• College of Dupage / TCD
    Course Syllabus
    www.cod.edu
     

     

    Nursa 1105 Nursing Assistant Training

    Term: Spring                        Year: 2021-2022                             Section: DC101

     

    Credit Hours:

    Credit Hours:  6  College Credits

     

    Instructor Information:

    Laurie Bartels: laurieb@tcdupage.org

    Betty Jo Rispens: bettyjor@tcdupage.org

    Kristin Crissey: kristinc@tcdupage.org

    Mary Karlberg: maryk@tcdupage.org

    Kirsten Anderson: kirstena@tcdupage.org

    Shawn Mongoven: shawnm@tcdupage.org

    Yolanda Meraz: Yolandam@tcdupage.org

     

    Catalog Description:

    Students will gain theoretical knowledge and basic skills essential to the practice of health care workers who assist nurses in providing person-centered care in a variety of healthcare settings. Training includes simulated practice and opportunity for clinical application to learn basic nurse assistant competencies. This course is approved by the Illinois Department of Public Health, Office of Health Regulations. Successful completion is required for application to sit for the Illinois Nurse Aide Competency written certification exam. NOTE: ALL students must have a valid social security number, meet health requirements, and pass a fingerprint criminal background check.

    Prerequisites and Compliance Criteria:

    Reading Placement Category 1: and Advising session attendance or equivalent; select health requirements as explained at the Advising Session.

    Minimum age of 16 due to Illinois State Law.

    Course Materials

    Required Texts:

    Mosby’s Essentials for Nursing Assistants Textbook and Workbook 6th Edition

    Required Skills Component:

    Elsevier Clinical Skills for Nursing Assistants

     

    Objectives/Goals:

    Upon successful completion of the course the student should be able to do the following:

    1. Perform as a valued member of the health care team within the approved scope of practice allowed for a nursing assistant
    2. Demonstrate safety, medical asepsis, and awareness of patient/resident rights
    3. Identify methods for controlling the spread of infection
    4. Demonstrate the principles of basic human anatomy and physiology
    5. Define medical terms and abbreviations
    6. Compile data necessary for the health care team to make informed decisions regarding the appropriate care plan for the health care consumer
    7. Evaluate patient’s responses to the provided care
    8. Describe the principles and role of the nurse assistant in rehabilitative and restorative care facilities
    9. Identify the common diseases and physical changes associated with the geriatric population
    10. List the needs of the dying patient and the role of the nurse assistant in delivering post-mortem care
    11. Complete the Alzheimer’s disease and related disorders protocol
    12. Perform the Illinois Department of Public Health (IDPH) mandated skills for a nurse assistant
    13. Implement holistic patient care based on the skills required by the State of Illinois nurse assistant
    14. Demonstrate skills in the nursing care plan established for the patient
    15. Perform in a manner appropriate of a nursing assistant when communicating with patients, visitors, instructors, and other team members
    16. Perform within legal and ethical framework based on patient rights as mandated in accordance with Health Insurance Portability and Accountability Act (HIPPA) policies
    17. Perform self-evaluation to ensure the highest level of quality patient care

     

    Assignments and Grading:

    Graded Assignments


    The course will consist of the following assignments/assessments:

    • Chapter quizzes (representing each chapter in the textbook) will be given
    • Four (4) Module tests (each covering multiple chapters) will be given during this course.
    • One (1) comprehensive test that will be given at the end of 2nd semester.
    • Clinical performance evaluation (based on clinical evaluation by assigned instructors)
    • Chapter assignments including: vocabulary related to each chapter’s content, Worksheets provided for chapter and skills, and/or computer program assignments
    • Participation in assigned laboratory simulations
    • Active participation of skills in the classroom, the laboratory and at the clinical site.
    • Four (4) special projects during the year: one project per quarter.
      Qualities of a CNA Poster, Skills Pamphlet, Liquid Tray, Alzheimer's Disease Project


    Gradebook Calculations:

