Wallingford Public Schools - HIGH SCHOOL COURSE OUTLINE

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1 Wallingford Public Schools - HIGH SCHOOL COURSE OUTLINE Course Title: Certified Nursing Assistant Course Number: A 8013 Department: Career and Technical Education Grade(s): Level(s): Academic Credit: 1 Course Description Certified Nursing Assistant training program prepares high school students to work as nursing assistants both in hospitals and nursing homes. The prime intent of the program is to provide students with career entry skills that will enable them to be employed as state certified nursing assistants after completion. The second intent is as a self-testing experience for young people who have an interest in nursing on the level of LPN or RN. The levels of nursing and the varying amount of education required are discussed with the students by the teacher, guidance personnel and nurses from various programs. The final intent is one of public health. It is our belief that the exposure, work experience, and background information provides the students with information that is necessary to understand their own bodies and diseases, both mental and physical. This course will require sixty hours of classroom and one hundred and twenty-five hours of clinical experience and certification. Required Instructional Materials Clinical Lab setting Text and workbook tbd Completion/Revision Date Approved by the Board April 4, 2005 Mission Statement of the Curriculum Management Team The mission of the Career and Technical Education Curriculum Management Team is to ensure that students, as a result of their experiences in K-12, will demonstrate transferable skills, knowledge, and attributes for successful life management, employment, career development, post-secondary educational opportunities, and life long learning. Enduring Understandings for the Course Every rule serves an important purpose. There are no little mistakes when it comes to safety. Successes and failures in the health care profession are measured by every point of contact. Effective communication is grounded in mutual respect. Practice of nursing skills will make perfect and permanent application. Practice is what is needed and not what you like. Certified Nursing Assistant 1

2 All senses must be engaged in patient care. Caregivers adjust to patient. Changes in the body reflect the degree of illness. Impact of death is overwhelming. Certified Nursing Assistant 2

3 1.0 Communication Effective communication is grounded in mutual respect. Think before you speak. Relationships can be built and destroyed in each interaction. The intended message is not always the one received. All senses must be engaged in patient care. LEARNING OBJECTIVES: The student will: 1.1 Identify what is needed for communication to occur. 1.2 Identify situations that block communication. 1.3 List four things a good listener does. 1.4 Name rules to follow when giving directions to patients or coworkers. 1.5 State guidelines to follow when communicating with patients. 1.6 Demonstrate communication devices, call lights, intercom, telephone, etc. 1.7 Observations of patients and verbal reporting of observations. What is necessary for good communication? How do I get the information I need? What opens lines of communication? What causes people to disconnect? How do I know that what I say is what they hear? In clinical setting call lights, intercoms, telephones Role playing Communication simulations Demonstrations and return demonstrations Performance assessments Student presentation Peer reviews Certified Nursing Assistant 3

4 2.0 Safety There are no little mistakes when it comes to safety. You have to identify dangerous situations before they happen. When an emergency happens the procedures become more relevant. 2.1 Identify safe practices that prevent accidents. 2.2 Identify general safety rules for using equipment. 2.3 List all steps to be taken in any emergency. 2.4 Identify ways to prevent falls. 2.5 List cause, prevention and action to be taken for fires. 2.6 Demonstrate good body mechanics. 2.7 Understand the purpose of I.D. bands. 2.8 Know about the paths that spread infection both to patient and self. 2.9 Demonstrate proper hand washing techniques Demonstrate universal precautions and appropriate isolation procedures Demonstrate proper care of linen both clean and soiled. What does danger look like? How is the environment designed to protect the patient? Where do dangers still exist? How do you stay safe? What are you responsible for doing? What remains in patients control? How does an emergency impact how I respond? Various equipment eg wheel chairs, patient units, lines, gowns, masks, and gloves. Role playing Demonstration and return demonstration Drill and practice Role playing Peer review Performance Tests and quizzes Self evaluation Student presentations Certified Nursing Assistant 4

