Certified Nursing Assistant Course E03 Great Basin College Nursing Department Course Number, Title, & Credits: NURS 130, 10905, E03: Nursing Assistant (6 Credits) Course Schedule and Location: Monday and Wednesday evenings from 4:00-9:00 PM. Class starts September 13, 2010, and runs through December 8, 2010, at Great Basin College, Room 109, Health and Science Building. Clinical schedule will fall within the above dates and will be announced in class. Catalog Description: Provides students with classroom, laboratory and clinical experience. Successful completion fulfills the requirements for eligibility to take the State Certified Nursing Assistant Examination. Prerequisite: Current CPR certification. Must show proof of current negative TB test or chest x-ray. Instructor Information: Peggy Drussel, RN, BSN and Carol Morales, RN, BSN Work phone: 738-7161. Peggy’s Cell phone: 934-3045(evenings and weekends) Carol’s cell phone: 775-3971887 (evenings and weekends). E-mail: pdrussel@elko.k12.nv.us Required Textbooks and Materials: Nursing Assistant Care: The Basics. Hartman Publishing, ISBN 978-1-60425-014-5 Hartman’s Nursing Assistant Care: The Basics Workbook, ISBN 978-1-60425-015-2 . Books are available at the Great Basin College Bookstore. Printed scrubs may be worn, however, do not purchase cartoon characters. The scrubs are to be clean and pressed. Clean sneakers or nursing shoes must be worn. Shoes must cover toes and have a back. You must wear a watch with a second hand. These items along with name badge will be worn during all clinical experiences and can be purchased on the Internet or at Wal-Mart. There is also a uniform store on Mtn. City Highway and Idaho Street (Code 4). Course Description: The course is designed to introduce the student to the health care field of nursing assistant. It will provide students with classroom, practical (laboratory) and clinical experience to develop the basic competencies required for certification as a nursing assistant. It will also provide the student with knowledge and skills that are prerequisite to job entry and that comply with both Nevada State Statutes and the federal law. Upon successful completion of the course, the student will be eligible to apply for the Nevada State Certification Examination that is required for employment as a nursing assistant. Learner Outcomes: Nursing assistant education strives to prepare individuals with skills necessary for safe and competent practice and the skills necessary for certification as specified by Nevada Revised Statutes and required for employment as a nursing assistant. Upon completion of this course, the student will: 1. Define the role of a nursing assistant. 2. Describe the responsibilities of a nursing assistant. 3. Perform specified skills required to function as a member of the health care team. 4. Demonstrate safe, competent care within the practice guidelines of a nursing assistant. 5. Provide care in accordance with the rights of every patient. 1 Assessment of Learner Outcomes: Learner Outcomes Define the role of a nursing assistant. Describe the responsibilities of a nursing assistant. Perform specified skills required to function as a member of the health care team. Demonstrate safe, competent care within the practice guidelines of a nursing assistant. Provide care in accordance with the rights of every patient How Assessed Workbooks, quizzes, and discussions focusing on ethics, legal standards, and patient rights. Workbooks and quizzes, group discussion, focusing on basic body systems and medical terminology. Practice of documentation. Workbooks, quizzes, performance log, group discussion. Practical application of learned nursing skills, team work and demonstration of communication skills and documentation. Skills practiced in a clinical setting. Workbooks, quizzes, performance log, group discussion. Practical application of learned nursing skills, team work and demonstration of communication skills and documentation. Skills practiced in a clinical setting. Show