Methods of Instruction: Lectures, assigned reading, class and homework assignments, class discussion, laboratory, clinical rotation.

Transcription

1 Course Title: Nurse Aide II (HLT 105, HCT 101, HCT 190) Course Date: September 8, 2015 June 3, 2016 Instructor: Connie Johnson, RN, BSN, MSN Phone: Planning: 4 th Block (1:38-3:15) Course Description Nursing Assistant II teaches basic nurse aide skills with emphasis on physical, social, emotional, and spiritual needs of patients. The course covers basic nurse aide procedures, interpersonal relations, communications, observation, charting, reporting, care planning, safety, infection control, anatomy and physiology, nutrition, patient feeding, ethics, and death and dying. Multiskilled health care workers are prepared to care for patients of various ages with special emphasis on geriatric nursing, home health, and employment in long term and short term care facilities. This is a DUAL Enrolled class with Eastern Shore Community College earning 6 credits. Required Texts and Materials: Dugan, Diana L. Nursing Assisting, A Foundation in Caring. 3 rd Ed., 2012, Hartman Publishing Workbook: Nursing Assisting, A Foundation in Caring. 3 rd Ed., 2012, Hartman Publishing Grading System A= Tests=40% B= Quizzes/Projects/Clinicals=30% C= Classwork=20% D= Homework=10% F= 0-59 Methods of Instruction: Lectures, assigned reading, class and homework assignments, class discussion, laboratory, clinical rotation. Performance Assessments: Students will be evaluated via tests, quizzes, assignments (class and homework), participation. Attendance: Attendance will be taken daily. Excessive absenteeism and tardiness will be handled per Accomack County School policy. Excessive absenteeism may result in student not meeting the qualifications of testing for the certified nurse aide licensure examination.

2 Make-up work: Any missed work should be made up within 2 weeks after returning to school. Work not made-up will result in a zero. Classroom Expectations: See attached policy. 1. ORIENTATION Syllabus Goal: The student will become oriented to the Nurse Aide. 1.1 Prepare for classroom instruction and activities 1.2 Display knowledge of Badger/Nandua policy, course objectives, facility, grading scale 1.3 Describe the Nurse Aide program 1.4 Perform hand washing according to CDC guidelines 1.5 Remove disposable gloves 1.6 Define NNAAP and procedure to apply for NA certification 1.7 Recognize the meaning of common prefixes, suffixes, root words, and medical abbreviations 1.8 Identify the purpose and goal of HOSA (30) 1.9 Explain the benefits and responsibilities of membership in HOSA as a student and in professional/civic organizations as an adult (31) 1.10 Demonstrate leadership skills through participation in HOSA activities (32) 1.11 Identify Internet safety issues and procedures for complying with acceptable use Standards (33) % score or above on written evaluation 2. Student can verbally describe the Nurse Aide program and course objectives 3. Get permission forms signed 4. Check off on hand-washing and disposable gloves 5. Quiz medical abbreviations 6. Participate in HOSA activities/conduct meetings/elect officers 1. Roll 2. Distribute books, scrub shirts, NNAAP handbooks 3. HOSA video clip 4. Hand-washing clip, 5. Glogerm activity, opt.

