Required Materials For complete material(s) information, refer to

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1 Butler Community College Health, Education and Public Services Division Jane Perkins Revised Spring 2017 Implemented Fall 2017 COURSE OUTLINE Nurse Aide Course Description AH 122 Nurse Aide. 5 hours credit. Prerequisite: A score at a predetermined level on a placement instrument. This course will enable the student to learn basic nursing skills and concepts of aging through classroom and clinical experience. The student will follow Health Occupations Credentialing (HOC) guidelines in order to prepare to take the Kansas Certified nurse aide test. Required Materials For complete material(s) information, refer to Butler-Assessed Outcomes The intention is for the student to be able to 1. Demonstrate nursing skills compatible with the job description for nurse aide. 2. Complete the State of Kansas Certified nurse aide test. Learning PACT Skills that will be developed and documented in this course Through involvement in this course, the student will develop ability in the following PACT skill area(s): Technology Skills Discipline specific technology - Through return demonstrations in the simulated laboratory and/or clinical setting, the student will demonstrate critical elements of selected nursing skills. Major Summative Assessment Task(s) These Butler-assessed Outcome(s) and Learning PACT skill(s) will be demonstrated by 1. Providing appropriate basic nursing skills and competencies care to nursing home residents. 2. Completing the State of Kansas Certified nurse aide test. Skills or Competencies These actions are essential to achieve the course outcomes: 1. Identify the scope of practice and responsibilities of the nurse aide. 2. Apply principles of clear respectful verbal, nonverbal, and written communication to care. 3. Relate the importance of respect and cultural awareness. 4. Describe practices to maintain a clean safe environment. 5. Obtain and document accurate observations and vital signs. 6. Demonstrate basic nursing skills. 7. Develop safe nurse aide practices. 8. Recognize age related changes. AH 122 Nurse Aide 1

2 9. Relate stages of death and dying and care of a terminal resident. 10. Discuss basic first aid. Learning Units I. Working in an adult care home A. Goals of long term care facilities B. Types of long term care facilities in Kansas C. Facts about aging D. Regulation of long term care E. Members of the health care team F. Organization of the adult care home G. Roles and responsibilities of the certified nurse aide H. Desirable traits, including grooming habits I. Employment policies of the adult care home J. Resident rights K. Cultural awareness L. Resident plan of care 1. Purpose 2. Certified Nurse Aide (CNA) role M. Admitting, transferring, and discharging N. Observing, reporting, and recording O. Medical abbreviations P. The resident s medical record Q. Principles of charting II. III. Basic communication skills A. Communication with resident B. Communication with family and friends C. Communication with staff members D. Mechanical devices that promote communication 1. Phone 2. Pager 3. Intercom Basic human needs A. Maslow s hierarchy of needs B. Meeting physical needs C. Meeting safety and security needs D. Meeting love and belonging needs E. Meeting self-esteem needs F. Meeting self-actualization needs IV. Principles of body mechanics A. Definition B. General Principles AH 122 Nurse Aide 2

3 C. Lifting D. Moving E. Transferring F. Body alignment G. Positioning H. Assistive devices V. Safe use of mechanical devices A. Equipment B. Restraints 1. Use 2. Alternatives VI. VII. Infection prevention and control A. Basic principles of transmission B. Techniques to control infection C. Isolation precautions 1. Standard precautions 2. Transmission based precautions Basic nursing care A. Resident s unit 1. Furniture and equipment 2. Environmental comfort measures 3. Daily maintenance 4. Bed making B. Hygiene and grooming 1. Factors affecting hygiene 2. Oral care 3. Skin care and bathing 4. Backrub 5. Dressing and undressing 6. Hair care 7. Nail care 8. Facial care 9. Special skin care, wound, ulcers, and dressings C. Nutrition and fluids 1. Factors affecting nutritional status 2. Dietary department responsibilities 3. Role of the nurse aide 4. Hydration measures 5. Measuring height and weight 6. Modified diets 7. Meal assistance 8. Documentation D. Elimination AH 122 Nurse Aide 3