understanding of scope of practice within the role of nursing assistant. Practice and apply skills in a clinical setting. Workbooks, quizzes, performance log, group discussion. Practical application of learned nursing skills, team work and demonstration of communication skills and documentation. Skills practiced in a clinical setting. Show understanding of scope of practice. Application of skills in a clinical setting showing a comprehension of nursing role, responsibilities, and the rights of every patient. Final test of written knowledge and manual skills. A 100% is required on all skills listed on the Performance Log. Students are permitted to practice skills on the Performance Log until 100% accuracy is achieved. Skills tests on the Performance Log must be given by a registered nurse. 2 A minimum grade of 80% is required on all written and oral quizzes and tests. Retake is permitted on all written and oral quizzes and tests. No grade higher than 80% will be given on a retake exam. The nursing assistant curriculum is a competency based curriculum which allows for variation in completion time because of differences in individual learners. However, all requirements must be completed by the end of the scheduled date of the course. No cell phones are allowed in class or the clinical setting. You will be dismissed from the program for violation. Method of Instruction: The method of instruction will follow the Nursing Assistant Training Program Model Curriculum Guide for the Nevada State Board of Nursing. The curriculum is divided into 18 units which include objectives, vocabulary and suggested content. The program is 120 hours. Classroom and laboratory work will be 80 hours. The student will complete 40 hours training in a clinical facility. The clinical training will include the following: Communication and Interpersonal Skills, Infection Control, Safety/Emergency Procedures including Heimlich maneuver, Promoting Residents’ Independence, Respecting Residents’ Rights with practice in Methods to Reduce the Use of Restraints. Grading Policy and Criteria: A. Manual Skills Demonstration Examination 1. The student will achieve 100% demonstrating the skills listed on the Performance Log and following the specified steps in the procedure. 2. The student will demonstrate performance in a professional manner, using appropriate communication and respect for patient’s rights. 3. A manual skills exam will be given. Basic skills will be demonstrated. The student will not be told which skills he/she will perform prior to the time of the exam. B. Written Examination 1. The student will achieve a minimum of 80% on the written final examination. 2. If the student has demonstrated great difficulty with written examinations, arrangements can be made to take the exam orally. It is the student’s responsibility to request the oral rather written exam prior to the time of testing. 3. Ninety minutes is allowed for the final examination. The exam is multiple choice questions. The following grading scale is used on all graded work or assignments: A = 100-94% A- = 93%-90% C+ = 79-77% D = 66-64% B+ = 89-87% C = 76% D- = 63-60% B = 86%-84% C- = 75-70% F = Below 59% B- = 83-80% D+ = 69-67% Quizzes will be given as needed to clarify information and understanding of material. The scores on quizzes will be calculated into the final grade of each student. Homework assignments will be provided on a regular basis with assigned points that will reflect the student’s overall grade. 