3 6. Medical terminology lecture and handouts 7. Hand-washing lecture II. THE NURSE AIDE IN LONG-TERM CARE/CLIENT RIGHTS GOAL: The student will function as a member of a health care team and demonstrate appropriate legal and ethical responsibilities Discuss professional behaviors of the nurse aide 2.2 Review methods of conflict management 2.3 Discuss the role of the Virginia Board of Nursing 2.4 Provide an overview of health care organizations and long-term care facilities and the methods used for payment of the services that clients receive 2.5 Discuss the role of the Nurse Aide in long-term care per OBRA requirements 2.6 Explain delegation as it relates to the Nurse Aide 2.7 Explain the impact of Guidance Document on potential employment for a Nurse Aide 2.8 Identify the basic right of all clients 2.9 Identify specific rights of clients in long-term care facilities 2.10 Explain how HIPPA effects practice of the nurse aide 2.11 Demonstrate actions of the nurse aide that promote client rights in long-term care facilities 2.12 Discuss strategies to provide privacy and maintain confidentiality 2.13 Discuss the different types of abuse, including the signs of abuse 2.14 Discuss inappropriate nurse aide behavior, including abuse, neglect and misappropriation of client property 2.15 Identify actions the nurse aide can take to avoid accusations of abuse, mistreatment and neglect toward clients 2.16 Describe the consequences of a report of abuse, mistreatment or neglect against a nurse aide 2.17 Discuss the role of the mandated reporter as described in the Code of Virginia 2.18 List reasons for the Virginia Board of Nursing to begin disciplinary proceedings for a certified nurse aide as identified in Regulation 18VAC Discuss responsibilities of the certified nurse aide to the Virginia Board of Nursing 2.20 Describe the application process for the NNAAP exam 2.21 Describe what the nurse aide graduate is required to bring to the NNAAP test site the day of the test 2.22 Describe strategies the nurse aide can use to promote client independence 2.23 Explain how the nurse aide can modify care of the client to promote culturally sensitive care 2.24 Identify developmental tasks for each age group 1. 70% or above score on written evaluation 2. Read Chapters 1& 2 3. Complete workbook pages, unit review, vocab 4. Computer activities as assigned

4 1. Lecture 2. Ethics activities and power point 3. Legal responsibilities and power point 4. Personal Characteristics power point 5. Clothing and appearance power point 6. Compare and contrast Patient Bill of Rights and Resident Bill of rights III. COMMUNICATION AND INTERPERSONAL SKILLS GOAL: The student will demonstrate effective communication and listening skills 3.1 Understand the importance of written, verbal and non-verbal communication 3.2 Identify barriers to communication 3.3 Demonstrate methods used by the Health Care Team to communicate among themselves 3.4 Demonstrate techniques to communicate with the sensory-impaired client 3.5 Demonstrate techniques to communicate with the families of clients 3.6 Develop interpersonal skills to use while functioning as a nurse aide 3.7 Demonstrate conflict management strategies 3.8 Report changes in body functioning to a supervisor (36) 3.9 Identify effective methods to develop client/resident/patient/family and staff relationships (34) 3.10 Respond to the call signal (39) 3.11 Develop awareness of personality strengths and weaknesses (40) 3.12 Analyze personal health habits (41) 3.13 Demonstrate successful work attitudes (42) 1. 70% or above score on written evaluation 2. Successful use of intercom, telephone, and call signal in the clinical site 3. Read Units 3 & 4 4. Complete workbook pages, unit review, vocab 1. Observation Activity 2. Role Play Nonverbal Communication 3. Observation, Communication, Documentation 4. Lecture

5 IV. INFECTION CONTROL GOAL: The student will practice appropriate infection control. 4.1 Match major pathogenic microorganisms to their related disease or infection 4.2 Explain the principles of infection control and list six components of the chain of infection 4.3 Identify factors contributing to occurrence of infection 4.4 Explain the early signs and symptoms of infection 4.5 Demonstrate proper hand washing technique 4.6 Demonstrate proper technique for donning and removing personal protective equipment 4.7. Describe Centers for Disease Control and Prevention and explain standard precautions 4.8 Identify major types of isolation 4.9 Identify terminology related to clean, safe environment 4.10 Identify and implement OSHA standard guidelines in regards to control of blood-borne pathogens, workplace safety, and infection control 4.11 Demonstrate proper disposal of sharps 4.12 Describe the proper disposal of infectious waste materials in the health care facility 1. 70% score or above on written evaluation 2. Satisfactory performance of related skills according to skills check off list 3. Read Unit 6 4. Complete workbook pages, unit review, vocab 1. Lecture/transp types and characteristics of microorganisms, chain of infection, blood- borne pathogens, standard precautions, use of PPE 2. Film blood borne pathogens 3. Power points PPE, Hand Hygiene 4. Donning and removing PPE skills demo and practice V. SAFETY MEASURES/BODY MECHANICS GOAL: The student will practice safety in the clinical area and classroom. The student will demonstrate proper body mechanics 5.1 Demonstrate how to use proper body mechanics when caring for clients(43) 5.2 Explain the OSHA Bloodborne Pathogen Standards

