I. Course and Instructor : NUA101, Nurse Aide Health Care Skills, Eastlund

West Garfield Campus Rev. 10/8/13

I. Course and Instructor: NUA101, Nurse Aide Health Care Skills, Eastlund Format: Classroom and laboratory

Course Information Course Title: Certified Nurse Aide Health Care Skills Synonym Number: 81315 Course Code: NUA 101-RL01 Credits: 4 Semester: Spring 2014 Prerequisite: None

Meeting Times and Days: Monday, Wednesday, & Friday 6:00-8:50 p.m. 90 contact hours Class Location: West Garfield Campus, Room 163 Start Date: 01/13/14 End Date: 03/28/14 Refund Date: 01/24/14 Withdraw Date: 03/11/14 Instructor Information Instructor Name: Marcia Eastlund RN Phone: (Office) (Home, optional) 970 597-0525 Fax: (Office) E-Mail: (Office) [email protected] Instructor Office Room #: Office Hours: By appointment only or up to 30 minutes before class

Rifle Campus Closure Line: Information on whether the Rifle Campus will be closed for any reason may be found by calling 625- 6990. This includes but is not limited to inclement weather and emergencies.

II. Course Description  Prepares the student to perform the fundamental skills of the nurse aide.  Basic nursing skills, communication skills, restorative services, personal care skills, safety and emergency care issues are covered.  Includes knowledge and/or principles of asepsis, OSHA and HIPAA regulations.  Ethical behaviors, cultural sensitivity and principles of mental health will be addressed, as well as patient/resident rights. From the Colorado Community College Common Course Numbering System (6/16/06)

III. Student Learning Outcomes, Competencies, and Skills Standard Competencies I. Form a relationship, communicate and interact competently on a one-to-one basis with patients/residents. II. Demonstrate sensitivity to patients`/residents` emotional and mental health needs. III. Assist patients/residents in attaining and maintaining independence. IV. Exhibit behavior that supports and promotes patients`/residents` rights V. Demonstrate observational and documentation skills needed in the care of patients`/residents` health, physical condition and well-being. VI. Demonstrate fundamental competency in basic skills for patient/resident care in a lab VII. Demonstrate principles of OSHA in all manual skills. VIII. Explain general concept of HIPAA and relate it to nurse aide practice. IX. Acquire beginning knowledge and skill related to end of life care. X. Demonstrating an awareness of the Colorado Nurse Aide Practice Act From the Colorado Community College Common Course Numbering System (6/16/06)

Skills: . A set of recommended skills and required terminal objectives from the Colorado Board of Nursing is found in the document, “Lab and Clinical Skills Checklist”. All skills must be satisfactorily demonstrated to the nursing instructor in the laboratory and signed for them to be performed in the clinical experience that is completed during NUA 170. . Additional skills are taught that are described in the textbook or selected by the instructor.

Learning Outcomes:

Outcome: Remembering: Retrieving, recognizing, and recalling relevant knowledge from long- term memory. Learning Objective: The student will be able to appropriately use the terms presented in the course in his/her discussion postings, in classroom discussions, and answers on tests.

Outcome: Understanding: Constructing meaning from oral, written, and graphic messages through interpreting, exemplifying, classifying, summarizing, inferring, comparing, and explaining. Learning Objective: The student will be able to restate the information from the textbook in different contexts during discussions and testing.

Outcome: Applying: Carrying out or using a procedure through executing, or implementing. Learning Objective: The student will be able  to verbally describe how to apply the class content to nurse aide practice  to perform the skills in the learning lab that integrate the o remembering of the skill steps and the body systems knowledge, o understanding the importance of practice values (such as confidentiality, privacy, safety, infection control, communication skills and client rights)

Outcome: Analyzing: Breaking material into constituent parts, determining how the parts relate to one another and to an overall structure or purpose through differentiating, organizing, and attributing.