3 Attendance Policy and Absenteeism and Clinical Expectations: All attendance and clinical expectations are outlined in the Student Policy Handbook. NO CELL PHONES WILL BE ALLOWED IN THE CLASSROOM OR CLINICAL SETTING. PLEASE USE BREAK TIMES TO RETURN PERSONAL CALLS. IF AN EMERGENCY OCCURS AT HOME AND A FAMILY MEMBER IS IN NEED OF GETTING IN TOUCH WITH YOU PLEASE HAVE THEM CALL SECURITY AT 753-2293. Disability Statement: GBC supports providing equal access for students with disabilities. An advisor is available to discuss appropriate accommodations with students. Please contact the ADA Officer (Julie Byrnes) in Elko at 775.753.2271 at your earliest convenience to request timely and appropriate accommodations. (All skills will be taught in the skills lab in conjunction with all classroom times.) Course Outline/Content/Schedule Week 1: Monday and Wednesday Sept. 13 & 15, 2010, from 4-9 PM (10 hrs. didactic) Monday-Introduction to CNA, Nevada State Board of Nursing application, Role of CNA, Chapter One – The Nursing Assistant in Long-Term Care Quiz on Chapter One Skills: Recording and Reports. Wednesday- Chapter Two- Foundations of Resident Care. Quiz on Chapter Two Skills Practice: Communication, Infection Control, Safety and Emergency Procedures and Body Mechanics, Safety Devices, Hearing Aid and Eyeglasses. Week 2: Monday and Wednesday Sept 20 & 22, 2010, from 4-9 PM (10 hrs. didactic/lab) Monday- Chapter 3- Understanding Your Residents Quiz on Chapter 3 Skills: Dying Patient Wednesday- Chapter 4- Body Systems and Related Conditions Carol will cover Integumentary and Musculoskeletal System and their related conditions. Grp. 1-Nervous System and Related Conditions Grp. 2- Circulatory System and Related Conditions Week 3: Monday and Wednesday Sept 27 & 29, 2010, from 4-9 PM (10 hrs. didactic/lab) Monday Grp. 3- Respiratory System and Related Conditions Grp. 4- Urinary System and Related Conditions Grp. 5- Gastrointestinal System and Related Condtions 4 Wednesday Grp. 6- Endocrine System and Related Conditions Grp. 7- Reproductive System and Related Conditions Grp. 8- Immune and Lymphatic System and Related Conditions Quiz on Chapter 4 Skills: Ostomy Care, Bowel Elimination, Diabetic Foot Care. Week 4: Monday and Wednesday Oct. 4 & 6, 2010, from 4-9 PM (10 hrs. didactic/lab) Monday- Chapter 5-Confusion, Dementia, and Alzheimer’s Disease Quiz on Chapter 5 WednesdaySkills- Personal Care and Mental Health Week 5: Monday and Wednesday Oct. 11 & 13, 2010, from 4-9 PM (10 hrs. didactic/lab) Monday- Chapter 6- Personal Care Skills Wednesday- Continue with Chapter 6 Quiz on Chapter 6 Skills Practice: Moving Resident in Bed, Positioning Resident, Transfer, Transport, Personal Care, IV fluids, Applications soft devices (anti-embolism hose, heel-elbow pads, etc), Bed Devices. Week 6: Monday and Wednesday Oct. 18 & 20, 2010, from 4-9 PM (10 hrs. didactic/lab) Monday- Chapter 7- Basic Nursing Skills Wednesday- Continue with Chapter 7 Quiz for Chapter 7 Skills: Bedmaking, Vital Signs, Catheter Care, Admission and Discharge, Deep Breathing and Coughing, Apply Dry Dressing, Specimen Collection. Week 7: Monday and Wednesday October 25 & 27, 2010, from 4-9 PM (10 hrs. didactic/lab) Monday –Chapter 8- Nutrition and Hydration Quiz on Chapter 8 Skills: Nutrition Wednesday- Chapter 9- Rehabilitation and Restorative Care Quiz on Chapter 9 Skills: Ambulation, Rehabilitation, Prosthetics, and Post Surgical Care. Week 8: Monday and Wednesday November 1 & 3, 2010, from 4-9 PM (10 hrs. didactic/lab) Monday- Chapter 10- Caring for Yourself Quiz on Chapter 10 Wednesday-Hospital Tour, Review previous written tests, and Final Written test. 5 Week 9: Monday and Wednesday Nov. 8 & 10, 2010, from 4-9 PM (10 hrs. clinical) First & second clinical practice at Highland Manor. We will be spending both class periods at the Manor. Please come prepared wearing uniform, white shoes, hair appropriate, and name tag. Bring performance log, a small notebook, and pen. Week 10: Monday and Wednesday Nov. 15 & 17, 2010, from 4-9 PM (10 hrs. clinical) Both class times will be spent at Highland Manor working on clinical skills. Week 11: Monday and Wednesday Nov. 22 & 24, 2010, from 4-9 PM (10 hrs. clinical) Both class times will be spent at Highland Manor working on clinical skills. Week 12: Monday and Wednesday Nov. 29 & Dec. 1, 2010, from 4-9 PM (10 hrs. clinical) Both class times will be spent at the Manor working on clinical skills. Week 13: Monday Dec. 6, 2010 & Wednesday Dec. 8, 2010, from 4-9 PM Final skills testing and retesting as needed. 6