6 5.3 Follow Occupational Safety and Health Administration (46) 5.4 Perform safety procedures related to client/resident/patient care (44) 5.5 Identify risk factors for common accidents in health care facilities 5.6 Identify safety measures to prevent falls in health care facilities 5.7 Discuss measures to prevent various common accidents in health care facilities 5.8 Use a fire extinguisher (45) 5.9 Demonstrate fire safety procedures 5.10 Discuss how to prevent and react to fire and other disasters in a health care facility 5.11 Identify and assist with alternatives to the use of restraints and measures to minimize use of restraints (57) 5.12 Assist client/resident/patient to maintain proper body alignment (51) 5.13 Position client/resident/patient in bed (50) 5.14 Perform transferring, positioning and turning of client/resident/patient (107) 5.15 Transfer a client/resident/patient by wheelchair (109) 5.16 Transport a patient by a wheel chair and stretcher (110) 5.17 Assure range of motion (52) 5.18 Assist client/resident to sit on side of bed (70) 1. 70% score of above on written evaluation 2. Satisfactory performance of related skills according to skill check-off list 3. Read Sections 7 & Complete workbook pages, unit review, vocab 1. Lecture and transp. body mechanics, NA safety, fire safety, patient safety, environmental safety 2. Demonstrate use of fire extinquisher 3. Skills lab(turning, positioning, transfer from bed to w/c) VI. EMERGENCY MEASURES GOAL: The student will be able to perform first aid and emergency procedures 6.1 Identify the basic steps a nurse aide should take in any emergency situation 6.2 Identify client symptoms indicative of an emergency 6.3 Demonstrate how a nurse aide responds to an unconscious client 6.4 Identify the signs/symptoms of various client medical emergencies 6.5 Demonstrate the appropriate nurse aide response to various client medical emergencies 6.6 Demonstrate how to perform CPR on an adult/child/infant client

7 1. 85% or above on AHA CPR exam 2. AHA CPR certification 3. Satisfactory performance on didactic skills per AHA 4. Unit 8 1. Lecture 2. AHA CPR/AED, First Aid DVD 3. Guided Practice 3. Skills evaluation 4. Written Test VII. BASIC SKILLS GOAL: The student will be able to provide basic nurse aide skills related to bedmaking and feeding 7.1 Explain the beginning and ending steps for the nurse aide when providing care to a client 7.2 Recognize changes in body functioning and the importance of reporting these to the appropriate supervisor (36) 7.3 Describe how the nurse aide should care for the client s room and his/her environment in the long-term care facility 7.4 Demonstrate how to correctly make an occupied, unoccupied bed and post-op bed including disposal of linen (47,48,49) 7.5 Demonstrate how to accurately measure, record and report vital signs, height and weight (89,90,91,92,93) 7.6 Demonstrate various methods to identify and report client pain 7.7 Demonstrate accurate measurement, recording and reporting fluid intake and output (118) 7.8 Demonstrate accurate measurement and recording of food intake (118) 7.9 Identify general and special diets (119) 7.10 Serve and remove meal trays (121) 7.11 Distribute nourishments (122) 7.12 Distribute drinking water (123) 7.13 Assist client/resident/patient with eating and hydration (124) 7.14 Feed a client/resident/patient (all ages) (125) 7.15 Observe a client/resident/patient receiving intravenous (IV) fluids (126) 1. 70% score or above on written evaluation 2. Satisfactory performance on related skills according to skills check off list 3. Read unit 10 & 14, complete vocab and unit review

