San DiegoCountyOffice of EducationPage 1

Year:2013-14Regional Occupational ProgramDate Printed: 10/18/2018

Course Outline/Competencies

Course # - 429814 - Nurse AssistantApproved Hours: 360

District - 61- Poway Unified School DistrictArea: North

Submitted by - Tom Phillips Date:12/09

Outline / Hours / Competencies / Curriculum Standards
Mention – M
Reinforce – R
Teach – T / Assessment
Reg / CC / CVE / CTE / Core Academic
I. INTRODUCTION/ROLE AND RESPONSIBILITIES1. INTRODUCTION/ROLE AND RESPONSIBILITIES
(MODULE 1)The Student
A.Role and responsibilities of the Certified Nurse Assistant
B.Title 22, Division 5, California Code of Regulations overview
C.Requirements for Nurse Assistant Certification
D.Professionalism
E. Ethics and confidentiality / 10 / 5 / A Demonstrates understanding of the role of the Certified Nurse Assistant and Certified Home Health Aide
B Demonstrates awareness of the psychosocial aspects of aging and the special needs of the elderly.
C Communicates satisfactorily with patients/family as well as with other members of the health team.
D Demonstrates knowledge of aseptic technique and infection control in the working environment.
E Demonstrates knowledge of basic anatomy and physiology of the human body.
F Performs basic nursing procedures such as bedmaking, bathing, grooming and the taking of vital signs.
G Practices safe attitudes and demonstrates safe actions in the working environment.
H Demonstrates knowledge of rehabilitation goals and understands the important role a nursing assistant plays in following therapy orders.
I Demonstrates knowledge of basic nutrition and feeding techniques.
J Demonstrates knowledge of the use of health care plans and records.
K Respects patient's right to emotional and physical need for privacy.
L Respects and demonstrates the confidential nature of nursing. / HSMT
3.1; 3.2;
3.6; 6.1;
6.5; 7.1;
7.2; 7.3;
7.5; 7.6;
8.1; 8.2;
8.3; 8.4;
8.5; 9.1;
9.2; 9.3;
9.5; 10.1;
10.2; 10.4;
10.5; 10.7;
HSMT/DS:
B 5.1;
HSMT/HI:
C1.0; C3.0
C4.1; C4.2 / T / W(11,12)2.5
W(11,12)2.6 / T / Throughout the course, students will demonstrate their knowledge and skills through:
  1. Written homework, papers and projects
  2. Oral reports
  3. Applying theory and critical thinking skills to clinical
  4. Contributing to class discussion and collaborative learning assignments
  5. Performing laboratory skills, analyzing data
  6. Exams (written, oral and practical)
Student work will be evaluated using criteria aligned to State, district and site standards.
II. PATIENTS' RIGHTS (MODULE 2)2. PATIENTS' RIGHTS – The Student
A.Each Nurse Assistant applicant shall be instructed in patients’ rights as specified in Title 22. California Code Regulations Section72527 and in Sections1599.1, 1599.2, and 1599.3 of the Health and Safety Code. The provisions of these Sections are incorporated by reference into this regulation. / 5 / 2 / A Demonstrates understanding of patient rights.
B Respects and observes the right of patients.
C Practices confidentiality, follows HIPPA guidelines / HSMT:
6.1; 6.5;
8.1; 8.2;
8.5; 10.2;
10.3; 10.4;
10.7; 11.0
HSMT/HI: C1.0; C3.0
C4.1; C4.2 / T / W(11,12)2.5
W(11,12)2.6 / T
III. INTERPERSONAL SKILLS (MODULE 3)3. INTERPERSONAL SKILLS – The Student
A. Communications
B.Defense mechanisms
C. Cultural diversity
D. Sociocultural factors
E. Attitudes toward illness and health care
F. Family interaction / 5 / 2 / A Communicates effectively in a clinical setting.
B General Cultural Sensitivity: Understands cultural diversity, linguistic diversity, and cross cultural interviews.
