NUR 100 Nursing Assistant Course Summer, 2012 Instructor Marcelle Berg, RN

TABLE OF CONTENTS

Syllabus.. 3 Class Schedule including Clinical Separate Course Objectives/Outcomes/Philosophy/Purpose 6-7 Course Requirements/Expectations of Student and Instructor.. 10 Criteria for written work.11 Clinical Requirements12 Important websites & e-mails 14 Performance checklist (Skills Lab) 15 Criteria for medical condition report. 16 Vocabulary# 1 17 Vocabulary#2.18 Vocabulary#3.19 Vocabulary#4.20 AIDS questionnaire 21-26 Clinical experience Worksheet.. 27 Criteria for clinical journal.28 Clinical objective criteria & evaluation tool 29-33

SOUTH PUGET SOUND COMMUNITY COLLEGE

Nursing 100 NURSING ASSISTANT (6.5 credits) (38.5 theory hours, 26 lab hours, and 40 clinical hours) Course Description: This course prepares students to become nursing assistants in convalescent centers, hospitals, and home care settings. This course covers the nursing assistants role on the health care team, basic technical and personal care skills, measuring body functions, restorative and rehabilitation techniques, communication, infection control, safety and emergency procedures. It identifies clients rights, mental health and social service needs recognizing individual, cultural and religious diversity. It meets the Washington State and Federal requirements for nursing assistant education. Instructor(s): Marcelle Berg, RN, B.S.N. 360-754-7711 ext. 4620 mberg@spscc.ctc.edu. mberg_22@msn.com. 360-485-6419 (cell) Office location is Building 34, Room 115 Office hours are by appointments and 1 hour prior to lecture/lab, and 1 hour after. Required Texts Nursing Assistant: A Nursing Process Approach Hegner, Barbara R., Acello, Barbara, Caldwell, Esther, 10th ed. NUR 100 Class Syllabus ANGEL access

NUR 100 Objectives and Outcomes Unit 1: Introduction to the Role of a Nursing Assistance and Infection Control: A nursing assistant uses standard and transmission based precautions to prevent the spread of microorganisms. A nursing assistant: Uses principles of medical asepsis. Demonstrates infection control techniques and standard and transmission based precautions. 1. Unit 6, 12, and 13. Explains how disease causing microorganisms are spread. 1. Unit 6, 12, and 13. Explains regarding transmission of blood borne pathogens. 1. Unit 12 and 13 Demonstrates knowledge of cleaning agents and methods which destroy microorganisms on surfaces. Reading Assignment: 1. Unit 6: Classification of disease. 2. Unit 12: Infection and Infection control 3. Unit 13: Infection and Infection control 4. Film: Sepsis (from web Sepsisalliance.org) A nursing assistant demonstrates behavior which maintains and respects client or resident rights and promotes independence, regardless of race, religion, life-style, sexual preference, disease process, or ability to pay. A nursing assistant will: Explains that the resident has the right to participate in decisions affecting his or her care. Explains the residents' need for privacy and confidentiality. Explains the residents right to make personal choices to accommodate their needs. Explains the residents right to make personal choices to accommodate their needs. Reports any residents concerns to the supervising nurse. Demonstrate respect for the residents property. The nursing assistant will explain the following behaviors: 1. Does not take, (commit Larceny) equipment, material, property or medications for his, hers or other's use or benefit. 2. May not solicit material or property from a resident for his, her or others use or benefit. 3. Does not accept money, material, or property from a client or resident for his, her or others use or benefit. 4. Does not borrow money, material, or property from client or resident for his, her or other's use or benefit. Explains the resident right to be free from abuse, mistreatment, and neglect. Explains how to intervene appropriately on the resident's behalf when abuse, mistreatment or neglect is observed. Identifies the mandatory reporting requirements. Identifies with mandatory reporting requirements by reporting to the department of health (D.O. H.) and the department of social and health services (D.S.H.S.) instances of neglect, abuse, exploitation or abandonment. A nursing assistant demonstrates knowledge of and can explain the practical implications of the law and regulations which affect nursing assistant practice.

A nursing assistant: Explain and discuss how to report incidences related to resident abuse, neglect, abandonment and exploitation by way of the Mandatory Reporting Law. Identify skills that are encompassed in the Nursing Assistants Scope of Practice. (WAC 246-871-400) Locate and explain knowledge of laws and regulations that govern their nursing practice through the Washington State Nursing Assistant Certified Scope of Practice. Locate and explain laws and regulations that govern their nursing practice through the Workers Right to Know. Locate and explain laws and regulations that govern their nursing practice through The Uniform Disciplinary Act. A nursing assistant uses communication and interpersonal skills effectively to function as a member of the nursing team. A nursing assistant: Understands English at the level necessary for performing duties of the nursing assistant. 1. The English Placement test result 2. Level of ESL Demonstrates how to listen to verbal and nonverbal communication in an appropriate manner. Demonstrates and responds to verbal and nonverbal communication in an appropriate manner. Explains how his or her own behavior influences client's or resident's behavior. Uses resources for obtaining assistance in understanding the client's or resident's behavior. Explains how to adjust his or her own behavior to accommodate the residents physical or mental limitations. Demonstrates and uses terminology accepted in the health care setting to record and report observations and pertinent information. Demonstrates and appropriately records observations, actions, and information accurately and in a timely manner. Demonstrates and appropriately reports observations, actions, and information accurately and in a timely manner. Explain policies and procedures before and during care of the client or resident. Unit 2: Vital Signs, Norms, Recording, and Reporting: A nursing assistant demonstrates basic technical skills which facilitate an optimal level of functioning for client or resident. Takes residents vital signs (temperature, respirations, radial pulse, and blood pressure. Reading Assignment: 1. Unit 18- Body Temperature 2. Unit 19- Pulse and Respirations 3. Unit 20- Blood Pressure Records residents vital signs (temperature, respirations, pulse, and blood pressure.) Reading Assignment: 1. Unit 18- Body Temperature 2. Unit 19- Pulse and Respirations 3. Unit 20- Blood Pressure Measures the residents height and weight. Reading Assignment: 1. Unit 21- Measuring Height and Weight.

