Curriculum proposal number 2009.77 Maui Community College Curriculum Action Request (CAR) Form Course For Banner use: ___ SCACRSE 1. Author(s): Kathleen Mumford ___ SCAPREQ ___ CAPPs 2. Department: Allied Health ___ WebCT-Detl ___ CoReq-Detl 3. Date submitted to Curriculum Committee: 4-5-2010 ___ Equiv-Detl ___ Old Inactivated 4. Type of action: Addition: regular other; specify: ___ Crosslist done ___ Another prereq Modification: alpha/number title credits description pre-requisite co-requisite recommended prep other; specify: 5. Existing course: Alpha: NURS Number:16 Title: Nurse Aide Training Credits: 6 6. Proposed new/modified course: Alpha: NURS Number:100 Title: Nurse Assistant Credits: 6 7. Reason for this curriculum action: There is added rigor with critical thinking and information technology, and added skill development criteria with evaluation in the lab. This course supports the national certification for long-term care and the overall field for nursing assistants is requiring more knowledge and skill competency, which makes this course appropriate as an elective for the AA degree. In addition, the current course is being taught at the 100 level and needed to be elevated. 8. New course description (or year of catalog and page number of current course description, if unchanged): Prepares nurse assistants to care for acute, semi-acute, or convalescent clients in the hospital, long-term care, or home setting. Prepares nurse assistant to work under the supervision of a registered or practical nurse. Serves as a beginning level health care course for those interested in the health care field. Prepares nurse assistants for national certification. 9. Pre-requisite(s) – see Prerequisite Style Sheet for samples: ENG 19 - grade of C or better or placement at least ENG 22; or consent. no yes 10. Co-requisite(s): 11. Recommended preparation: Revised 6/28/2016 CAR Form (4-93), page 1 12. Cross listed: no yes; cite course alpha & number: 13. Student contact hours per week: 4 hr. lecture 6 hr. lab hr. lecture/lab hr. other; explain: 14. Grading: Letter grade only/No Audit restrictions Explain, if not Standard grading: lab 15. Repeatable for credit: no yes; maximum is credit or unlimited. (Most courses are not repeatable for additional credit; exceptions are courses such as internships and co-op courses.) 16. Special fees required: no yes; explain: Malpractice fee 17. Proposed term of first offering: Spring semester of 2011 year. 18. List catalog used and then degrees, certificates, prerequisites, and catalog sections and their page numbers affected by this proposal: General Catalog 2009-2010 - p 30, 126 19. Maximum enrollment: 10 Rationale, if less than 35: maximum of 10 students per 1 clinical faculty 20. Special resources (personnel, supplies, etc.) required: facility no yes; explain: clinical and long term care 21. Course is restricted to particular room type: facility no yes; explain: clinical lab and long term care 22. Special scheduling considerations: no yes; explain: 23. Method(s) of delivery appropriate for this course: (check all that apply) Traditional HITS/Interactive TV Cable TV Online Other, explain: Hybrid 24. Mark all college-wide general education SLOs this course supports. Std 1 - Written Communications Std 2 – Quantitative Reasoning Std 3 - Information Retrieval and Technology Std 4 - Oral Communication Std 5 - Critical Reasoning Std 6 – Creativity Other General Education SLOs, such as Ethics, Scientific Inquiry, or Service Learning. Explain: 25. List all program SLOs this course supports? (Explain, if necessary) Program SLO 1: Program SLO 2: Program SLO 3: Program SLO 4: Program SLO 5: Explain: Explain: Explain: Explain: Explain: Revised 6/28/2016 CAR Form (4-93), page 2 26. Course fulfills the following general education elective (GE) for CTE (Career Technical Education) AS/AAS degrees (GE): English (EN)/Communication (CM) Quantitative Reasoning (QR) Humanities (HU) Natural Science (NS) Social Science (SS) Other: Course is a requirement for the program(s) AS/AAS degree or certificate Course is a program elective for the program(s) AS/AAS degree or certificate 27. Course fulfills the following general education elective (GE) for the ABIT BAS degree: English (EN)/Communication (CM) Quantitative Reasoning (QR) Humanities (HU) Natural Science (NS) Social Science (SS) Other: Course is a requirement for the ABIT BAS degree Course is a program elective for the ABIT BAS degree 28. Course fulfills a requirement for a proposed BAS degree: Pre- requisite course Core Capstone Course (CC) Other: Course is a program elective for a proposed BAS degree Course fulfills the following general education elective (GE) for the proposed BAS English (EN)/Communication (CM) Quantitative Reasoning (QR) Humanities (HU) Natural Science (NS) Social Science (SS) Other: Course is applicable to the following additional BAS degrees: 29. degree: Course satisfies the following category for the AA degree*: Category I: Foundations/Skills: Foundations I Written Communication in English (FW) Global and Multicultural Perspectives (FG) Group A (before 1500 CE) Group B (since 1500 CE) Group C (pre-history to present) Symbolic Reasoning (FS) Category I: Foundations/Skills: Foundations II Numeracy (FN) Oral Communication in English (FO) Computer/Information Processing and Retrieval (FI) Category II: Breadth of Understanding and Experience Human Understanding The Individual (IN) The Community (CO) The Community – Global Perspective (CG) Human Expression (HE) Environmental Awareness (EA) Environmental Awareness – Global Perspective (EG) Asia/Pacific Perspective (AP) Revised 6/28/2016 CAR Form (4-93), page 3 Category III Focus/Specialization/Area of Interest Interest Area Discipline/Alpha: NURS Elective (LE) Other Graduation Requirements Writing Intensive (is appropriate for WI) Environmental Awareness Lab/course with lab (EL) Hawaii Emphasis (HI) * Submit the appropriate form(s) to have the course placed in the requested category (ies). Submit a course outline, CAR, and appropriate forms to both the Curriculum Committee and the Foundations Board, if the course satisfies Category I: Foundations/Skills: Foundations I or II. 30. Course increases decreases makes no change to number of credits required for program(s) affected by this action. Explain, if necessary: 31. Course is taught at another UH campus (see Sections 5 and 6 above): no Explain why this course is proposed for MCC: Previously taught at UHMC. Fills community health care need. yes Specify college(s), course, alpha, and number where same or similar course is taught: 32. Course is: Not appropriate for articulation. Appropriate* for articulation as a general education course at: UHCC UH Manoa UH Hilo UHWO Previously articulated* as a general education course at: UHCC UH Manoa UH Hilo UHWO *Note: Submit Course Articulation Form if course is already articulated, or is appropriate for articulation, as a general education (100-, 200-level) course. Standardized and/or appropriate for articulation by PCC or other UH system agreement at: UHCC UH Manoa UH Hilo UHWO Explain: Appropriate for articulation or has previously been articulated to a specific department or institution: UHCC UH Manoa UH Hilo UHWO Outside UH system Explain: 33. Additional Information (add additional pages if needed): Revised 6/28/2016 CAR Form (4-93), page 4 Maui Community College Curriculum Action Request (CAR) Signature Page __________________________________________________________________________ Proposed by: Author or Program Coordinator Date __________________________________________________________________________ Checked by: Academic Subject Area Representative to Curriculum Committee Date __________________________________________________________________________ Requested by Department: Department Chair Date __________________________________________________________________________ Recommended by: Curriculum Chair Date __________________________________________________________________________ Approved by Academic Senate: Academic Senate Chair Date __________________________________________________________________________ Endorsed by: Chief Academic Officer Date __________________________________________________________________________ Approved by: Chancellor Date Revised 6/28/2016 CAR Form (4-93), page 5 Maui Community College Course Outline 1. Alpha NURS Number 100 Course Title Nurse Assistant Credits 6 Department Allied Health Author Kathleen