8 4. Complete workbook pages 5. Lab skills related to the above 6. Skills test 1. Lecture, power point 2. Skills practice and demonstration 3. Skills test VIII. PERSONAL CARE SKILLS GOAL: The student will be able to provide personal care skills to client/resident/patient 8.1 Identify the components of personal care 8.2 Explain routine personal care for both morning and bedtime 8.3 Describe the guidelines for assisting the client with personal care 8.4 Demonstrate how to provide a modified bed bath 8.5 Demonstrate how to provide mouth care (105) 8.6 Demonstrate how to clean upper or lower dentures (106) 8.7 Demonstrate how to perform fingernail care 8.8 Demonstrate how to provide foot care 8.9 Demonstrate how to dress/undress client with weak side (98) 8.10 Demonstrate how to provide perineal care (87) 8.11 Demonstrate how to measure and record urine output (118) 8.12 Demonstrate how to provide catheter care for a female client (72) 8.13 Demonstrate how to assist the client with a bedpan (77) 8.14 Describe how to collect urine and stool specimens (74,86) 8.15 Maintain closed urinary drainage system (73) 8.16 Strain Urine (75) 8.17 Transfer a client/resident/patient to bedside commode (78) 8.18 Assist a client/resident/patient with using a urinal (79) 8.19 Empty closed urine drainage bag (80) 8.20 Clean stoma and change a colostomy bag (81) 8.21 Assist the incontinent client/resident/patient, including brief application (84) 8.22 Assist client/resident/patient with toilet use (85) 8.23 Demonstrate how to feed client who cannot feed self 8.24 Measure and record food intake (118) 8.25 Accurately describe actions of the nurse aide to prevent client dehydration 8.26 Discuss pressure sores, including formation, staging, prevention and reporting responsibilities of the nurse aide (103) 8.27 Demonstrate the various positions for the client in bed(sit on side) (70) 8.28 Demonstrate moving and positioning a client in bed with and without a drawsheet 8.29 Demonstrate transfer of client from bed to wheelchair using a transfer belt

9 8.30 Demonstrate assisting the client to ambulate using transfer belt (71) 8.31 Bathe client/resident/patient, including giving/assisting with bed bath, partial bath, shower, tub bath and whirlpool bath (102) 8.32 Groom client/resident/patient, including shaving/assisting with shaving, caring for/helping with hair and cleaning/beautifying fingernails and toenails (100) 1. 70% score or above on written evaluation 2. Satisfactory performance on related skills according to skills check off list 3. Read unit 17, complete vocab and unit review 4. Complete workbook pages 5. Lab skills related to the above 6. Skills test 1. Lecture, power point 2. Skills practice and demonstration 3. Skills test IX. INDIVIDUAL CLIENT S NEEDS, INCLUDING MENTAL HEALTH AND SOCIAL SERVICE NEEDS GOAL: The student will be able to care for individual client needs 9.1 Identify basic needs of clients, including physical and psychosocial needs 9.2 Support client/resident/patient with physical and psychological independence (60) 9.3 Demonstrate guidelines for the nurse aide to assist the client to meet his psychosocial needs 9.4 Demonstrate way the nurse aide can modify his behavior in response to the behavior of clients 9.5 Demonstrate principles of behavior management by reinforcing appropriate behavior and causing inappropriate behavior to be reduced or eliminated 9.6 Demonstrate skills supporting age-appropriate behavior by allowing the client to make personal choices and by providing and reinforcing other behavior consistent with the client s dignity (62) 9.7 Demonstrate appropriate responses to client behavior, including aggressive behavior, anger, combative behavior, inappropriate language, confusion and inappropriate sexual behavior 9.8 Utilize the client s family/concerned others as a source of emotional support 9.9 Demonstrate strategies to provide appropriate clinical care to the aged and the disabled 9.10 Provide clinical care for the age-appropriate and physically challenged clients/residents/ patients (62)

10 1. 70% or above on written evaluation 2. Satisfactory performance of related skills according to skills check off list 3. Read Unit 5 & Complete workbook pages 1. Lecture 2. Class discussion 3. Lab demonstration and practice X. NERVOUS SYSTEM/SPECIAL NEEDS GOAL: The student will be able to care for a client with a nervous system disorder 10.1 Identify the major structures, function, and disorders of nervous system, including Alzheimer s disease and other dementias, and care of the client 10.2 Describe age-related changes of the nervous system 10.3 Describe basic cerebrovascular emergencies and how to manage 10.4 Label major parts of the eye, ear, and other sensory organs and state functions 10.5 Identify common disorders and age related disorders of the eye, ear, and other sensory organs including care of the client 10.6 Demonstrate understanding of behavior of the visually impaired client, including how to respond to this behavior 10.7 Demonstrate understanding of behavior of the hearing impaired client, including how to respond to this behavior 10.8 Demonstrate understanding of behavior of the cognitively impaired client, including how to respond to this behavior (63) 10.9 Demonstrate how to communicate with the cognitively impaired client (63) Demonstrate techniques for addressing the unique needs and behaviors of cognitively impaired clients Assist the client/resident/patient with a sensory impairment (64) Demonstrate reality orientation techniques (65) Assist with application of hearing aid Care for and apply eyeglasses Assist with prosthetic eye care Describe complications of diabetes mellitus, include care of the client Describe care of the client experiencing hypoglycemia and hyperglycemia Describe care of the client experiencing hypothyroidism and hyperthyroidism 1. 70% or above on written evaluation