5 3.0 Basic Skills Your senses must be engaged in patient care. The dignity of the patient is as important as the task you re performing. Practice of nursing skills will make perfect and permanent application. 3.1 Identify normal ranges of oral, rectal, axillary temperatures. 3.2 Demonstrate oral, rectal and axillary procedure. 3.3 Identify normal pulse ranges and procedures for radial and apical pulses. 3.4 Identify normal respiratory ranges and demonstrate procedures. 3.5 Demonstrate correct documentation of vital signs. 3.6 Recognize and report any unusual vital signs. 3.7 Recognize and properly report any unusual findings. 3.8 Measure and record height and weight. 3.9 Demonstrate proper calculation of H&W Document results of H&W in chart Care for residents environment Identify proper handling and storage of patients clothing and personal possessions Demonstrate proper procedure for bed making (occupied, unoccupied and surgical) 3.14 Identify purposes for bathing patient Develop skills to give complete and partial baths as well as shower and tub baths 3.16 Demonstrate bed bath, tub bath, & shower 3.17 Demonstrate male/female perineal care 3.18 Demonstrate proper procedure for back care 3.19 Make observations of patients condition during care and record on patient chart. How do you know if you are doing the task right? When are you ready to work with a real patient? Thermometers all types Watch/clock with second hand Scale Patient unit equipped with care items Various forms for charting Supplies and equipment to assist in providing personal care Role playing Demonstration and return demonstration Peer evaluation Simulations Laboratory experiments Performance by students Certified Nursing Assistant 5

6 3.20 Identify the purpose for oral, hygiene, dental care, denture care, shaving, nail care, foot care and hair care Assist patient with dressing and undressing. Select appropriate clothing according to needs Demonstrate dressing and undressing of dependent patient Demonstrate proper procedure for usage of bedpan, urinal and bedside commode Demonstrate proper specimen collection Provide proper catheter and incontinent care Define terms used in elimination and observations to report Identify basic food groups and importance of nutrition Identify therapeutic diets and supplemental feedings Demonstrate serving and feeding the patient Demonstrate measuring and documenting intake and output Identify symptoms of edema and dehydration Position patient correctly for feeding Identify ways to promote independence Demonstrate feeding an impaired patient Demonstrate documentation of dietary intake Recognize functions of the skin Identify changes in skin due to aging Identify risk factors, prevention and management of abnormal skin risk factors Demonstrate observation and reporting of abnormal skin conditions Identify the principles of body mechanics Demonstrate correct body mechanics Demonstrate transfers bed to chair Demonstrate proper positioning and turning of patient utilizing a variety of devices. Certified Nursing Assistant 6

7 4.0 Mental Health and Social Services It is the care giver s responsibility to adjust to the patient (not the other way around). 4.1 Demonstrate ability to recognize and report changes in patient behavior. 4.2 Identify techniques that help in managing patient behavior including restraints. 4.3 Identify the moral and code of ethics a nursing assistant should have. 4.4 Utilize situational role playing as a method of understanding. 4.5 Identify the physical, psychological and sociological changes associated with aging. 4.6 Differentiate between myths and facts about aging. 4.7 Recognize and describe common behavior problems. 4.8 Define and demonstrate basic behavior and modification techniques. 4.9 Develop knowledge of patient rights Develop understanding of patient losses when entering a facility Utilization of patient s family as a source of support Identify Psychiatric Disorders Recognize signs and symptoms of major depression, bi-polar, anxiety disorders, schizophrenia, dementia, Alzheimer s Understand symptoms that require immediate intervention Understand effective communication techniques for the symptoms of major disorders Define the nurse aide role in development and implementation of patient s care plan. How does the world of the patient affect how you communicate? What adjustments do you need to make in order to be more effective? What rights does a patient have? When do these change? Patient unit Restraints Geriatric references Observation Demonstration and return demonstration Case studies Class discussions Tests and quizzes Journals Student presentations Certified Nursing Assistant 7

8 5.0 Body Changes Changes in the body reflect the degree of illness. Senses are used to assess changes. 5.1 Recognize abnormal changes in the body. 5.2 Realize the importance of reporting changes to a supervisor. 5.3 Recognize symptoms of common diseases: shortness of breath, drowsiness, rapid respiration, excessive thirst, fever, sweating, coughs, pus, chills, blood or sediment in urine, pains in chest, difficulty in urinating, dark color or strong odor to urine cyanosis, frequent urination in small amounts, pain or burning on urination, pain in abdomen, nausea/vomiting. Why is recognizing changes important? How is reading symptoms like solving a mystery? Internet research on signs and symptoms of disease Oral presentations on various diseases Data gathering Lecture Videos with follow up discussions Graded Presentations Quizzes and tests Graded notebook with research on diseases Certified Nursing Assistant 8

9 6.0 Dying Whether the death is expected or unexpected the impact is still overwhelming to all involved. 6.I Identify the signs of approaching death. 6.2 Know the physical signs of approaching death. 6.3 Demonstrate procedure for post-mortem care. 6.4 Provide for and meet the needs of the family and other patients. 6.5 Identify own personal feeling regarding death. How do you handle death? Whose job is it to help? Post-mortem kit Mannequin Demonstration Redemonstration Classroom Discussion Writing assignments Video with follow up discussion Performance Quizzes Journals Graded student demonstration Certified Nursing Assistant 9

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