14SP, NUA101, 81315, Eastlund Page 2 of 12 xx/xx/13 Learning Objective: The student will develop a beginning competency in detecting the relationship between the content of all the chapters in the text and relate it to nurse aide practice. Outcome: Evaluating: Making judgments based on criteria and standards through checking and critiquing. Learning Objective: The student will develop a beginning competency in evaluating situations that might impact their practice values by:  evaluating the other student’s postings on the Blackboard discussion  asking inquiring questions and identifying changes in client status during the small group discussions. Description of outcome levels of learning from: Anderson & Krathwohl, 2001, pp. 67-68, as cited in Forehand).

IV. IDEA Objectives  Gaining factual knowledge (terminology, classifications, methods, trends).  Learning fundamental principles, generalizations, or theories.  Developing specific skills, competencies, and points of view needed by professionals in the field most closely related to this course

V. Topical Outline I. Introduction to Nurse Aide Course II. The Health Care System III. Role of the Nurse Aide IV. Communication Skills V. Patient/Resident Rights and Promotion of Independence VI. The Human Body VII. Medical Terminology VIII. Emergency Care – Heimlich Maneuver IX. The Circulatory System and Related Care X. Measuring Vital Signs XI. Infection Control – Handwashing XII. The Patient’s Environment XIII. Body Mechanics: Transfer, Repositioning in Bed and Wheelchair XIV. Admitting/Transferring and Discharging a Patient; Height and Weight XV. Bed Making XVI. Personal Care of the Patient XVII. Bed Bath, Back Rub XVIII. Bedpans, Peri-care, Grooming, Shaving, Denture Care, Hair Care, Care of Eyeglasses and Hearing Aids. XIX. The Respiratory System and Related Care, Oxygen and CPR XX. The Gastrointestinal System and Related Care, Colostomy Care XXI. Nutrition for the Patient XXII. The Urinary System and Related Care, I & O XXIII. Specimen Collection XXIV. Integumentary System and Related Care, Warm/Cold Applications XXV. Care of the Surgical Patient, TEDS, Ace Bandages, Thrombophlebitis XXVI. Growth and Development XXVII. The Musculoskeletal System and Related Care, ROM XXVIII. The Older Adult Patient and Long Term Care

14SP, NUA101, 81315, Eastlund Page 3 of 12 xx/xx/13 XXIX. The Nervous System and Related Care XXIX. The Endocrine System and Related Care XXXI. Home Health Care XXXII. Restorative Care XXXIII. Patients with Special Needs XXXIV. End of Life Care and Postmortem Care. From the Colorado Community College Common Course Numbering System (6/16/06)

VI. Required Course Materials  Course materials to be brought to every class, including the first one. During the course, you will be required to read the entire textbook. o Text: Nursing Assisting: A Foundation in Caregiving, (Third Edition). Dugan, Diana. 2012. Hartman Publishing: ISBN: 978-1-60425-030-5 o Workbook: Nursing Assisting: A Foundation in Caregiving. (Third Edition). Hartman o Publishing. ISBN: 978-1-60425-0313-2  Order your textbook and workbook from CMC (see below) or any other source. You can order from another source but it needs to arrive by the first day of class so you can prepare for the second day of class.  Make sure you have a Basic Life Support (CPR for health professionals, not a Heartsaver) card that will be current through the end of the semester. If not, enrolled in “HPR-102. CPR for Health Professionals” or take another Basic Life Support class (for health care providers) before the 25th class day.  Complete the forms and checklists from the “New Student” packet.  Obtain a folder or notebook for syllabus, curriculum sheets, checklists, and/or worksheets.

VII. Book Purchase Information Colorado Mountain College has chosen to partner with Follett Virtual Bookstores to operate textbook services. The official textbook list for CMC is available on Follett's site, www.coloradomtn.bkstr.com. You can easily access this site by choosing "bookstore" from the quick links on www.coloradomtn.edu Students and other members of the campus community should sign up for the Online Textbook Store's email mailing list here www.coloradomtn.bkstr.com/email to receive important messages from the CMC Online Textbook Store. For online bookstore questions, call 800-621-4088 or email [email protected] Why did CMC choose Follett Virtual Bookstores? * Follett offers its customers the best text rental program in the industry, which saves 50% or more off the cost of a new book. * The online store also gives CMC students access to the largest supply of money-saving used textbooks, with 2.5 million in stock and ready to ship direct from Follett's warehouse. * Follett offers the best price when buying back books at the end of the term. Students can sell back books anytime online or in-person at Follett's CMC buyback events. Sign up for the online store's email list at www.coloradomtn.bkstr.com/email for more info on future buyback dates and times.