11 2. Satisfactory performance of related skills according to skills check off list 3. Read Unit 22 & Complete workbook pages 1. Lecture 2. Class discussion 3. Lab demonstration and practice XI. REHAB AND RESTORATIVE SERVICES GOAL: The student will be able to rehabilitative/restorative care to patients 11.1 Describe the difference between rehab and restorative care 11.2 Describe the role of the nursing assistant in rehab care and restorative care 11.3 Describe ways to teach, with supervision, a client to participate in self-care 11.4 Demonstrate the use of assistive devices when transferring client from bed to chair or bed to stretcher 11.5 Discuss the assistive devices the client may use when ambulating (108) 11.6 Identify assistive devices the client may have to help with eating (108) 11.7 Identify assistive devices the client may have to help with dressing (108) 11.8 Demonstrate passive range of motion for the knee and ankle 11.9 Demonstrate passive range of motion for the shoulder Discuss observations the nurse aide should report to the supervisor when performing passive range of motion exercises Identify positioning devices the nurse aide may use when turning and positioning a client Demonstrate positioning a client on his side in bed Demonstrate positioning a client in the chair Describe caring for and using prosthetic devices Describe caring for and using orthotic devices Demonstrate how to put elastic stockings on the client (59) Describe the role of the nurse aide in bladder training (83) Describe the role of the nurse aide in bowel training (83) List 6 complications resulting from inactivity Identify approaches used in rehabilitative care and restorative programs Assist clients/residents in attaining and maintaining functional independence Support the teaching of the client/resident/patient in self-care according to the client s resident s/patient s abilities as directed by a supervisor (67) 1. 70% or above on written evaluation

12 2. Satisfactory performance of related skills according to skills check off list 3. Read Unit Complete workbook pages 1. Lecture 2. Class discussion 3. Lab demonstration and practice XII. END-OF-LIFE-CARE/CARE OF CLIENT WHEN DEATH IS IMMINENT GOAL: The student will be able to care for terminally ill clients/patients/residents 12.1 Discuss care of client with a common respiratory disorder, including what the nurse aide would report to the appropriate supervisor 12.2 Describe care of the client receiving oxygen therapy 12.3 Discuss care of client with common circulatory disorders, including what the nurse aide would report to the appropriate supervisor 12.4 Discuss HIV/AIDS, including signs and symptoms and nursing care 12.5 Identify the American Cancer Society signs of cancer 12.6 Discuss how attitudes about death may affect the nurse aide providing care to the dying client 12.7 Identify the stages of grief 12.8 List the physical changes that occur when death is imminent 12.9 Discuss care measures, including physical and psychosocial measures, for the client when death is imminent (128) Identify ways to assist with care of terminal client/resident/patient (127) Demonstrate postmortem care on a mannequin (129) 1. 70% score or above on written evaluation 2. Satisfactory performance of related skills according to skills check off list 3. Read Units 19, 20, 24 & Complete Workbook pages, vocab, unit review 1. Lecture, power point, demo postmortem care 2. Practice postmortem care on mannequin