Records the residents height and weight. Reading Assignment: 1. Unit 21- Measuring Height and Weight. Measures the residents fluid, food, intake and output. Reading Assignment: 1. Unit 26- Nutritional Needs and Diet Modification Records the residents fluid, food, intake and output. Reading Assignment: 1. Unit 8-Observing, Reporting, and Documentation.

Unit 3: Basic Human Needs Culture Sensitivity, Safety, and Comfort: A nursing assistant demonstrates the ability to identify psychosocial needs of all residents based upon awareness of the developmental and age specific processes. Identifies individual behavioral needs of the resident. Reading Assignment: 1. Unit 9 (Basic Needs) 2. Unit 11 (Culture and Sensitivity) Knows the developmental tasks associated with the developmental and age specific processes of adulthood. Allows the client or resident to make personal choices consistent with the clients or residents dignity. Demonstrates behaviors consistent with the resident's dignity. 1. Sensitively supportive to the residents emotional needs. 2. Responds to the emotional needs of the residents and their sources of emotional support. 3. Identifies individual, cultural, and religious diversity. Identifies emotional, social, cultural, and mental health needs. Responds to emotional, social, cultural, and mental health needs. Reports client's or resident's emotional, social, cultural and mental health needs. Reading Assignment: 1. Unit 33: Care of the Elderly and Chronically Ill. 2. Unit 9: Meeting basic Human needs 3. Unit 10: Comfort, Pain, Rest and Sleep. 4. Unit 11: Cultural Sensitivity. Identifies problems in the clients or residents environment to ensure safety and comfort of client or resident. Reading Assignment: 1. Unit 10: Comfort, Pain, Rest, and Sleep. 2. Unit 14: Environmental and Nursing Assistant Safety. 3. Unit 52: Response to Basic Emergencies. Responds to problems in the clients or residents environment to ensure safety and comfort of the client or resident. Reading Assignment: 1. Unit 10: Comfort, Pain, Rest, and Sleep. 2. Unit 14: Environmental and Nursing Assistant Safety 3. Unit 52: Response to Basic Emergencies Reports problems in resident's environment to ensure safety and comfort of the client. Reading Assignment: 1. Unit 3: Consumer Right and Responsibilities 2. Unit 4: Ethical and Legal Issues

3. Unit 14: Environmental and Nursing Assistant Safety Explains the care with regard to the use of restraints in accordance with current professional standards. Reading Assignment: 1. Unit 2: The Role of the Nursing Assistant. 2. Unit 4: The Ethical and legal Issues Affecting the Nursing Assistant. A nursing assistant demonstrates the ability to identify and implement safety and emergency procedures. A nursing assistant: Demonstrates how to provide an environment with adequate ventilation, warmth, light, and quiet. Demonstrate how to promote a clean, orderly, and safe environment including equipment for a resident. Identifies measures for accident prevention. Demonstrates uses for accident prevention. Demonstrates principles of good body mechanics for self and client or resident, using the safest and most efficient methods to lift and move clients, residents, or heavy items. Demonstrates proper use of protective devices in care of clients or residents. Demonstrates knowledge and follows fire and disaster procedure. Identifies principles of health and sanitation in food service. Demonstrates principles of health and sanitation in food service. Demonstrates the proper use and storage of cleaning agents and other potentially hazardous materials. Reading Assignment: 1. Unit 52: Response to Basic Emergencies 2. Unit 14: Environmental and Nursing Assistant Safety 3. Unit 15: Patient Safety and Positioning. Unit 4: Body Systems : Normal functions and Reporting of deviations: A Nursing Assistant: Identifies normal body functions. Reading Assignment: 1.Unit 38-Unit 45 Body Systems and common disorders, and related care procedures. Identifies deviations from normal body functions. Reading Assignment: 1.Unit 38-Unit 45 Body Systems and common disorders, and related care procedures. Identifies the importance of reporting deviations in a timely manner to a supervising nurse. Reading Assignment: 1.Unit 8- Observation, Reporting, and Documentation. 2.Unit 38-Unit 45 Body Systems and common disorders. 3.Unit 18-21 Vital signs. Unit 5: A nursing assistant with personal care skills: The Nursing Assistant: Demonstrates the resident with bathing. Demonstrates the resident with oral care. Demonstrates the resident with skin care. Demonstrates the resident with grooming.

Demonstrates the resident with dressing. Demonstrates toileting assistance to resident. Demonstrates the resident with feeding and drinking fluids. Demonstrates proper oral feeding techniques. Reading Assignments: 1. Unit 23: Bedmaking 2. Unit 24: Patient Bathing 3. Unit 25: General Comfort Measures. 4. Unit 26: Nutritional Needs and diet Modifications. 5. Washington Nursing Assistant Candidate Handbook, July, 2011

Unit 6: A nursing assistant demonstrates basic care of cognitively impaired clients or residents. A Nursing Assistant: Uses techniques for addressing the unique needs and behaviors of individuals with cognitive impairment including Alzheimer's, dementia, delirium, developmental disabilities, mental illnesses and other conditions. Reading Assignment: 1. Unit 33: Care of the Elderly and Chronically Ill 2. Unit 43: Nervous System. Demonstrate communication with cognitively impaired clients or residents in a manner appropriate to their needs. Demonstrates sensitivity to the behavior of cognitively impaired residents. Appropriately responds to the behavior of cognitively impaired residents. Reading Assignment: 1. Unit 30: Care of the emotionally stressed resident. 2. Unit 33: Care of the Elderly and Chronically ill. Unite 7: The nursing assistant incorporates principles and skills in providing restorative care. A Nursing Assistant: Demonstrates appropriate use of using assistive devices in ambulation, transferring, eating, and dressing. Reading Assignment: 1. Unit 16: The Patient Mobility: Transfer skills 2. Unit 17: The Patient Mobility: Ambulation. 3. Unit 15: Patient Safety and Positioning. Demonstrates knowledge in the maintenance of a residents range of motion. Demonstrates skill in the maintenance of a residents range of motion. Demonstrates proper techniques for turning and positioning a resident in a bed and chair. Demonstrates proper techniques for transferring a resident with a gait belt. Demonstrates proper techniques for ambulating a resident with a gait belt. Reading Assignment: 1. Unit 16: The Patient Mobility: Transfer skills 2. Unit 17: The Patient Mobility: Ambulation. 3. Unit 15: Patient Safety and Positioning. Demonstrates knowledge about methods for meeting the elimination needs of a resident. Reading Assignment: 1. Unit 44: Gastrointestinal System Demonstrates knowledge for the use and care of prosthetic devices by resident. Discusses the use and care of prosthetic devices by the resident.