CMC, West Garfield Campus: CNA Course Content and Schedule  The course content is found the “Curriculum” which is divided into Days, and the Days grouped into Units. Each Day in the Curriculum will have a description of the material to be read before class, the chapter that will be discussed, lab activities, and graded lab skills. The student is expected to prepare for

14SP, NUA101, 81315, Eastlund Page 4 of 12 xx/xx/13 class by reading the material from the textbook and reviewing the skills that are described in the textbook. Additional study can be done by completing the workbook.  See the Schedule on the last page. o For each calendar date in the Schedule, there will be a “Curriculum Day”. Please refer to your Curriculum to know what preparations are needed for the class and the lab activity. Note: the curriculum days may not be in numerical order to accommodate guest speakers and other scheduling issues. o Any changes will be posed in Canvas or discussed in class. Timing of material or the dates of class may be adjusted based on availability of guest speakers and other issues. See the Schedule for the dates of the Curriculum Days and the due dates for the tests and completed Discussion Scenarios.  The Canvas Scenarios questions will open at the beginning of each unit and the first posting must be by the last day of the unit.. The final posting must be completed by the test date.  The student will be given additional dates for the ID tag pictures, TB mask fitting, ordering of scrubs, and the drug screen. All clinical requirements must be met by Day 25 of the Curriculum.  There will be one field trip to the Colorado State Veteran’s Home. The student is expected to provide own transportation.

CMC Expectations

VIII. Attendance and No-show Reporting Attendance and early engagement are important elements for your success in this course. All students who do not attend the first class(es) or meet early attendance requirements must be reported by the instructor to the Registrar’s Office. Financial aid students who do not attend the first class(es) or meet early attendance requirements will be dropped from the course and may not receive financial assistance (http://coloradomtn.edu/financial_aid). IX. Students with Disabilities If you have a disability protected by the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act and you feel you may need classroom accommodations based on the impact of your disability, please contact the Disability Services Coordinator on your campus.  Alpine and Vail-Eagle Valley Campuses: Deb Farmer at 970-870-4450  Aspen, Rifle, and Roaring Fork Campuses: Dr. Anne Moll at 970-947-8256  Summit and Timberline Campuses (including Chaffee County): Sandi Conner at 719-486-4200 X. Withdrawal from this Course Students wishing to withdraw from this course must INITIATE the course withdrawal/drop process at the site Registration Office. This class could be cancelled one week prior to the census date if a sufficient number of students are not enrolled by that date. XI. Grading System & Options Information about grading is available in the Colorado Mountain College catalog. Grades will be posted to https://webadvisor.coloradomtn.edu/ by Thursday of the week following the last day of classes at the end of each semester. After logging into WebAdvisor students should click on “Grades” under the Academic Profile heading.

14SP, NUA101, 81315, Eastlund Page 5 of 12 xx/xx/13 After selecting the term they will see the classes in which they are registered and the corresponding grades.

XII. Virtual Library Information http://library.coloradomtn.edu/ The Virtual Library has its doors open 24/7, providing access to thousands of online journals and newspapers, e-books and art images, downloadable videos and audiobooks, career resources and practice tests. Login Instructions Use CMC Libraries link from Canvas course menu to access CMC libraries web site. The link will pass authentication credentials that will allow you to use online library collections. It will also take you directly to the libraries’ home page. Ask a Librarian If you need assistance with your research project, you can ask a librarian online. Select AskAcademic chat box on the library’s home page and type in your question. This service is available 24 hours a day, 7 days a week. You can also email [email protected] or call us at 800-621-8559, extension 2926.

XIII. CNA Program Expectations

14SP, NUA101, 81315, Eastlund Page 6 of 12 xx/xx/13  CMC Student Handbook: Please view on the CMC webpage and be familiar with the student rights and responsibilities in classroom as found in the CMC Student Handbook.

