MASTER COURSE OUTLINE A. HCNA 1200 Nursing Assistant/Home Health Aide B. COURSE DESCRIPTION: This course emphasizes the role of the nursing assistant and home health aide as a valuable member of any health care team. This course introduces concepts of basic human needs, acquaints students with the philosophy of home health and teaches basic nursing skills that will be demonstrated and practiced in the laboratory setting. This course will focus on personal care, nutrition/feeding, elimination, clean and safe environment, communication, vital signs, body mechanics, and principles related to long term and home health care. Upon successful completion of classroom/lab studies, the student will participate in a clinical experience caring for the elderly client. Background study checks will be conducted. Successful students will be eligible to take the Nurse Aide/Home Health Aide competency examination for certification and placement on the Minnesota Nursing Assistant Registry. This course meets application requirements for the Riverland Community College nursing program. (4 Cr 2 lect, 2 lab) C. **Core Theme: Critical Thinking D. MAJOR CONTENT AREAS : 1. Introduction to Healthcare and Home Health Care Federal and State Regulations Ethics and Etiquette Productive Work Habits for the Nursing Assistant Resident s Bill of Rights, Vulnerable Adult Law, Patient Self Determination Act History and Goals of Home Health Care Role of Home Health Aide 2. Basic Human Needs Physical, Emotional and Spiritual Needs of Human Beings Common Characteristics of Growth and Development Developmental Tasks Associated with Aging General Characteristics of Aging Emotional, Spiritual and Social Needs of the Resident s Family Respecting Resident Cultural Diversity and Individuality Normal Aging Process Related to Body Systems 1
Growth and Development Throughout One s Lifespan Family Dynamics How Stress Affects a Family 3. Communication Verbal vs. Non-Verbal Communication Cultural Variations in Communication Effective Communication Within the Nursing Team and Home Health Care Agency Basic Telephone Etiquette Conflict: Causes and Management Strategies Appropriate Recording of the Care Given to a Home Health Care Client 4. Safe and Clean Environment Safety of the Resident, Emergency Care, Body Mechanics, Infection Control/Standard Precautions/Infectious Diseases Maintaining Safety in the Client s Home Emergencies in the Home Homemaking Duties Skills: Handwashing; Resident Unit Order; Unoccupied Bedmaking; Transfer Belt Placement, Waist Restraint Application; Obstructed Airway Conscious Resident; Gown/Glove/Bag Linen 5. Vital Signs and Measures Identify Vital Signs Responsibilities of the NA/HHA When Obtaining and Documenting Vital Signs Measuring Infant, Toddler and Adolescent Vital Signs in the Home How Lack of Oxygen Affects Vital Signs Effective Methods of Providing Oxygen to Residents Skills: Temperature Measurement -Glass Thermometer/Electronic Thermometer; Pulse and Respiration; Blood Pressure; Weight; Height including resident unable to stand 6. Personal Care Activities of Daily Living Importance of Skin Care Prevention and Care of Pressure Ulcers Personal Care for the Resident in LTC and Client in Home Care Important Factors When Providing Personal Care to an Infant or a Child Personal Care Skills: Bedbath; Partial Bath; Tub or Shower Bath; Perineal Care; Backrub; Mouth Care Including Unconscious Resident; Denture Care; Fingernail Care; Foot Care; Hair Care; Bed Shampoo; Shave with Electric Razor; Eye Glasses Care; Hearing Aid Placement; Dress the Resident; Occupied Bedmaking 2
7. Activity and Exercise Benefits of Exercise, Principles of Rehabilitation, Effects of Immobility and Body Alignment Rehabilitation With Restorative Care Considerations With Moving and Lifting Skills: Ambulate Cane; Walker; Wheelchair Transfer; Transport; 2-person Transfer; Mechanical Lift; Positioning Supine and Sidelying; Move Up in Bed With and Without a Lift Sheet; Passive Range of Motion; Support Stoking Application Assisting the Adult Client with Activity and Exercise Appropriate Activities for Infants, Toddlers and Children 8. Foods and Fluids Nutrition Factors Which Affect the Nutrition of the Resident Types of Diets Dietary Considerations Related to Cultural/Religious Diversity Importance of Fluid Balance Preparations for Resident s Meal Time Alternative Nutrition Skills: Feed a Resident; Measure Intake; Measure Output; Gastrostomy Tubing Safety; Intravenous Tubing Safety Special Dietary Considerations for the Home Health Care Client Home Health Care Client s Dietary Needs Preparations Required