2009.77 - Nursing (NURS) 100: Nurse Assistant, Course Outline

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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
AAS Program
BAS Program
AA LE - Elective
Category
Category
Category
Developmental/Remedial
Additional Category
List Additional Programs and Category:
List Additional Programs and Category:
List Additional Programs and Category:
Other/Additional: Explain:
See Curriculum Action Request (CAR) form for the college-wide general education student learning
______________________________________________________
______________________
Chancellor
Approval Date
Revised 6/28/2016
Course Outline, page 1
2
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.
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
course outline
3
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,
1-Week Care for those with Dementia; Care for those with Terminal Illness, Hospice care; After-life
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
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course outline
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the skin; Musculo-skeletal System, prevention of atrophy and contractures; Cardio-vascular 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); 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
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course outline
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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:
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 IVr,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
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course outline
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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:
Revised 6/28/2016
course outline
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