Kimmel RN, PhD, CHMM,
CNAT (Certified Nursing Assistant Trainer)
Phone: (734) 762 -3220, or (313) 575- 1214
See School Catalog in behalf of policies.
Please communicate your adviser instanter, both verbally and in correspondence, if you are a
student with uncanny needs who may command certainly adaptations, uncanny corporal
accommodations, disrepute in behalf of capability medical emergencies, or would needfulness eschew
in the affair the edifice essential be evacuated.
Course Description: The novice is introduced to critical nursing circumspection, district rights,
safety and difficulty nursing procedures. Principles of salubrious relationships and
client circumspection are presented as clearly as the legal/ethical issues correlated to nursing assistant
practice.
AIDS learning and in odd 59 remonstration hours, 16 lab hours and 48 clinical hours. Students examine competencies required to mainstay in giving critical nursing
care to patients in long-term circumspection agencies below the supervision of the adviser or
licensed nursing familiar.
Prerequisites: Completion of Michigan State Criminal History Background Check is
required last to coming into clinical agencies.
Documentation on go by in Nursing Program
Office of immunizations: Hepatitis B vaccination started (optional), bark evaluate or x-ray
findings negating in behalf of fervent TB. Demonstrates critical polytechnic skills that assist an optimal with of functioning
or the shopper, recognizing participant, cultural, and meticulous heterogeneity.
Learner Outcomes: At the consummation of the certainly, the novice when one pleases be excellent to:
1. (Disciplinary Learning)*
2.
Provide insulting circumspection to clients. Identify psychosocial characteristics of all clients including persons with mental
retardation, crazy sickliness, dementia, Alzheimer’s Disease, and correlated disorders. (Disciplinary Learning, Social and insulting responsibility)
3. (Disciplinary Learning)
4. Incorporates principles and skills of restorative nursing in providing circumspection.
Demonstrate behaviors that engage and weigh highly shopper rights and promote
clients’ autarchy, regardless of the dogs, dogma, life-style, sensuous proclivity,
disease dine pay the bill for, or power to give out. (Disciplinary Learning)
5. (Social and insulting responsibility)
6.
Use authoritative communication skills in demand to event as a colleague of the nursing line-up. Use procedures and techniques to avert the spread of microorganisms. (Literacy)
7. in odd
(Disciplinary Learning, Social and insulting responsibility)
8. Demonstrates the power to brand and ground safety and emergency
procedures (Disciplinary Learning, Social and insulting responsibility)
9.
(Social and insulting responsibility)
10. Deliver delicate circumspection to the on one’s deathbed subaltern and the demand.
Demonstrate information of and is communicative to the laws
and regulations that deliver upon oneself his/her MO himself including but not pygmy shopper misemployment and management, client
* Desired Student Abilities 2
complaint procedures, workers beneficial to discern, and the Uniform Disciplinary Act.
(Disciplinary Learning, Social and insulting responsibility)
Textbooks & Materials:
1. Optional in behalf of pertinence.
Michigan Model provided to all students
2. Sorrentino, S. & Gorek, B.
Mosby’s textbook in behalf of long-term circumspection nursing assistants (5th ed). (2007). Philadelphia: Elsevier Mosby
2. The Law Relating to Nursing Assistants, Federal Rules and
Regulations in behalf of CAN’s (Provided in class)
3. Watch with alternate despatching strongly recommended, stethoscope unmandatory, even, nursing shoes
Teaching/Learning Methods: Lecture, analysis, videotapes, position frolic,
demonstration/return demonstration
Course Requirements:
1.
Resident’s Rights Handout (Provided in class) includes Public Health Code,
MCL 333.21766, and Public Health Code MCL 333.20201
4. A demand of “C” (2.0) or happier is required to pass the certainly.
2. Attendance is required. Active participation in class
3.
Methods Of Evaluation: Weekly quizzes Final written and skills exam
Passing demand in behalf of clinical Grading Scale:
Passing A = 90-100% A, 80-89% B, 70-79% C, Below 70% is faulty.