    • Chapter quizzes account for 40% of the student’s overall grade.
    • Module test (4) and comprehensive final test account for 20% of the student’s overall grade.
    • Chapter assignments and 4 Projects are 20% of the student’s overall grade.
    • Active participation in skills lab / clinical site performance account for 10% of the student’s overall grade
    • Cumulative Final Exam is 10% of the student’s overall grade

    Grading Policy:

    • Students must maintain a 78% or higher average for each grading periods throughout the year to participate in clinical and to remain eligible for clinical and certification
    • Student must maintain a 78% or higher test score average at the end of semester one and prior to registration for the state exam to remain eligible for clinical and certification
    • Students must pass the final exam with a 78% or higher score

     

    COD Grading Scale:

    93-100% - A

    85-92% -  B

    78-87% -  C

    Less than 78% - F

     

    Clinical Grades: 

    The clinical grade is a PASS/FAIL grade. At each clinical session, the student will be evaluated on their ability to care for the resident in a responsible and ethical manner with regards to SAFETY, MEDICAL ASEPSIS, PATIENT/RESIDENT RIGHTS, CLINICAL AND COMMUNICATION SKILLS, and WORKPLACE SKILLS while applying knowledge of theory. This includes, demonstrating the ability to organize and prioritize tasks, follow directions, and accept constructive criticism. If a student is unable to perform a state required clinical skill, that student will fail clinical and be ineligible for the state certification exam.


    Retake Policy: 

    No retakes are allowed. Under special circumstances (i.e. hospitalizations), the instructor in consultation with the TCD principal may determine that a student will be eligible for a retake. A student will need to complete a remediation assignment prior to the retake that is given by their instructor.

    Incomplete Grades: 

    An incomplete grade is generally not an option for this course. Only on rare occasions (i.e. serious illness with a doctor’s verification or other extreme emergencies) will the instructor in consultation with TCD’s principal take an incomplete into consideration.

    Homework: 

    Homework assignments will be determined by each individual instructor. Homework assignments are due on the date established by each instructor. Late work will incur a 50% reduction in points available for that assignment

     

    Supplemental Assignments:

    Clinical Hours at an off-site nursing facility assigned to each student.

    Attendance:

    Students are expected to be in attendance on any school day that their home school is in session and provides transportation to TCD.

    *No more than 12 absences are allowed during the year

    Students must complete their assigned clinical hours. Clinical assignments are limited.

    An absence from clinical will result in a student being rescheduled at the digression of the instructor based on availability.

    Students should not be absent form clinical, there are no guaranteed reschedules for absences.

    Withdrawal Policy:

    Withdrawal from a Class:

    Students may be withdrawn before midterm without penalty. Students withdrawn after the midterm date will receive a “W” on their College of DuPage transcript.

    Instrcutional Agenda:

    Medical Terminology (all chapters)

     

    Module 1

    Requirements for BNATP Program at TCD

    Expectations and Procedures for Theory, Lab and Clinical setting

    Requirements for Clinical Participation

    Requirements to receive dual credit

    Required 21 Performance Skills List from IDPH

     

    Chapter 1 – Introduction to Health Care

    • Functions of Healthcare Facilities
    • Philosophy of patient care
    • Role of multidisciplinary team
    • Psychological needs of patient / family
    • Introduction to Handwashing, beginning and ending tasks

    Chapter 2 – The Person’s Rights Home Health Agencies

    • Resident rights
    • Introduction to PPE Application

    Chapter 3 – The Nursing Assistant

    • Personal qualities of nurse assistants
    • Duties of nurse assistants
    • CPR

    Chapter 4 – Ethics and Laws

    • Standards for what a nurse assistant can and cannot do
    • Code of conduct for nursing assistants
    • Protecting resident / patient privacy
    • Introduction to Bed Mobility/Body Mechanics –Dangling, Moving with and without a lift sheet

    Chapter 5 – Student and Work Ethics

    • Ethical behavior in the workplace
    • Introduction to gait belts and ambulation

