I&O.

Bed Bath & Partial Bath, Tub/Whirlpool bath, shower, backrub, & oral hygiene.


Chapter 24 Disk #3 Safety and Restraints

Chest restraint, mitt restraint, Belt restraint.

Chest restraint, mitt restraint, belt restraint.

Feeding a resident unable to feed self, feeding with an asepto syringe, measuring I&O.


Chapter 14 Transfer Techniques, Ambulation, Measuring Height & Weight (MNAS) #3

Dangling, transfer resident up in bed, transfer resident to one side, moving resident from side to side, moving resident using bed to stretcher, assisting a resident to and from chair/wheelchair to bed.

Dangling, transfer resident up in bed, transfer resident to one side, moving resident from side to side, moving resident using bed to stretcher, assisting a resident to and from chair/wheelchair to bed.

None

9/19 Lab Practice on Check Off

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any skills needed. any skills needed.


Exams Video Demonstration Lab Practice Check Offs


Chapter 17 Grooming, dressing, and undressing, (MNAS) #6

Hair care-shampoo hair in bed, comb residents hair. Nail care- hand/fingernail, foot/toenail care. Dressing/undressing a resident. Shaving a resident.

Hair care-shampoo hair in bed, comb resident hair. Nail care- hand/fingernail, foot/toenail care. Dressing/undressing a resident. Shaving a resident.

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9/24 Cont. review Unit VI & Chapter 21

Hair care-shampoo hair in bed, comb resident hair. Nail care-hand/fingernail, foot/toenail care. Dressing/undressing a resident. Shaving a resident.

9/26 Unit VI, IX& Chapter 22 Review questions, even #’s

Chapter 21 Assisting with Elimination (MNAS) # 8

Assisting resident with urinal, assisting resident with bed pan, assisting resident up to bedside commode, incontinent care, urinary catheter & tubing care.


None

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9/29 Cont. review Unit VI,IX & Chapter 22



10/1 Unit VI & IX & Chapter 23 Review questions, even #’s

Chapter 22 none Checking for impaction, administering a pre-packaged (saline) enema

Checking for impaction, administering a pre-packaged (saline) enema

Checking for impaction, administering a pre-packaged (saline) enema

10/3 Unit VII & Chapter 26 & 29 Review questions, even #’s

Chapter 23 Measuring Temperature, Pulse & Respirations (MNAS) #9, Measuring Blood Pressure (MNAS) #10

Vital signs, oral temperature, axillary temperature, rectal temperature, radial pulse, taking respirations, measuring height and weight

Vital signs, oral temperature, axillary temperature, rectal temperature, radial pulse, taking respirations, measuring height and weight.

None

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10/6 Chapter 26 & 29 Vital signs, oral temperature, axillary temperature, rectal temperature, radial pulse, taking respirations, measuring height and weight.

Vital signs, oral temperature, axillary temperature, rectal temperature, radial pulse, taking respirations, measuring height and weight.

10/8 Unit VI, VII, IX Chapter 27 &28 Review questions even #’s

None none Admission of a resident, transfer/discharge of a resident, assisting resident with walker, cane, & crutches. Assist resident with ambulation using a gait belt.

Admission of a resident, transfer/discharge of a resident, assisting resident with walker, cane & crutches. Assist resident with ambulation using a gait belt.

None

10/10 Chapter 27 &28 Admission of a resident, transfer/discharge of a resident, assisting resident with walker, cane & crutches. Assist resident with ambulation using a gait belt.

10/13 Unit VI & Chapter 30, 31, & 32. Review questions, even #’s

none none Collecting a routine urine sample, collecting a stool specimen

Collecting a routine urine sample, collecting a stool specimen

None

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date Assignments/Homework


10/15 Unit VI & Chapter 33 &34 Review questions, even #’s

Chapter 30, 31, &32

Preventing & treating pressure ulcers, Disk #3

none Collecting a routine urine sample, collecting a stool specimen

Collecting a routine urine sample, collecting a stool specimen.

10/17 Chapter 33 &34 Check off any skill not previously checked off.

10/20 Chapter 35 & 36 Review questions, even #’s

none none Applying heat and cold applications

Applying heat and cold applications

Applying heat and cold applications

10/22 Orientation at clinical site

Chapter 35 & 36

10/24 Unit IX & Chapter 37, 38, & 39 Review questions, even #’s

none none none Practice on any skill needed

Check off any skill not previously checked off.