Uses basic restorative services by Training the resident in self-care according to the resident's capabilities. Transports the resident getting to and from activities. Assists the resident in participating in activities. Reading Assignment: 1. Unit 42: Musculoskeletal

WAC 246-841-400 Standards of practice and competencies for nursing assistants. Competencies and standards of practice are statements of skills and knowledge, and are written as descriptions of observable, measurable behaviors. All competencies are performed under the direction and supervision of a licensed registered nurse or licensed practical nurse as required by RCW 18.88A.030. The following competencies are considered standards of practice for both nursing assistant-certified and nursing assistant-registered: (1) Basic technical skills. A nursing assistant demonstrates basic technical skills which facilitate an optimal level of functioning for client or resident, recognizing individual, cultural, and religious diversity. A nursing assistant: (a) Demonstrates proficiency in cardiopulmonary resuscitation (CPR) and can perform CPR independently. (b) Takes and records vital signs. (c) Measures and records height and weight. (d) Measures and records fluid and food intake and output. (e) Recognizes normal body functions, deviations from normal body functions and the importance of reporting deviations in a timely manner to a supervising nurse. (f) Recognizes, responds to and reports client's or resident's emotional, social, cultural and mental health needs. (g) Recognizes, responds to and reports problems in client's or resident's environment to ensure safety and comfort of client. (h) Participates in care planning and nursing reporting process. (2) Personal care skills. A nursing assistant demonstrates basic personal care skills. A nursing assistant: (a) Assists client or resident with bathing, oral care, and skin care. (b) Assists client or resident with grooming and dressing. (c) Provides toileting assistance to client or resident. (d) Assists client or resident with eating and hydration. (e) Uses proper oral feeding techniques. (3) Mental health and social service needs. A nursing assistant demonstrates the ability to identify psychosocial needs of all clients or residents based upon awareness of the developmental and age specific processes. A nursing assistant: (a) Addresses individual behavioral needs of the client or resident. (b) Knows the developmental tasks associated with the developmental and age specific processes. (c) Allows the client or resident to make personal choices, but provides and reinforces behaviors consistent with the client's or resident's dignity. (d) Is sensitive and supportive and responds to the emotional needs of the clients or residents and their sources of emotional support. (4) Care of cognitively impaired residents. A nursing assistant demonstrates basic care of cognitively impaired clients or residents. A nursing assistant: (a) Uses techniques for addressing the unique needs and behaviors of individuals with cognitive impairment including Alzheimer's, dementia, delirium, developmental disabilities, mental illnesses and other conditions.

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(b) Communicates with cognitively impaired clients or residents in a manner appropriate to their needs. (c) Demonstrates sensitivity to the behavior of cognitively impaired clients or residents. (d) Appropriately responds to the behavior of cognitively impaired clients or residents. (5) Basic restorative services. The nursing assistant incorporates principles and skills in providing restorative care. A nursing assistant: (a) Demonstrates knowledge and skill in using assistive devices in ambulation, transferring, eating, and dressing. (b) Demonstrates knowledge and skill in the maintenance of range of motion. (c) Demonstrates proper techniques for turning and positioning a client or resident in a bed and chair. (d) Demonstrates proper techniques for transferring and ambulating client or resident. (e) Demonstrates knowledge about methods for meeting the elimination needs of clients or residents. (f) Demonstrates knowledge and skill for the use and care of prosthetic devices by client or resident. (g) Uses basic restorative services by training the client or resident in self care according to the client's or resident's capabilities. (6) Client or resident rights and promotion of independence. A nursing assistant demonstrates behavior which maintains and respects client or resident rights and promotes independence, regardless of race, religion, life-style, sexual preference, disease process, or ability to pay. A nursing assistant: (a) Recognizes that client or resident has the right to participate in decisions about his or her care. (b) Recognizes and respects clients' or residents' need for privacy and confidentiality. (c) Promotes and respects the client or resident right to make personal choices to accommodate their needs. (d) Reports client or resident concerns. (e) Provides assistance to client or resident in getting to and participating in activities. (f) Respects the property of client or resident and employer and does not take equipment, material, property or medications for his, her or other's use or benefit. A nursing assistant may not solicit, accept or borrow money, material or property from client or resident for his, her or other's use or benefit. (g) Promotes client or resident right to be free from abuse, mistreatment, and neglect. (h) Intervenes appropriately on the client's or resident's behalf when abuse, mistreatment or neglect is observed. (i) Complies with mandatory reporting requirements by reporting to the department of health and the department of social and health services instances of neglect, abuse, exploitation or abandonment. (j) Participates in the plan of care with regard to the use of restraints in accordance with current professional standards. (7) Communication and interpersonal skills. A nursing assistant uses communication and interpersonal skills effectively to function as a member of the nursing team. A nursing assistant: (a) Reads, writes, speaks, and understands English at the level necessary for performing duties of the nursing assistant. (b) Listens and responds to verbal and nonverbal communication in an appropriate manner. (c) Recognizes how his or her own behavior influences client's or resident's behavior and uses resources for obtaining assistance in understanding the client's or resident's behavior.