    Chapter 6 – Health Team Communications

    • Communication – verbal / non-verbal
    • Recording / Reporting / Medical Record
    • Conflict
    • Admission, Discharge, and Transfer
    • Communication – verbal / non-verbal
    • Military Time Conversions
    • Introduction to Bed Positions

    Chapter 7 – Understanding the Person

    • Communication Barriers
    • Basic Needs
    • Introduction to Transfers from bed, wheelchair, toilet and commodes using gait belts

    Chapter 10 & 11– Safety Needs & Preventing Falls

    • Falls / Safety
    • Fire Safety
    • Disasters
    • Introduction to Bed Linens/Making Open and Closed Beds

    Chapter 12 – Restraint Alternatives

    • Restraints and Alternatives
    • Applying Restraints in lab
    • Rules of Restraints Use
    • Introduction to Occupied Beds

    Chapter 13 – Preventing Infection

    • Cleanliness
    • Principles of hand washing
    • Principles of disinfection and sterilization
    • Techniques of disinfection
    • Maintaining equipment and supplies
    • Isolation Techniques in facilities and home
    • Physiological aspect of Isolation
    • Introduction to Nail Care, Oral Care, Shaving and Feeding

    Manual Performance Skills Introduced:   Beginning/Ending Tasks, #1 Wash Hands, #17 PPE, #10 Transfer Resident to Wheelchair using transfer belt,   #12 Ambulation, # 8 Occupied Beds, and #15 Side Lying

     

    Module 2

    Chapter 12 – Restraint Alternatives

    • Restraints and Alternatives
    • Applying Restraints in lab
    • Rules of Restraints Use
    • Introduction to Occupied Beds

    Chapter 14 – Body Mechanics

    • Body Mechanics
    • Bed Positions
    • Continue with Bed positions and Transfers

    Chapter 15&16 – Moving the Person and Transferring the Person

    • Bed Mobility
    • Lift Sheets, No Lift Sheets, Log Rolling in the lab checklist
    • Introduction to dressing and undressing
    • Use of transfer belts
    • Transfer to wheelchair
    • Transfer to stretcher
    • Introduction to showers

    Chapter 17 – Comfort Needs

    • Bed making – open, closed, occupied and surgical
    • Furniture and equipment in room
    • Need for clean environment / comfortable
    • Back massage
    • Introductions to bathing

    Chapter 18 & 19– Hygiene Needs and Grooming Needs

    • Oral hygiene
    • Bathing – complete and partial bed bath, shower, and tub bath
    • Perineal care
    • Care of back, feet, and skin
    • Observing and reporting
    • Introduction to pericare (female)
    • Hair care
    • Shaving
    • Nail care

    Chapter 20 &21– Urinary Needs and Urinary Catheters

    • Bedpans and urinals
    • Urinary Incontinence
    • Continue with blood pressure
    • Catheter and drainage bag tubing
    • Catheter care
    • Introduction to height

    Chapter 22&26  – Bowel Needs and Collecting Specimens

    • Constipation and fecal impaction
    • Enemas
    • Colostomy Care
    • Blood pressure continued
    • Introduction to weight
    • Specimens
    • Introduction to Range of Motion
    • Introduction Pericare (male)

    Manual Performance Skills Introduced: #2 Oral Care, #3 Shaving, #4 Nail Care, #5 Pericare, #6 Partial Bath, #7 Shower, #9 Dress a Resident and begin #13 Feeding and  #14 Intake and Output

     

     Module 3

    Chapter 23 & 24– Nutritional Needs and Fluid Needs

    • Nutrition and Dietary
    • Diet / therapeutic diets
    • Feeding techniques
    • Nourishments/Introduction to I&O
    • Measuring Intake and Output
    • Encouraging / restricting fluids and Introduction to occupied bed
    • Continue with I&O and Nourishment

    Chapter 25 & 30 – Measurements and Oxygen Needs

    • Temperature, pulse, respirations, and blood Pressure
    • Height / Weight
    • Pain
    • Recording / Documentation of assessments
    • Introduction to Mechanical Lifts
    • Oxygen / devices / flow rates
    • Pulse Oximetry

