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.....................................................................................................................