10/27 Chapter37, 38, & 39

none none Practice on any skill needed

10/29 Chapter 40 & 41 review questions, even #’s

none none none Practice on any skill needed

10/31 1st day of clinical (1st group)

11/01 1st day of clinical (2nd group)

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11/03 Chapter 42 & 43 Review questions, even #’s

Chapter 40 & 41 none none

11/5 Unit VIII & Chapter 44 & 45 Review questions, even #’s

Chapter 42 & 43 none none

11/7 2nd day of clinical ( 1st group)

11/8 2nd day of clinical ( 2nd group)

11/10 Unit VIII & Chapter 46, 47, & 48 Review questions, even #’s

Chapter 44 & 45

11/12 Chapter 49 & 50

Chapter 46, 47, & 48

11/14 3rd day of clinical ( 1st group)

11/15 3rd day of clinical ( 2nd group)

11/17 Unit III & VII & Chapter 51 & 52 Review questions, even #’s

Chapter 49 &50

11/19 Write one page essay on What it means to you to be a CNA.

Chapter 51 & 52

11/21 4th day of clinical ( 1st group)

11/22 4th day of clinical (2nd)

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Exam Video Demonstration Lap Practice Check Offs

11/24 Review Practice Vital Signs

11/26 Holiday

11/28 Holiday

12/1 Review for final


12/5 5th day of clinical (1st group)

12/6 5th day of clinical ( 2nd group)


12/10 FINAL at 8:00 am

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PART 1 UNIT 1 COMMUNICATION AND INTERPERSONAL SKILLS OBJECTIVE At the end of this unit, the student will be able to:

1. Discuss the role of the nursing assistant as a member of the health care team.

2. List desirable attitudes and actions which will provide successful job performance for the nursing assistant.

3. List desirable personal grooming habits for the nursing assistant.

4. Define the goals of a long term care facility.

5. Define Communication.

6. Identify types of communication.

7. List attitudes which promote communication.

8. Identify basic factors which may block communication between resident, family and staff.

9. Identify steps for answering resident’s call signal.

10. List steps to communicate with the vision impaired resident.

11. List steps communicating with the hearing impaired resident.

12. Describe techniques for communicating with the resident who cannot speak.

13. Define Confidentiality.

14. List examples of appropriate and inappropriate use of resident information.

15. Understanding Ethical and Legal Issues. UNIT II INFECTION PREVENTION AND CONTROL OBJECTIVE At the end of this unit, the student will be able to:

1. Identify reasons why infection prevention and control is important. 2. Identify practices which hinder the spread of infection. 3. Name conditions needed for the growth of microorganisms. 4. List ways microorganisms spread. 5. Name the single most important infection control practice. 6. List infection control practices which hinder the spread of infection. 7. Identify and demonstrate measures of hand washing. 8. List three objectives of universal precautions for blood and body fluids. 9. List and describe universal precautions to be used when caring for a resident with potentially

infectious conditions. 10. State reasons for using isolation practices. 11. Identify and demonstrate measures of isolation.

Preparing the unit.

Isolation hand washing

PPE Application UNIT III SAFETY AND EMERGENCY PROCEDURES OBJECTIVE At the end of this unit, the student will be able to:

Comment [HDJ1]:

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1. Define body mechanics as it applies to the nursing assistant. 2. Identify the purpose of good body mechanics. 3. Identify and demonstrate rules of body mechanics. 4. Identify reasons for safety precautions for the residents. 5. Identify the basic steps the nursing assistant must take to prevent burns. 6. Identify the basic safety steps the nursing assistant must take to prevent falls. 7. Identify the basic steps the nursing assistant must take to prevent choking. 8. Identify the basic safety precautions for oxygen use. 9. Name causes of airway obstruction. 10. List symptoms of complete obstruction. 11. Demonstrate the Heimlich maneuver. 12. Explain the nursing assistant’s role on a code team. 13. Demonstrate knowledge of first aid procedures. 14. Explain guidelines for responding to disasters.