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(d) Adjusts his or her own behavior to accommodate client's or resident's physical or mental limitations. (e) Uses terminology accepted in the health care setting to record and report observations and pertinent information. (f) Appropriately records and reports observations, actions, and information accurately and in a timely manner. (g) Is able to explain policies and procedures before and during care of the client or resident. (8) Infection control. A nursing assistant uses standard and transmission based precautions to prevent the spread of microorganisms. A nursing assistant: (a) Uses principles of medical asepsis and demonstrates infection control techniques and standard and transmission based precautions. (b) Explains how disease causing microorganisms are spread. (c) Is knowledgeable regarding transmission of bloodborne pathogens. (d) Demonstrates knowledge of cleaning agents and methods which destroy microorganisms on surfaces. (9) Safety and emergency procedures. A nursing assistant demonstrates the ability to identify and implement safety and emergency procedures. A nursing assistant: (a) Provides an environment with adequate ventilation, warmth, light, and quiet. (b) Promotes a clean, orderly, and safe environment including equipment for a client or resident. (c) Identifies and utilizes measures for accident prevention. (d) Demonstrates principles of good body mechanics for self and client or resident, using the safest and most efficient methods to lift and move clients, residents, or heavy items. (e) Demonstrates proper use of protective devices in care of clients or residents. (f) Demonstrates knowledge and follows fire and disaster procedures. (g) Identifies and demonstrates principles of health and sanitation in food service. (h) Demonstrates the proper use and storage of cleaning agents and other potentially hazardous materials. (10) Rules and regulations knowledge. A nursing assistant demonstrates knowledge of and can explain the practical implications of the laws and regulations which affect nursing assistant practice including but not limited to: (a) Mandatory reporting procedures related to client or resident abuse, neglect, abandonment, and exploitation. (b) Scope of practice. (c) Workers right to know. (d) The Uniform Disciplinary Act.
[Statutory Authority: RCW 18.88A.060(1) and 18.88A.030(5). 08-06-100, 246-841-400, filed 3/5/08, effective 4/5/08. Statutory Authority: RCW 18.88A.060. 91-23-077 (Order 214B), 246-841-400, filed 11/19/91, effective 12/20/91; 91-07-049 (Order 116B), recodified as 246841-400, filed 3/18/91, effective 4/18/91. Statutory Authority: RCW 18.88.080. 90-20-018 (Order 091), 308-173-210, filed 9/21/90, effective 10/22/90.]

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PURPOSE The NURSING ASSISTANT COURSE is consistent with Vocational Program Standards and the college outcome statements and seeks to provide a meaningful learning experience which will: 1. Upgrade resident care. 2. Raise the level of self-confidence of each student by creating a supportive and accepting educational environment through the personalized approach of the instructor. 3. Prepare students as nursing assistants according to the standards established by the Washington State Board of Nursing and the Omnibus Budget Reconciliation Act. 4. Provide a positive influence on other persons employed in long-term care facilities. 5. Reduce the rate of nursing assistant employment turnover, and encourage more efficient employee performance. 6. Positively affect the continuous recruiting of persons into careers as nursing assistants. 7. Be timely, precise, and pertinent to the needs of the community it serves.

BASIC ASSUMPTIONS AND REQUIREMENTS FOR ALL LEVELS OF NURSING The following assumptions and requirements are basic to nursing education and to nursing practice and apply to all levels of nursing. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Nursing students understand the roles of health care personnel and apply knowledge of legal parameters for nursing. Nursing students practice in an ethical manner. Nursing students demonstrate attitudes which have a positive effect on the resident, family and nursing profession. Nursing students follow the policies and requirement of the health care facility. Nursing students are liable and accountable for their own actions. Nursing students provide safe care within the expectations of their level of education. Nursing students provide efficient resident and family care and set priorities which safeguard their welfare. Nursing students plan with and involve the patient and family in order to promote optimum health. Nursing students function cooperatively with peers and those in authority within health care organizations. Nursing students are required to comply with all conditions of the clinical education experience agreement between the college and clinical agencies.

Class Requirements/How the student will be evaluated:

1. Attendance is required for all theory classes. If absenteeism becomes a problem

the student must meet with the instructor before admission to clinical. Information given in missed classes will not be repeated. It will be the responsibility of the student to get missed information from other students, except for pre-arranged absences. 2. Attendance is required for all lab days. Lab skill checklist must be completed before the first day of clinical.

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3. Vocabulary assignments are due on the assigned dates no later than 7pm. Vocab lists may
be emailed to the instructor.

4. Missed tests may be taken by appointment with the instructor. This applies to pre5. 6.
7. arranged absences; however you may take the test prior to your absence. Late tests will have 3 points deducted from the score. No makeup tests will be given for the final exam. Students arriving an hour late or more will not be given the test. Overall grade must be 69% or higher to pass the course. Overall averaging of tests must be 69% or higher in order to attend clinical. Any evidence of cheating may result in dismissal from the course. Clinical will be a pass/no pass evaluation. Attendance is mandatory and 40 hours must be completed. Arrangements can be made for absent/ill days to be made up. It is the responsibility of the student to notify the instructor, either before the clinical day or at or before 0600 on that clinical day, if you are sick for a 7-3 shift. Each student will be given a list of clinical skills that must be performed during the clinical time. In addition to the clinical requirements each student must show cooperation, great attitude, initiative and willingness to learn. All of these will be considered before issuing a pass or no pass grade.
labs)

8.

9. Final Point distribution: (may change due to schedule changes)(see separate schedule of classes and
Tests including final exam 560 Vocabulary lists 85 Medical condition report 50 AIDS questionnaire/paper 56 Lab quiz P/F Clinical journal (4) 4 Total Points: 755 10. If anyone misses a clinical day and is unable to make it up during the clinical period, a failure will be given as a grade for the course. Also, a failure grade will be given for those who fail to have at least 35 hours of lecture and 26 hours of lab completed before Clinical. 11. Use of laptops and other technology: The classroom is a learning environment. All cell phones must be turned off, as well as pagers, and other electronic devices (other than instructor approved). Laptops can be used for note taking only.

