NURSING ASSISTANT SKILL PROFICIENCY PERFORMANCE LIST (NAPP)

Transcription

1 NURSING ASSISTANT SKILL PERFORMANCE LIST (NAPP) LIPPINCOTT TEXTBOOK FOR NURSING ASSISTANTS, A HUMANISTIC APPROACH TO CAREGIVING 4 TH EDITION Student Name: DixieID: Program Start Date: SU2018, FA18 & SP19 Program End Date: This document becomes a permanent part of the student record and must be 100% complete for training completion, including instructor signature. Students must be provided adequate opportunity to practice and gain proficiency for each skill. Proficiency must be confirmed for each skill listed by documenting the date proficiency achieved and the initials of the training program staff verifying proficiency. By signing below the instructor verifies that student has learned and proficiently demonstrated these skills. Instructor Signature: Date: SKILLS Unit 1 Certification UNAR ( Login and complete TMU account (Name must match ID that will be used in testing) See TMU tutorial and keep Log-in card for future use Not Required Not Required Unit 2 Intro to Healthcare Demonstrate Beginning & Ending Procedures Ch. 12 Guidelines Box 12-2, pp Unit 1 Intro to Health Care Ch. 1-6 & pp Unit 3 Communication Unit 1 Intro to Health Care Ch. 5, pp Demonstrate ability to converse with residents (role play) Ch. 5, pp Give verbal report (role play) Ch. 5, pp Call light positioning Ch. 16, pp. 297 Hearing aid/ eyeglass care SBAR Intro to concise reporting Ch. 33, p. 664 & p. 669 Find example online Unit 4 Infection Prevention Unit 3 Safety Ch Handwashing UNAR S1 Procedure 10-1 p. 173 *Wash hands a

2 Hand Sanitizer minimum of 20 seconds (CDC, 2018) Procedure 10-2 p. 174 Gloving (don, doff) Procedure 10-3 p. 174 Putting on and removing personal protective equipment (gown, gloves, mask) UNAR S10 Procedure 10-7 p. 178 Bloodborne & Airborne Pathogens Ch. 11 pp BBP EXAM Unit 5 Basic Safety & Emergencies Unit 3 Safety, Ch. 15 Basic First Aid & Emergency Care, pp Abdominal thrust/heimlich Maneuver Restraints/Quick release knot Unit 6 Positioning & Ambulation Procedure 15-1 p. 277 Ch. 13 Patient Safety & Restraint Alternatives, pp Unit 3 Safety, Ch. 14 Positioning, Lifting, & Transferring Pts/Resdnts, pp Moving & Positioning: Ch. 14 p. 237 Lateral UNAR S21 Ch. 14 p. 236 Supine Ch. 14 p. 237 Prone Ch. 14 p. 237 Sim s Ch. 14 p. 238 Fowlers; including semi and high Ch. 14 p. 236 Sitting Ch. 14 p. 238 Assisting to move to the head of the bed (1 CNA) Assisting to move to the head of bed using draw sheet/lift/transfer sheet (2 CNAs) Video: Module 3 - #6 Move person (up) in bed Procedure 14-3 p. 249 Revised: May 2018 P a g e 2

3 Moving a resident to one side of the bed Procedure 14-1 p. 247 Turning a resident away from you Procedure 14-5 p. 250 (9a) Turning a resident toward you Procedure 14-5 p. 250 (9b) Logrolling a Resident UNAR S17 Assist to edge of bed to dangle Procedure 14-6 p. 251* *Teach skill using 2 CNAs Procedure p. 261 Proper use of the gait belt (used whenever assisting to ambulate or transfer): Assist to ambulate, including resident with an affected side UNAR S5 Assist to ambulate a visually impaired resident Assist to ambulate with a cane Procedure 14-7 p. 253 Procedure pp Ch. 33 Unit 6 Guidelines Box 33-1 *Ambulating blind persons Table 14-1 p. 245 *Cane Assist to ambulate with a walker UNAR S6 Pivot transfer from bed to wheelchair and wheelchair to bed (including resident with an affected side) UNAR S22 Proper wheelchair/geriatric chair positioning Table 14-1 p. 245 *Walker Procedure 14-8 p. 254 Ch. 14 p. 238 Figure 14-5 (F & B) Pressure ulcer prevention Ch. 28 pp Assisting a falling resident Applying a Transfer (Gait) Belt Ch. 12 p. 200 Box 12-1 Minimizing Injury Risk r/t Falls Procedure 14-7 p. 253 Unit 7 Resident Environment Unit 4 Basic Patient & Resident Care, Ch.16 The Pt/Resdnt Enviro, pp Revised: May 2018 P a g e 3

4 Bed making Ch. 18 p Occupied bed making Occupied draw sheet change UNAR S20 Ch. 18 p. 320 Procedure 18-2 p. 324 Procedure 18-2 p. 324 Height; standing and supine Weight: standing & wheelchair Ch. 19 Ht/Wt, pp Ch. 19 Ht/Wt, pp Unit 8 Basic Human Needs Unit 1 Intro to Health Care, Ch. 6 Culture, Religion, Growth, Sexuality, Gender & No applicable skills Development Across the Lifespan pp Humanistic Health Care Ch. 6 p. 100 Unit 9 Vital Signs Unit 4 Basic Patient & Resident Care, Ch. 19 & 20 / Unit 6 Body Fx, Ch. 30 Reading electronic and digital thermometers Measuring and documenting oral, temporal, and tympanic temperatures Measuring and documenting radial and apical pulses (within 4) Measuring and documenting respirations (within 2) UNAR S3 Measuring and documenting blood pressure 1-step method (within 10mmHG) UNAR S2 Measuring and documenting blood pressure 2-step method (within 10mmHG) UNAR S2 Measuring and documenting blood pressure with electronic BP machine Measuring and documenting oxygen saturation and pulse using a pulse oximeter Observing resident for signs of pain and asking questions when a resident Ch. 19 pp Ch. 19 pp Ch. 19 pp Ch. 19 p. 338 Ch. 19 pp Video: Module 6 - #9 BP Ch. 19 pp Procedure 19-9, pp Ch. 19 pp Guidelines Box 19-1 p. 342 Ch. 30 p. 608 Fig *Demo use of PO/document Ch. 20 pp Table 20-1 Pain Revised: May 2018 P a g e 4