C Displays the proper attitude towards illness and health care. / HSMT:
6.1; 6.5;
7.1-7.7;
9.1-9.5;
HSMT/DS: B4.0;
HSMT/HI:
C1.0; C3.0; C4.1; C4.2
HSMT/SS:
D1.3; D1.4 / T / W(11,12)2.5
W(11,12)2.7 / T
IV. PREVENTION AND MANAGEMENT 4. PREVENTION AND MANAGEMENT
OF CATASTROPHE AND UNUSUAL OF CATASTROPHE AND UNUSUAL
OCCURRENCES (MODULE 4)OCCURRENCES – The Student
A.Emergency
B.General safety rules
1.International Codes
2.Environmental safety
C.Fire and disaster plans
D.Roles and procedures for Certified Nurse Assistant
E. Patient safety / 4 / 2 / A Recognizes emergency situations that require urgent action and acts appropriately.
B Demonstrates understanding of the purpose of fire and disaster plans. / HSMT: 3.0;
5.1-5.3
6.1; 6.2; 6.4; 6.5
11.0
HSMT/DS: B1.0
HSMT/TS:
E2.2 / T / W(11,12)2.5
W(11,12)2.6 / T
V. BODY MECHANICS (MODULE 5)5. BODY MECHANICS – The Student
A.Basic rules of body mechanics
B.Transfer techniques
C.Ambulation
D.Proper use of gait belts
E. Proper use of body mechanics / 10 / 10 / A Practices the rules of body mechanics.
B Transfers patients to and from bed.
C Ambulates patients.
D Turns and positions patients for comfort and safety.
E Uses gait belts appropriately.
F Transports patients. / HSMT:
4.5;
5.1-5.3
6.1; 6.2; 6.4; 11.0
HSMT/DS:B1.0;B2.0; B3.0;B4.0;
B5.1, B5.3
HSMT/TS:E1.0; E2.2;E3.4;
E4.0 / T / W(11,12)2.5 / T
VI. MEDICAL AND SURGICAL ASEPSIS (MODULE 6)6. MEDICAL AND SURGICAL ASEPSIS – The Student
A.Microorganisms
B.Standard precautions for infection control including methods to
handle patients, and all materials that aresoiled with blood and/or body fluids from patients. The methods prescribed shall be designed to reduce therisk of transmission of potentially infectious etiologicagents from patient to patient and between patients andhealth care workers.
C. Basic principles of asepsis. / 5 / 10 / A Demonstrates precautions required for infection control
B Understands the basic principles of asepsis / HSMT: 5.1-5.3
6.1-6.3; 6.5; 11.0
HSMT/DS:B1.0; B2.0
B5.1; 5.3;
HSMT/SS:D2.1;D2.3, D2.4
HSMT/TS:
E1.0 E2.2 E4.0 / T / W(11,12)2.5
B/LS:
10.a-10.c / T
VII. WEIGHTS AND MEASURES (MODULE 7)7. WEIGHTS AND MEASURES – The Student
A.The metric system
B.Weight, length and liquid volume
C.Military time i.e. a twenty-four (24) hour clock. / 2 / 2 / A Computes weight, height and liquid intake.
B Utilizes military time. / HSMT:
4.5;
5.1-5.3;
11.0
HSMT/DS:B1.0; B2.0
B5.1, 5.3
HSMT/TS:
E1.0;E2.2; E4.0 / T / W(11,12)2.5
MG (7):1.1 / T
VIII. PATIENT CARE SKILLS (MODULE 8)8. PATIENT CARE SKILLS – The Student
A.Bathing and medicinal baths
B.Dressing
C.Oral hygiene
D.Hair care, shampoo, nail care and shaving
E.Prosthetic devices
F.Skin care including prevention of decubitus/pressure ulcers
G.Elimination needs
H.Bowel and bladder retraining
I. Weighing and measuring the patient / 40 / 55 / A Gives various types of baths.
B Dresses the patient.
C Provides oral hygiene.
D Provides routine hair care and shampoos.
E Provides nail care.
F Shaves the male patient.
G Assists in the use of prosthetic devices.
H Gives additional care to prevent skin breakdown.
I Provides routine elimination needs.
J Assists with bowel and bladder training program.
K Weighs and measures the patients. / HSMT: 5.1-5.3
HSMT 6.1 6.1-6.4
HSMT 11.0 HSMT/DS:B1.0-B5.0 HSMT/TS:
E1.0; E2.2 E4.0 / T / W(11,12)2.5
MG (7):1.1
B/LS10.a / T
IX. PATIENT CARE PROCEDURES (MODULE 9)9. PATIENT CARE PROCEDURES – The Student
A.Collection of specimens
B.Care of patients with tubing (urinary, gastric, oxygen, IV)
C.Intake and output
D.Bedmaking
E.Cleansing enemas and laxative suppositories
F.Admission, transfer and discharge
G.Bandages and non-sterile dry dressings, including the application of nonlegend topical ointments to intact skin surface / 20 / 25 / A Provides for routine bowel and bladder elimination needs.
B Measures and records liquid output.
C Collects various specimens.
