Western Technical College 30543300 Nursing Assistant Course Outcome Summary Course Information Description Career Cluster Instructional Level Total Credits 3.00 The course prepares individuals for employment as an entry level nursing assistant in a health care facility where he / she will perform selected tasks supportive to nursing. Role responsibilities and functions of the nursing assistant are defined. Classroom and clinical laboratory experiences in these skills are provided. Health Science Technical Diploma Courses Textbooks Nursing Assisting: A Foundation in Caregiving (Textbook). 4th Edition. Copyright 2016. Dugan, Diana. Publisher: Hartman Publishing Company. ISBN-13: 978-1-60425-061-9. Required. Nursing Assisting: A Foundation in Caregiving (Workbook). 4th Edition. Copyright 2016. Dugan, Diana. Publisher: Hartman Publishing Company. ISBN-13: 978-1-60425-062-6. Required. 543-300 Nursing Assistant Student Handbook and DVD. Western. Publisher: Western. Required. Learner Supplies Nursing Assistant Western Patch (Blue) - $3.50. Vendor: Campus Shop. Required. Uniform. Vendor: To be discussed in class. Required. Watch with second hand - $10-20. Vendor: To be discussed in class. Required. Students are responsible for transportation to clinical sites. Vendor: To be discussed in class. Required. Certification fee after completion of program payable to WINNAP - $115.00. Vendor: To be discussed in class. Required. Core Abilities 1. Apply mathematical concepts. 2. Demonstrate ability to think critically. Course Outcome Summary - Page 1 of 6
3. Demonstrate ability to value self and work ethically with others in a diverse population. 4. Make decisions that incorporate the importance of sustainability. 5. Transfer social and natural science theories into practical applications. 6. Use effective communication skills. 7. Use technology effectively. Course Competencies 1. Relate understanding of health care facilities, team members and roles and responsibilities of team members. 1.1. complete reading, workbook pages and video (s) per learning activities 1.2. Clinical Evaluation 1.3. Skill Demonstration 1.4. Achieve a minimum 78% on written exams 1.a. Examine the requirements for a professional: hygiene, dress, communication and behavior associated with the health care role 1.b. Define the roles of the various health care professionals. 1.c. Explain financial support associated with the health care system. 1.d. Define registry status and requirements for maintaining registry status of the nursing assistant. 1.e. Identify the supervisory channels within the facility 1.f. Recognize the components of working relationships 2. Assume responsibility for client rights and needs. 2.1. complete reading, workbook pages and video (s) per learning activity 2.2. Clinical Evaluation 2.3. Skill Demonstration 2.4. Achieve a minimum 78% on written exams 2.a. Define terms and relate the meaning to each individual client. 2.b. Explain professional behavior that is expected of each individual working in health care. 2.c. Define OBRA. 2.d. Report the procedure for reporting any violation of the rights of a client. 2.e. Explain Residents Rights 3. Use appropriate communication techniques related to caregiving. 3.1. complete reading, workbook pages and video (s) per learning activity 3.2. Clinical Evaluation 3.3. Skill Demonstration 3.4. Achieve a minimum 78% on written exams 3.a. Describe verbal and nonverbal communication skills 3.b. Recognize effective listening techniques Course Outcome Summary - Page 2 of 6
3.c. 3.d. 3.e. Recognize common barriers to communication: vision changes, hearing impairment, speech problems, memory changes and pain Show adaptive communication approaches with the dementia client Explain various tools for communication on the nursing unit. 4. Demonstrate accurate interpretation and documentation principles. 4.1. Complete reading, workbook pages and video (s) per learning activity 4.2. Clinical Evaluation 4.3. Skill Demonstration 4.4. Achieve a minimum 78% on written exams 4.a. Define common medical terms and abbreviations 4.b. Apply legalities associated with charting. 4.c. Demonstrate documentation procedure. 