Kings County Board of Education Approval April 6, 2011 California Department of Education Recertification December 2008 Kings Regional Occupational Program Course Information Course Title: Nursing Assistant Course #: 06NA CDE#: 1802 CBEDS Title: Preparing to work in therapeutic svcs-nursing CBEDS No.: 4280 Industry Sector: Health Science & Medical Technology Pathway: Therapeutic Services Career Cluster: Health Services Jobs Titles: 31-1012.00 Nursing Assistant Course Description: The Nursing Assistant course is a curriculum that prepares students to assist in patient care and function as a member of the health care team. The program will focus on basic principles of providing care to adults of all ages with a special emphasis on the older adult. In the training students will learn how to care for residents including but not limited to: bathing, dressing, grooming, toileting, feeding, transferring, range of motion, to take temperatures, pulses, and respiration, to perform skin care and catheter care, to weigh and measure a person in bed and to make an occupied and an unoccupied bed. Total Hours: 306 (170 Classroom hours, 136 Community Classroom hours) Textbook/Materials: Sorentino, Sheila (2000) Mosby s Textbook for CNA Recommended Prerequisites: Health Occupation I is recommended Certification: To receive ROP class certificate: Must attain a minimum of 75% on each test to demonstrate proficiency and Must demonstrate competency in HIPAA regulations Must have at least 90% attendance To receive a certificate from the state: Must pass Skill and Written test components given by the State of California Academic credit: Hanford High School 10 units per semester (2 period block) - Science credit toward graduation Lemoore High School 10 units per semester (2 period block) - Science credit toward graduation Articulation: Licensed Vocational Nurse (LVN) program at Hanford Adult School Last Update: March 2008 1144 W. Lacey Blvd., Hanford, CA 93230 ~ Tel: 559 589-7026 ~ FAX: 559 589-7007
Nursing Assistant Course Outline I. Orientation Classroom 6 hrs A. Demonstrate good writing and communication skills by effectively completing all appropriate forms in a timely manner B. Demonstrate an understanding of the classroom policies and procedures regarding 1. Rules: classroom, transportation, and community classroom 2. Policies: attendance, grading, time cards, and dress codes C. Understand occupational safety issues regarding hazards, safety procedures, and OSHA regulations. D. Demonstrate an understanding of required competencies for the classroom, community classroom, Certificate of Completion II. Introduction to Health Care Classroom 2 hrs A. Understand the purposes and services of health care agencies B. Identify the members of the health care team and the nursing team C. Describe the nursing service department D. Describe the programs that pay for health care III. A Career as a Nursing Assistant Classroom 4 hrs CC 2 hrs A. Discuss the history and current trends affecting nursing assistants B. Research the educational requirements and job opportunities for nursing assistants C. Discuss the functions, roles, responsibilities and role limits of the nursing assistant D. Demonstrate job search techniques by: 1. Creating a resume and cover letter Writing 11/12-2.5 2. Completing a sample application 3. Demonstrating successful practices for job interviewing Speaking 9/10-2.3 E. Identify good health and personal hygiene practices F. Describe the practices for maintaining a professional appearance G. Understand how to terminate employment in a responsible manner IV. Legal Roles and Work Ethics Classroom 2 hrs A. Discuss ethical behavior on the job B. Give examples of false imprisonment, defamation, assault, battery, and fraud C. Discuss the legal and ethical aspects of medical records D. Describe how to protect the right to privacy and the confidential nature of information gathered in the health care setting as required by HIPAA regulations E. Explain the nursing assistant s role in preparing and signing wills F. Understand child, elderly, and domestic abuse and the responsibilities of a mandated reporter V. Communicating with the Health Team Classroom 4 hrs CC 4 hrs A. Discuss why the health team members need to communicate B. Demonstrate effective communication as a member of the health care team C. Explain the purpose, parts, and information found in the medical record D. Utilize a 24-hour clock E. List the information to include when reporting to a nurse F. Explain the rules for answering the telephone G. Discuss how to deal with conflict VI. Understanding the Person Classroom 4 hrs CC 2 hrs A. Describe the basic needs identified by Abraham Maslow Kings ROP Nursing Assistant Page 2