UNIT IV PROMOTING INDEPENDENCE/RESPECTING RESIDENT’S RIGHTS OBJECTIVE At the end of this unit, the student will be able to:

1. Identify services that promote residents’ independence 2. Identify and discuss resident’s rights. 3. Identify the treatment a nursing assistant shall have toward the resident. 4. Identify the nursing assistant’s responsibilities concerning resident’s grievances. 5. Identify the person responsible to keep the resident informed of medical condition. 6. Identify the nursing assistant’s responsibility if asked about a resident’s medical condition. 7. Identify where the nursing assistant receives instructions to restrain a resident. 8. Identify result of not reporting knowledge of abuse, neglect, exploitation of a resident. 9. Identify areas of confidentiality. 10. Give appropriate response to questions regarding resident’s condition. 11. Identify areas of breaking confidentiality. 12. Identify ways the nursing assistant provides resident privacy. 13. Identify the responsibility of the nursing assistant in encouraging self-care. 14. Identify when a nursing assistant is to report concerning resident’s personal possessions. 15. Identify the nursing assistant’s role in resident’s participation in activities. 16. Identify the nursing assistant’s role in nursing service. 17. Identify areas the nursing assistant is held responsible for by law. 18. Identify ethical responsibilities of the nursing assistant. 19. List ethical responsibilities of the nursing assistant. 20. Recognize factors which identify the nursing assistant’s loyalty to the resident and to the employer. 21. Identify ethical responsibilities of the nursing assistant in caring for the resident. 22. Identify examples of confidentiality.

23. Identify the nursing assistant’s legal responsibilities in caring for resident. 24. Identify what conditions the nursing assistant may be held liable for negligence. 25. Define battery. 26. Define harassment. 27. Define each area of legal concern.

o Libel

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o Negligence o Abuse o Battery o Assault o Invasion of resident privacy o Defamation

Slander Libel

o Exploitation o Self Abuse

28. Understand State Arkansas law as it relates to reporting of abuse, neglect or exploitation of a resident.

29. Identify nursing assistant’s responsibility in reporting suspect abuse or neglect of the resident. 30. Identify the agencies responsible to investigate suspected abuse, neglect or exploitation of

residents.

UNIT V INTRODUCTION TO RESIDENT CARE OBJECTIVE At the end of this unit, the student will be able to:

1. Identify measures which make the bed safe and comfortable. 2. Identify and demonstrate measures of bedmaking (unoccupied – open and closed.) 3. List steps to promote a positive environment at mealtime. 4. Identify steps to help residents remain independent while eating. 5. Demonstrate assisting devices. 6. Identify and demonstrate measures of serving a tray correctly. 7. Describe how to report changes in eating habits of residents and other pertinent information. 8. Identify ways of keeping the resident’s environment comfortable. 9. Identify steps to be taken to assure the resident’s unit is safe and completely furnished.

PART II UNIT VI PERSONAL CARE SKILLS OBJECTIVE At the end of this unit, the student will be able to:

1. List factors which affect a resident’s hygiene needs and practices. 2. Identify purposes for bathing. 3. Identify types of baths. 4. Identify guidelines to follow when bathing the resident. 5. Demonstrate bathing techniques.

Bed bath

Tub bath

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Shower

Whirlpool 6. List purposes for a backrub. 7. Demonstrate a backrub. 8. List purposes for oral hygiene. 9. Identify and demonstrate measures of oral hygiene. 10. Identify and demonstrate measures of denture care. 11. Identify and demonstrate measures of oral hygiene for the unconscious resident. 12. Identify and demonstrate measures of hair care. 13. Identify and demonstrate measures of combing the resident’s hair. 14. Identify and demonstrate measures of proper nail care. 15. Demonstrate shaving a male resident. 16. Identify changes in feet to report to charge nurse. 17. Identify and demonstrate measures of foot care. 18. Identify and demonstrate measures of dressing and undressing a resident. 19. Describe normal and abnormal appearance of urine and abnormal sensation while urinating. 20. Identify and demonstrate measures of assisting a resident with bedpan, urinal or bedside