 Attendance: o All class topics must be covered during this course and thus the student is expected to be at all classes. If the student cannot attend, the instructor needs to be informed of the absence within 10 minutes of the beginning of class that the student will not be attending. If the instructor has not been informed, then an additional assignment will be added. (Work values will be encouraged in this course.) o If the student has missed three classes or 9 hours of attendance, a conference must be scheduled with the instructor. An absence is counted after the student has been late three times, without prior approval. Any additional absences may result in the student having to withdraw from the class. o The classroom content will be made up by the student completing the workbook material prior to taking the test. The instructor will review the answers and discuss the material with the student. o The student will arrange with the instructor for a time and method of making up the lab instruction and skill demonstration. For small group work, an additional assignment will be made to cover similar material.

 Classroom presentation: o The student is expected to be prepared for the class presentation by reading the assigned chapter in the textbook prior to class. o The student is expected to contribute to the class discussion with information from the text book. The book and workbook are to be brought to each class. o The student is expected to foster a learning environment by respecting other students, being attentive in the class, and being respectful of the learning needs of other students. Cell phone and other communication devices will not be used during class time. (See student handbook.) If the student must be called by someone, please give that person the number for the CMC desk (625 -1871). If the desk is closed, the student can be called or texted, and a message left.

 Lab instruction and skills: o The student is expected to physically and mentally ready to participate in the learning lab. o Clean clothing needs to be selected that will allow movement, modesty, and safety. The student will be in close physical contact with other students during the lab. No hygiene products with an odor, such as perfumes, colognes, scented hand lotions and hair gels. o The student will prepare for lab by reading and reviewing each of the skills described in chapter assigned to that class. The student will also read and review the corresponding skills that will be used during the certification testing by the state.. o The students will be divided into groups for the lab skills. The assignment of the students to the group will change during the course, meaning that the student will not always work with the same classmate throughout the course.

 Completion of work o The student is expected to complete all the graded work. If the work cannot be completed due to technology problems or extenuating circumstances, the instructor will decide if additional time will be allowed. Otherwise, all work must be completed on time for a grade to be issued. o A computer must be accessible for the test-taking and Canvas assignments. The student can use

14SP, NUA101, 81315, Eastlund Page 7 of 12 xx/xx/13 a home computer, use CMC computers as available, and computers at the public library.. Technology problems with Canvas are to be reported to the Service Desk at 947-8438. o All exams must be taken as they are an additional opportunity to learn the material. If it is taken on time using Canvas the score will be added to your grade. If you are late, you will take a paper copy of the test and the score will be posted in comment in Canvas, but the score will not be added to your grade. o The student will be expected to spend time outside of class time for the following: . reading the text and studying for the classroom discussions, small group discussion, and lab time . completing the Canvas assignment on a computer . taking all tests on the computer except the final (which will be taken during class) . checking for their grades on Canvas and informing the instructor if the grades are not posted after tests are taken or within 1 week of other assignments

XIV. Evaluation Methods and Class Management NOTICE: A student judged to have engaged in academic misconduct as defined in the “Academic Policies and Requirements” section of the Colorado Mountain College Student Handbook will, at a minimum, receive a “zero” for the work in question. The student may also be removed from the class, resulting in a failing grade. All student course material may be submitted to turnitin.com (or another anti-plagiarism program) at the instructor’s discretion. “Academic Expectations,” the “Student Code of Conduct and Judicial Process,” and more information about academic misconduct can be found in the Student Handbook. Students are responsible for course materials from assigned text(s) and reading, lectures, labs, and other assignments as required. The instructor may alter any, or all, of this syllabus during the semester as the learning environment requires. Students will be notified in writing of changes. Attendance at all class meetings is expected. Grading  Grade points: each graded assignment will have a point value (10 points for lab and Canvas Discussion and 1 point for each test question.)  Class percentage: the grades for each type of assignment will be added together and given value according to the chart on the previous page. The student can look at the “Weighted grade” in the grade book to determine their ongoing course grade.  Course (final) grade: the letter grade which will be submitted to CMC will be based on the following percentage grades:

A = 94-100% A- = 90 – 93% B+ = 87 – 89% B = 83 – 86% B- = 82 – 80% C+ = 79 – 77% C = 73 – 76% C- = 72 – 70% A student must have at least a C in both classes to take the state exam. F = 0 – 69% and/or if mandatory assignments are not completed.

