Nursing Fundamentals

Lesson Plan: Objective 1.01

Prepared by: Anne Whisnant
Date: 1-25-14
Time Allocation: 3 Classes
Course: Nursing Fundamentals
Unit: 1.01
Competency/Essential: Understand the Process of Skill Acquisition
Standard
Objective/Indicator: Understand the Nurse Aide Skill Acquisition Process
Essential Question(s): What are the principals of skill acquisition?
What methods are used in the process of skill acquisition?
Why handwashing is important in the prevention and spread of infection?
What are methods of skill evaluation?

Teacher Actions Student Actions

Review/Focus  Facilitate discussion to Participate in discussion about present
assess student’s knowledge knowledge the skill acquisition process
of the skill acquisition
process

Instruction/Information Handout: Skill Acquisition Key Terms

 Present the PowerPoint
Presentation.
a) Nurse Aide Skill
Acquisition
 Facilitate discussion on the
process of skill acquisition,
and the methods used for
skill acquisition evaluation.
 Facilitate discussion on the
importance of handwashing
in the prevention and spread
of infection
(Define Key Terms while viewing PowerPoint)
Handout: Process of Skill Acquisition
(Define Skill Acquisition Process while viewing
PowerPoint)
Participation in discussion on the
process of Skill Acquisition, methods of
Evaluation for Skill Acquisition and the
importance of the prevention and
spread of infection.
Helps student UNDERSTAND (B2) the
process of Skill Acquisition and
Methods used to Evaluate Skill
Acquisition, as well as, the importance
of the prevention and spread of
infection.

Guided activities with Skill Acquisition: Skill Acquisition Activity:

ungraded feedback Handwashing  Students will record notes on the
(formative assessment)  Review Teacher Resource to appropriate handouts
prepare for this activity.  Students will assemble supplies
 Distribute the Handwashing need for handwashing
 Skill Procedure handout.
 Students will read the
handout
 Present video on
Handwashing
http://youtu.be/MN8Xb59Q
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 Instruct students to record
any notes and class
discussion on the handouts
 Demonstrate handwashing
procedure to students
 Facilitate discussion
Independent activities Infection Control Research
with graded feedback  Instruct students to research
the different types (resident
and transient) of bacteria that
reside on the hands.
 Instruct students to research
the History of Handwashing
 Instruct students to construct
a virtual poster on the
Importance of Handwashing.
 Review the HOSA guidelines
for Extemporaneous Health
Poster with students
Summary Review materials covered in this
unit with students and answer
questions
Administer post-assessment
 Students will participate in a
guided practice for handwashing
procedure.
 Students will progress to
Independent Practice for
Handwashing Skill.
 Student will have summative
assessment to document
competency for Handwashing.
 Student will participate in
discussion about the importance
of handwashing in the healthcare
facility
Helps student UNDERSTAND (B2) the
appropriate procedure for handwashing
and the importance of preventing the
spread of infection.
 Students will research the history of
handwashing and the different types
of bacteria (resident and transient)
that reside on the hands.
 Students will create a virtual poster
that explains the types of transient
and resident bacteria that reside on
the hands. Poster will also include
handwashing technique and the
importance of handwashing in the
prevention and spread of infection.
 Students should complete the
assignment as directed using the
HOSA competitive events guidelines
for Extemporaneous Health Poster.
www.hosa.org/natorg/sectb/cat- iii/ehp.pdf
 The students will present their
posters to the class.
www.hosa.org/natorg/sectb/cat-iii/es.pdf
Helps student UNDERSTAND (B2)
infection control procedures
 Students will review all materials
covered in unit and ask questions
 Students will take post-
assessment
Reflections Facilitate discussion based on Students will be asked to reflect on
student’s reflections on the the process.
process of virtual poster project.  What similarities and/or
differences did the students note
after seeing the finished product?
 Were there any “lessons
learned” from this project that will
change personal hygiene habits?
Resources/materials  Sink
needed  Running Water
 Paper Towels
 Soap
 Trash Container
 Paper and Pencils
 Computer with Internet
access
 Projector and screen
 Whiteboard
 Multi-colored card stock
 Black Sharpie Markers
 Transparent Tape
 Paperclips
 Scissors

Nursing Fundamentals
1.01 Skill Acquisition Key Terms
Student Handout

Key Term Definition

Muscle Memory

Motor Learning

Long Term Muscle Memory

Brain Storm

Guided Practice

Independent Practice

Summative Assessment

Nursing Fundamentals
1.01 Process of Skill Acquisition
Student Handout

Student
Skill Demonstration
Where Am I Going? Student Needs the Criteria for Success.
Question:

Student
Guided Practice
Where Am I Now? How Do I Close the Gap? This is time for formative assessment. Teacher is
watching and providing descriptive feedback. Descriptive feedback helps the student “form” the skill
Questions:
correctly.