What to expect from the instructor: 1. Lecture and Lab will start on time. 2. Office hours are flexible. 3. All tests will be proctored by a staff member or the instructor. Paperwork will be returned within 1 week from the date from which it was handed in.

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Key Dates: 1. Please refer to the college webpage for important campus dates. The academic calendar can be found at: http://www.spscc.ctc.edu/programs/academic-calendar. 2. The final exam calendar can be found at: http://www.spscc.ctc.edu/sites/spscc/upload/filemananger/Programs/Final-Exam-Schedule.pdf 3. The registration calendar can be found at: http://www.spscc.ctc.edu/sites/spscc/upload/filemanager/Admission/admission-registrationcalendar.pdf 4. See course schedule of assignments/readings handed out on the first day of class. 5. Clinical dates are August 13-17th and August 20-24th. Clinical times may change due to the needs of the students and the availability of the clinical site and clinical staff. Criteria for written work 1. For Medical condition report & presentation, It will be a group presentation. The student will hand in a research paper in APA format (Reference page and citations are required.) along with one or more other students. (See separate instructions for the medical condition you are assigned.). For the clinical journal, the student will write a journal for each day in clinical except the last day. These will be due at the beginning of your next clinical day. There will be 4 journal entries. Each entry is worth 1 point. See instructions in separate criteria. The AIDS questionnaire will be turned in completed on the date that it is due. (The booklet is also returned to the Lab coordinator). The student may use the booklest downloaded from the website or use the website to gather the information required to complete the questionnaire. The vocabulary lists will be written in clear and legible written or typed. The Vocabulary homework may be emailed to the instructor by 7pm (the email is time stamped) on the day that it is due for full credit. Any late papers after that time will not be accepted and no points will be awarded.

2. 3.

4.

Clinical Requirements: Students must meet the health standards of the clinical agencies used in order to attend scheduled experiences. A student whose acts of omission or commission endanger the patients safety/or welfare will be asked to leave clinical and receive a failure for that experience. Standards include: 1. 2. 3. An annual PPD skin test (tuberculin). This is the students responsibility and expense. Written Proof of this test needs to be given to the lab assistant. Proof of Hepatitis B immunity or waiver signed also needs to be given to the lab assistant. Good physical health is needed which will not prevent the student from performing common nursing functions such as standing for long periods of time, and positioning residents or equipment or transferring/ambulating residents. An acceptable level of visual and hearing acuity is necessary for detecting changes in a residents condition. No impaired function due to the use of drugs, alcohol or other chemical substances, or due to mental exhaustion or illness will be allowed.

4.

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5. 6.

7. 8. 9.

10.

Behavior that in no way would be detrimental to the operation of the agency or the safety of the resident will be allowed. It is the position of SPSCC that, for the nursing assistant course, the student must fill out a request for criminal history information (a background check), which will be processed by the Washington State Patrol. If histories return without clearance, it is the students responsibility to obtain the records generated by Washington State criminal justice agencies pertaining to him/ her if he or she wishes to challenge any part of the record. This information must be obtained in writing and evaluated before the student is allowed to participate in the scheduled clinical experience. Failure to meet this requirement puts the student in jeopardy of passing/completing the course. A current CPR card must be provided to the lab assistant prior to going to clinical by a date to be determined. Also, all CPR, TB Test results, and Hepatitis immunizations are to be turned in to the lab assistant. She will answer any questions. 360-596-5449. Denial of access to the clinical facilities for any of the above reasons will result in the student being unable to complete the course. Final Exam is scheduled for. August 7, 2012. Attendance on the final exam date is mandatory. Exams will not be given early unless prior arrangements have been made with the instructor. A minimum passing grade of 69 % (in classroom and lab work) is required before admission to clinical facilities. Clinical dates will be the last two weeks of the quarter usually Monday thru Friday ending on August 13-17, and August20-25, 2012. (Schedules other than Monday thru Friday will be agreed upon by instructor and students.) The Clinical sites will be at two (or more) secondary nursing facilities (SNF) in the Thurston County area.

Clinical Dress Code

1.

2. 3. 4. 5. 6. 7. 8.

Nursing uniforms or scrubs are preferred. They may be any color or print. If the student is unable to buy scrubs, any plain pastel or white cotton top and white or khaki pants are permitted. No sweat pants, blue jeans, tight stretch pants, cut offs or shorts allowed. No sweatshirts or sweaters as only top. No sleeveless, halter, low neck, tanks or rib/waist length tops. Material must be clean, pressed and washable. Dresses or skirt must be knee length or below. Clean light colored, oxford type work shoes should be worn (no sandals or open toe shoes). Wrist watches with a second hand are needed. No heavy or large jewelry. No dangling earrings. No perfume or heavily perfumed soap or shampoo. Long hair must be off the collar or tied back. Fingernails should be short and clean. No artificial nails or dark polish. Each student needs to have a gait belt for each clinical day. Non-compliant students will be sent home to dress appropriately.

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Grading System A AB+ B BC+ C CD+ D F

(4.0) (3.67) (3.33) (3.0) (2.67) (2.33) (2.0) (1.67) (1.33) (1.0) (0)

= = = = = = = = = = =

94 - 100% of total possible points for the course 90 - 93% 88 - 89% 85 - 87% 83 - 84% 81 - 82% 77 - 80% 75 - 76% 73 - 74% 69 - 72% 68% or below

Important Web Addresses:

You will need to print your own information about test dates and locations, registration to become NAC/NAR. Here are also some sight to find the laws of Washington State, CPR classes, and AIDS Information Packet.
Nursing assistant laws: www.doh.wa.gov Click on Licensing/Certification on left side of screen Click on N from alphabetical listing Choose Nursing Assistant Click on Laws located on left Page shows display of all relevant RCW and WACs that were printed Nursing assistant licensing form: www.doh.wa.gov Click on licensing/certification on left side of screen Click on N from the alphabetical listing Choose Nursing Assistant Choose Forms/Applications on left side Choose Application Form under Nursing Assistant Certified Medic One: www.co.thurston.wa.us/medic1/ml_class.htm (there is an underscore after ml) Drop down menu offices, dept, agencies Click on Medic One Click on CPR class information & schedule (704-2780) Candidate handbook, test dates, applications: www.pearsonvue.com Click on nursing, scroll down on right to Washington State Nursing Assistant Aids Packet http://www.doh.wa.gov/search.htm?query=Know+HIV Scan down the document for answers.