4.d. Demonstrate thorough observation and report objective information 4.e. Explain the information to collect and report in regard to pain. 5. Incorporate safety into all aspects of practice and care to client. 5.1. complete reading, workbook pages and video (s) per learning activity 5.2. Clinical Evaluation 5.3. Skill Demonstration 5.4. Achieve a minimum 78% on written exams 5.a. Demonstrate appropriate response to emergency situations 5.b. Demonstrate appropriate response to unsafe environment conditions 5.c. Demonstrate appropriate response when a client may be choking 5.d. Maintain the safety and cleanliness of client care areas and areas where food is stored 5.e. Verify common causes of falls. 5.f. Define common alternatives to restraints in accordance with current professional standards 5.g. Qualify guidelines associated with restraint use. 6. Apply safe accurate infection control technique in the facility and in client care. 6.1. complete reading, workbook pages and video (s) per learning activity 6.2. Clinical Evaluation 6.3. Skill Demonstration 6.4. Achieve a minimum 78% on written exams 6.a. Define infection control terms 6.b. Demonstrate appropriate techniques for hand hygiene 6.c. Demonstrate commonly accepted infection control practices: proper gloving and proper disposal of blood and body fluids and secretions 6.d. Make use of proper isolation techniques 6.e. Demonstrate procedures for maintaining a clean environment 7. Utilize proper body mechanics in all cares and procedures. 7.1. complete reading, workbook pages and video (s) per learning activity 7.2. Clinical Evaluation 7.3. Skill Demonstration 7.4. Achieve a minimum 78% on written exams 7.a. Perform simple range of motion exercises 7.b. Use proper body mechanics 7.c. Explain the purpose and rules of using good body mechanics. Course Outcome Summary - Page 3 of 6
7.d. 7.e. 7.f. 7.g. 7.h. Demonstrate appropriate techniques in walking, transferring, positioning, and transporting clients Transfer clients safely utilizing equipment appropriately: gait belt, friction reducing devices, mechanical lifts, and wheelchairs Promote appropriate positioning of clients by use of pillows, towel rolls, padding, and footboards Assist clents with use of crutches, walkers, wheelchairs, canes, prostheses, and appliances Use observation skills and report abnormal findings 8. Deliver thorough body hygiene according to the individualized need for each client. 8.1. complete reading, workbook pages and video (s) per learning activity 8.2. Clinical Evaluation 8.3. Skill Demonstration 8.4. Achieve a minimum 78% on written exams 8.a. Explain the importance of cleanliness and skin care 8.b. Give a complete or partial bed bath 8.c. Apply appropriate oral hygiene practices including care for dentures 8.d. Assist clients in taking baths and showers 8.e. Provide care of the perineal area 8.f. 8.g. 8.h. 8.i. 8.j. 8.k. Assist clients with the care of skin, hair, and nails Shampoo and shave clients Describe techniques related to pressure ulcer prevention Make occupied and unoccupied beds Apply nonprescription ointments to unbroken skin areas Use observation skills and report abnormal findings 9. Advocate total nutrition and hydration to each client's individualized need. 9.1. complete reading, workbook pages and video (s) per learning activity 9.2. Clinical Evaluation 9.3. Skill Demonstration 9.4. Achieve a minimum 78% on written exams 9.a. Describe factors that affect eating and nutrition. 9.b. Recognize the basic requirements of commonly prescribed therapeutic diets 9.c. Prepare clients for meals 9.d. Assist clients to eat nutritionally balanced meals 9.e. Assist in feeding clients using adaptive devices and utensils 9.f. Record accurately on meal percentage record 9.g. Record accurately on an intake and output record. 9.h. Report deviations from normal food and fluid intake and output 10. Demonstrate ability to care for the bowel and bladder needs of each client. 10.1. complete reading, workbook pages and video (s) per learning activity 10.2. Clinical Evaluation 10.3. Skill Demonstration 10.4. Achieve a minimum 78% on written exams 10.a. Identify the characteristics of urine and bowel elimination 10.b. Describe the necessary steps to maintain normal urine and bowel elimination for clients. 10.c. Describe the required cares for clients who experience urinary and or bowel incontinence 10.d. Describe the rules for catheter care. 10.e. Describe the bowel and bladder training program. 10.f. Use observation skills and report abnormal findings 11. Measure accurately the vital signs of each client as assigned by licensed staff. Course Outcome Summary - Page 4 of 6