    Oxygen Safety Chapter 27 & 31 – Exercise and Activity Needs with Rehabilitation Needs

    • Positioning
    • ROM exercises
    • Crutches, canes, and walkers
    • Splints
    • Continue with Mechanical Lifts
    • Rehabilitation Philosophy
    • Rehabilitation Principles
    • ADL’s
    • Introduction to Ted Hose application and bandages

    Chapter 28 & 29 – Wound Care and Pressure Injuries

    • Circulatory Ulcers
    • TED anti-embolic stockings
    • Apply dressings / taping / Montgomery Straps
    • Hot and cold applications
    • Introduction to Wound Stages
    • Pressure ulcer risks
    • Pressure ulcer complications
    • Prevention/Protective Devices

    Chapter 36 & 37 – Emergency Care and End of Life

    • Emergency care
    • Cardiac and respiratory arrest
    • Defibrillation / AED use
    • Hemorrhage
    • Choking
    • Seizures
    • Review of CPR
    • Care of the terminally ill resident / patient
    • Psychological needs of the resident / patient
    • Psychological needs of the family
    • Care of the body (post mortem care)

    Manual Performance Skills Introduced: #13 Feeding, #14 Intake and Output, #18 measure Temperature, Pulse and Respirations, #19 Measure Blood Pressure, #20 Measure Height,  #21 Measure Weight, #16 Range of Motion

     

    Module 4

    Chapter 34 & 35 – Mental Health Disorders and Confusion/Dementia Environment

    • Mood / behavioral disturbances
    • Supportive techniques/ROM ctd
    • AD Behavior Lab ctd
    • Definitions
    • Signs and symptoms
    • Implications
    • AD Behavior Lab ctd and Introduction to State Review Materials

    Chapter 8 – Body Structure and Function

    • Integumentary System
    • Musculo-Skeletal System
    • Nervous System
    • Circulatory System
    • Respiratory System
    • Digestive System
    • Urinary System
    • Reproductive System
    • Endocrine System
    • Immune System
    • Continue with I&O

    Chapter 32 – Hearing, Speech, and Vision Problems

    • Hearing and vision loss
    • Introduction to Temperatures

    Chapter 33 – Common Health Problems

    • Cancer
    • Arthritis / Osteoporosis / Fractures
    • CVA with aphasia / TIA/ Parkinson’s Disease/ MS/ TBI
    • MI / Angina/CHF
    • COPD
    • Diverticular Disease/Hepatitis
    • Urinary Disorders
    • Reproductive Disorders
    • Diabetes
    • Autoimmune Disorders/HIV / AIDS
    • Shingles
    • Introduction to Pulse and Respirations

    Chapter 9 – The Older Person

    • Introduction to Blood Pressure

    Chapter 38—Getting a Job

     

    Manual Performance Skill Introduced:   #11 Transfer with a Mechanical Lift

    Manual performance Skills Reviewed:  all for state test preparation

     

    Topical Outline:

    1. Hospitals and nursing centers
    2. Resident/patient/client rights and person centered care
    3. The nurse assistant as a person/employee
    4. Work ethics
    5. Communication, observation, and reporting skills
    6. Medical terminology and abbreviations
    7. Growth and developmental human needs
    8. Basic human anatomical structure and function
    9. Care of the older person
    10. Safety and fall prevention
    11. Restraint alternatives and safe restraint use
    12. Ergonomics and body mechanics
    13. Medical asepsis and standard precautions
    14. Patient mobility and transfers
    15. Patient comfort, hygiene, and grooming needs
    16. Nutrition and fluid needs
    17. Bowel and bladder needs of patients
    18. Rehabilitation and restorative nursing care
    19. Skin protection and care
    20. Hot and cold treatments
    21. Oxygen needs of patients
    22. Vital signs
    23. Admission/transfer/discharge
    24. Common health conditions in adult populations
    25. Emergency care/cardio pulmonary resuscitation
    26. End of life care
    27. Alzheimer’s disease and dementia care

     

     

    Date Syllabus Prepared: 8/10/2021