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State of Ohio Nurse Aide Training and Competency Evaluation Program (Tcep) Standards and Guidelines Table of Contents

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State of Ohio Nurse Aide Training and Competency Evaluation Program (Tcep) Standards and Guidelines Table of Contents STATE OF OHIO NURSE AIDE TRAINING AND COMPETENCY EVALUATION PROGRAM STANDARDS AND GUIDELINES Revised: 11/01/16 STATE OF OHIO NURSE AIDE TRAINING AND COMPETENCY EVALUATION PROGRAM (TCEP) STANDARDS AND GUIDELINES TABLE OF CONTENTS Definitions.............................................................................................................................................................................. 5 Introduction............................................................................................................................................................................ 9 Organization of the Standards, Objectives and Content ........................................................................................................ 14 I TOPIC AREA Introduction to TCEP.................................................................................................................. 22 Standard I.1 Program Overview...................................................................................................................... 22 II TOPIC AREA Communication and Interpersonal Skills.................................................................................... 26 Standard II.1 Work Environment....................................................................................................................... 26 Standard II.2 Role and Responsibility of the Nurse Aide................................................................................. 29 Standard II.3 Policy and Procedure Manuals................................................................................................... 31 Standard II.4 Behavior and Appearance.......................................................................................................... 32 Standard II.5 Communication and Interpersonal Skills.................................................................................... 34 Standard II.6 Communicating and Interacting with Resident with Impairments............................................... 38 Standard II.7 Resident Comprehensive Assessment, Care Plan and Care Conference................................. 43 Standard II.8 Legal Responsibilities................................................................................................................ 45 Standard II.9 Medical Records......................................................................................................................... 47 III TOPIC AREA Infection Control.......................................................................................................................... 50 Standard III.1 Infection Control.......................................................................................................................... 50 Standard III.2 Practices that Prevent the Growth and Spread of Pathogenic Microorganisms..................... 53 Standard III.3 Signs and Symptoms of Infection............................................................................................... 57 IV TOPIC AREA Safety and Emergency Procedures............................................................................................ 58 Standard IV.1 General Safety Practices and Procedures.................................................................................. 58 Standard IV.2 The Use of Oxygen and Oxygen Equipment and Safety Procedures......................................... 62 Standard IV.3 Fire Prevention and Procedures to Follow in Case of a Fire Disaster........................................ 64 Standard IV.4 Disaster Preparedness............................................................................................................... 67 Standard IV.5 Principles of Ergonomics, Body Mechanics and Body Alignment............................................... 69 Standard IV.6 Alternatives to Residents and Safe Restraint Use...................................................................... 73 Standard IV.7 Mobility and Ambulation Techniques.......................................................................................... 77 2 V TOPIC AREA Promoting Residents’ Independence.......................................................................................... 81 Standard V.1 Promoting the Residents’ Independence.................................................................................... 81 VI TOPIC AREA Respecting Residents’ Rights..................................................................................................... 83 Standard VI.1 The Resident’s Rights................................................................................................................. 83 VII TOPIC AREA Basic Nursing Skills.................................................................................................................... 85 Standard VII.1 Observational Skills.................................................................................................................... 85 Standard VII.2 Recognizing Changes in Body Functioning................................................................................ 87 Standard VII.3 Recognizing Signs and Symptoms of Common Diseases.......................................................... 92 Standard VII.4 The Long-term Care Facility as Home....................................................................................... 99 Standard VII.5 Bed-making Techniques and Comfort Measures........................................................................ 101 Standard VII.6 Admission and Discharge........................................................................................................... 103 Standard VII.7 Mealtime..................................................................................................................................... 104 Standard VII.8 Nutrition and Fluid Needs........................................................................................................... 108 Standard VII.9 Height and Weight...................................................................................................................... 112 Standard VII.10 Observing and Measuring Vital Signs......................................................................................... 113 VIII TOPIC AREA Personal Care Skills................................................................................................................... 120 Standard VIII.1 Oral Hygiene............................................................................................................................... 120 Standard VIII.2 Bathing........................................................................................................................................ 122 Standard VIII.3 Additional Personal Care Skills................................................................................................... 125 Standard VIII.4 Special Skin Care....................................................................................................................... 128 Standard VIII.5 Urinary Elimination/Catheters..................................................................................................... 131 Standard VIII.6 Toileting...................................................................................................................................... 135 Standard VIII.7 Intake and Output....................................................................................................................... 136 Standard VIII.8 Bowel Elimination....................................................................................................................... 138 IX TOPIC AREA Mental Health and Social Service Needs................................................................................... 141 Standard IX.1 Basic Facts and Misconceptions about the Elderly.................................................................... 141 Standard IX.2 Meeting the Basic Emotional Needs of Residents...................................................................... 143 Standard IX.3 Rest and Sleep........................................................................................................................... 146 Standard IX.4 Sexuality in Aging ....................................................................................................................... 147 Standard IX.5 Special Needs Populations......................................................................................................... 149 Standard IX.6 Care of the Confused Resident.................................................................................................. 151 Standard IX.7 Care of the Resident with Depression........................................................................................ 154 Standard IX.8 Care of the Dying Resident......................................................................................................... 156 3 X TOPIC AREA Basic Restorative Services ........................................................................................................ 162 Standard X.1 Preventing Complications of Immobility...................................................................................... 162 Standard X.2 Bowel and Bladder Program....................................................................................................... 165 Standard X.3 Prosthetic Devices.....................................................................................................................
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