Nunez Community College Course Curriculum

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1 Nunez Community College Course Curriculum DHH Program Code: 0112 Course: NURS1000 Certified Nursing Assistant Class Hours: Fall and Spring Semesters: 4.25 hours each class day Two days a week for 16 weeks Summer Semester: 4.25 hours each class day Four days a week for 8 weeks Division: Health Sciences Division, Nursing Assistant Instructors: Anna Brannan, LPN Program Director: Jodi Morgan, RN Office Location: Building D, 2 nd Floor, Room D209 Office Telephone: (504) Address: Division Telephone: (504) FAX (504) I. Course Description The Nursing Assistant Course prepares students for employment in long-term care facilities and hospitals where basic bedside nursing care is needed. Classroom instruction includes an introduction to health care, basic nursing skills, body structures and function, infection control, and the job seeking process. Students participate in clinical activities under the supervision of the instructor. Pre-requisites: Eligible for DEVR 0780 II. Course Objective Upon completion of this course, the student is qualified for certification and employment in the areas of long-term care and acute care. III. Course Curriculum Lippincott s Textbook for Nursing Assistants: A Humanistic Approach to Caregiving, 3 rd edition. Carter, Pamela J. Lippincott Williams & Wilkins: Philadelphia,2011. CONTENT OUTLINE Course Schedule Topic(s)/Instructional Unit Reading Assignments/Chapter # 1: Introduction to Health Care 1. The Health Care System (includes OBRA) 2. The Nursing Assistant 3. Professionalism and Job-Seeking Skills 4. Legal and Ethical Issues (additional material includes the Louisiana Nurse Practice Act and Louisiana Administrative Code that relates to Nurse Aide Training and delegation of Page 1 of 7

2 duties) * Video Module 15 2: Communication 5. Communication Skills 14. Admissions, Transfers, and Discharges Appendix B. Introduction to the Language of Health Care *Video Module 1 3: Infection Control 7. Communicable Disease and Infection Control 8. Bloodborne and Airborne Pathogens *Video Module 2 infection control 4: Safety and Responding to Emergencies safety Lab skills practice: PPE and hand washing 9. Workplace Safety 10. Patient Safety and Restraint Alternatives 12. Basic First Aid and Emergency Care *Video Module 12 Lab skills practice: Transfers, Restraints, Body Mechanics 5: Basic Human Needs 6. Those We Care For 35. Caring for People With Rehabilitation Needs 6: Structure and Function of the Human Body 7: Assisting with Mobility and Exercise mobility and exercise 8: The Patient or Resident Environment bedmaking 9: Measuring Vital Signs, Height, and Weight 24. Basic Body Structure and Function 11. Positioning, Lifting, and Transferring Patients and Residents 25. The Integumentary System 26. The Musculoskeletal System *Video Modules 3, 4, & 11 Lab skills Practice: Gait belt, ROM, positioning, Turns 13. The Patient or Resident Environment 15. Bedmaking 17. Comfort and Rest *Video Module 5 Lab skills Practice: Bed making 16. Vital Signs, Height, and Weight 27. The Respiratory System 28. The Cardiovascular System Page 2 of 7

3 vital signs 10: Assisting with Hygiene and Grooming hygiene and grooming *Video Module 6 Lab Skills Practice: Vital signs 18. Cleanliness and Hygiene *Video Module Grooming *Video Module 8 Lab Skills Practice: Bed Bath, oral care, denture care, skin care 11: Assisting With Nutrition 20. Basic Nutrition 32. The Digestive System *Video Module 9 12: Assisting with Elimination elimination 21. Assisting With Urinary and Bowel Elimination 33. The Urinary System 34. The Reproductive System *Video Module 10 Lab Skills Practice: Foley care, bedpan, bed side commode, Intake and Output. 13: Death and Dying 22. Caring for People Who Are Terminally Ill 23. Caring for People Who Are Dying *Video Module 14 14: Mental Health, Confusion, and Dementia 15: Special Care Concerns *Optional course additions Lab Skills Check-off Clinical Practicum Certification Exam 36. Caring for People With Developmental Disabilities 37. Caring for People With Mental Illness 38. Caring for People With Dementia *Video Module Caring for People With Cancer 40. Caring for People With HIV/AIDS 41. Caring for Surgical Patients Students will be required to demonstrate proficiency in all laboratory skills prior to clinical experience. Minimum of 40 clinical hours Location: St. Margaret s Daughter s Nursing Home New Orleans, LA Final Exit and Certification Exam-Must achieve an 80% or greater to receive a passing grade in the course and Louisiana DHH certification. Page 3 of 7

4 *Video Modules are from Lippincott s Video Series for Nursing Assistants and Student Resource CD. Participation in Classroom, Lab, and Clinical are required. IV. Requirements for successful course completion: GRADING A= B= C= * D= F= *Must obtain a minimum grade of a C (80%) or above to pass the Nursing Assistant course. Grade Calculation: Quizzes---10% Tests---60% Homework and Projects---10% Comprehensive Final Exit and Certification Exam** 20% **Students must make an 80% on the Comprehensive Final Exit Exam to receive a passing grade for the course and Certification. Classroom hours: 8:30 a.m. to 12:45 p.m. (see class calendar) Clinical Hours: 6:30 a.m. to 2:30 p.m. on designated dates (see class calendar) Class Hours: Classroom hours: 84 Lab hours: 20 Total Class Hours: 104 Clinical hours: 44 (this may be increased if time allows see class calendar) Minimum 40 hours of clinical practicum is required. Students will be required to make-up any missed clinical hours. Total Program Hours: 148 V. Unit Objectives: Objective: Introduction to Health Care Identify his/her role as a health care provider in establishing a safe and supportive environment for the patient/resident and legal issues: Page 4 of 7