4 1. Assisting 2. Intake and output 3. Incontinent care 4. Bladder retraining 5. Care of indwelling catheter 6. Care of external catheter 7. Constipation: cause and prevention 8. Bowel programs 9. Documentation VIII. Measuring vital signs A. Temperature B. Pulse C. Respirations D. Blood pressure E. Normal and normal ranges F. Documentation IX. Safety A. Principles of safety precautions with the elderly B. Risk identification and risk reduction C. Oxygen D. Fire E. Tornado F. Other natural disasters G. Elopement X. Age related physical changes A. Overview of normal anatomy and physiology B. Integumentary changes C. Nervous system changes, including smell and taste D. Cardiovascular system changes E. Respiratory system changes F. Musculoskeletal system changes G. Gastrointestinal system changes H. Endocrine system changes I. Urinary system changes J. Reproductive system changes K. Care considerations related to physical changes XI. Immobility A. Prevention B. Complications 1. Circulatory 2. Respiratory 3. Urinary AH 122 Nurse Aide 4

5 4. Gastrointestinal 5. Musculoskeletal 6. Psychosocial 7. Skin a. Stages of tissue breakdown b. Treatment C. Special care 1. Casts 2. Amputation 3. Prosthesis XII. Sexuality in aging A. Physical changes B. Social aspects XIII. Losses in aging A. Physical B. Psychosocial C. Response to admission into an adult care facility D. CNA actions to ease feelings of loss E. Healthy responses to aging XIV. Rehabilitative and restorative care A. Definition B. Facility services C. Treatment methods D. Responsibility of the CNA XV. Caring for the confused or withdrawn resident A. Definition B. Symptoms C. Psychosocial implications D. Environmental considerations E. Special communication methods F. Causes of identified behaviors 1. Restlessness 2. Wandering 3. Repetitive behavior 4. Sundown syndrome 5. Combative behavior 6. Catastrophic behavior G. Managing behaviors H. Managing withdrawal I. Managing depression J. Responses to inappropriate behavior K. Remotivation groups AH 122 Nurse Aide 5

6 L. Reminiscence groups M. Validation therapy XVI. Caring for the dying resident A. Cultural attitudes about death B. Physical, emotional, and spiritual needs C. Stages of death and dying D. Signs of approaching death E. Responses to death by others F. Death in a facility G. Postmortem care XVII. Special procedures A. Heat and cold B. IVs C. Oxygen administration D. Circulatory stockings E. Hearing aids F. Eye prosthesis G. Specimens H. Feeding tubes XVIII. First aid in the adult care home A. General guidelines B. Abrasions and lacerations C. Nosebleeds D. Burns E. Stroke F. Falls G. Poisoning H. Airway obstruction I. Seizure J. Other medical emergencies XIX. Working as a CNA A. Certification requirements B. Nurse aide registry Learning Activities Independent and collaborative learning activities will assist the student to achieve the intended learning outcomes. The following teaching/learning activities will guide the student to achieve course outcomes: lecture, audio-visual aids, class discussion, study guides, group activities, guest speakers, tests, demonstration, return demonstration, supervised clinical experience and other methods of evaluation at the discretion of the instructor. These activities may either be face-to-face or online. AH 122 Nurse Aide 6

7 Grade Determination The student will be graded on learning activities, exams, assessment tasks, and other methods of evaluation at the discretion of the instructor. The student must pass the clinical component of the course to earn a passing grade. The student must also be able to demonstrate competency of basic nursing skills as listed on the Kansas Nurse Aide Checklist, Part I and Part II. The student must earn a letter grade of C or higher (75%) to take the State of Kansas Certified nurse aide test. The student is required to attend or make up all classroom and clinical sessions in order to meet the State attendance requirements. AH 122 Nurse Aide 7