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Name

Pass SPSCC NUR 100 Skill Performance CRITERIA FOR MEDICAL CONDITION REPORT

Fail ______

Skill
HAND WASHING WEIGHT/ HEIGHT DONNING PPE OCCUPIED BED MAKING

Date

Instructor Signature (signifies passing the skill)

COMMENTS

Temp x5: Please put on back of this page. TEMPERATURE PULSE (Radial and Apical), RESPIRATIONS BLOOD PRESSURE MODIFIED BED BATH AMBULATION TRANSFER BED/W.C. POSITION ON SIDE \ ROM SHOULDER ROM KNEE/ANKLE ORAL CARE DENTURE CARE NAIL CARE FOOT CARE FEEDING BED PAN TED HOSE DRESSING MEASURE I & O(Urine output) PERI CARE CATHETER CARE BP reading x5: Please put on back of this page.
Apical x5: Please put on back of this page. Radial x5: Please put on back of this page.

Resp x5: Please put on back of this page.

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NURSING 100

Each Student will be asked to sign up for a research paper and it to be written, along with another student, on a selected medical condition. All of these reports should be written from the standpoint of the geriatric (elder) client. Each medical condition paper will be presented in class on an assigned date to correspond with the date that the body system will be covered in class. Each students paper needs to cover any 3 of these items: 1. Cause 2. Symptoms 3. Treatment 4. Complications 5. Prognosis (outcome) 6. Nursing care (from the perspective of the NAC) Each student should turn in their own work in APA format. (A handout will be given with examples) complete with citations and bibliography. In addition to the written work, the project should include some visual aids (overhead projection, power point, handouts, graphs, drawings). Any one or two of these suggested visuals is required. The presentation needs to be at least 10 minutes long but no more than 20 minutes and will include some question and answer portion. All written work needs to be turned in at the time of the presentation. No late work will be accepted. This project will be worth 50 points for each student. See grading form for point distribution. The majority of points will be given to the presentation and the research paper itself. You can use internet sites for your references, but need at least one hard reference. References need to be from scholarly sources. Magazines such as People, Readers Digest, Prevention or National Enquirer are not scholarly sources. The public library has minimal medical text books, while the college library has many fine books. Also, don't forget your text book. Remember this is a college level class and college level work is expected. For many of you, this is your first experience in writing an APA research paper and each group may set up an appointment or email the instructor if students have questions. A reference page and citations are required. The purpose of this project is to make the student aware of various diseases and have the student share that information with the class. Also, be aware that the college does not tolerate plagiarism of any kind. (See student handbook)

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1VOCABULARY LIST For Test #1 Nosocomial infection Opportunistic Vector Microbe Pathogen Chain of infection Fomites Disinfection Antisepsis Personal Protective Equipment Airborne precautions Dyspnea slander libel assault larceny justice fidelity beneficence MSDS RACE Physiologic need

professionalism attitude work ethic accountability empathy battery abuse neglect

Give appropriate abbreviations for the following (see pages 48-56 in text) Twice a day With ___________ Before meals ____________ Water _____________________ Everyday ___________________ Four times per day ___________ Brady ___________ Hypo_________________ Dx _____________________ Hx ____________________ HOH ___________________

_________________

Without ________________ As necessary ____________ After Meals _____________ GI ____________________ ADL __________________ PO ____________________ OOB __________________

Vocabulary List
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Epithelial cells Homeostasis Rehabilitation Assistive device Pressure ulcers Shearing Bed cradle Lesion Osteoporosis Osteoarthritis Atrophy Immobility Contracture Benign Colostomy

Test #2 Conjunctivitis Glaucoma Cataract Tumor Metastasis Malignant Chemotherapy Stomatitis Palliative Alopecia Abduction Adduction Fractures Insomnia Range of motion

Lateral Proximal Superior Inferior Distal Medial Prone Supine Fowlers Position High Fowlers Position Sims Position 90-90-90 position Narcolepsy Restraints Mucous Membranes

Find the abbreviations for each one: (see pages 48-56 in text) Three times a day Ambulate Bedrest Discontinue AMA Fracture Every At once LOC CVA UTI __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________

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VOCABULARY LIST Test#3

Protein Carbohydrates Fat Appetite Anorexia fluid balance hernia constipation diarrhea endoscopy colostomy pneumonia bronchitis asthma Respiration cerebrum cerebellum urethra UTI fracture bedpan clean catch indwelling catheter aphasia quadriplegia Tetraplegia Halitosis pulse oximeter Decubitus Pressure Ulcer: Stage 1 Stage 2 Stage 3 Stage 4 Clear Liquid Diet Full Liquid Diet Diabetic Diet (ADA) Cardiac Diet Pureed Diet Soft Diet Hemiplegia Dysphagia

Give appropriate abbreviations for the following. (see pages 48-56 in text) Intake and output Liquid Cubic centimeter Nothing by mouth Bedside commode ________________ ________________ ________________ ________________ ________________

Electroencephalogram ________________ Gastrointestinal ________________

CPM ____________________________ Symptoms Treatment ________________ ________________

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VOCABULARY
FINAL EXAM

Erythrocytes Leukocytes Plasma Platelets Coronary Arteries Systole Diastole Elasticity Anemia Plaques Blood Clot Dementia Impaction