11.1. complete reading, workbook pages, and video (s) per learning activity 11.2. Clinical Evaluation 11.3. Skill Demonstration 11.4. Achieve a minimum 78% on written exams 11.a. Measure temperature, pulse, and respiration 11.b. Explain the factors affecting vital signs. 11.c. Relate the normal vital sign ranges for an adult. 12. Accept responsibility for special needs of each client. 12.1. Complete reading, workbook pages and video (s) per learning activity 12.2. Clinical Evaluation 12.3. Skill Demonstration 12.4. Achieve a minimum 78% on written exams 12.a. Measure client height and weight 12.b. Explain the safety principles associated with Oxygen Therapy. 12.c. Demonstrate the nursing assistant responsibilities associated with elastic stockings 12.d. Explain the procedure for collecting urine or stool specimens 12.e. Use observation skills and report abnormal findings 13. Relate characteristics of common health problems to specific client needs. 13.1. complete reading, workbook pages and video (s) per learning activity 13.2. Clinical Evaluation 13.3. Skill Demonstration 13.4. Achieve a minimum 78% on written exams 13.a. Describe common health disorders, signs/symptoms, and care associated with the disorder 13.b. Describe the role of rehabilitation team members. 13.c. Demonstrate concern for clients with long-term or disabling illnesses 13.d. Promote independence of clients within the limitations of physical, mental, and intellectual impairments 13.e. Observe for and report changes in client behavior and physical status 13.f. Recognize the general effects of prescribed routine medications 14. Apply appropriate alternative approaches in the care of the dementia client. 14.1. complete reading, workbook pages and video (s) per learning activity 14.2. Clinical Evaluation 14.3. Skill Demonstration 14.4. Achieve a minimum 78% on written exams 14.a. Recognize the needs of a client with Alzheimer's disease and dementia 14.b. Identify therapeutic interventions and specialized techniques for responding to wandering and confusion 14.c. Demonstrate an understanding of dementia including the cause, course, and symptoms of cognitive impairment 14.d. Explain how to modify communication and approaches to facilitate effective interaction 14.e. Recognize specialized techniques to address nutrition and fluid intake problems associated with dementia 14.f. Demonstrate how to reduce environmental stimuli to reduce stress, maximize normal function and prevent excess disability 14.g. Identify client behaviors that may indicate an attempt to communicate unmet needs 14.h. Recognize how pain impacts behavior 14.i. Investigate methods to involve the client in his/her day: personal and work history, family, past interests, Course Outcome Summary - Page 5 of 6
14.j. 14.k. preferences, values and background Recognize that dementia leads to stress for the client, significant others, and the nursing assistant Use observation skills and report abnormal findings 15. Incorporate understanding and respect with the care of each client during their stages of growth, aging and finally death. 15.1. complete reading, workbook pages and video (s) per learning activity 15.2. Clinical Evaluation 15.3. Skill Demonstration 15.4. Achieve a minimum 78% on written exams 15.a. Identify the stages of growth and development 15.b. Identify developmental tasks associated with the aging process 15.c. Demonstrate concern for clients who are dying 15.d. Recognize normal physical and phychological changes associated with aging 15.e. Promote expressions of age-appropriate behavior by allowing clients to make personal choices 15.f. Show awareness of behavior that supports a client's sense of dignity 15.g. Identify the role of significant others as resources for emotional support 15.h. Assist with care of clients when death is imminent 15.i. Assist with post-mortem care 15.j. Use observation skills and report abnormal findings Course Outcome Summary - Page 6 of 6