D Assists in the care of the patient with external or internal urinary catheters.
E Assists in the care of the patient with nasogastric tubes or ostomies.
F Assists in the care of the patient receiving oxygen therapy.
G Assists with the care of the patient on intravenous therapy.
H Demonstrates awareness of procedures in the administration of various types of enemas.
I Demonstrates awareness of procedures for inserting laxative suppositories.
J Makes various types of beds.
K Assists with the admission, transfer and discharge of patients.
L Applies nonsterile dry dressings and bandages.
M Applies nonmedical topical ointments to intact skin surfaces.
N Applies antiembolitic devices.
O Demonstrates awareness of procedures for applying warm and cold applications.
P Gives perineal care. / HSMT:
4.5;
5.1-5.3;
6.1-6.13;
11.0 HSMT/DS: B1.0-B5.0; B5.1; B5.3
HSMT/TS: E1.0
E2.2
E4.0 / T / W(11,12)2.5
MG (7):1.1
B/LS10.a; 10.e / T
X. VITAL SIGNS (MODULE 10)10. VITAL SIGNS – The Student
A.Purpose of vital signs
B.Factors affecting vital signs
C.Normal ranges
D.Methods of measurement
E.Temperature, pulse, respiration
F.Blood pressure
G.Abnormalities
H.Recording / 15 / 10 / A Demonstrates understanding of the purpose of vital signs.
B Demonstrates understanding of the factors affecting vital signs.
C Demonstrates knowledge of the normal ranges of vital signs.
D Demonstrates knowledge of the purpose for the various types of measurements.
E Takes and records temperature, pulse and respiration using various methods.
F Takes and records blood pressure. / HSMT:
4.5;
5.1-5.3;
6.1-6.3;
11.0
HSMT/DS: B1.0; B2.0 B5.1, 5.3
HSMT/TS:
E1.0; E2.2
E4.0 / T / W(11,12)2.5
MG (7):1.1; 1.2 / T
XI. NUTRITION (MODULE 11)11. NUTRITION – The Student
A.Proper nutrition
B.Feeding techniques
C.Therapeutic diet / 10 / 10 / A Serves and feeds patients.
B Assists in monitoring the patient on diet therapy.
C Measures and records diet intake. / HSMT:
5.1-5.3;
6.3; 11.0 HSMT/DS:B1.0; B2.0; B5.1; B5.3
HSMT/TS: E1.0; E2.2
E4.0 / T / W(11,12)2.5
MG (7):1.1; 1.2
B/LS10.a; 10.b; 10.c / T
XII. EMERGENCY PROCEDURES (MODULE 12)12. EMERGENCY PROCEDURES – The Student
A.Signs and symptoms of distress
B.Immediate and temporary intervention
C.Emergency Codes
D. Heimlich maneuver / 10 / 2 / A Recognizes the signs and symptoms of distress and provides immediate and temporary intervention.
B Identifies emergency codes.
C Has Basic Life Support Certification according to American Heart Association standards. / HSMT: 5.1-5.3;
6.1; 6.3
10.6;11.0
HSMT/DS:B1.0; B2.0
B5.1; B5.3
HSMT/TS:E1.0; E2.2
E4.0 / T / W(11,12)2.5; 2.6; 2.7 / T
XIII. LONG TERM CARE PATIENT (MODULE 13)13. LONG TERM CARE PATIENT – The Student
A.Needs of persons with various dementias andmental illness including Alzheimer’s
B.Introduction to anatomy and physiology
C.Physical and behavioral needs and changes
D.Community resources available
E.Psychological, social and recreational needs
F.Common diseases and disorders including signs and symptoms
G. Elder care / 25 / 10 / A Understands the needs of persons with various dementias and mental illness
B Identifies basic anatomical structures
C Understands basic physiological processes
D Understands the physical and behavioral needs and changes of long term patients
E Identifies the community resources available for long term patients
F Recognizes signs and symptoms of common diseases and disorders
G Demonstrates a knowledge of the requirements of elder care / HSMT:
5.1-5.3;
1.0
HSMT/DS:
B1.0-B5.0 B5.1;B5.3
HSMT/TS:E1.0
E2.2
E4.0 / T / W(11,12)2.5
MG (7):1.1; 1.2
B/LS1.a; 5.b-5.g / T
XIV. REHABILITATIVE NURSING (MODULE 14)14. REHABILITATIVE NURSING – The Student
A.Promoting patients' potential
B.Devices and equipment
C.Activities of daily living
D.Family interactions
E.Complications of inactivity
F.Ambulation
G. Range of motion / 8 / 10 / A Assists in promoting patient potential.
B Promotes individual activities of daily living skills.