Mumford Date of Outline April 5, 2010 2. Course Description: Effective Date Spring 2011 5-year Review Date 2016 Prepares nurse assistants to care for acute, semi-acute, or convalescent clients in the hospital, long-term care, or home setting. Prepares nurse assistant to work under the supervision of a registered or practical nurse. Serves as a beginning level health care course for those interested in the health care field. Prepares nurse assistants for national certification. Cross-list Contact Hours/Type 3. Pre-requisites 4 hr lec/ 6 hr lab ENG 19 with grade of C or better or placement at least ENG 22, or consent Pre-requisite may be waived by consent Co-requisites yes no none Recommended Preparation 4. Function/Designation AS Program AA LE - Elective Category Additional Category List Additional Programs and Category: AAS Program Category List Additional Programs and Category: BAS Program Category List Additional Programs and Category: Developmental/Remedial Other/Additional: Explain: See Curriculum Action Request (CAR) form for the college-wide general education student learning outcomes (SLOs) and/or the program learning outcomes (PLOs) this course supports. This course outline is standardized and/or the result of a community college or system-wide agreement. Revised 6/28/2016 CAR Form (4-93), page 6 Responsible committee: 5. Student Learning Outcomes (SLOs): List one to four inclusive SLOs. For assessment, link these to #7 Recommended Course Content, and #9 Recommended Course Requirements & Evaluation. Use roman numerals (I., II., III.) to designate SLOs On successful completion of this course, students will be able to: I. Begin working as an entry level nurse aide in a hospital, long-term care, home, or clinic setting. II. Effectively communicate with patients, families, and other health care providers. III. Report and document appropriate patient findings IV. Use critical thinking skills to evaluate differences from normal findings using basic nursing principles and methods of measurement. 6. Competencies/Concepts/Issues/Skills For assessment, link these to #7 Recommended Course Content, and #9 Recommended Course Requirements & Evaluation. Use lower case letters (a., b.…zz. )to designate competencies/skills/issues On successful completion of this course, students will be able to: a. Demonstrate the use of computer technology used for the course and understands the potential for further use in the nursing workplace. b. Describe the health care delivery system in Hawaii with special emphasis on agencies and facilities that care for the aged. c. Describe the health care reimbursement plans currently available. d. Describe the role of the nurse assistant as a member of the health care team under the supervision of the Licensed Practical Nurse, Registered Nurse, or physician. e. Explain scope of practice for the nurse’s assistant as identified in the Hawaii Revised Statutes. f. Identify the requirements for Certification in long-term care. g. Describe the responsibilities of the nurse assistant relating to nurse delegation. h. Demonstrate professional conduct, language, and dress. i. Describe patient/resident rights including privacy and dignity. j. Demonstrate promotion of patient/resident rights including independence. k. Discuss patient/resident’s right to be free from abuse, mistreatment, and neglect. l. Implement effective written and oral communication skills including gathering of appropriate data, and documentating accurate information. m. Use basic medical terminology and abbreviations. n. Identify life span human needs o. Identify cultural values that shape cultural preferences. p. Demonstrate sensitivity to cultural and religious differences among patients, residents, families, and clients. q. Discuss the current methods of infection control and understands ways microorganisms are spread. r. Demonstrate infection control standard precautions in the clinical setting. s. Demonstrate knowledge of workplace and resident care safety and emergency procedures. t. Describe and demonstrate techniques for proper protective body mechanics. u. Identify Omnibus Budget Reconciliation Act (OBRA) regulations regarding the use of restraints. v. Discuss alternatives to restraints