Template

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing







School: New haven High School

Date: March 18, 2008

Program Name: Therapeutic Services/Health Sciences/Nursing

CIP Code: 51.999

CTE Instructor: Deborah M. Wong

Post Secondary School:

Evaluator:





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

SECTION # 1

MICHIGAN STANDARDS

CAREER AND EMPLOYABILITY SKILLS

4 3 2 1 N 4 3 2 1 N

APPLIED ACADEMIC SKILLS

Apply basic communication skills, mathematical processes

and apply technology in work-related situations

Reading, English & Language Arts

Read a technical manual and write a clear & logical report explaining Nursing 2008

MI 1 the information using standared business English. x AJN

1 Give a verbal report on reading from a technical manual.

Read a case study and identify the details about the situation, define

technical terms, jargon, or words with multiple meanings based on Nursing 2008

MI 2 context, and summarize the conclusion.

Relate the results of study to a similar situation in a verbal or writen x AJN

report.

Take a verbal and written position on a topic and use correct grammar showcases/

MI 3 to defend it. x newsletters

Mathematics

Approach practical and workplace problems using a variety of medical math

MI 4 mathematical techniques. x MCC

Problems include making conversions between the metric system and

non-English systems of measurement, mixed units (such as hours and

minutes), and can require serveral steps to finding a solution.

Research how math is used in the workplace and make a presentation medical math

MI 5 detailing the process. x MCC

Listening & Presentation Skills

channel 1

M video

I 6 Use correct grammar to communicate verbally. x newsletter

Listen to a presentation and record important information. Report

M back identifying central themes and use key points to explain how the

I 7 message applies to a similar situation. x guest speakers

Technology







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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

career report

alternative

M Apply technology to workplace or career situation. Include research medicine

I 8 and a written paper. x report

CAREER PLANNING

M Organize career information and labor market trends from a variety of guest speakers

I 1 sources. x field trip

M Explain the advantages and disadvantages of working for self, others, guest speakers

I 2 being an employee of a large or small organization. x Ch. 2 text

M nursing home

I 3 Analyze information & preferences from work-based opportunity. x visit

M Interpret information from a variety of career assessments to identify

I 4 career interests and abilities. x EDP

M Apply a decision-making model and use career assessment information

I 5 to choose a career pathway. x EDP

M 6/7Annually review EDP and include plan for continuing education. x scheduling

DEVELOPING AND PRESENTING INFORMATION

M 1 Gather, interpret, analyze, and refine data. x science labs

M 2 Analyze and synthesize information and data from muiltiple sources. x science labs

M Plan and transform ideas and requirements into a concept, service, or

I 3 product. x not applicable

M Assess the quality of the concept, service, or product using a

I 4 predetermined standard. x not applicable

Develop a plan to market a new product, service, or concept which

M includes identifying of customers, a graphic presentation, product

I 5 requirements, and costs. x not applicable

video

M Practice and demonstrate presentation skils using a variety of media newsletter

I 6 and interpretive data. x showcases

PROBLEM SOLVING

M Apply a problem solving model to a workplace situation that involves

I 1 setting goals, implementing and evaluating results. x mock disaster

Identify typical problems that occur in a workplace and use a problem

M solving model to devise solutions, compare alternatives to past

I 2 solutions, and predict their success. x mock disaster

PERSONAL MANAGEMENT

Responsibility

M Demonstrate regular attendance, promptness, and staying with a task routine

I 1 until satisfacotry completion. x classwork

M routine

I 2 Complete assignments with minimum supervision and meet deadlines. x classwork

M Use mistakes as learning opportunities, demonstrate persistence and routine

I 3 adaptability to change. x classwork

M routine

I 4 Initiate projects and extra activities for personal satisfaction. x classwork

