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DOCUMENT RESUME ED 354 308 CE 062 986 TITLE Nursing DOCUMENT RESUME ED 354 308 CE 062 986 TITLE Nursing Assistant. Curriculum Guide. Invest in Success. INSTITUTION Idaho State Dept. of Education, Boise. Div. of Vocational Education. REPORT NO Vo-Ed-239 PUB DATE Apr 92 NOTE 251p. PUB TYPE Guides Classroom Use Teaching Guides (For Teacher)(052) EDRS PRICE MFO1 /PC11 Plus Postage. DESCRIPTORS *Allied Health Occupations Education; Clinical Experience; Competency Based Education; Curriculum Development; Educational Research; *Home Health Aides; Interpersonal Competence; Job Analysis; Job Performance; *Job Skills; Medical Services; *Nurses Aides; *Nursing; Occupational Information; Postsecondary Education; State Curriculum Guides; State Programs; Statewide Planning; Task Analysis IDENTIFIERS Idaho ABSTRACT Under the Idaho state system for curriculum development in vocational education, Technical Committees madeup solely of industry personnel are responsible for drawingup task lists for each program. Based on a task list specific to the field, this curriculum guide provides the competencies needed by nursing assistants enrolled in postsecondary, short-term vocational education and high school programs. The suggested total completion time for classroom and laboratory work is 60 hours; the amount of clinical time required has been set at 40 hours. Introductory materials include goals of the program, information on competency-based education, and a detailed list of program standards. The curriculum is divided into 10 units. Each unit has the following parts: terminal performance and enabling objectives, suggested completion time, suggested teacher and learner activities, list of general references, and evaluation criteria. Unit topics are as follows:(1) role and responsibilities of the nursing assistant; (2) communication and interpersonal relationships;(3) safety, universal precautions, and cardiopulmonary resuscitation;(4) admission, transfer, and discharge procedures;(5) personal procedures;(6) exercise and activity; (7) elimination procedures; (8) collection of specimens;(9) procedures for unsterile warm and cold applications; and (10) variations in nursing care--special nursing responses. Other contents includea list of recommended textbooks and addresses and telephone numbers of 66 sources of media, print materials, and special books/pamphlets. Appendixes, amounting to over one-half of the guide, include checklists for demonstrations and teaching tools. An optional advanced teaching module on the nursing assistant as home health aide is attached. Objectives and suggested textbookare provided. (YLB) 251 Vo. Ed. OM Curriculum Guide for NURSING ASSISTANT U.S. DEPARTMENT OF EDUCATION Office of Educational Research and Improvement E UCATIONAL RESOURCES INFORMATION CENTER (ERIC) I This document has been reproduced as received from the person or croanashon originating it 0 Minor changes have been made to Improve reproduction quality Points of view or opinions stated in this docu- ment do not necessarily represent official OERI position or policy -PERMISSION TO REPRODUCE THIS MATERIAL HAS BEEN GRANTED BY STATE DIVISION OF VOCATIONAL EDUCATION TO THE EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC)." 1992 2 BEST COPY AVAILABLE VoEd No. 239 Revised 1992 COMPETENCIES FOR NURSING ASSISTANTS A CURRICULUM GUIDE Adapted and revised to meet the requirements for Nursing Assistants preparing for employment in various structured health care settings through Postsecondary, Short-Term, Vocational Education Programs and High School Programs. Revised April, 1992 STATE OF IDAHO STATE BOARD FOR VOCATIONAL EDUCATION STATE DIVISION OF VOCATIONAL EDUCATION "The State of Idaho, an equal opportunity employer, does not discriminate or deny services on the basis of race, color, national origin, sex and/or handicap." State of Idaho DIVISION OF VOCATIONAL EDUCATION INNIMINN 650 WEST STATE STREET BOISE, IDAHO 83720-3650 (2081 334-3216 FAX (2081 334-2365 Greetings: The Division of Vocational Education is pleased to provide you with this State Curriculum Guide as a part of our commitment to your efforts in conducting quality educational programs for students who are preparing for employment in meaningful and rewarding occupations. We know that a great deal of time and effort goes into the operation of a Vocational Education program, and we applaud your local efforts to make these programs available for students. This State Guide should assist you in these efforts. The competency-based State Guide was developed from a Technical Committee Report prepared with the assistance of industry personnel. The Report includes a Task List which is the basis for the State Guide. The Tasks identified in the Technical Committee Report were representative of the competencies needed by a worker