B. Discuss how culture and religion influence health and wellness C. Identify the psychological and social effects of illness D. Explain the American Hospital Association s A Bill of Rights E. Demonstrate how verbal and nonverbal communication are used VII. Medical Terminology Classroom 2 hrs A. Identify word elements in medical terms B. Translate Greek and Latin prefixes, roots, and suffixes into English Reading 9/10-1.1 C. Combine word elements into medical terms Reading 11/12-1.2 D. Use medical terminology 1. Four abdominal regions 2. Directional terms that describe the positions of the body VIII. Body Structures and Functions Classroom 48 hrs CC 10 hrs Student will create a oral presentation on one of the body structures Speaking 9/10-2.6 Listen&Speak 9/10-1.7 A. Cells, Tissues, and Organs 1. Identify the basic structures of the cell and explain how the cell divides Biology 1.a 2. Understand the effect of proteins and enzymes Biology 1.b 3. Differentiate between cell types Biology 1.e 4. Discuss the flow of nutrients and oxygen to cells and the removal Biology 9.a of wastes and toxins from the cell 5. Describe the four types of tissue 6. Describe the relationship between cells, tissues, organs, and systems of the body B. Integumentary/Immune System Biology 10 1. Discuss the role of the skin in providing protection for the body 2. Identify signs and symptoms of common diseases of the integumentary system 3. Diagram a cross section of the skin 4. Discuss the five main functions of the skin 5. Identify common disorders of the integumentary system C. Musculoskeletal System 1. Differentiate between the structures of the muscular and skeletal system 2. Explain the difference between muscle and bone functions 3. Discuss voluntary and involuntary muscles 4. Understand the mechanism for when a muscle contracts and relaxes Biology 9.h 5. Label a diagram of both the muscular and skeletal systems 6. Describe common disorders of the musculoskeletal system D. Nervous System 1. Identify the functions and structures of the nervous system Biology 9.d 2. Demonstrate how the nervous system relays communications throughout Biology 9.b the body 3. Differentiate between types of neurons and their functions Biology 9.e 4. Describe the influence of the nervous system on the body 5. Identify the common disorders of the nervous system E. Circulatory System 1. Understand the functions and classification of blood vessels 2. Discuss blood pressure and resulting effects on the circulatory system 3. Identify the major organs of the circulatory system 4. Understand blood as a transport system Biology 9.a 5. Demonstrate how to obtain an accurate blood pressure F. Respiratory System 1. Identify the functions and structures of the respiratory system 2. Understand the exchange of oxygen and carbon dioxide Biology 9.a 3. Describe the effect of respiratory rate on the body Kings ROP Nursing Assistant Page 3
4. Identify common disorders of the respiratory system G. Digestive System 1. Identify the functions and structures within the digestive system 2. Understand the role of enzymes, stomach acid and bile Biology 9.f 3. Describe how the digestive system absorbs nutrients 4. Identify common disorders of the digestive system H. Urinary System 1. Identify the functions and structures of the urinary system Biology 9.g 2. Discuss how the urinary system removes liquid waste and eliminates it from the body 3. Identify common disorders of the urinary system I. Reproductive System 1. Identify the functions and structures of the reproductive system 2. Understand the role of DNA and chromosomes in genetic makeup Biology 2 3. Diagram the inheritance of dominant and recessive genes Biology 3 4. Discuss the encoding of RNA Biology 4 5. Describe how the reproductive system affects the body 6. Identify common disorders of the reproductive system J. Endocrine System 1. Understand the role of hormones as internal feedback mechanisms Biology 9.i 2. Discuss how the endocrine system regulates the condition of the body Biology 9.c 3. Identify functions of the endocrine glands 4. Explain the difference between the endocrine and exocrine glands 5. Identify common disorders of the endocrine system K. Immune System 1. Describe the general functions of the immune system 2. Identify the different types of white blood cells 3. Explain the difference between an antigen and an antibody 4. Describe the activity of lymphocytes and function of antibodies Biology 10.f 5. Identify common disorders of the immune system IX. Growth and Development Classroom 1 hrs A. Understand the principles of growth and development B. Identify the developmental tasks of each age group C. Describe the normal growth and development for each age group X. Care of the Older Person Classroom 2 hrs A. Describe the effects of retirement B. Identify the social changes common in older adulthood C. Describe how a partners death affects the survivor D. Discuss the changes that occur in the body systems during aging and the care required E. Understand the rights and how to promote a resident s quality of life XI. Safety Classroom 2 hrs CC 2 hrs A. Describe accident risk factors B. Identify safety precautions for infants and children C. Describe the safety measures for burns, falls, poisoning, and suffocation D. Explain why a person is identified before receiving care E. Explain the purpose and complications of restraints and demonstrate how to use them safely XII. Preventing Infection Classroom 4 hrs CC 8 hrs A. Identify what microbes need to live and grow Biology 10.d B. Explain the chain of infection as well as the signs and symptoms C. Describe nosociomial infection and the person at risk D. Describe the practices of medical asepsis Kings ROP Nursing Assistant Page 4