Self-Management



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

M Monitor & evaluate accurately one's progress towards a goal or rubric for lab

I 5 completion of a project. safety practices and drug-free behavior in

Demonstrate health and x skills

M 6 school & workplace setting. x continuous

M Obtain a driver license and demonstrate driving skills and safety and/or

I 7 use public transportation. x not applicable

M weekly lesson

I 8 Prioritize and accomplish tasks independently. x plans

M Use appropriate personal expression and relate to school and work

I 9 settings. x continuous

Ethical Behavior

Demonstrate etlhical behavior in school, work, and community

M 10 situations. x Ch. 4 text

M 11 Describe employer-employee rights necessary to maintaining

Demonstrate appropriate behaviors and responsibilities. x Ch.4 text

M 12 employment. x Ch. 3 text

M Ch. 3 text

I 13 Demonstrate positive personal qualities as a group leader. x lab skills

Respect for Self and Others

M View accomplishments or failures of self and others accurately and in

I 14 a positive manner. x continuous

M Understand how to make improvements and ask for help from adults as

I 15 needed. x continuous

M Offer encouragement and ideas to others as they work toward attaining

I 16 their goals. x continuous

M Provide for customer needs and expectations in a helpful and

I 17 courteous manner. x continuous

M 18 Respect other points of view. x continuous

M Demonstrate customer service skills in an appropriate setting by

I 19 listening, suggesting solutions, and communicating the issues at hand. x continuous

ORGANIZING SKILLS

Time

M Determine goals and develop an action plan to accomplish them within weekly lesson

I 1 a given time frame. x plans

M Read time charts and work schedules and perform tasks within time

I 2 constraints of school or the workplace. x continuous

M 3 Prioritize tasks and revise schedules as needed. x continuous

Money

M Estimate costs and prepare a detailed budget for a school-based or

I 4 work-based project. x not applicable

M Report the costs of various components of a budget and adjust budget

I 5 items as needed. x not applicable

M Understand compensation practices and financial management and

I 6 explain how financial resources can be used effectively and efficiently. x not applicable

Materials

M Utilize materials, tools, and processes to complete a task related to a

I 7 career selection. x lab skills

M Compile a list of materials and supplies needed in advance of an

I 8 assignment. x lab skills



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

Acquire exposed to task

N = Notresources in a timely fashion and take responsibility for their Point

M 9 care. x lab skills

M Identify and prepare tools, equipment, space, and facilities appropriate

I 10 for a task. x lab skills

M 11 Work within constraints of safety precautions and available resources. x lab skills

Human Resources

M Learn cooperation and leadership in a team at school or in a workplace

I

M 12 setting. and communicate with members of a team using varied

Organize x continuous-labs

I 13 methods of communications. x continuous-labs

M Recognize the individual roles of team members, delegate tasks, and

I 14 give feedback on performance. x continuous-labs

M Acknowledge and utilize the skills, abilities, and input of all member

I 15 of a team. x continuous-labs

TEAMWORK

Group Participation

M Exhibit teamwork skills including trust and loyalty to group, and

I 1 demonstrate connectedness to group members, values, and culture. x continuous-labs

M Take personal responsibility for influencing and accomplishing group

I 2 goals. x continuous-labs

M Demonstrate understanding of how effective teams operate within

I 3 organization and diverse settings. x continuous-labs

M 4 Solve a career/work-related problem as a member of a team. x continuous-labs

Conflict Resolution

M Demonstrate leadership by listening to others and asking appropriate

I 6 questions to clarify a problem or issue. x continuous

M 7 Summarize a problem clearly and in appropriate detail. x continuous

M Suggest constructive alternatives with confidence that will help resolve

I 8 a conflict. x continuous

M Compromise and/or build consensus within a group and summarize

I 9 the decision of the group while maintaining respect for minortiy x continuous

M Participate in the implementation of a group's decision and evaluate

I 10 the results. x continuous

M Show sensitivity to others' thoughts and opinions and relate them to the

I 11 resolution process. x continuous

Diversity

M Understand and respect the concerns of members of cultural, gender,

I 12 age, and ability groups. of differences of people in a work/school

Be respectful of a variety x continuous

M 13 setting. x continuous

M Demonstrate ability to work with others with different backgrounds,

I 14 cultures, and abilities. x continuous

Leadership

M 15 Demonstrate leadership ability in a work or school setting. x continuous

Recognize and take advantage of leadership opportunities that give

M direction to other team members, or that encourage other members to

I 16 complete tasks. x continuous





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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