Course Outline Total of 75hours included 16 hours in lab with
the withal of 48 hours clinical rotation totaling 123 hours.
Introduction: 16-hours of learning in the following last to clinical rotations
A.
I. Communication and interpersonal skills
1. Communication in haleness care
2. Guidelines in behalf of communicating with clients
B.
Communicating with familiar members
3. Infection Control
1. Chain of infection
2. Viral infections
4. Body defenses
3.
Bacterial infections
5. Guidelines in behalf of preventing infections
6. Safety/emergency procedures, including the Heimlich maneuver
1. Self-care
C. The shopper environment
2. Safety measures
3.
Nursing consort with safety
D. Fire Safety
4. Guidelines in behalf of promoting the client’s independence
E.
Respecting client’s rights
1. Providing isolation and maintaining confidentiality
3. Resident’s rights and responsibilities
2. Giving succour in resolving grievances and disputes
4. Providing needed succour in getting to and participating in effortlessness activities
5.
Promoting the beneficial to be autonomous from misemployment, brutalization and neglect
7. Maintaining circumspection and safety of insulting belongings
6. Reporting any disparaging treatment
8. Avoiding ground of restraints in accordance with in the discern maven and effortlessness standards
II. Taking and recording critical signs
1. Basic Nursing Skills
A.
Body temperature
a. Definitions of convocation temperature
b. Measuring convocation temperature
d. Temperature control
c.
Clinical thermometers
e. Guidelines in behalf of using said and rectal thermometers
f. Pulse
a. Guidelines in behalf of dependable ground of a magnifying glass thermometer
2.
Sites in behalf of alluring a pulse
b. Using a stethoscope
c. Rhythm and gusto of pulse
e. Pulse rate
d. Taking a radial pulse
f.
Taking an apical pulse
3. Abnormal respirations
b. Respirations
a.
Counting respirations
4. Blood pressure
a. Equipment
c. Factors affecting blood pressure
b.
Measuring blood pressure
B. Measuring and recording ascend and weight
1. down scale
3. Guidelines in behalf of obtaining on the noteworthiness burden and height
2.
electronic scale
4. bed scale
5. Caring in behalf of the client’s environment
1.
chair scale
C. Environment and nursing consort with safety
2. The shopper environment
3.
Reporting and recording observations
1. Safety measures
D. Making observations
2.
Reporting changes in shopper condition
3. Caring in behalf of on one’s deathbed clients
1. Documentation
E. Five stages of grief
2. Preparation in behalf of death
3. Role of nursing assistant
5. Client self-determination
4.
Hospice care
6. Physical changes as closing approaches
7. Organ donation
9. Postmortem care
8. Autopsy
III. Personal Care skills
A.
Guidelines in behalf of shopper bathing
2. Bathing
1. Assisting with tub or rain bath
3. Bed bath
4. Hand and fingernail care
6. Peri-care (male/female)
5. Foot care
7.
Bed shampoo
B. Making the unoccupied bed
2. Bedmaking
1. Making the occupied bed
C. Grooming/oral care
1.
Special said hygiene
3. Routine said care
2. Denture care
4.
Daily shaving
5. Dressing
1. Hair care
D. Guidelines in behalf of dressing and undressing the client
2. Use of assistive devices
E. Elimination needs
2.
Toileting
1. Giving and removing a bedpan
3. Giving and removing a urinal
4. Providing catheter care
F.
Assisting with the ground of the bedside commode
5. Maintaining and restoring musculo-skeletal function
1. Range of migratory exercises
2. Methods of submissive prevention
G. Care and ground of prosthetic and orthotic devices
3.
Assisting with eating and hydration
1. Nutritional needs and aliment modifications
2. Essential nutrients
4.
Normal nutrition
3. Six nutriment groups
5. Basic diets
6. Recognizing burden loss
8. Supplements and nourishment
7.
Fluid balance
9. Providing brand-new water
10. Alternative nutrition
12. Recognizing signs of dehydration
11. Measuring and recording intake and output
13. Proper feeding techniques
a. assisting the shopper with self feeding
c.
feeding the client
b. ground of assistive devices
d. feeding dependent client
14.
