Course Outline and Assignments

Course Outline and Assignments WEEK ONE 10-16-12 Instructional In Class-Learning to be completed prior to class 10-17-12 Total Hours Assessment 1. proper hand washing techniques 2. donning and removing sterile gloves 3. donning isolation protective gear 4. Review OSHA information 5. Review HIPPA information. Hand Washing Donning sterile gloves Donning isolation protective gear HIPPA education: review handout. HIPPA quiz OSHA education: review handout OSHA quiz PRIOR TO COMING TO FIRST LAB: Handwashing Donning sterile gloves Removing sterile gloves Donning gown Removing gown Asepsis and Infection Control Review OSHA handout ability to wash hands correctly, don sterile gloves and isolation protective gear Review HIPPA handout Vital Signs Skill 1-1 thru 1-7 Oxygenation Skill 14-1

WEEK TWO 10-23-12 Out of Class Total Hours Assessment 1. Assess and record an adult blood pressure 2. Locate and assess peripheral pulses, including temporal, carotid, brachial, radial, popliteal, posterior tibial, and dorsalis pedis 3. Assess respiratory rate for an adult patient 4. Assess temperature using an oral, tympanic and electronic thermometer 5. procedure for taking axillary temp, oral temp and rectal temp 6. Record SaO2 using a pulse oximeter Vital Signs: Blood pressure Pulse Respirations Temperature O2 saturation Health assessment: Thorax and lungs Skill 2 5 Oxygenation Skill 14-2, 14-3, 14-4 ability to obtain and record blood pressure, pulses, respirations and temperatures ability to obtain an O2 saturation

WEEK THREE 10-30-12 Out of Class Total Hours Assessment RESPIRATORY SYSTEM 1. Assist the patient to be in the correct position for the 2. Provide privacy for the patient 3. Explain the procedure to the patient 4. Assist with obtaining informed consent as needed 5. Use proper assessment technique (inspect, palpate, percuss and/or auscultate) while examining patient s lungs and thorax 6. Apply an oxygen mask 7. Apply an oxygen nasal cannula 8. Instruct patient on use of incentive spirometer Respiratory assessment Observe respiratory pattern Count respiratory rate Listen to normal breath sounds Listen to abnormal respiratory sounds Apply and oxygen mask Apply an oxygen nasal cannula Practice teaching other classmates how to use incentive spirometer Health assessment: Cardiovascular System Skill 2-6 Cardiovascular care Skill 16-2 Peripheral/vascular ability to complete respiratory assessment, apply supplemental oxygen, teach patient how to use an incentive spirometer

WEEK FOUR 11-6-12 Out of Class Total Hours Assessment CARDIAC SYSTEM 1. Assist the patient to be in the correct position for the 2. Provide privacy for the patient 3. Explain the procedure to the patient 4. Assist with obtaining informed consent as needed 5. Use proper assessment technique (inspect, palpate, percuss and/or auscultate) while examining patient s heart 6. Place cardiac monitor leads properly for telemetry monitoring 7. Complete vascular assessment: arterial 8. Complete vascular assessment: venous Cardiac assessment Count heart rate Determine if heart rate is regular or irregular Listen to normal heart sounds Listen to abnormal heart sounds Apply leads for telemetry monitoring Examine lower extremities for signs of arterial disease Examine lower extremities for signs of venous disease Health assessment: Neurologic System Skill 2-8 Assessment of pain Skill 10-1, 10-2, 10-3 ability to complete cardiac assessment, apply leads for telemetry monitoring, and examine lower extremities for sign of arterial and venous disease

WEEK FIVE 11-13-12 Out of Class Total Hours Assessment NEUROLOGICAL SYSTEM 1. Assist the patient to be in the correct position for the 2. Provide privacy for the patient 3. Explain the procedure to the patient 4. Assist with obtaining informed consent as needed 5. Use proper assessment technique (inspect, palpate, percuss and/or auscultate) while examining patient s neurological system 6. Assess level of consciousness 7. Assess cranial nerves 8. Using reflex hammer, check reflexes 9. procedure for log rolling a patient 10. Implement seizure precautions Neurological assessment Log roll patient Determine if patient is awake, alert and responding Assess cranial nerves Assess motor and sensory function Check normal reflexes Prepare bed for patient on seizure precautions Prepare room for patient on seizure precautions Health assessment: Catheterizing male and female bladder Chapter 12 Skill 12-6, 12-7, 12-8 Chapter 18 Skill 18-7, 18-8 neurological assessment skills, log roll a patient and prepare the room for a patient on seizure precautions