and demonstrate safe application of restraints. Revised 6/28/2016 CAR Form (4-93), page 7 w. Demonstrate techniques for positioning patients in bed, lifting, moving and transfering patients to a chair. x. Demonstrate proper emergency response measures. y. Describe the typical resident unit and identify equipment and demonstrate how it is used. z. Discuss variations in the process for admissions, transfers, and discharges. aa. Monitor and report abnormal body systems signs and symptoms. bb. Perform basic nursing and patient care skills safely. cc. Perform selected therapeutic nursing care skills safely. dd. Demonstrate use of appropriate measurement devices with accuracy. ee. Identify body systems with the functions of major organs in each system. ff. Identify important parameters relating to the body systems. gg. Discuss caring for the aged and special needs populations with emphasis on mental health and social service needs; care of cognitively impaired residents, hh. Describe role of nurse assistant in caring for people with cancer, HIV/AIDS and the terminally ill. ii. Discuss the role of the nurse assistant in caring for surgical patients, mothers and newborns, and pediactic patients in the acute care setting. jj. Discuss rehabilitation, return to self-care, care of prosthetic and use of orthotic devices. kk. Differentiate working in the home and working in a health care facility. ll. Discuss job opportunities for nurse assistants to participate in a home care business. mm. Complete a job application and prepare for an interview. nn. Use critical thinking appropriate for the role of the nurse’s assistant to recognize changes in patients condition and report or communicate effectively signs and symptoms to the supervising nurse. 7. Suggested Course Content and Approximate Time Spent on Each Topic Linked to #5. Student Learning Outcomes and # 6 Competencies/Skills/Issues Lecture 1-Week Course Introduction; Health Care System in the U.S. and Hawaii; Role of Nurse Aide, Task Delegation, Professional conduct, language and dress I - a, b, c, d, e, f, g, h, II- a, d 1-Week Those we care for; Legal and Ethical Issues; Patient Rights; OBRA regulations regarding use of restraints; resident abuse; Communication skills, confidentiality, introduction to cultural differences; Medical Terminology and abbreviations I - a, b, d, i, j, k, l, m, n, o, p, u, v, gg, nn, II b, d, k, l, n, o, p, 1-Week Learning and Testing skills; Review of information; Examination I- a, b, c, d, e, f, g, h, i, j, k, l, m, u, v, gg, nn, IV - h 1-Week Controlling spread of infection (blood-borne and airborne); Use of Standard Precautions (mask, gown, and gloving); Workplace Safety; Resident Safety I - a, m, q, r, s, t, nn, II - e 1-Week Patient Environment Care; Emergency Care of patients; assisting with Admissions, Discharges, Transfers; Bed-making; Lifting and Moving I - a, l, m, q, r, s, t, u, w, x, y, z, bb, cc, nn, II - b, l, o, u, III - h, IV - g, h, i, m, r 1-Week Vital Signs, temperature, pulse, respirations, blood pressure, and oxygen; Review of information; Examination I - a, l, m, q, r, aa, bb, cc, dd, gg, nn, II - g,h,i,l, III - g,h,i,l, IV - g,h,i,l 1-Week Personal care of the patient with special care needs including cleanliness, hygiene, grooming and elimination I - a, l, m, n, o, p, q, r, aa, bb, cc, gg, nn, II - d, j, o, III - j, IV - j, k, Revised 6/28/2016 CAR Form (4-93), page 8 1-Week Care for those with Dementia; Care for those with Terminal Illness, Hospice care; Afterlife Care I - a, l, m, n, o, p, aa, bb, cc, gg, II - c, j,k,l, n, 1-Week Review of skills; Review of information; Examination I, II, III, and IV a, l, m, n, o, p, q, r, w, x, y, z, aa, bb, cc, gg, 1-Week Introduction to the Human Body; Preventing complications of immobility; Body Systems and related care of diseases: Integumentary System, skin care; equipment and devices that reduce pressure on the skin; Musculo-skeletal System, prevention of atrophy and contractures; Cardiovascular System; Respiratory System, care of those with chronic obstructive pulmonary diseases; Review of Vital Signs, temperature, pulse, respirations, blood pressure I - a, l, m, q, r, aa, gg, nn, II - g, h, i, j, k, III - g, h, IV - g, h 1-Week Body