E. Define how to carry out Standard and Transmission-Based precautions F. Explain the blood borne pathogen standard XIII. Body Mechanics Classroom 4 hrs CC 4 hrs A. Identify comfort and safety measures for lifting, turning, and moving persons in a bed B. Explain why good body alignment and position changes are important XIV. Care of the Person s Unit Classroom 3 hrs CC 2 hrs A. Identify the typical comfortable temperature range and those required by OBRA B. Discuss how lighting, drafts, and odors affect comfort C. Demonstrate how to make a closed, occupied, surgical and open bed XV. Personal Hygiene Classroom 14 hrs CC 44 hrs A. Discuss the routine personal hygiene care given at intervals throughout the day B. Describe the importance of oral hygiene and the observations to report C. Demonstrate how to brush dentures and teeth D. Describe the rules for safe bathing and the observations to make E. Demonstrate how to give a bed bath F. Explain the purpose of back massage G. Explain the purpose of perineal care XVI. Personal Care and Grooming Classroom 8 hrs CC 20 hrs A. Identify the factors that affect hair care B. Explain why foot and nail care are so important C. Describe the measures that are practiced when shaving a person D. Explain the rules for changing hospital gowns and clothing E. Demonstrate personal care and grooming: shampooing hair, shaving, combing hair, and dressing and undressing XVII. Urinary System and Bowel Elimination Classroom 4 hrs CC 4 hrs A. Identify the characteristics of normal urine and observations to make B. Describe urinary incontinence and the care required C. Explain the uses and rules for straight, indwelling, and condom catheters D. Describe the rules for collecting urine specimens E. Discuss normal bowels stools and the normal pattern of bowel movements F. Describe the factors that effect bowel elimination, comfort, and safety G. Explain why enemas are given and demonstrate the rules to giving one H. Describe how to care for a person with an ostomy XVIII. Nutrition and Fluids Classroom 4 hrs CC 6 hrs A. Describe the functions and major sources of protein, carbohydrates, fats, vitamins and minerals B. Explain how to prevent aspiration and regurgitation C. Describe normal adult fluid restrictions and the common causes of dehydration D. Explain the purpose of intake and output records NumberSense 7-1.1 E. Calculate the difference between intake and output Measuring 7-1.1 XIX. Measuring Vital Signs Classroom 6 hrs CC 8 hrs A. Discuss the necessity of measuring vital signs and the factors affecting them B. Identify the normal ranges of oral, rectal, auxiliary, and tympanic membrane temperatures C. Demonstrate how to measure a temperature, blood pressure, pulse, and respiration D. Measure height and weight and perform appropriate calculations Algebra 15.0 Kings ROP Nursing Assistant Page 5
XX. Activity, Comfort and Rest Classroom 3 hrs CC 4 hrs A. Describe bed rest, the complications, and how to prevent them B. Demonstrate range-of-motion exercises C. Explain four types of pain and the signs and symptoms of each D. Discuss common sleep disorders E. Explain circadian rhythm and how it affects sleep XXI. Admissions, Transfers, and Discharges Classroom 2 hrs CC 2 hrs A. Discuss what happens in the admitting office B. Demonstrate how to prepare a room and admit a person to the nursing unit C. Explain how a person is transferred to another agency or nursing unit D. Discuss how a person is prepared for discharge XXII. Assisting with the Physical Needs of the Person Classroom 6 hrs CC 2 hrs A. Explain the rules and responsibilities in assisting with a physical examination B. Describe four examination positions and how to drape the person for each C. Explain how people are physically and psychologically prepared for surgery D. Discuss how to meet hygiene, nutrition, fluid, and elimination needs during surgery E. Describe the signs, symptoms, and causes of pressure and circulatory ulcers F. Describe the different types of wounds and rules for applying dressings G. Identify the purposes, effects, and complications of heat and cold applications H. Explain the difference between moist and dry heat and cold applications I. Identify the signs and symptoms of hpoxia and altered respiratory function J. Explain how positioning, coughing, deep breathing, and incentive spirometry promote oxygenation K. Explain how to assist in the care of persons with artificial airways or chest tubes XXIII. Rehabilitation and Restorative Care Classroom 4 hrs CC 4 hrs A. Identify the complications that are prevented by successful rehabilitation B. Demonstrate how to help disabled persons perform activities of daily care C. Explain you responsibilities and how to promote quality of life during the rehabilitation process XXIV. Hearing and Vision Problems Classroom 2 hrs CC 2 hrs A. Explain otitis media and Meniere s disease B. Describe common causes for loss in hearing and speech C. Describe how to communicate with the speech and hearing impaired person D. Discuss the care of the hearing or vision impaired person and their personal devices XXV. Common