commode. 21. Identify and demonstrate steps in measuring and recording urinary output. 22. Identify and demonstrate measures for collecting urine specimens. 23. Recognize how a urinary catheter works. 24. Identify and demonstrate measures of catheter and tubing care. 25. Identify measures which help keep a urinary catheter draining correctly. 26. Identify measures to avoid injury to the bladder opening from pressure on the catheter. 27. Identify observations made about the catherized resident. 28. Describe normal and abnormal appearance of feces. 29. List measures to relieve constipation. 30. Demonstrate assisting the resident with a bedpan. 31. Identify and demonstrate measures of a collecting fecal (stool) specimen. 32. Identify observations made about elimination. 33. Define colostomy. 34. Define ileostomy. 35. Define fecal impaction. 36. List symptoms of fecal impaction. 37. Identify causes of fecal impaction. 38. Identify role of the nursing assistant in prevention of fecal impaction. 39. Identify and demonstrate measures of checking for a fecal impaction. 40. Identify the purpose of an enema. 41. Identify and demonstrate measures of administering a prepackaged enema. 42. List physical causes of incontinence. 43. List psychological causes of incontinence. 44. List signs/symptoms of a distended bladder to be reported to charge nurse. 45. Identify and demonstrate measures for incontinent care. 46. Describe feelings/behavior of incontinent resident. 47. Describe feelings of family of the incontinent resident. 48. Describe the proper attitudes/actions of the nursing assistant toward the incontinent resident. 49. Identify and demonstrate measures of proper feeding techniques

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For total feedings

For syringe feedings

For the vision impaired 50. Identify alternate methods of feeding. 51. Identify how fluid balance is maintained. 52. Identify nursing assistant’s role in maintaining fluid balance. 53. Demonstrate measures and recording of fluid intake. 54. Define dehydration. 55. Identify signs and symptoms of dehydration. 56. Identify signs and symptoms of edema. 57. Identify ways to relieve edema.

58. List changes in skin condition that shall be reported to the charge nurse. 59. Identify resident’s skin changes which are signs and symptoms of a decubitus ulcer. 60. Describe places to check on the body for a decubitus ulcer (pressure sore). 61. State reasons why the elderly are prone to skin problems. 62. List measures for preventing skin breakdown and decubitus. 63. Identify measures which help prevent decubitus ulcers. 64. Identify general principles for lifting and moving. 65. Demonstrate ability to move resident.

Raise to sitting position

Move toward head of bed

Move to one side of bed

Turn from side to side

Transfer from bed to chair and chair to bed

Transfer from bed to stretcher 70. Describe correct body alignment. 71. List the steps and demonstrate proper use of geriatric chairs and wheelchairs. 72. Identify and demonstrate measures of proper use of mechanical hydraulic lifts. 73. Identify and demonstrate safe and proper use of walkers, canes, and crutches. 74. Identify and demonstrate steps to follow in assisting resident to walk. 75. Identify and demonstrate measures of making an occupied bed. 76. Demonstrate ability to make an occupied bed. 77. Give the purpose of restraints. 78. Identify the length of time restraints may be applied. 79. Tell how frequently restraints are to be checked. 80. Tell how frequently the restraints are to be released and for how long. 81. Identify and describe the types of restraints. 82. Identify and demonstrate measures in the application of restraints. 83. Identify symptoms of occlusion.

VII BASIC NURSING SKILLS OBJECTIVE At the end of this unit, the student will be able to:

1. Identify why measuring vital signs are important as it relates to the nursing assistant. 2. Describe what causes body temperature.

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3. Define normal temperatures. 4. List situations that cause variations from “normal” temperature. 5. Define fever. 6. Describe the signs and symptoms of above normal body temperature. 7. Describe the signs and symptoms of below normal body temperature. 8. Describe the types of thermometers. 9. Identify and demonstrate measures of taking an oral temperature. 10. Identify and demonstrate measures of taking a rectal temperature. 11. Identify and demonstrate measures of taking an axillary temperature. 12. Identify how the nursing assistant should record and report temperature measurement. 13. Describe the cautions when taking a resident’s temperature. 14. Identify and demonstrate measures of taking the radial pulse. 15. Identify what is meant by respiration and average respiratory rate. 16. Identify variations from normal respiration which should be reported. 17. Identify character of respirations. 18. Demonstrate taking respiration rate. 19. Define blood pressure. 20. Describe blood pressure. 21. Define systolic pressure. 22. Define diastolic pressure. 23. Identify “normal” blood pressure range for systolic and diastolic blood pressure for an elderly

resident. 24. Define hypertension. 25. Define hypotension. 26. Define postural hypotension. 27. Identify common causes of hypotension. 28. Identify common causes of hypertension. 29. Identify instruments to check blood pressure. 30. Identify and demonstrate measures of taking blood pressure. 31. Identify how to record and report blood pressure. 32. Identify and demonstrate height measurement:

For the bedfast resident.