NEGOTIATION SKILLS

Using correct terminology, clarify the problem or issue to be

M 1 negotiated. x continuous

M Identify, organize, and define ideas from various sources to logically

I 2 support a position and use these ideas in debate. x continuous

Demonstrate objectivity in assessing other viewpoints by considering

M all sides of an issue, using past experience, data and logical analysis,

I 3 and showing respectful behavior towards others. x continuous

M Responsibily challenge existing policies and procedures and identify

I 4 new solutions or policy changes. x continuous

UNDERSTANDING SYSTEMS AND USING

TECHNOLOGY

M 1 Identify trends and how they affect changes within a system. x continuous

M 2 Demonstrate an understanding of business systems. x Ch. 1 text

M Compare management systems and consider how employees function

I 3 and adapt to change within them. x Ch. 1 text

M 4 Describe the technical systems related to a career interest area. x Ch. 1 text

M Diagnose and make necessary corrections or improvements to a

I 5 technical system in a business, industry, or simulated work place x not applicable

Describe how changes in technology have impacted business and

M industry, identify current trends, and recommend how a technical

I 6 system might be improved. x Ch. 1 text

M Demonstrate the use of equipment and machines to solve practical or labs-

I 7 work-based problems. use of a variety of on-line technological

Demonstrate effective x very limited

M 8 resources. x reports

M Determine what kind of application is needed for a given task and use

I 9 effectively. x reports

M Use technologies as tools for communication of technical or work-

I 10 related information.

Use technology effectively in solving problems in an area of career x not applicable

M 11 interest. x not applicable

M Understand and demonstrate basic computer hardware and software

I 12 installation and maintaining efficient machines. x business classes

M Demonstrate ability to adapt to different software applications,

I 13 comparing and contrasting specfic functions and applying them to x business classes

EMPLOYAB ILITY SKILLS

M Continue the EDP process which includes an annual review with

I 1 student and counselor and notification of parents. x scheduling

M Participate in work-based opportunities such as job-shadowing,

I 2 mentorships, work experiences, etc. x CTE director

M Show ability to market oneself by preparing for and completing an ch. 15 text &

I 3 interview process. x english 12

M Accurately complete records/documents to support job applications ch. 15 text &

I 4 (inquiry letters, resume, references, evaluations, follow-up letters). x english 12

M Use a portfolio, resume, record of attendance, certifricates, and/or portfolio &

I 5 transcript as self-marketing tools to demonstrate interest and x resume







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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

M Apply career and labormarket information to seek and obtain

I 6 employment and/or pursue educational goals. x counselling

Research availability of educational programs, financial requirements,

M and resource and complete an application process as appropriate for

I 7 career goals. need for lifelong learning in a rapidly changing job

Understand the x counselling

8 market.

TECHNOLOGY SKILLS

BASIC OPERATIONS AND CONCEPTS

Discuss emerging technology resources (e.g., podcasting, webcasting,

M compressed video delivery, online file sharing, graphing calculators,

I 1 global positioning software) x not applicable

M Identify the capabilities and limitations of emerging communication

I 2 resources. x not applicable

M Understand the importance of both the predictable and unpredictable lecture & job

I 3 impacts of technology. x shadowing

Identify changes in hardware and software systems over time and

M discuss how these changes might affect the individual personally in lecture & job

I 4 his/her role as a lifelong learner. x shadowing

M 5 Understand the purpose, scope, and use of assistive technology. x lecture

M Understand that access to online learning increases educational and

I 6 workplace opportunities. x lecture

M Be provided with the opportunity to learn in a virtual environment as a

I 7 strategy to build 21st century learning skills. x job shadowing

M Understand the relationship between electronic resources,

I 8 infrastructure, and connectivity. x not applicable

M Routinely apply touch-typing techniques with advanced accuracy,

I 9 speed, and efficiency. x business classes

M Assess and solve hardware and software problems by using online help

I 10 or other user documentation and support. x not applicable

M Identify common graphic, audio, and video file formats (e.g., jpeg, gif,

I 11 bmp, mpeg, wav) x business classes

M 12 Demonstrate how to import/export text, graphics, or audio files. x business classes

M Proofread and edit a document using an application’s spelling and

I 13 grammar checking functions. x reports

SOCIAL, ETHICAL, AND HUMAN ISSUES

M Identify legal and ethical issues related to use of information and

I 1 communication technology. x business classes

Analyze current trends in information and communication technology

M and assess the potential of emerging technologies for ethical and

I 2 unethical uses. x business classes

M Discuss possible long-range effects of unethical uses of technology

I 3 (e.g., virus spreading, file pirating, hacking) on cultures and society. x business classes