H.
Reporting burden wastage, decreased nutriment and ichor intake, and decreased urine in. Skin care
1. Integumentary scheme structures
2. Aging changes
4. Skin functions
3. Skin lesions
5.
Guidelines in behalf of preventing compressing ulcers
I. Body mechanics in behalf of shopper and nursing assistant
2. Positioning, stirring, transferring, ambulating
1. Transfer skills
a. Moving
b. Guidelines in behalf of dependable transfers
4. Lifting
3.
Use of despatching belts
5. Use of assistive devices: cane, walker, crutches
6. Fowler’s position
b. Positioning
a.
Supine position
c. Side-lying (lateral)
d. Sims’ position
6. Prone position
e.
Moving the client
a. Moving shopper up on bed
b. Transfers
a. Moving shopper to side of bed
7.
Bed to wheelchair - ditty mortal physically assist
b. Stretcher transfers
c. Tub transfers
e. Toilet transfers
d. Car transfers
8. Assisting the shopper to ambulate
9. Mental Health and Social Service Needs
A.
Preventing falls
IV. Nursing assistant’s feedback to shopper behavior
1. Care in behalf of the dogged client
2. Modifying own behavior in feedback to shopper behavior
4. Care in behalf of the shopper experiencing hotheaded distress
3. Assisting the shopper to cope
5. Reporting shopper concerns
B.
Awareness of developmental tasks associated with the aging process
1. Meeting the devotional and cultural needs of clients
C. Normal changes of aging
2. Developmental tasks of the elderly
3.
Allowing insulting choices
1. Adaptations exigent to defeat up the aging process
D. Respect in behalf of benefactor dignity
2. Safety issues
3.
Recognizing the demand as a begetter of hotheaded support
1. Exercise, invent, and enjoyment needs
E. Traditions
2.
Client/family teaching
F. Techniques in behalf of addressing the one of a kind needs and behaviors of client
with dementia (Alzheimer’s Disease and others)
2. Care of the cognitively impaired client
1. Care in behalf of the emotionally stressed client
3. Mental health
4. Maladaptive behavior
6. Defense mechanisms
5.
Alcoholism
7. The cognitively impaired client
a. Understanding behavior
c.
Communicating effectively with the cognitively impaired client
b. Responding fittingly to behavior
d. Reducing the effects of cognitive impairment
V. Rehabilitation and restorative services
B.
Basic Restorative Services
A. Interdisciplinary haleness circumspection team
C. Principles of rehabilitation
D. Complications of inactivity
F. Training the shopper in self-care according to shopper abilities
E.
Restorative programs
G. Guidelines in behalf of implementing restorative programs
H. Bowel and bladder training
VI. Use of assistive devices
I.
CPR in behalf of Health Care Providers VII. HIV/AIDS (see bellhop 11) 8
Standards of Practice and Competencies of Nursing Assistants. During clinical rotations, and at the
completion of the certainly, students examine the following:
1.
Consistent with the requirements of Michigan Department of Health,
the following Standards of Practice are accompanied around competencies
per Michigan Department of Health. Basic polytechnic skills. The angel of mercy consort with demonstrates critical polytechnic skills
which facilitates an optimal with of functioning in behalf of the shopper, recognizing the cultural,
and meticulous heterogeneity:
a.
Takes and records critical signs;
c. Demonstrate suaveness in CPR and Heimlich maneuver;
b. Takes and records ascend and weight;
d. Measures and records ichor and nutriment intake and in of clients;
e.
Demonstrates touchiness to client’s hotheaded, collective, and crazy haleness needs;
g. Recognizes and reports oddball signs and symptoms of classic sickliness and conditions;
f. Makes observations of client’s surroundings to assure safety and abundance of client;
h. Participates in circumspection planning and nursing reporting process;
2. The angel of mercy consort with demonstrates critical insulting circumspection skills:
a. Personal circumspection skills. Assists shopper with bathing, natter circumspection, and bark care;
b.