Systems and related care of diseases: Nervous System, care of patient with cerebral vascular accident, Parkinson’s; Senses, assisting patients with vision, hearing or touch sensitivity impairments; Endocrine System, recognition of signs and symptoms of diabetes; I - a, l, m, q, r, aa, gg, nn, II - g, h, III - g, h, IV - g, h 1-Week Body Systems and related care of diseases: Gastrointestinal System, care with tube feeding, enemas; Urinary System, recognition of signs and symptoms of urinary tract infections Reproductive System and related care of diseases, cancer; Review of skills; Review of information; Examination I - a, l, m, q, r, aa, gg, nn, II - g, h, III - g, h, IV - g, h 1-Week Care of those Developmentally Disabled, Mentally Retarded; Care for those with Cancer, HIV and AIDS; transcultural nursing and cultural values I - a, b, l, m, n, o, p, aa, gg, hh, 1-Week Care over the lifespan; Acute Care; Long-term Care; Rehabilitation, Home Care I - a, b, d, m, n, o, p, aa, gg, ii, jj, kk, II - g, h, III - g, h, IV - g, h 1-Week Certification process; Job search skills and possibility of home business; Review of skills; Review of information; Examination I - a, d, l, m, q, r, gg, hh, ii, jj, kk, ll, mm, II - z, aa, bb, cc, Laboratory 1-Week Cardio-pulmonary Resuscitation and First Aid Certifications I - a, h, m, q, r, x, aa, nn, IV m, dd 1-Week Assurance of Infection Control Measures: proper hand-washing, use of personal protective equipment, proper handling of linens and bed-making; use of hand-sanitizer; isolation procedures I - a, h, l, m, q, r, nn, 1-Week Maintenance of Safety and Assisting with Mobility: use of gait belts, restraints and alternatives; feeding dependent persons; first aid for choking; response to fires; assisting persons to move - in bed and wheel chair, turning, positioning, lifting, transferring, use of mechanical lifts; use of lift sheets; use of walker, cane, crutches; assisting with ambulation I - a, h, i, j, k, l, m, q, r, s, t, u, v, w, x, y, z, aa, bb, cc, gg, nn, II - h, m, III - h, IV - k, m 1-Week Assisting with Hygiene and Grooming: Assisting dependent persons with oral care; bathing (bed baths and showers); back rubs; perineal care (male and female); foot care (diabetic foot care); dressing; hair care (shampooing in bed, shaving the face) and nail care; assisting with hearing aids and glasses I - a, h, l, m, n, o, p, q, r, aa, bb, cc, gg, nn, II - b, d, h, III - h, IV-k, 1-Week Assisting with Nutritional and Elimination: Assisting a dependent person with eating (use of powder thickener for liquids, use of assistive feeding devices); Calculating intake by percentage and fluid volume; Review of required intake of fluids, when to push fluids; Signs and symptoms of dehydration and edema; Assisting a dependent person with toileting (bedpans, urinals, bed-side commodes, urinary drainage bags); Providing catheter care; Administering enemas (soap-suds and disposable), proper positioning for enemas; Collecting specimens (stool, urine – clean catch); Revised 6/28/2016 CAR Form (4-93), page 9 Measuring output (stool, urine, other body fluids) I - a, h, l, m, q, r, aa, bb, cc, dd, ff, gg, nn, II-h, i, k, l, III-h, i, j, k, m, IV-g, h, 1-Week Assisting with Vital Signs: Temperature, Pulse, Respirations, Blood Pressures; Use of stethoscope, sphygmomanometer (manual and electronic), thermometer (manual and electronic), and watch; Measuring height and weight (upright scale, electronic lifts, in bed) I - a, h, l, m, q, r, aa, bb, cc, dd, ff, gg, nn, II-h, i, l, III- g, h, i, j, k, IV - g, h, i, j, k, 1-Week Assisting with Treatments, Dressings, Tubes: assisting with oxygen equipment nasal cannula, mask, flow-meters, endotracheal tubes; assisting with urinary and ostomy drainage bags; working with intravenous and gastric tubes; changing hospital gowns; assisting the nurse with a dressing change; use of ace bandage and anti-embolism hose; use of heat or cold applications; recognizing abnormalities with dressings, tubes or treatments I - a, d, e, g, h, l, m, q, r, aa, bb, cc, gg, nn, II-b, d, k, cc, 1-Week Touring facilities of care: Review potential use of skills in various settings; Investigate appropriate care for various client populations; Develop understanding