For the ambulatory resident. 33. Identify importance of body weight. 34. Be able to explain accurate measurements and variance. 35. Identify and demonstrate measures for weighing. 36. Identify when weights are taken. 37. List some attitudes and actions which are prerequisites for making observations about residents. 38. Define Alzheimer’s Disease. 39. Recognize that there are changes in the brain caused by Alzheimer’s. 40. Define diabetes. 41. Identify the purpose and use of insulin. 42. Discuss the respiratory conditions which prevent the intake of sufficient oxygen. 43. Identify nursing assistant responsibility in caring for resident with a stroke. 44. Define fracture. 45. Define AIDS. Identify modes of transmission of AIDS. 46. Identify nursing assistant’s responsibilities in caring of the resident with heart disease.

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47. Identify society’s attitude about death. 48. Describe stages of reaction to dying. 49. Identify and demonstrate measures of post mortem care. 50. Identify feelings of resident/family on admission of resident. 51. Identify and demonstrate the responsibilities of the nursing assistant on transfer/discharge of a

resident.

UNIT VIII SOCIAL/COGNITIVE/BEHAVIORAL Objective At the end of this unit, the student will be able to:

1. Define the term cognitive as it relates to the responsibility of the nursing assistant. 2. Define cognitive functions as it refers to mental process of the resident. 3. Identify the various mental abilities as it relates to level of consciousness, orientation, and

intellectual capacity. 4. Identify factors which affect the residents’ ability to recall, understand, for self-awareness and

judgment. 5. List factors which affect memory and reasoning of the resident. 6. Identify factors which affect cognitive impairments of the resident. 7. Define behavior as it relates to the residents. 8. List factors which influence behavior of the resident. 9. Identify ways in which the resident may express feelings through their behavior. 10. Identify factors which affect the residents thought process. 11. Identify observations to be made during care of the confused or withdrawn resident. 12. List medical problems related to the resident’s care. 13. Identify the purpose of reality orientation of the resident. 14. List the responsibilities of nursing assistant in the reality orientation for residents. 15. Identify the nursing assistant’s role in response to the resident’s combativeness. 16. Define the purpose of the re-motivation program for the resident. 17. List the basic human needs (Maslow’s) 18. List the emotional needs of the resident in a long term care facility. 19. Identify ways to help the residents meet their needs status. 20. Identify the aspects of sexuality in the aging.

UNIT IX BASIC RESTORATIVE SERVICES Objective At the end of this unit, the student will be able to:

1. Define restorative care. 2. Identify requirements of restorative care. 3. Identify changes in functional abilities associated with aging. 4. Identify approaches to restorative care. 5. List approaches to restoring resident’s independence. 6. List physical measures of restorative care. 7. Name mechanical devices used in restorative care. 8. State educational and counseling services in restorative care. 9. Identify the types of ROM exercises.

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10. List goals of bladder and bowel training. 11. Identify steps in bladder training. 12. Identify steps in bowel training.

PART III BARBARA BROYLES ALZHEIMER’S AND DEMENTIA TRAINING PROGRAM Objective At the end of this unit, the student will be able to: 1. The trainee shall understand: Alzheimer’s disease and dementia terminology, signs of disease progression, care at specific stages.

2. Demonstrate communication skills. 3. Discuss principles of nutrition and hydration as related to Alzheimer’s disease. 4. Discuss common behaviors and interventions associated with Alzheimer’s and dementia. 5. Discuss burnout and burnout prevention.

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May we never speak to deceive old people

Or listen to betray them;

May we have the wit and wisdom to seek

The truth and the fortitude to stand

Up for their basic human rights;

May we give recognition for past experiences

and memories;

May we show dignity and self-respect for the future;

May we minister the highest quality of Healthcare

to each individual person;

May we seek to understand the last Period of life

for which the first was made.

The Curriculum Committee

Office Of Long Term Care

UAM COLLEGE OF TECHNOLOGY, MCGEHEE NURSING ASSISTANT...

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