13 XIII. ADMISSION TRANSFER AND DISCHARGE GOAL: The student will be able to admit, transfer, or discharge a client in a clinical facility 13.1 Describe preparation of the client room prior to admission 13.2 Identify areas of orientation that must be provided to the client during the admission process 13.3 Describe how to care for client s personal belongings 13.4 Discuss the observations that the nurse aide should make during the admission process 13.5 Explain client/resident/patient admissions procedures (111) 13.6 Document the admission process, including care of client s personal belongings, observations and vital signs 13.7 Describe the transfer process for a client/resident/patient (112) 13.8 Identify responsibilities of nurse aide during the discharge of the client (113) 13.9 Demonstrate discharge of the client, including care of personal belongings and assisting to transport to the pick-up area 1. 70% score or above on written evaluation 2. Satisfactory performance of related skills according to skills check off list 3. Read Unit 9 4. Complete Workbook pages, vocab, unit review 1. Lecture, power point 2. Role play admission, transfer and discharge of a client XIV. INTEGUMENTARY SYSTEM GOAL: The student will be able to care for clients with disorders of integumentary system 14.1 Identify major structures, functions, and disorders of integumentary system 14.2 Give skin care to a patient, a patient in a cast, a patient in restraints, a patient with a decubitus stage 1 and 2, decubitus prevention 14.3 Demonstrate use of five types of equipment used to prevent decubitus 14.4 Apply heel and elbow protectors

14 1. 70% score or above on written evaluation 2. Satisfactory performance of related skills according to skills check off list 3. Read Unit Complete workbook pages 1. Integumentary Lecture, power point 2. Lab practice 3. Chapter and workbook assignments XV. MUSCULOSKELETAL SYSTEM GOAL: Student will be able to care for a patient with a muscular skeletal system disorder 15.1 Identify major structures, functions, and disorders of musculoskeletal system 15.2 Apply an ace bandage 15.3 Assist with ROM exercises, passive and active 15.4 Assist with crutch walking, two-point, three-point, four-point, swing through gaits 15.5 Assist with cast and traction care 15.6 Assist with applying and removing braces, prosthesis 15.7 Assist with walker and quad cane use 15.8 Assist with the use of assistive devices in transferring, ambulating, eating and dressing PERMANCE OBJECTIVE 1. 70% score or above on written evaluation 2. Satisfactory performance of related skills according to skills check off list 3. Read Unit Complete workbook pages 1. Lecture 2. Class discussion 3. Chapter assignments XVI. EXPLORING EMPLOYMENT OPPORTUNITIES GOAL: The student will be able to locate and apply for employment

15 16.1 Prepare a personal data sheet or resume 16.2 Complete an application 16.3 Participate in an interview 16.4 Identify employment opportunities 16.5 Understand how to secure and maintain NA certification 16.6 Identify and apply conflict management skills 1. Successfully conducts and interview 2. Successfully participates in interview process 3. Preparation of a resume and cover letter for job pertinent to field of study 1. Chapter 28 Lecture 2. Students to prepare cover letter and resume related to pertinent job 3. Mock interviews XVII. WORKPLACE READINESS SKILLS GOAL: The student will become a productive member of the workforce At completion of this unit the student will be able to: 17.1 Demonstrate positive work ethic (1) 17.2 Demonstrate integrity (2) 17.3 Demonstrate teamwork skills (3) 17.4 Demonstrate self-representation skills (4) 17.5 Demonstrate diversity awareness (5) 17.6 Demonstrate conflict-resolution skills (6) 17.7 Demonstrate creativity and resourcefulness (7) 17.8 Demonstrate effective speaking and listening skills (8) 17.9 Demonstrate effective reading and writing skills (9) Demonstrate critical-thinking and problem-solving skills (10) Demonstrate healthy behaviors and safety skills (11) Demonstrate an understanding of workplace organizations, systems and climates (12) Demonstrate lifelong-learning skills (13) Demonstrate job-acquisition and advancement skills (14) Demonstrate time-, task-, and resource-management skills (15) Demonstrate job-specific mathematics skills (16) Demonstrate customer-service skills (17) Demonstrate proficiency with technologies common to a specific occupation (18) Demonstrate information technology skills (19) Demonstrate an understanding of Internet use and security issues (20)

16 17.21 Demonstrate telecommunications skills (21) Examine aspects of planning within an industry/organization (22) Examine aspects of management within an industry/organization (23) Examine aspects of financial responsibility within an industry/organization (24) Examine technical and production skills required of workers within an industry/organization (25) Examine principles of technology that underlie an industry/organization (26) Examine labor issues related to an industry/organization (27) Examine community issues related to an industry/organization (28) Examine health, safety, and environmental issues related to an industry/organization (29) Identify internet safety issues and procedures for complying with acceptable use standards (33) The student will be rated on the appropriate check-off list At least 80 % mastery of the required skills Syllabus subject to change