Health Problems Classroom 4 hrs CC 2 hrs A. Discuss cancer and its treatment B. Explain how to maintain joint function in persons with arthritis C. Describe the affects of amputation D. Describe stroke, its signs and symptoms, and the care required E. Describe Parkinson s disease and multiple sclerosis F. Identify the signs, symptoms, and complications of diabetes G. Discuss the signs, symptoms and necessary precautions for hepatitis and AIDS Biology 10.e XXVI. Mental Health Problems and Developmental Disabilities Classroom 6 hrs A. Describe the difference between mental health and mental illness B. Discuss the different types of mental disorders C. Describe the care required by a person with a mental disorder D. Describe confusion and its causes E. Explain Alzheimer s disease and the affects and the family F. Discuss the different types of developmental disabilities G. Explain how developmental disabilities affect the child and the family across the life span Kings ROP Nursing Assistant Page 6
XXVII. Sexuality Classroom 2 hrs A. Describe the difference between sex and sexuality B. Discuss the changes in sexuality throughout life and affects of illness and injury C. Describe how to deal with a sexually aggressive person XXVIII. Caring for Mothers and Newborns A. Describe the care needed by mothers during postpartum B. Explain how to care for a newborn C. Discuss the signs and symptoms of illness in infants Classroom 1 hrs XXIX. Basic Emergency Care Classroom 14 hrs CC 4 hrs A. Describe the general rules of emergency care B. Identify the signs of cardiac arrest and obstructed airway C. Explain the difference between internal and external hemorrhage D. Identify the signs of and emergency care for shock E. Describe the different types of seizures and how to care for the person during a seizure F. Describe burns, their causes, and emergency care G. Describe the signs and emergency care for stroke XXX. The Dying Person Classroom 2 hrs A. Identify the psychological forces that influence living and dying B. Explain how culture and religion influence attitudes about death C. Define hospice care D. Explain how to promote quality of life for the dying person E. Identify the signs of approaching death and the signs of death F. Explain what is meant by a do not resuscitate order XXXI. Acute Care Nurse Assistant Option Classroom 16 hrs CC 12 hrs In this concentration option the total hours will replace specialization hours in other units A. Care of the Surgical Patient 1. List care measures provided for the pre-operative patient 2. Explain the safe management of the patient with various tubes 3. Identify various types of binders and state their purpose B. Care of the Surgical Patient 1. Explain the nurse assistant s role in providing comfort measures 2. Give examples of hot and cold applications C. Gastrointestinal / Nutritional Care 1. List specific GI diagnostic tests 2. Describe how to perform oropharyngeal suctioning 3. Explain how to empty drainage collection systems 4. Describe significant changes in the patient s condition to report to the nurse 5. Explain how to document changes in the gastrointestinal patient s condition D. Genitourinary/ Reproductive/ Endocrine Care 1. Describe procedures and nursing care for various renal, reproductive, and endocrine problems 2. Identify the basic, abnormal signs and symptoms associated with urinary, reproductive, and endocrine disorders 3. Describe the difference between hemodialysis and peritoneal dialysis E. Respiratory System 1. Describe patient positioning for maximum lung expansion 2. Describe how to assist the patient with procedures that improve breathing 3. Identify common tests/ procedures performed for determining cause/status of respiratory problems 4. Describe basic care for patients receiving oxygen therapy 5. Describe proper procedure for oral suctioning Kings ROP Nursing Assistant Page 7
F. Orthopedic Care 1. Identify common complications of the orthopedic patient 2. Describe the purpose and role of the nurse assistant in performing neurovascular checks 3. Describe the basic principles of traction and the role of the nurse assistant 4. Describe principles of cast care 5. State types of joint replacements and related care of patients G. Neurological Care 1. Explain common tests used to diagnose neurological disorders 2. Describe abnormal signs, symptoms or behaviors related to neurological disorders 3. Recognize signs and symptoms of swallowing disorders and necessary precautions to follow 4. Describe equipment commonly used in caring for patients with neurosurgery, head trauma, and spinal cord injuries H. Oncology, Immunosuppression, Death and Dying 1. Identify personal attitude about cancer, AIDS, and death 2. List risk factors associated with cancer 3. List the early signs and symptoms of cancer 4. Explain common cancer treatments and related side effects 5. Describe special care measures for immunosuppressed patients 6. Describe the ways HIV is transmitted 7. Identify signs, symptoms, and opportunistic infections common to AIDS patients 8. Describe special nursing care measures for the AIDS patient Total hours Classroom 170 hrs CC 136 hrs Kings ROP Nursing Assistant Page 8