5 reports pain; numerical and faces pain scale (role play) Cold pack application and monitoring Application of anti-embolism stockings UNAR S4 Apply nasal cannula and oxygen mask and check oxygen flow rate Changing out O2 Tank w/ regulator Scales & p NA Role r/t pain mgmt Ch. 20 pp Procedure 20-3 p. 378 Ch. 31 p. 632 Procedure 31-1 p. 638 (also p. 802) Ch. 30 p. 610 Guideline 30-2 p. 607 Ch. 30 p. 610 Unit 10 Hygiene and Grooming Unit 4 Basic Patient & Resident Care, Ch. 21 Hygiene & Ch. 22 Grooming Complete Bed Bath/Partial Bed Bath Tub Bath/Shower (demo/discussion) Backrub Perineal care; male and female Haircare/shampoo; bed, sink, dry shampoo, shower cap Ch. 21 pp Procedures 21-7 & 21-8, pp Ch. 21 Procedure 21-6, pp Ch. 21 p. 395 Procedure 21-9 pp Ch. 21 pp Video: Module 7 - #8 Perineal Care Ch. 22 pp Procedure 22-5 pp Oral Care Ch. 21 pp Ch. 21 Procedure 21- Conscious resident 1, pp Natural teeth UNAR S18 Ch. 21 pp Dentures UNAR S11 Ch. 21 p. 385 Unconscious residentaspiration precautions UNAR S19 Shaving/ electric and safety razor Follow State Cert Exam Guide *NO toothpaste or tongue blade! Ch. 22 pp Procedure 22-7, pp AM & PM care Ch. 21 pp Revised: May 2018 P a g e 5

6 Nailcare/footcare, including trimming nails and toenails Dressing/undressing, including resident with an affected side UNAR S12 Unit 11 Nutrition Ch. 22 pp Procedure 22-1 & 22-2, pp Ch. 22 pp Figure 22-6, p. 421 Unit 4 Basic Patient & Resident Care, Ch. 23 Basic Nutrition Position resident and serve a meal Ch. 23 pp tray Assist resident at mealtime Ch. 23 p. 449 Figure 23-5 & 23-6, p. 449 Feed resident a complete meal UNAR Ch. 23 pp S14 Procedure 23-1, p. 460 Feed a resident with swallowing Ch. 23 p. 451 difficulties *Thickened liquids & small small, slow bites Estimate the amount of solid food Ch. 23 p. 451 eaten * I & O worksheet Measure and record fluid intake Ch. 23 pp * I & O worksheet Convert ounces to ml/cc Ch. 23 p. 457 * I & O worksheet Unit 12 Body Systems; GI & GU, MS Unit 4 Basic Patient & Resident Care, Ch. 24 Urinary & Bowel Elimination Provide assist to nurse with resident care pre- and post-enema Ostomy care: skin care, empty bag, bag change Assisting with a bedpan/fracture pan UNAR S7 Assisting resident with bedside commode/ to bathroom Brief change including pericare; male and female UNAR S8 & UNAR S9 Ch. 24 pp Procedure 24-8, pp Ch. 24 pp Procedure 24-9, pp Ch. 24 pp Figure 24-2, p. 466 & Procedure 24-1, pp Ch. 24 pp Figure 24-1 (B), p. 466 *See UNAR Exam Guide for brief Revised: May 2018 P a g e 6

7 change & Ch. 21 pp Video: Module 7 - #8 Perineal Care Assists a male resident with a urinal Ch. 24 p. 467 Fig. 24-3, p. 467 Indwelling catheter care; including tubing and bag positioning UNAR S15 & UNAR S16 Empty down drain bag and measure urine output using a graduate UNAR S13 Applying an abduction pillow for hip fracture or s/p hip replacement surgery secondary to Osteoarthritis Urinary Incontinence Types & Mgmt. Ch. 24 pp *Cath Care p. 475 & procedure 24-6, pp Ch. 24 Procedure 24-7, pp Ch. 29 pp , Figure 29-11, p. 577 Ch. 24 pp Unit 13 Mental Health & Mental Illness Unit 7 Special Care Concerns, Ch. 40 Caring for People with Mental Illness No applicable skills Ch. 40 pp Unit 14 Cognitive Impairment & Dementia Unit 2 LT Care, Ch. 8 The LTC Resident & Ch. 9 Caring for People with Dementia No applicable skills Ch. 8 pp & Ch. 9 pp Unit 15 Rehabilitation & Restorative Care Unit 7 Special Care Concerns, Ch. 38 Caring for People with Rehabilitation Needs Range of motion exercises; passive and active Ch. 38 pp Unit 16 End of Life Care Unit 5 Death & Dying, Ch. 25 & Ch. 26 Caring for People who are Terminal/Dying Post mortem Care Ch. 25 & 26 pp *Discuss actual cares for Post mortem NOT in text Revised: May 2018 P a g e 7