to be hired or employed in Idaho businesses. Vocational Education has adopted the Competency-Based approach as the primary method of delivering Vocational Education skills to students. Competency Profiles are available for each student enrolled in programs as a means of recording student progress. The Profile is used as a student record when additional training is sought -- aiding in the program articulation process. The Profile also communicates to employers those skills the student has mastered. We hope you find this document useful. Your comments are welcome! Trudy Anderson, Ph.D. Administrator Equal Opportunity Employer ACKNOWLEDGEMENTS Competencies for Nursing Assistants, A Curriculum guide adapted and revised to meet the requirements for Nursing Assistants preparing for employment in various structured health care settings through Postsecondary. Short-Term Vocational Education Programs, was adapted from Core Competencies for Health Care Workers and Competencies for Nursing Assistants, guides developed by Dorothy M. Witmer, RN, Ed.D. in 1986 through a grant from the Idaho Division of Vocational Education. Appreciation is extended to Dr. Witmer and the Advisory Committee Members involved in the development of the original documents. Adaptation of the Guide was undertaken to meet the requirements of the Omnibus Budget Reconciliation Act of 1987 (P.L. 100-203, 1987). Special thanks is extended to: Leo la Daniels, RN, MS, Associate Executive Director, Idaho State Board of Nursing for her time and expertise in review and adaptation, members of the Idaho State Board of Nursing for their critical review and guidance, to Sandra Davis who was Supervisor for Health Occupatic ns Education during the first revision. Appreciation is also extended to Sandra De Rose for her efficient typing of the manuscript. In 1992, this guide was reviewed and revised to more clearly reflect the emphasis of the federal mandates for training nursing assistants and to help users to find important information regarding instruction. Training program standards, additional objectives emphasizing instructional mandates, appropriate checklists and helpful teaching tips have been added to this edition.Appreciation is extended to Sandra Davis, Assistant Executive Director of the Idaho Board of Nursing for assisting with this current revision and to Rebecca Davis, Secretary for the new additions to the document. Dorothy M. Witmer, Supervisor Health Occupations Education This curriculum guide has the approval of the Idaho State Board of Nursing. ii U TABLE OF CONTENTS Acknowledgements Introduction 1 Unit 1: The Role and Responsibilities of the Nursing Assistant 9 Unit 2: Communication and Interpersonal Relationships 12 Unit 3: Safety, Universal Precautions, and CPR 15 Unit 4: Admission, Transfer and Discnarge Procedures 18 Unit 5: Personal Care Procedures 20 Subunit A: Giving and Removing a Bedpan and Urinal(Male Patient) Subunit B: Oral Hygiene 23 Subunit C: Nail and Hair Care 25 Subunit D: Skin Care Procedures 27 Subunit E:Bathing Procedures 29 Subunit F: Shaving a Male Patient 31 Subunit G: Dressing and Undressing 33 Subunit H: Bedmaking and Environmental Comfort 35 Subunit I:Special Nutritional Requirements 37 Subunit J:Vital Signs 39 Unit 6: Exercise and Activity 41 Unit 7: Elimination Procedures 44 Subunit A: Urinary Bladder Elimination 44 Subunit B: Bowel Elimination 46 Unit.8: Collection of Specimens 48 Subunit A: Collection of Urine Specimens 48 Subunit B:Collection of Stool Specimens 50 Subunit C: Blood and Sputum Collections 51 Unit 9: Procedures for Unsterile Warm and Cold Applications 52 iii 1 Table of Contents Continued... Unit 10: Variations in Nursing Care: Special Nursing Responses 54 Subunit A: Rehabilitation of Consumers with Special Needs 54 Subunit B: Individuals with Conditions of the Nervous System 57 Subunit C: Care of Individuals with Diabetes 59 Subunit D: Care of the Patient with Respiratory Disease 61 Subunit E: Care of Patients with Circulatory Disease 63 Subunit F: Care of Individuals with Disorders of the Skeletal System 65 Subunit G: Care of Patients who are Grieving, Dying and Deceased 67 Subunit H: Care of Patients with Problems Adjusting to Living 69 Textbooks Recommended for Nursing Assistant Curriculum 73 Resources: Addresses and Telephone Numbers 74 Appendix A: Checklists for Demonstrations 86 Appendix B: Teaching Tools 216 e iv 3 COMPETENCIES FOR NURSING ASSISTANTS Introduction Competencies for Nursing Assistants, A Curriculum Guide adapted to meet the requirements for Nursing Assistants preparing through Postsecondary, Short-Term, Vocational Education Programs, and high school programs was designed to provide a guide for instructors and learners on the competencies needed by nursing assistants caring for patients in a variety of settings
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