Cardiac rehab Pancreas Glucose Metabolism Diabetes Glucometer Blood Sugar Reading Hypoglycemia Hyperglycemia Post-mortem Care DNR Cardiac Arrest

Hospice care Advanced Directive Rigor mortis Diaphoresis Peripheral Vascular Disease (PVD) Stasis ulcer Angina pectoris Denial Stage Acceptance Stage Bargaining Stage Anger Stage Apical Pulse

Give appropriate abbreviations for the following: (see pages 48-56 in text) Fasting blood sugar ___________________

Total Hip Arthroplasty ___________________ Apical ___________________

Congestive heart failure _________________ Do not resuscitate Electrocardiogram ___________________ ___________________

Myocardial infarction ___________________ Intravenous Insulin dependent Diabetes mellitus DM 2 (or II) ___________________ ___________________ ___________________

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Not By Mouth

___________________

SPSCC NUR 100 AIDS QUESTIONNAIRE 1. What causes AIDS?

2. Define HIV/AIDS including HIV2.

3. How is HIV transmitted? (Identify 3 modes of transmission)

4. List 3 high risk behaviors for contracting HIV.

List 3 at risk population groups for HIV/AIDS.

6. Identify 3 control strategies in prevention of HIV/AIDS. (General population) 24

7.

List 3 risks for transmission for health care workers.

8.

Identify 3 ways to reduce the risks to health care workers. (Specific infection control precautions)

9.

List 2 ways to reduce stress or increase motivation for the health care worker caring for AIDS patients

10.

Identify the different between HIV & AIDS.

11.

Describe the classification (4 stages of HIV) & list the common clinical manifestations of each stage. This does not include the stage of AIDS.

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12.

Briefly explain 4 of the tests for HIV.

13.

Differentiate between anonymous & confidential testing.

14.

Identify a group for which there is mandatory testing.

15.

List 2 legal or ethical challenges to the health care system posed by HIV/AIDS

16.

List 3 psychosocial issues for people affected with HIV/AIDS.

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17. List a factor that contributes to fear in the person with AIDS & a method to decrease that fear.

18.

Identify some coping strategies or resources for coping which could be utilized by the person with AIDS.

Multiple Choices 1. drugs b. c. virus d. none of the above 2. A person who carries the antibody to HIV in his blood stream (i.e., tests positive) a. is immune to developing complications, such as AIDS b. was previously infected by the virus but no longer carries the virus c. is likely to have some abnormal immune function d. is diagnosed as having ARC 3. Chronic symptoms of HIV infection include all of the following, EXCEPT a. swollen lymph nodes b. recurrent fevers c. diarrhea and weight loss d. aphasia lymphopenia secondary to hemorrhage in hemophiliacs destruction of lymphocytes secondary to infection by the HIV The Primary pathology underlying AIDS is a. immunosuppressant secondary to prolonged use of narcotic

4. The most common chronic infection seen among people with HIV infection is a. Candida b. Pneumocystis carinii pneumonia c. toxoplasmosis d. herpetic whitlow e. both A and B. 5. HIV affects the immune system by a. destroying lymphocytes 27

b. c. d. 6.

increasing the number of erythrocytes causing excess stimulation of macrophage production limiting other allergic responses

How can health-care workers best avoid exposure to HIV? a. use isolation trays for dietary utensils and specially labeled bags for linen when people have AIDS, ARC or related opportunistic infections b. wear gloves whenever assisting a person with AIDS or ARC to bathe c. wear gloves when touching the body substance or non-intact skin of all patients, regardless of diagnosis (Standard Precautions) d. suggest strict isolation for all patients who may have been exposed to HIV Which of the following situations is most likely to put the health-care worker at risk for exposure to HIV? a. not knowing if a patient is carrying the virus b. Not wearing gloves when handling body fluids. c. mouth-to-mouth resuscitation of an IV drug user with TB d. working in hemodialysis, the operating room, or on an IV therapy team Ms. R. goes to the GYN clinic for an annual check-up. She has an IUD. She tells the nurse her sex partner used to use IV drugs (heroin). Although he has not used drugs for several years, Mr. R. says she is concerned about AIDS. What is appropriate advice for Ms. R.? a. Since her partner no longer uses drugs, tell her there is nothing for them to worry about. b. Advise her to refrain from anal intercourse and shell be safe for the virus that causes AIDS. c. Advise her to get tested for AIDS and to have her husband use a condom for all sexual activities that may permit semen to enter her body (vaginal, rectal, and oral). d. Tell her that she has probably already been exposed and should avoid all future pregnancies. After removing an IV line from Mr. P., a gay man being treated for Pneumocystis carinii pneumonia, you notice several drops of blood on your bandage scissors. What do you do? a. Discard the scissors in a red plastic bag clearly marked Blood and body fluid precautions. b. Wash the scissors with Clorox or another bleach solution. c. Soak scissors in Betadine solution for at least 20 minutes. 28

7.

8.

9.

d. 10.

Sterilize scissors either by steam or boiling before using them again with another patient.

When a patient with HIV disease identifies red to purple bruise-like lesions on the skin with no drainage and minimal discomfort, it is likely to be which of the following conditions? a. Kaposis sarcoma b. herpes simplex c. herpes zoster d. toxoplasmosis Which of the health care workers listed below is at greatest risk of exposure to HIV? a. admitting clerk b. patient care nurse or nursing assistant. c. physical therapist d. physician

11.