M Discuss the possible consequences and costs of unethical uses of

I 4 information and computer technology. x business classes

M Identify ways that individuals can protect their technology systems

I 5 from unethical or unscrupulous users. x business classes



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

M Demonstrate the ethical use of technology as a digital citizen and

I 6 lifelong learner. x business classes

M Explain the differences between freeware, shareware, and commercial

I 7 software. x business classes

M 8 Adhere to fair use and copyright guidelines. x x reports

M Create appropriate citations for resources when presenting research

I 9 findings. x x reports

M Adhere to the district acceptable use policy as well as state and federal

I 10 laws. x users agreement

M Explore career opportunities and identify their related technology skill

I 11 requirements. x reports

M Design and implement a personal learning plan that includes

I 12 technology to support his/her lifelong learning goals. x business classes

TECHNOLOGY PRODUCTIVITY TOOLS

M Complete at least one online credit, or non-credit, course or online

I 1 learning experience. x not applicable

Use technology tools for managing and communicating personal

M information (e.g., fi nances, contact information, schedules, purchases,

I 2 correspondence) x blackboard

M 3 Have access to and utilize assistive technology tools. x not available

Apply advanced software features such as an application’s built-in reports,

M thesaurus, templates, and styles to improve the appearance of word newsletters,

I 4 processing documents, spreadsheets, and presentations. x showcases

M Identify technology tools (e.g., authoring tools or other hardware and

I 5 software resources) that could be used to create a group project. x not applicable

M Use an online tutorial and discuss the benefits and disadvantages of

I 6 this method of learning. x not applicable

M 7 Develop a document or file for inclusion into a web site or web page. x not applicable

Use a variety of applications to plan, create, and edit a multimedia reports,

M product (e.g., model, webcast, presentation, publication, or other newsletters,

I 8 creative work) showcases



M Have the opportunity to participate in real-life experiences associated

I 9 with technology-related careers. x not applicable

TECHNOLOGY COMMUNICATIONS TOOLS

M Identify and describe various telecommunications or online

I 1 technologies (e.g., desktop conferencing, listservs, blogs, virtual x not applicable

Use available technologies (e.g., desktop conferencing, e-mail,

M groupware, instantmessaging) to communicate with others on a class

I 2 assignment or project. x not applicable

Use a variety of media and formats to design, develop, publish, and

M present products (e.g.,presentations, newsletters, web sites) to

I 3 communicate original ideas to multiple audiences. x not applicable

Collaborate in content-related projects that integrate a variety of media

(e.g., print, audio, video, graphic, simulations, and models) with

M presetation, word processing. Publishing, database, graphics design, or

I 4 spreadsheet applications. x not applicable







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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

M Plan and implement a collaborative project using telecommunications

I 5 tools (e.g., groupware, interactive web sites, videoconferencing) x not applicable

TECHNOLOGY RESEARCH TOOLS

M Compare, evaluate, and select appropriate internet search engines to

I 1 locate information. x not applicable

Formulate and use evaluation criteria (authority, accuracy, relevancy,

M timeliness) for inforamtion located on the internet to present research

I 2 findings. x not applicable

M Determine if online sources are authoritative, valid, reliable, relevant,

I 3 and comprehensive. x not applicable

M 4 Distinguish between fact, opinion, point of view, and inference. x biology

M 5 Evaluate resources for stereotyping, prejudice, and misrepresentation. x not applicable

M Develop a plan to gather information using various research strategies

I 6 (e.g., interviews, questionnaires, experiments, online surveys) x not applicable

TECHNOLOGY PROBLEM-SOLVING and

DECISION-MAKING TOOLS

M Use a variety of technology resources (e.g., educational software,

I 1 simulations, models) for problem solving and independent learning. x not applicable

Describe the possible integration of two or more information and

M communication technology tools or resources to collaborate with

I 2 peers, community members, and field experts. x not applicable

Formulate a research question or hypothesis, then use appropriate

information and communication technology resources to collect

M relevant information, analyze the findings, and report the results to

I 3 multiple audiences. x not applicable









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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

SECTION #2

MICHIGAN TECHNICAL SKILLS

51.0000 Health Services -- Nursing

NURSE AIDE TRAINING

CURRICULUM MODEL

Michigan Department of Community

SECTION # 2

MICHIGAN STANDARDS

4 3 2 1 N 4 3 2 1 N

I Unit 1: The Long-Term Care Facility

1 Purposes:

To provide care based on identified needs such as rehabilitative ch. 8, ch.

a. care, personal care, services, etc. x 4

b. To provide services by a multidisciplinary team x ch. 8, ch.

c. To promote function and independence x ch. 8, ch.