of cultural values, mental health issues, importance of maintaining independence I - a, b, d, h, l, m, n, o, p, II- l 6-Weeks Provide care for patients, residents, or clients in a nursing facility (or simulation setting that closely replicates an actual setting) to develop the skill proficiency learned in a lab setting into skill competency I - a, b, d, h, l, m, q, r, s, t, u, v, w, x, y, aa, bb, cc, dd, ff, gg, nn, II - c, d, e, h, j, k, l, m, t, u, III-h, j, k, IV-h,i 1-Week Skill competency testing review for state certification and course evaluations I - a, f, h, l, m, II-b, e, h, i, j, k, l, m, n, ok s, III - h, i, j, IV-h 8. Text and Materials, Reference Materials, and Auxiliary Materials Appropriate text(s) and materials will be chosen at the time the course is offered from those currently available in the field. Examples include: Carter, Pamela J., Textbook for Nursing Assistants A Humanistic Approach to Caregiving, 2nd Ed. Lippincott, Williams & Wilkins, 2008. Plus the Workbook to Accompany. NURS 100 Packet Handouts, Instructor prepared materials. Uniform Appropriate reference materials will be chosen at the time the course is offered from those currently available in the field. Examples include: American Red Cross Nurse Assistant Review Manual Preparation for Testing, 2005 Appropriate auxiliary materials will be chosen at the time the course is offered from those currently available in the field. Examples include: 9. Suggested Course Requirements and Evaluation Linked to #5. Student Learning Outcomes (SLOs) and #6 Competencies/Skills/Issues Specific course requirements are at the discretion of the instructor at the time the course is being offered. Suggested requirements might include, but are not limited to: Revised 6/28/2016 CAR Form (4-93), page 10 Exams (5) 75% Links- I- a,b,c,d,e,f,g,i,k,l.m,n,o,q,t,u,v,y,z,ee,ff,gg,hh,ii,jj,kk,ll,mm,nn, II - d,g,k,l,m,z,gg, III a,l,m,p,gg IV- r,x,ff,gg Participation 25% Links - I- all items a thru nn, II - all items a thru nn, III - a,l,m,p,z,ff,gg, IV k,l,m,s,x,a,aa,bb,ccc,dd,gg Homework including Workbook Link- I all items a thru nn, III - l Computer participation in assignments Link - I - a, l, m, Mandatory Viewing of Lectures and Attendance at Lab sessions Link - #5 I thru IV - #6 all items a thru nn Laboratory and clinical experience with satisfactory demonstration of skill competency P/F Link - #5 I thru IV - #6 all items a thru nn 10. Methods of Instruction Instructional methods will vary considerably by instructor. Specific methods are at the discretion of the instructor teaching the course and might include, but are not limited to: Lecture and Clinical discussions live and on-line via forums or discussions On-line assignments, tasks, tests, quizzes, and polls Videos via live class or on-line Streaming Videos Laboratory demonstration and practice Group work Clinical experience in long-term care Observation in assisted living, day care, home care or other setting 11. Assessment of Intended Student Learning Outcomes Standards Grid attached 12. Additional Information: Assessment of Intended Student Learning Outcomes Standards – CCOWIQs with Ratings for NURS 100 Key: 3 = Major Emphasis: The student is actively involved (uses, reinforces, applies, and evaluated) in the student learning outcomes. The learner outcome is the focus of the class. 2 = Moderate Emphasis: The student uses, reinforces, applies and is evaluated by this learner outcome, but it is not the focus of the class 1 = Minor Emphasis: The student is provided an opportunity to use, reinforce, and apply this learner outcome, but does not get evaluated on this learner outcome 0 = No Emphasis: The student does not address this learner outcome Standard 1: Written Communication Write effectively to convey ideas that meet the needs of specific audiences and purposes. 