South Puget Sound Community College Nursing 100 Nursing Assistant Student Clinical Experience Worksheet
SKILL Hand washing Ambulate a resident Transfer from bed to chair Assist with ROM Positioning on side (pillow placement) Use assistive device Use prosthetic device Use orthotic device Vital signs: T, P, R

Name: ________________________
DATE INITIAL

29

BP Measure Weight Measure I & O Bed bath (occupied bed if possible) Shower Bed making Oral Care Skin care Hair care/grooming Shaving a male resident (observe first) Dressing residents Assist resident to bathroom or commode Placement of resident on a bed pan Offer male resident urinal Perineal care Collecting urine or stool sample if possible Foley catheter care Emptying urinary drainage bag Feeding residents Use lift equipment Charting Changing briefs Denture care Fingernail care Foot care Tub bath if possible Post Mortem Care Care for cognitively impaired resident Assist resident to activities/spiritual events Putting on PPE

CRITERIA FOR CLINICAL JOURNAL NURSING 100

Outcomes: To assist the student in analyzing their clinical experience, identifying strengths and weaknesses, and making goals for the future. Assignment value: 1 point per day. 4 points total Can be handwritten, but must be net, legible and in ink. The journal page can be up to 1 page long

30

Clinical days 1-5: Opportunity will be given to write the journal entry for that day. The student may also choose to do this assignment at home. It must be turned in by the start of the next assigned clinical day to get credit. Journal entries may cover the following topics: Summary/overview of the clinical day: New things learned, interesting experiences. (This is not a point-by-point description of all tasks done) How did you feel about what you did? What did you see? What is it like to be a NAC? How did the residents respond to your care? What can you do to improve the patients care or well being? What will you do or could you do differently tomorrow?

SOUTH PUGET SOUND COMMUNITY COLLEGE NUR100 CLINICAL OBJECTIVES CRITERIA & EVALUATION TOOL STUDENT: ___________________________________________________________________ FACILITY: ________________________________________ ABSENCES: ________________ INSTRUCTOR: _____________________________________GRADE: _________________
INSTRUCTIONS:

1. The student will perform the behavior prescribed in all criteria. 2. This evaluation will be placed in the students file in the nursing office upon completion of the course.
CRITERIA FOR GRADING (PASS/FAIL):

1. Competencies must be demonstrated by the end of the quarter for the student to pass, unless clinical experience is unavailable. 31

2. Criteria marked with as asterisk (*) ARE REQUESTED AND MUST BE PERFORMED TO PASS CLINICAL, unless experience is not available (NA). 3. Maintains competencies and basic requirements of the program as specified in Student-Faculty Handbook. 4. The student is responsible for knowledge of all policies regarding clinical experience and its expected to follow agency policy and act in a professional manner at all times. 5. The final evaluation of the students behavior and performance in clinical is determined by the judgment of the instructor. I. DESCRIPTIVE OBJECTIVES AND QUANTITATIVE EVALUATION At the end of clinical experience, students will be able to: *Demonstrates proper handwashing ______________ *Demonstrates infection control techniques and body substance isolation procedures. ______________ A. Role Responsibilities. Role as member within the discipline of nursing. Demonstrates knowledge of and is responsive to the laws and regulation which affect his/her practice. *1. Utilized ethical/legal concepts in relation to self, health team members, residents, and significant others ______________ *2. Maintained confidentially and resident privacy. ______________ *3. Followed appropriate lines of authority. ______________ *4. Practiced within role limitations. ______________ 5. Accepted responsibility for own actions. ______________ *6.Promotes freedom from abuse/report *7. Respected residents rights 8. Seeks assistance when unsure about action ______________ ______________ ______________

B.

Clients Rights and Independence. Role as manager of care. assists in providing nursing care under the supervision of the licensed nurse. *1. Reports residents concerns timely and accurately. ______________ 2. Assists with activities for residents. ______________ *3. Provides care and security for residents personal professions. ______________ 4. Minimize need for restraints. ______________ 5. Support residents personal choices and decisions. ______________ 6. Assist with grievances. ______________

32

C.

Safety, environmental, emergency procedures and infection control. Role as provider of care. Implementation. Safely performs basic technical, personal care skills and restorative services which facilitate an optimal level of functioning for the resident recognizing the individual, cultural and religious diversity. Implement communication techniques which related to nursing care. *1. Demonstrates infection control measures. ______________ *2. Provides a safe environment for residents. ______________ *3. Uses good body mechanics. ______________ 4. Describes fire and disaster procedures. ______________ Communications *1. Demonstrate English proficiency. *2. Responds to verbal and non-verbal communication Basic Restorative Services Demonstrated *1. Ambulation. *2. Transfer bed to chair. *4. Bed and chair positioning. *5. Use of assistive devices. 6. Use of prosthetic devices. 7. Use of orthotic devices. Basic Technical Skills. *1. Vital signs measured correctly. 2. Measuring Ht. & Wt. *3. I & O measured correctly. *4. Reports any abnormal symptoms of residents (evaluation). Personal Care Skills Provided *1. Bedbath *2. Shower 3. Bedmaking *4. Oral Care *5. Skin Care 6. Grooming 7. Shaving *8. Dressing *9. Assisting to BR or Commode 10. Offering bedpan (bowel & bladder training) 11. Offering urinal *12. Perineal care 13. Spec collection, if possible 14. Foley catheter care 15. Empty drainage bag 33 ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________

D.

E.

F.

G.

*16. Feeding (food sanitation) 17. Terminal care H. Care for Cognitively Impaired Residents 1. Knows needs of residents with dementia. 2. Communicates with cognitively impaired residents. 3. Understands behavior of cognitively impaired residents. *4. Responds appropriately to the behavior of cognitively impaired resident. 5. Reduces the effects of the behavior brought on by cognitive impairments.

______________ ______________ ______________ ______________ ______________ ______________ ______________

III SUMATIVE EVALUATION A. Self-evaluation (write self evaluation

EVALUATION
Accountability Work Performance Interpersonal Relations TEST GRADES #1

ABOVE AVERAGE

AVERAGE

BELOW AVERAGE

#2

#3

Final

Total test points:

Grading:

34

Tests Points: _______________ AIDS Questionnaire: ___________ Clinical Journal: ____________

Vocabulary: ___________ Medical Condition Report:

Lab Test: ______________ ___________

Total:

____________/755

Final Course Grade: _____________________

Instructor Evaluation:

Student Signature: _________________________________________ ____________ Instructor Signature: _______________________________________ ____________

Date: Date:

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