5 1. Identify techniques that will engage the student to be an active learner in this course. 2. List responsibilities of a Nursing Assistant. 3. Identify standards of ethical and legal responsibilities for the nursing assistant. 4. Discuss appropriate religious, cultural, and ethical practices among a diverse population. 5. Define terms and identify meanings of medical words. 6. Demonstrate effective communication skills and employ appropriate observation skills. 7. Identify the major types of patients and their special needs. 8. Demonstrate understanding of Federal Nursing Home Reform Act or OBRA national skills standards. 9. Demonstrate knowledge of the guidelines regarding delegation of task to non-licensed personnel stipulated in the Louisiana Nurse Practice Act and Louisiana Administrative Code. Objective: Body Structure and Function Identify the basic structures and functions of the human body. 1. Explain structure and functions of cells, tissues, organs, and systems. 2. Identify the body cavities and the major organs within each. 3. Use correct terms to identify body parts. Objective: Demonstrates principles of workplace safety, body mechanics, and patient safety. 1. Explain appropriate use of fire extinguishers and facility safety guidelines. 2. Demonstrate proper body mechanics and patient safety during patient position changes, transfers, and ambulation. 3. Explain appropriate use of restraints and alternative methods to avoid restraint usage. 4. Explain OBRA guidelines Objective: Infection Control Identify the factors associated with growth and spread of organisms, basic principles of infection control, the types of isolation, and care of the patient in isolation. Page 5 of 7

6 1. Explain the relationship of microorganisms to disease. 2. State the nursing actions that help prevent the spread of microorganisms and standard precautions. 3. Summarize information related to communicable diseases, including transmission of blood-borne pathogens, STIs, HIV, TB. 4. Perform appropriate isolation procedures for all types of isolation. 5. Perform appropriate hand hygiene and PPE measures. 6. Summarize Objective: Nursing Skills (all skills checklist are available in textbook) Perform basic nursing skills needed to give bedside care to patients under the direction of a Licensed Practical Nurse (LPN) or a Registered Nurse (RN). 1. Safely operate commonly used equipment in the patient unit. 2. Use principles of good body mechanics and alignment when performing nursing assistant duties. 3. Assist with patient movement using good body mechanics and alignment. 4. Perform application of appropriate restraint devices. 5. Perform bed-making procedures. 6. Perform personal hygiene and grooming procedures. 7. Assist with nutritional needs. 8. Assist with urinary elimination. 9. Assist with bowel elimination. 10. Perform appropriate specimen collection. 11. Monitor vital signs and report abnormalities. 12. Assist with admission, transfer and discharge. 13. Provide skin care measures for the prevention and treatment of pressure ulcers. 14. Provide appropriate preoperative and postoperative care. 15. Appropriate and proper application of restraints, if required. Demonstrate alternative methods to avoid restraint usage. 16. Assist with physical examination. 17. Provide appropriate care for patient with invasive lines, gastric tubes, and oxygen therapy. Objective: Skills in Special Areas Assist the LPN/RN in providing care to patients with specialized needs and equipment in hospitals, long-term care facilities, and mental health centers. 1. Demonstrate appropriate care of patients with special equipment as it applies to nursing assistant performance standards. Page 6 of 7

7 2. Describe skills needed to give personal care to emotionally disturbed patients. 3. Assist the patient with Activities of Daily Living (ADLs), maintaining a safe, clean, and comfortable environment under professional supervision. 4. Assist the long-term care (LTC) resident and Home Health patient with ADLs maintaining a safe, clean, and comfortable environment. Objective: BLS for Healthcare Providers (AHA Guidelines) As a result of this unit the student will be able to perform cardiopulmonary (CPR) procedures for the adult, child and infants and obstructed airway procedures for the conscious and unconscious patient. 1. Demonstrate proper technique for resuscitation of adult, child, and infant. 2. Demonstrate obstructed airway procedures for the conscious and unconscious person. Objective: Clinical Experience Upon completion of this clinical component, the student will safely care for a diverse population of clients requiring assistance of ADL s all while incorporating principle of infection control, safety, ethical, legal, and cultural considerations. 1. Demonstrate effective communication skills and employ appropriate observation skills. 2. Perform appropriate isolation procedures for types of isolation required. 3. Safely operate commonly used equipment in the patient unit. 4. Use principles of good body mechanics and alignment when performing nursing assistant duties. 5. Assist with patient movement using good body mechanics and alignment. 6. Perform bed-making procedures. 7. Perform personal hygiene and grooming procedures. 8. Assist with nutritional needs. 9. Assist with urinary elimination. 10. Assist with bowel elimination. 11. Perform appropriate specimen collection when needed. 12. Monitor vital signs and report abnormalities. 13. Provide skin care measures for the prevention and treatment of pressure ulcers. 14. Demonstrate proper application of restraints, if required. Demonstrate alternative methods to avoid restraint usage. 15. Assist with physical examination. 16. Provide appropriate care for patient with infusions, invasive lines, gastric tubes, and/or oxygen therapy. 17. Care of patients with specific disease processes. Page 7 of 7

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