2 Name two types of long-term facilities

a. Nursing Home/County Medical Care Facility x ch. 8, ch.

b. Hospital Long-Term Care Unit x ch. 8, ch.

3 Overview of concept of resident rights

Give two examples of ethical issues faced by long-term care

4 facilities

a. Artificial feeding x ch. 4

b. Do not resuscitate x ch. 4

c. Living wills x ch. 4

5 Organizational Chart

6 Organizational Chart and brief job description:

a. Administrator x ch. 1

b. Director of Nursing (DON) x ch. 1

c. Medical Director x ch. 1

d. Charge Nurse x ch. 1

e. Nurse aide x ch. 1

f. Other (Physical Therapists/Occupational Therapist, Dietician, x ch. 1

7 Overview of regulations

a. Medicare, Medicaid certification x ch. 1

Role of regulatory agencies (Michigan Department of Public

b. Health, etc.) x ch. 1

II Unit 2: The Long-Term Care Resident

Aging process/concept of functional impairment: vision,

1 hearing, mobility

2 Transitions and losses:



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

a. Relocation x ch. 8

b. Bereavement x ch. 8

c. Loss of health, independence, social support x ch. 8

3 Basic definitions of:

a. Diabetes x A&P

b. Parkinson’s Disease x A&P

c. Dementia x A&P

d. Degenerative Joint Disease x A&P

e. Hypertension x A&P

f. Chronic Obstructive Pulmonary Disease x A&P

g. Congestive Heart Failure x A&P

h. Stroke x A&P

4 Strategies and nurse aide role:

a. Identify residents’ individual needs and wishes x continuou

b. Promote social interaction x continuou

c. Promote involvement in activities x continuou

Identify the role of family members or significant others in

identification of the resident’s needs and development of

5 care plan

a. Role of the care conference x not done

b. Involvement of resident/family/significant other in:

1) Needs identification x text

2) Care Planning x text

Discuss cultural and religious differences that may

6 influence values and preferences

a. Ethnic/Racial groups: report

1) Caucasian x

2) Black-American x

3) Hispanic x

4) Asian x

5) American Indian x

6) Other x

b. Religious: report

1) Protestant x

2) Judaism x

3) Catholic x

4) Other x

III Unit 3: Resident Rights

1 Michigan Public Health Code Sections:

333.20201 x text

333.21771 x text

a. Privacy and confidentiality x continuou



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

b.Personal Choices x text

c.Resolution of Grievances – function of the Resident Council x text

d.Sexuality and expression of sexual needs x text

e.Care and Security of Personal Possessions x text

Minimization of use of physical and chemical restraints – see

f. Unit 11 on restraints x text

g. Other

2 Strategies related to rights identified in objective #1

Definitions and examples of abuse, neglect, exploitation, and

endangerment as stated in identification and Reporting

of Abuse: A Training Manual for Nursing Home Aides,

3 Michigan Department of Public Health, 1988, pp.3-6

Common causes of abuse, neglect, endangerment, and

exploitation stated in Identification and reporting of

4 Abuse: A Training Manual for Nursing Home Aides p.7

5 Process and requirements for:

not

a. Who must report x available

not

b. To whom reports must be made x available

not

c. Penalties incurred for failure to report x available

Process of investigating abuse and nurse aide

6 responsibilities in investigation after a report is filed.