Teaching Method Student Expectation Graded % of work grade Classroom Evaluation

14SP, NUA101, 81315, Eastlund Page 8 of 12 xx/xx/13 Class Presentation: material from Read the chapter in the text prior to textbook and other sources related to class, attend the class, participate in textbook, using lecture and discussion the discussion, and contribute to a positive learning environment Canvas: discussion in response to a pre- Post an initial answer to the question 10 scenarios assigned question. Students will be by the required date and then respond graded on encouraged to apply information to a to a posting by another student. rubric real-life situation and learn team (10 points 10% interaction and evaluation skills by To thoughtfully respond to another each reading & responding to a fellow student’s posting. question) student Lab Evaluation Lab instruction: instructor lead Attendance and attention to learning. discussions and demonstrations or self- study with learning stations or the workbook

Lab grade: skill check-off: Study of lab assignment prior to class. 30 lab grades 30% performance of the skill via return Gradually taking more responsibility (10 pts per demonstration or participation in group for the learning as the course lab) activity. progresses.

“ Lab and Clinical Skills Checklist”: The student will perform the skill All skills Mandato skills that are recommended by the State according to the textbook procedure, ry to of Colorado, Department of Regulatory or testing skills procedure or by a receive Agencies are listed on this document. handout from instructor. The class All skills on the checklist must be instructor will determine if the skill credit. signed by the instructor for completion has been performs satisfactorily. The of the course. completed checklist will be given to the student by the end of the course and will be used by the student for skill check off in the clinicals. Tests: multiple-choice tests from the Complete the test outside of 10 tests - 50% publisher taken via Canvas. Test will be classroom. Open book test. computer available for several days and will close graded at 2330 on the closing day. Comprehensive Test: taken via Canvas Complete the test. 1 test - 10% in class (Day 30) Closed book test computer graded

14SP, NUA101, 81315, Eastlund Page 9 of 12 xx/xx/13 Rubric for Canvas Discussion Scenarios

Standard Excellent Good Poor Total Discussion posting Responds to the topic 5 points 3 points 1 point with at least 5 sentences. The topic was covered The topic was The topic was Response shows completely with mostly covered. partially covered integration of course evidence of Minimal and had limited materials with personal information from information and/or personal insight. insight into the subject course materials. At personal insight. least one insight or personal comment Communication of 2 points: 1 point 0 point information, including Post shows correct Posts/replies have Poor spelling and grammar and spelling. grammar and has little few spelling and grammatical errors or no spelling errors. grammatical errors. in several posts/ and presented in a Text construction is replies. Written in structure/format that mostly formal with informal language, enhances readability few abbreviations abbreviations, or or text style text. Difficult to language. Post is understand post. an improvement over last post Response to Classmate. Student posts a 2 points: 1 points: 0 point response to at least one Contributes NEW ideas Contributes to Contributes post by another student to discussion and discussion, but does minimally to provides critical not provide discussion. feedback to classmates significant feedback Feedback to in postings to classmates in classmates with postings simple replies that lack sight, depth, or are superficial.

Communication 1 point 0 point Post shows correct Poor spelling and grammar and has little grammatical errors or no spelling errors. in several posts/ and presented in a replies. Written in structure/format that informal language, enhances readability abbreviations, or text. Difficult to understand post TOTAL

14SP, NUA101, 81315, Eastlund Page 10 of 12 xx/xx/13 Rubrics for Lab Grade

Lab Grade: Most of the lab grades will use the following rubric. The “Health Living on the Go”, quizzes, speeches and the lab skills review (“Round Robin” on Days 24-29) have specific grading criteria/rubrics.  Individual skill demonstration: Return demonstration to the instructor on the assigned skills. The student must be able to complete the skill with minimal coaching. It is also a time for additional teaching by the instructor to make sure the student understands the skill and how to use it in the clinical setting. Skills that are on the “Lab and Clinical Skills Checklist” will be initialed by the instructor if performed satisfactorily. Other skills found in the textbook or selected by the instructor will be part of the lab grade.  Group demonstration: some skills performance is best demonstrated in a group setting, which may include discussion, activities, or role playing. The student’s work will be graded with a rubric. Skills that are on the “Lab and Clinical Skills Checklist” will be initialed by the instructor if performed satisfactorily. Other skills found in the textbook or selected by the instructor will be part of the lab grade.