Self
Independent Practice
Student needs insight into their own strengths and weaknesses and access their own strategies for
Assessment: learning.

Summative
Competency Check-Off
Student performs skill without prompting. Pass or fail. No middle ground. Student who does not
pass competency summative assessment needs to go back through the cycle of demonstration, guided
Assessment: practice, independent practice and summative assessment.
Nursing Fundamental Notes
1.01 Hand Hygiene
Student Notes

Hand Hygiene 
• New term in health care 
• CDC defines hand hygiene as washing hands with 
 soap and water or 
 alcohol‐based hand rubs

• You have probably been washing hands with soap and water all 
your life, but may not be as familiar with alcohol‐based hand rubs  
 
• Alcohol‐based hand rubs may be gels, rinses, or foams that do not 
need water to use 
 
• Remember, number one way a harmful germ travels from place to 
place is on the hands 

 
 Hand Hygiene – Why? 
• Performing hand hygiene is the single most important 
thing the nurse aide can do to prevent spread of infection when at 
work  

 
Hand Hygiene – Where? (Point of Care) 
• While at work, nurse aide should perform hand hygiene at point of 
Care

• Point of care refers to the place where three (3) elements occur 
together 
 The resident 
 The nurse aide 
 The care or treatment involving resident contact  

• Most point of care occurs in resident’s room 

 
 Hand Hygiene – When (5 Essential Times)

World Health Organization (WHO) recommends that during health 
care delivery, at the point of care, there are five (5) essential times 
or moments that nurse aide must perform hand hygiene 

1. Before touching a resident (examples –  helping resident move
around, helping resident with AM or PM care, taking vital signs)
 
1. Before doing a clean or aseptic procedure (examples before
brushing resident’s teeth or cleaning dentures, preparing meal 
tray, feeding resident, getting clean linen

2. After any body fluid exposure risk (examples –after brushingresident’s teeth or pr
oviding denture care, feeding resident, 
caring for skin lesions, cleaning up urine, stool, vomit, blood, 
and handling soiled linen, urinal, bedpan)

3. After touching a resident (examples –  after helping resident 
move around, helping resident with a.m. or p.m. care, taking 
vital signs) 

4. After touching resident surroundings (examples –  after 
changing bed linen with resident out of bed, raising or lowering 
bed rail, leaning against a bed or night table, clearing bedside 
table or over‐bed table) 

 
5 Moments 
• The 5 Moments apply to any health care setting where care 
involving direct care is provided to a resident, patient, or client 
 
Hand Hygiene  – When (Other Times to Wash Hands) 
• Before/after going to restroom 
• Before/after eating 
• Before/after wearing gloves 
• Before getting clean linen 
 
 
Infection Prevention
Hand Hygiene  – When (Other Times to Wash Hands) 
• When hands are visibly soiled 
• After handling trash 
• After arrival at work;
 • Before leaving work; 
• After returning home from work before touching anybody or anything  
 
Hand Hygiene–When (Other Times to Wash Hands) 
• After blowing nose 
• After sneezing in hand 
• After touching hair   
• After touching other body parts, such as your mouth or nose 
 
When to Hand Wash  
• There are times when nurse aide should use soap and water, instead of alcohol‐
based hand rub 
• If hands are visibly dirty 
• After using restroom 
• After blowing nose 
• After sneezing in hands 
• After changing adult briefs 
• After cleaning a spill of blood or other body fluids 
• Before and after using shared medical equipment 
 
When to Use Hand Rub 
• There are times when alcohol‐based hand rubs are acceptable 
choice in hand hygiene 
• Before and after eating  
• Before and after handling food 
• Before and after routine resident care