Identification and Reporting of Abuse: A Training Manual not

for Nursing Home Aides p.13 x available

7 Penalties for:

not

a. Facility x available

not

b. Perpetrator x available

Unit 4: The Nurse Aide as a Member of the Health Care

IV Team

Describe the role and responsibility of the nurse aide in a

1 long-term care facility

a. Observation, reporting, recording changes in resident’s x text & lab

b. Personal care services x text & lab

c. Assistance with activities of daily living x text & lab

d. Assist residents in attaining and maintaining functional x text & lab

e. Communication and interact in a sensitive manner with x text & lab

f. Support and Promote Residents Rights x text & lab

g. Other



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

2 Identify ethical behaviors of the nurse aide

a. Definition of ethics/ethical behavior x Ch. 4

b. Examples of ethical behavior x Ch. 4

Examples of unethical behavior (accepting tips and gifts, eating

c. resident’s food, etc.) x Ch. 4

Functions that can and cannot legally be performed by a

3 nurse aide

a. Scope of job description x Ch. 2

b. Performance of tasks for which competency has been x Ch. 2

c. Support resident rights x Ch. 2

4 Discuss qualities of an effective nurse aide

a. Hygiene x Ch. 3

b. Health (nutrition, stress management, exercises, etc.) x Ch. 3

c. Professional appearance x Ch. 3

d. Attitude x Ch. 3

Describe the roles of the nurse aide, Licensed Practical

Nurse (LNP) and Registered Nurse (RN) in the planning

5 and provision of resident care.