1. Use writing to discover and articulate ideas 1.2 Identify and analyze the audience and purpose for any intended communication 1.3 Choose language, style and organization appropriate to particular purposes and audiences NURS 100 0 0 0 Revised 6/28/2016 CAR Form (4-93), page 11 1.4 Gather information and document sources appropriately 1.5 Express a main idea as a thesis, hypothesis, and other appropriate content 1.6 Develop a main idea clearly and concisely with appropriate content 1.7 Demonstrate mastery of the conventions of writing, including grammar, spelling, and mechanics 1.8 Demonstrate proficiency in revision and editing 1.9 Develop a personal voice in written communication Standard 2: Quantitative Reasoning Synthesize and articulate information using appropriate mathematical methods to solve problems of quantitative reasoning accurately and appropriately. 2.1 Apply numeric, graphic and symbolic skills and other forms of quantitative reasoning, accurately and appropriately 2.2 Demonstrate mastery of mathematical concepts, skills, and applications, using technology when appropriate 2.3 Communicate clearly and concisely the methods and results of quantitative problem solving 2.4 Formulate and test hypotheses using numerical experimentation 2.5 Define quantitative issues and problems, gather relevant information, analyze that information, and present results 2.6 Assess the validity of statistical conclusions Standard 3: Information Retrieval and Technology (Information Literacy) Access, evaluate, and utilize information effectively, ethically, and responsibly. 3.1 Use print and electronic information technology ethically and responsibly 3.2 Demonstrate knowledge of basic vocabulary, concepts, and operations of information technology and retrieval 3.3 Recognize, identify, and define an information need 3.4 Access and retrieve information through print and electronic media, evaluating the accuracy and authenticity of that information 3.5 Create, manage, organize, and communicate information through electronic media 3.6 Recognize changing technologies and make informed choices about their appropriateness and use. Standard 4: Oral Communication Practice ethical and responsible oral communications appropriately to a variety of audiences and purposes. 4.1 Identify and analyze the audience and purpose of any intended communication. 4.2 Gather, evaluate, select, and organize information for the communication. 4.3 Use language, techniques, and strategies appropriate to the audience and occasion. 4.4 Speak clearly and confidently, using the voice, volume, tone, and articulation appropriate to the audience and occasion 4.5 Summarize, analyze, and evaluate oral communications and ask coherent questions as needed. 4.6 Use competent oral expression to initiate and sustain discussion. Standard 5: Critical Thinking Apply critical thinking skills to effectively address the challenges and solve problems. 5.1 Identify and state problems, issues, arguments, and questions contained in a body of information. 5.2 Identify and analyze assumptions and underlying points of view relating to an issue or problem. 5.3 Formulate research questions that require descriptive and explanatory analyses. 5.4 Recognize and understand multiple modes of inquiry, including investigative methods based on observation and analysis. 5.5 Evaluate a problem, distinguishing between relevant and irrelevant facts, opinions, assumptions, issues, values, and biases through the use of appropriate evidence. 5.6 Apply problem-solving techniques and skills, including the rules of logic and logical sequence. 5.7 Synthesize inform from various sources, drawing appropriate conclusions. 5.8 Communicate clearly and concisely the methods and results of logical reasoning. 5.9 Reflect upon and evaluate their thought processes, value system, and world views in comparison to those of others. Standard 6: Creativity Able to express originality through a variety of forms. 6.1 Generates responses to problems and challenges through intuition and non-linear thinking. 6.2 Explores diverse approaches to solving a problem or addressing a challenge. 3 0 0 1 1 0 3 3 1 0 0 0 2 1 2 1 0 1 1 3 3 2 3 2 2 2 0 0 2 2 0 1 2 0 0 Revised 6/28/2016 CAR Form (4-93), page 12 6.3 Sustains engagement in activities without a preconceived purpose. 6.4 Demonstrates the ability to trust and follow one’s instincts in the absence of external direction. 6.5 Applies creative principles to discover and express new ideas. 6.6 Builds upon or adapts the ideas of others to create novel expressions or new solutions. 0 0 0 0 Revised 6/28/2016 CAR Form (4-93), page 13