When Providing a Nutritious Meal to a Client in their Home 9. Elimination Factors Which Interfere with Elimination Factors Involved in Meeting the Nutritional Needs of the Resident Bowel and Bladder Management Programs Importance of Proper Catheter Care Meeting Elimination Needs of the Home Health Care Client Elimination Factors Concerning Infants and Children Who are Home Health Care Clients Skills: Bathroom/Commode Assistance; Bedpan; Urinal; Indwelling Catheter Care; Perineal Care/Incontinent Resident; Empty Urine Drainage Bag 10. Caring for Residents and Home Health Care Clients with Special Needs Behavioral Health Coping Strategies With Defense Mechanisms Individuals Who are Developmentally Disabled Caring for a Resident with Dementia/Alzheimer s Disease Personal Behavior or Approaches When Caring for Residents with Behavioral Challenges 3
Death and Dying Cultural Beliefs Related to Death and Dying Post-Mortem Care The Grieving Process Common Disorders/Diseases of the Home Health Care Client Emotional Response of a Client with Special Needs Providing Care to a Client with Special Needs Guidelines for Assisting Clients to Self-Administer Medications Providing Care to a Client Who Wishes to Die at Home Assisting the Home Health Care Team to Monitor Therapies Home Health Care Services Available to Clients and Their Families Skills: Demonstrated Ways to Modify Behavior of Self in Response to Resident Behavior 11. Orientation to Work Environment Clinical Experience Employee s Rights and Responsibilities in the Workplace Importance of Developing Personal Organizational Skills Legal Aspects of Working in Home Health Care Maintaining Personal Wellness E. GOAL, TYPE, OBJECTIVES AND OUTCOMES: GOAL TYPE **Critical Thinking OBJECTIVES Students will be able to gather factual information and apply it to a given problem in a manner that is relevant, clear, comprehensive, and conscious of possible bias in the information selected. describe the role and responsibility of the nursing assistant/home health aide. identify the Bill of Rights and Vulnerable Adult Law. understand safety practices and care of residents in emergency situations. describe communication verbal, nonverbal and written. OUTCOMES The student will successfully 1. define and describe the role of a Certified Nursing Assistant in a health care setting. Dept. of Health standards) of 2. demonstrate role and responsibility in the lab and in clinical practice. 2. demonstrate role and responsibility in the lab and in clinical practice. 2. demonstrate safety in the lab and in the clinical practice. 2. demonstrate use of 4
describe basic human needs/ physical and psychological. identify coping mechanisms with grief and loss. describe proper nutrition and special diets. describe normal elimination and factors which interfere with normal elimination. describe principles of behavior management. communication skills in the lab and in clinical practice. demonstrate knowledge of vital signs. 2. demonstrate use of vital signs in the lab and in clinical practice. demonstrate personal care skills on residents in the long term care setting. F. SPECIAL INFORMATION: 2. demonstrate use of personal care skills in the lab and in clinical practice. This course may require use of the Internet, the submission of electronically prepared documents and the use of a course management software program. Students who have a disability and need accommodations should contact the instructor or the Student Success Center at the beginning of the semester. This information will be made available in alternative format, such as Braille, large print, or current media, upon request. G. COURSE CODING INFORMATION: Course Code X/Class Maximum 20; Letter Grade Revision date: 05/01/09 AASC Approval date: 04/22/09 5
*Riverland Community College Disciplines MnTC Goal Number Communication (CM) 1 Natural Sciences (NS) 3 Mathematics/Logical Reasoning (MA) 4 History and the Social & Behavioral 5 Sciences (SS) Humanities and Fine Arts (HU) 6 **Riverland Community College Core Themes MnTC Goal Number Critical Thinking (CT) 2 Human Diversity (HD) 7 Global Perspective (GP) 8 Ethical and Civic Responsibility (EC) 9 People and the Environment (PE) 10 *These five MnTC Goals have been identified as Riverland Community College Disciplines. ** These five MnTC Goals have been identified as Riverland Community College Core Themes. NOTE: The Minnesota Transfer Curriculum 10 Goal Areas of Emphasis are reflected in the five required discipline areas and five core themes noted in the Riverland Community College program of study guide and/or college catalog. 6