C Interacts appropriately with family members.
D Assists in preventing the physical complications of inactivity.
E Observes and assists with ambulation.
F Assists in appropriate range of motion exercises.
G Demonstrates understanding of use of special chairs, various types of mattresses and mechanical lifters.
H Applies protective and postural supports. / HSMT:
5.1-5.3;
6.3; 6.4;
11.0
HSMT/DS:B1.0-B3.0;
B5.1;B5.3;
HSMT/TS:E1.0; E2.2;
E4.0 / T / W(11,12)2.5 / T
XV. OBSERVATION AND CHARTING (MODULE 15)15. OBSERVATION AND CHARTING – The Student
A.Observation of patients and reporting
B.Patient care plan
C.Patient care documentation
D.Legal issues of charting
E. Medical terminology and abbreviations / 10 / 16 / A Demonstrates understanding of the responsibility of the nurse assistant in observing and reporting.
B Observes the rules of charting.
C Recognizes and reports significant changes from the normal in patient conditions. / HSMT:
4.2;
5.1-5.3
11.0
HSMT/DS:
B1.0; B2.0;
B4.0; B5.1;B5.3;
HSMT/HI:
C3.0;
C4.1-C4.4
HSMT/TS:
E1.0; E2.2;
E3.1; E3.2;
E4.0 / T / W(11,12)2.5; 2.7 / T
XVI. DEATH AND DYING (MODULE 16)16. DEATH AND DYING – The Student
A.Stages of grief
B.Emotional and spiritual needs of the patient andfamily
C.Rights of the dying patient
D.Signs of approaching death
E.Monitoring and physical care of the dying patient
F.Postmortem care / 5 / A Explains the stages of grief
B Understands the emotional and spiritual needs of the patient and family
C Understands the rights of the dying patient
D Identifies the signs of approaching death
E Provides physical care and monitoring of the dying patient
F Demonstrates proper postmortem care / HSMT: 5.1-5.3;
6.3; 11.0
HSMT/DS:B1.0-B5.0;B5.1;B5.3
HSMT/TS:E1.0; E2.2E4.0 / T / W(11,12)2.5; 2.7 / T
XVII. Expected Student Learning Results
1OCCUPATIONAL KNOWLEDGE AND SKILLS (infused throughout course) / 1. Expected Student Learning Results
A. OCCUPATIONAL KNOWLEDGE AND SKILLS:
The students has demonstrated:
1Accessing and utilizing technology and information
2Practicing occupational safety standards
3Thinking critically and solving problems effectively
4Using basic skills in reading, writing, mathematics, listening and speaking as they relate to occupation specific skills
5Attaining a comprehensive understanding of all aspects of industry the individual is preparing to enter
6Applying knowledge to real world problems and situations / HSMT:
3.1; 3.2; 3.6 / R / W(11,12)2.5; 2.6; 2.7
MG (7):1.1; / R
2 WORKPLACE SKILLS AND BEHAVIOR (infused throughout course) / BWORKPLACE SKILLS AND BEHAVIOR:
The student has demonstrated the following standards of professionalism:
1Works independently and collaboratively.
2Communicates effectively and appropriately.
3Performs reliably and responsibly.
4Respects diversity.
5Manifests dependability and punctuality.
6Complies with job requisites of safety, neatness, and follows direction well.
7Works well with others and gives positive responses to criticism.
8Works beyond minimum job expectations. / HSMT:
4.5
5.0-9.0 / T / W(11,12)2.5; 2.6; 2.7 / T
3JOB ACQUISITION SKILLS/LIFELONG LEARNING OPPORTUNITIES / 5 / CJOB ACQUISITION SKILLS/LIFELONG LEARNING OPPORTUNITIES:
The student has demonstrated an awareness of career options and lifelong learning opportunities by:
1Completed an appropriate resume and job application.
2Modeled job interview techniques.
3Attained awareness of advanced career and educational opportunities and the need for continuous education.
DOUTSTANDING STUDENT AWARD
1The student has received the ROP Outstanding Student Award. / HSMT:
9.0
10.6 / T / W(11,12)2.5 / T
Total Hours / 189 / 171
CODES: HSMT—Health Science and Medical Technology industry sector; HSMT/DS—Diagnostic Services pathway; HSMT/TS: Therapeutic Services pathway; Health Informatics pathway; Support Services pathway; W—Writing; B/LS—Biology/Life Science; MG—Measurement and Geometry;