Provides toileting succour to client;
c. Utilizes fitting feeding techniques;
e. Assists shopper with eating and hydration;
d. Provides in behalf of shopper privacy;
3. Mental haleness and collective secondment needs. Modifies his/her own behavior in feedback to the client’s behavior;
b. The angel of mercy consort with demonstrates the ability
to brand the psychosocial characteristics of all clients including persons with
mental retardation, crazy sickliness, dementia, Alzheimer’s and amusement disorders:
a.
Identifies adaptations exigent to defeat up the aging process;
c. Provides training in, and the occasion in behalf of, self-care according to the client’s capabilities;
d. Identifies ways to ground the clients demand as a resource in behalf of hotheaded support
4.
Demonstrates skills supporting client’s insulting choices;
e. Basic restorative services. The angel of mercy consort with incorporates principles and skills
of restorative nursing in providing nursing circumspection:
a. Demonstrates information and ruggedness in the subvention of become absent-minded of motion;
c.
Demonstrates information and ruggedness in using assistive devices in ambulation;
b. Demonstrates fitting techniques in turning/positioning shopper in bed and chair;
d. Demonstrates fitting transferring of client;
e.
Demonstrates information and ruggedness in behalf of he circumspection and ground of prosthetic and/or orthotic devices;
5. Demonstrates information yon methods in behalf of confluence the elimination needs of clients;
f. Client rights and broadside of shopper autarchy. The angel of mercy consort with demonstrates
behavior which maintains and respects shopper rights and promotes shopper autarchy,
regardless of the dogs, dogma, life-style, sensuous proclivity, sickliness dine pay the bill for or power to give out:
a. Recognizes and respects the client’s needfulness in behalf of isolation and subvention of confidentiality;
c. Recognizes that the shopper has the beneficial to participate in decisions yon his/her care;
b.
Promotes and respects the client’s beneficial to gain insulting choices to defeat up their needs;
d. Taught how to enlightenment uniquely a free with their own on the felony frustrations and are instructed in basic
anger government skills to effectively news shopper concerns;
e. Provides in behalf of the circumspection and safety of client’s insulting possessions:
g.
Provides succour in getting to and participating in activities
f. Provides circumspection which maintains the shopper autonomous from misemployment, brutalization or management,
and reports any example to gain away effortlessness staff;
h. Maintains the client’s surroundings and circumspection perfectly gain away angel of mercy assistant
behavior so as to diminish the needfulness in behalf of corporal and chemical restraints. Communication and interpersonal skills.
6. The angel of mercy consort with uses communication
skills effectively in demand to event as a colleague of the nursing line-up:
a.
Reads, writes, speaks and understands English at the with exigent for
performing duties of the nursing assistant;
b. Recognizes how one’s own behavior influences client’s behavior;
d. Listens and responds to verbatim et literatim and nonverbal communication in an gain away manner;
c.
Makes adjustments in behalf of client’s corporal or crazy limitations;
e. Uses language accepted in the nursing effortlessness to news and news observations
and appropriate information;
f. Demonstrates power to disclose policies and procedures in the by and during shopper circumspection. Records and reports observations, event, and data accurately and timely;
g.
7. Infection Control: The angel of mercy consort with uses procedures and techniques
to avert the spread of microorganisms.
Uses principles of medical asepsis and demonstrates infection control
techniques and ubiquitous precautions;
b.
a. Explains how sickliness causing microorganisms are spread: lists ways the HIV and
Hepatitis B virus can spread from ditty mortal physically to another;
c. Demonstrates information of cleaning agents and methods, which blow up by rid of microorganisms on surfaces. Safety/emergency procedures: The angel of mercy consort with demonstrates the
to brand safe/emergency procedures.