Grading Rubric: Lab grade Some labs will have a combination of individual and group Individual Demonstration: Prepared Group Demonstration: participates in activity, for lab, listens to instructions and listens thoughtfully, concise presentation of ideas, comments, able to perform skill with uses sentence starters to introduce concept or Points minimal coaching expand on another’s idea 10 A+ Performs skill exceptionally well with Rich and Impressive in detail, extra effort or no coaching. Non-verbal attention to activity. Evidence of applying, communication shows enthusiasm for analyzing or applying the material. (See Learning learning skill and positive attitude Outcomes section.) 9.5 A Performs skill well with no coaching. Participates fully in discussion with evidence of Non-verbal communication shows beginning applying, analyzing, or applying the enthusiasm for learning skill positive material. attitude 9 A- Performs skill according to procedure Significant contribution from text and own with minimal coaching. Positive thoughts. Responds to other ideas or information attitude. 8 B- Performs skill well with coaching. Adds to discussion either from text or own Positive skills thoughts. Fully completes the work 7 C- Able to complete skill with frequently Satisfactory in quantity or substance coaching. Is trying to complete the skill but may not have enthusiasm 6 or Unable to complete skill satisfactory or Unsatisfactory in quantity or substance less requires extensive coaching. Has a negative attitude, frequent complaints, or comments that challenge the teaching of the instructor. Disrespectful of other student’s work.

14SP, NUA101, 81315, Eastlund Page 11 of 12 xx/xx/13 Schedule: Spring 2014, Afternoon Class (1:00 – 3:50 Mon, Wed, & Fri) Sunday Monday Tuesday Wednesday Thursday Friday Saturday January January 13 Jan 14 Jan 15 Jan 16 Jan 17 Jan 18 Day 1 Day 2 LTC Day 3 Legal Jan 19 Jan 20 Jan 21 Jan 22 Jan 23 Jan 24 Jan 25 Day 4 Com Day 5 Com Day 6 Test & Dis Challenges Diver/ Dental 1-4 Jan 26 Jan 27 Jan 28 Jan 29 Jan 30 Jan 31 Feb 1 Day 7 Day 8 Safety Day 9 Test & Dis I.C. Fire Dpt Field Trip 5-7

Feb 2 Feb 3 Feb 4 Feb 5 Feb 6 Feb 7 Feb 8 Day 10 Day 11 Day 12 Test & Dis Em Care A-T-D Transfer/PT 8-10 Feb 9 Feb 10 Feb 11 Feb 12 Feb 13 Feb 14 Feb 15 Day 13 Test & Dis Day 14 Day 15 Per Care #1 11-12 V.S. Nutrition

Feb 16 Feb 17 Feb 18 Feb 19 Feb 20 Feb 21 Feb 22 Day 16 Test & Dis Day 17 Day 18 Per Care #2 13-16 G.I. G.U./ Feb 23 Feb 24 Feb 25 Feb 26 Feb 27 Feb 28 March 1 Day 19 Test & Dis Day 20 Day 21 Integumentar 17-18 Cardio Respiratory y vascular /Positioning March 2 March 3 March 4 March 5 March 6 March 7 March 8 Day 22 Test & Day 23 Day 24 MS Immune/ Discussion Rehab (lab review Subacute 19-21 for 6 Days

CMC Spring Break: March 10 – 14th (afternoon class will meet) March 9 March 10 March 11 March 12 March 13 March 14 March 15 Day 25 Cog Test & Day 26 Day 27 Impaired Discussion Endocrine End of PAPERWK 22-23 life/Hospice

March 16 March 17 March 18 March 19 March 20 March 21 March 22 Day 28 Test & Day 29 Test & Day 30 Position Discussion Review Discussion Clinical Application 24-26 27-28 Intro/Exam Spring Break: March 23 – March 30. Clinical Orientation on March 31.

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