WEEK SIX 11-20-12 Out of Class Total Hours Assessment GENITOURINARY SYSTEM 1. Assist the patient to be in the correct position for the 2. Provide privacy for the patient 3. Explain the procedure to the patient 4. Assist with obtaining informed consent as needed 5. Use proper assessment technique (inspect, palpate, percuss and/or auscultate) while examining patient s bladder 6. ability to collect urine sample by clean catch method 7. ability to collect urine sample from indwelling urinary catheter 8. ability to change a urostomy bag 9. ability to send urine specimen to lab for analysis 10. Place a Foley catheter into a male mannequin 11. Place a Foley catheter into a female mannequin Obtain a clean catch specimen of urine Collect a urine sample from an indwelling urinary catheter Change a urostomy bag Catheterize female mannequin Catheterize a male mannequin Prepare specimen to be sent to lab for UA and culture MEDICATIONS Chapter 5 Skill 5-1 male and female catheterization, collecting urine sample for lab and change a urostomy bag

WEEK SEVEN 11-27-12 Out of Class Total Hours Assessment MEDICATIONS 1. Check the 6 rights of patients who are receiving medications 2. ability to give oral medication 3. ability to give a sub-q injection, specifically Lovenox 4. ability to instill eye drops according to 5. ability to instill ear drops Check medical record for name, dose, and time of administration of an oral medication Remove oral medication from medication cart Check patient s ID band Explain to patient the reason medication was ordered Administer medication Document medication was given MEDICATIONS Chapter 5 Skill 5-1, 5-7 Skill 5-16, 5-18 the ability to administer oral medications, administer Lovenox, instill eye drops and instill ear drops As above, administer Lovenox Instill eye drops Instill ear drops

WEEK EIGHT 12-4-12 Out of Class Total Hours Assessment DIABETIC CARE 1. Assist the patient to be in the correct position for the 2. Provide privacy for the patient 3. Explain the procedure to the patient 4. Assist with obtaining informed consent as needed 5. Have all supplies available at bedside 6. ability to perform blood glucose monitoring 7. ability to prepare correct amount of insulin 8. ability to mix two different types of insulin in one syringe if necessary 9. ability to use an insulin pen if ordered 10. ability to inject insulin into mannequin Check medical record for name, dose, and time of administration of insulin Determine results of blood sugar by using Accucheck blood glucose monitor Check patient s ID band Explain to patient the reason medication is to be administered Prepare insulin dose Administer medication Document Chapter 13 BOWEL ELIMINATION Skill 13-1, 13-1, 13-3, 13-6 ability to obtain blood sample for blood glucose monitoring, and prepare and inject insulin,

WEEK NINE 12-11-12 Out of Class Total Hours Assessment GASTROINTESTINAL SYSTEM 1. Assist the patient to be in the correct position for the 2. Provide privacy for the patient 3. Explain the procedure to the patient 4. Assist with obtaining informed consent as needed 5. Use proper assessment technique (inspect, palpate, percuss and/or auscultate) while examining patient s GI system 6. Using stethoscope, auscultate bowel sounds in 4 quadrants 7. Change a colostomy or ileostomy bag 8. Use sterile technique to change apply or change dressing around a colostomy or ileostomy bag 9. Prepare and administer a small volume enema 10. Prepare and administer a large volume cleansing enema Auscultate bowel sounds in all 4 quadrants on mannequin Empty colostomy bag Change colostomy or ileostomy bag Apply and remove dressings around colostomy or ileostomy Administer small volume edema Prepare and administer large volume enema ACTIVITY Chapter 9 Skill 9-8, 9-9 ability to assess abdomen, administer an enema, empty and change a colostomy bag

WEEK TEN 12-18-12 Out of Class Total Hours Assessment MUSCULOSKELLETAL SYSTEM. 1. Use proper assessment technique (inspect, palpate, percuss and/or auscultate) while examining patient s mobility 2. ability to assemble crutches 3. ability to ambulate patient with assistive devices 4. transporting a client from the bed to the wheel chair with one-sided paralysis using proper body mechanics and a gait belt. 5. transporting a client in a wheelchair into an elevator and out 6. Apply legal restraints 7. Observe systematic head to toe assessment in preparation for final 8. applying TED stockings Altering length of crutches for patients of different heights Practice crutch walking techniques Practice using a walker Operating a wheelchair with a patient sitting in the chair pretending to enter and exit an elevator Apply TED stockings Observe instructor complete basic head to toe on another human being including skin, hair and nails assessment in preparation for final. Provide mouth care and complete sponge bath on another human being Ask patient to complete evaluation of mouth care and bed bath given by student. ability to ambulate a patient using assistive devices and transport a patient using a wheelchair and applying TED stockings. Written evaluation by patient concerning quality of mouth care and bed bath.

WEEK ELEVEN 12-25-12 Out of Class Total Hours Assessment NO CLASS : HAPPY HOLIDAY.

WEEK TWELVE 1-8-13 Out of Class Total Hours Assessment 1. Complete final 2. Have Skill s Lab checklist completed Final Comprehensive Exam Each student is to pair up with another student and demonstrate performing head to toe. ability to complete head to toe assessment.