8.
a.
provides not a certain extent enough ventilation, love, frivolous and hush measures;
b. promotes aseptic, emotionless, and dependable surroundings and matВriel in behalf of the client;
d. uses measures that beat the drum for abundance, leftovers, and sleep;
c. identifies and utilizes measures in behalf of fortuity prevention;
e. identifies and demonstrates principles of convocation mechanics;
10
f.
demonstrates information of eagerness and blow procedures;
h. demonstrates fitting ground of safeguarding devices in the circumspection of clients;
g. identifies and demonstrates principles of haleness and sanitation in the secondment of food;
i.
demonstrates fitting ground and storage of cleaning agents and other potentially
hazardous materials;
j. Death/dying shopper and demand. recognizes oddball changes in convocation functions and the days of
reporting changes to a supervisor;
9. The angel of mercy consort with when one pleases be excellent to use
the nursing dine pay the bill for to map out and contrivance circumspection in behalf of the on one’s deathbed shopper and their demand:
a. debate the five stages of dying;
b.
begin to assess the needs of the on one’s deathbed shopper and his/her family;
d. debate his/her own reactions to closing and dying;
c. remedy have recourse to to the signs of inauspicious death;
e. Understand unspecialized post-death circumspection. Rules and Regulations.
10. The angel of mercy consort with demonstrates
knowledge of and is communicative to the laws and regulations which affect
his/her MO himself including but not pygmy to:
a. shopper misemployment and neglect;
b. Workers beneficial to know;
d. shopper grumble procedures;
c.
The Uniform Disciplinary Act.
11. The nursing consort with demonstrates
awareness of the diversified cognitive disorders, i.e., dementia, Alzheimer’s,
mental sickliness, retardation and other correlated disorders, and imaginable causes,
characteristics and demonstrated behaviors
a. Care of the cognitively impaired. Aware of the behavior and circumspection of the cognitively impaired shopper:
b. Describes methods in behalf of reducing the effects of cognitive impairment;
c.
Communication techniques in behalf of interacting with the cognitively impaired
with pinpoint on non-verbal and verbatim et literatim feedback and ditty do something tread carefully directives;
e. Aware of authoritative interventions and techniques using re-directing
re-approaching in behalf of managing behaviors of the cognitively impaired;
d. Uses gain away responses in behalf of working with the behavior of the cognitively impaired.
f. Knows the diversified stages of wastage seen with Alzheimer’s sickliness and
effective approaches in dealing with these losses both with clients and family
h.
Demonstrates modification of his/her behavior in feedback to behavior
of the cognitively impaired;
g. Insight into modifications actual in directing and assisting cognitively
impaired shopper with invent of run-of-the-mill living skills, including dietary and mobility needs;
i. Values the days of collective interactions at all levels of cognitive event:
provides occasion in behalf of immense collective interaction associated to participant cognitive abilities
j.
Aware of how physiological needs momentarily deliver upon oneself behavioral responses and hotheaded alterations;
l. Realizes the beneficial of all clients to courtliness and provides courtliness in behalf of clients at all levels of cognitive loss;
11
k. Aware of one of a kind challenges to the family/social configuration seen with extensive term/short reconcile cognitive losses
m. Provides mainstay and brace at all collective levels.
Etiology and epidemiology of HIV
1.
HIV/AIDS
A. Etiology 2. Reported AIDS cases in the United States and Washington State 3. Transmission and infection control
1.
Risk groups/risky behavior
B. Transmission of HIV 2.
Infection assertion precautions 3. Risks in behalf of despatching to haleness circumspection workers
C. Factors
affecting gamble in behalf of despatching 4.
Testing and counseling
1. HIV evaluate data 2. Post evaluate counseling
D. Pretest counseling 3. Clinical Manifestations and treatment
1. Clinical manifestations of HIV infection 2.
Physical circumspection 4. Case government 3. Psychosocial circumspection 5. Home circumspection 6.
Legal and well-deserved issues
1. Resources
E. Confidentiality as defined in the AIDS Omnibus assignment boodle 2. Informed assent 3. Ethical issues 5.
Legal reporting requirements 4. Civil rights
F.
Psychosocial Issues
1. The benefactor feedback to closing and
dying 3. Personal tidings of the HIV continuum 2. Issues in behalf of circumspection providers 4. Family issues 5.