a. Purpose and use of resident care plan x na

b. Delegation of duties x na

c. Channels for reporting and recording x na

d. Planning and organizing work (sequencing and prioritizing x na

V Unit 5: Human Interaction Skills

1 Identify elements necessary for effective communication

Definition of communication (verbal and Lecture/Discussion

a. non-verbal) x text

b. Concise x text

c. Clear – words have same meaning for all parties x text

d. Logical x text

e. Communication that facilitates dignity and respect of individual

1. Sensitivity/impact of values x text

2. Attitudes x text

Describe four (4) ways to facilitate communication with

2 residents in long-term care

a. Body language (social expression, gestures, etc) x text

b. Active listening skills x text

c. Use of touch x text

d. Modification of nurse aide’s behavior in response to resident’s x text

e. Reinforcement techniques (praise, etc.) x text

Identify communication strategies to assist residents who

3 have special needs

a. Visually impaired resident x text



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

b. Hearing impaired resident x text

c. Cognitively impairment resident x text

d. Aphasia and dysarthria x text

e. Other (language barrier, behavior problems) x text

f. See Unit 11 on Restraints x text

Discuss strategies to resolve conflicts between: Residents,

4 Staff, Residents and staff

a. Basic conflict resolution strategies x na

b. Resident Council x na

c. Employer/employee grievance procedure x na

d. Facility policy x na

e. Resident grievance procedure x na

VI Unit 6: Infection Control

1 Define Infection

a. Concept of immune system (antibodies) x A&P

b. Disease state – invasion and growth of microorganisms

1. Local x A&P

2. Systemic x A&P

2 Definition and types of pathogens

biology &

a. Bacteria x Ch. 12

biology &

b. Virus x Ch. 12

biology &

c. Other x Ch. 12

Describe ways that infection is spread among nursing home

3 residents

a. Portals of entry for microorganisms

1. Respiratory (inhale) x ch. 12

2. Gastro-intestinal (ingest) x ch. 12

3. Blood x ch. 12

4. Breaks in skin x ch. 12

b. Portals of exit for microorganisms

1. Respiratory (airborne droplets – coughing, sneezing) x ch. 12

2. Gastro-intestinal (urine, feces) x ch. 12

3. Blood x ch. 12

4. Wound drainage x ch. 12

c. Methods of spreading microorganisms

1. Hands x ch. 12

2. Food, fluids x ch. 12

3. Dressings x ch. 12

4. Contaminated equipment/utensils x ch. 12



11/16/2011 C:\Docstoc\Working\pdf\9ce2db1d-f103-4140-880a-75773555d215.xls 13

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

5. Insects x ch. 12

6. Animals x ch. 12

Name the most common infectious organisms found in

4 nursing home residents

a. Staphylococcus x ch.12

b. Streptococcus x ch.12

c. Infestation (scabies) x ch.12

d. Other x ch.12

Identify requirements needed for the growth of

5 microorganisms

a. Host/reservoir x ch. 12

b. Moisture x ch. 12

c. Warmth x ch. 12

d. Darkness x ch. 12

e. Nourishment x ch. 12

f. Oxygen (Differentiate between aerobic and anaerobic) x ch. 12

6 Explain why elderly people are susceptible to infection

a. Aging process/compromised immune system x ch. 8 & 12

b. Common problems that predispose residents to infection

1. Chronic illness (diabetes) x ch. 8 & 12

2. Poor nutrition x ch. 8 & 12

3. Dehydration x ch. 8 & 12

4. Stress/fatigue x ch. 8 & 12

7 Identify common signs and symptoms of infection

a. Classic signs and symptoms

1. Systemic x ch. 12

2. Local x ch. 12

b. Altered presentation of infection in nursing home residents

1. May have absence of (or very mild) classic systemic signs

and symptoms x ch. 12

2. Confusion/agitation x ch. 12

3. Change in physiological functions activities of daily living x ch. 12

Discuss the nurse aide’s responsibility in reporting and

8 recording observations of the resident who has an

a. Timeliness x text

b. Written/oral reporting and recording x text

c. Chain of command x text

Describe ways to prevent and control infection in the

9 nursing home resident and health care worker

Definition of medical asepsis: prevent the spread of

microorganisms through practices, which ensure cleanliness of

a. hands and appropriate care and handling of equipment, food, x ch. 8



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

b. Examples of aseptic technique

1. Hand washing x ch. 8

2. Universal precautions x ch. 8

3. Isolation x ch. 8

4. Chemical disinfection x ch. 8

5. Appropriate handling of equipment, linen, food, waste

products, body fluids x ch. 8

c. Employee health

1. Employees who are ill or infected should not care for x ch. 8

2. Importance of reporting (self or family), breaks in skin, etc. x ch. 8

3. Health promotion practices x ch. 8

Facility policy based on broad or narrow definition per

10 Center for Disease Control guidelines

11 Definition per facility policy

12 Facility policy/procedure or see Appendix A

13 Facility policy/procedure or see Appendix A

14 Facility policy/procedure or see Appendix A

VII Unit 7: Safety/Emergency Procedures

1. Identify common emergency situations which occur in a

nursing home

a. Resident situations

1. Falls x ch. 11

2. Respiratory emergencies (choking, aspiration, airway x ch. 11

3. Cardiac arrest x ch. 11

4. Seizures x ch. 11

5. Loss of consciousness x ch. 11

6. Burns x ch. 11

7. Laceration/Bleeding x ch. 11

b. Facility situations

1. Fire x ch. 11

2. Power failure x ch. 11

3. Severe weather x ch. 11

4. Other

2 Identify common causes of resident falls

a. Knee joint instability x ch. 11

b. Medication side effects (dizziness, drowsiness, etc.) x ch. 11

c. Low blood pressure/postural hypotension x ch. 11

d. Impaired coordination x ch. 11

e. Visual impairment x ch. 11

f. Cognitive impairment (poor judgement, misperception, etc.) x ch. 11

g. Environmental hazards (clutter, etc.) x ch. 11





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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

Describe three ways to prevent falls in a nursing home

3 resident

a. Assistance with ambulation x text

b. Appropriate assistance/supervision x text

c. Environment free of clutter x text

d. Slow rising from bed/chair x text

e. See Unit 11 or Restraints x text

4 Facility policy/procedure or see Appendix A

Identify common causes for respiratory emergencies in the

5 nursing home resident

a. Diseases x text

b. Improper feeding technique x text

c. Inadequate supervision while eating x text

d. Improper position while eating x text

List three ways to prevent respiratory emergencies in the

6 nursing home resident

a. Proper feeding technique x text

b. Appropriate supervision during mealtime x text

c. Proper positioning for eating x text

Describe the appropriate nurse aide response/action for a

7 resident in respiratory distress/arrest

CPR

a. Recognition of signs of respiratory distress/arrest x training

b. Action per facility policy x na

8 Facility policy/procedure or see Appendix A

9 Signs of cardiac arrest

10 Facility policy/procedure or see Appendix A

11 Facility policy/procedure or see Appendix A

12 List common reasons why a resident may lose consciousness

a. Hypoglycemia/hyperglycemia x A&P

b. Transient ischemic attacks x A&P

c. Low blood pressure x A&P

d. Other

13 Facility policy/procedure or see Appendix A

Identify common causes for burns in the nursing home

14 resident

a. Unsupervised smoking x ch. 11

b. Contact with hot objects/liquids

1. Bath water x ch. 11

2. Hot packs and heating pads x ch. 11

3. Food/beverages (spills, ingestion) x ch. 11

4. Metal near heat source/heater x ch. 11



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

c. Electrical hazards x ch. 11

15 Describe ways to prevent burns in a nursing home resident

a. Adequate supervision x ch. 11

b. Monitoring/testing temperature of food and beverages x ch. 11

c. Monitoring of environment (heat source, electrical hazards, x ch. 11

16 Facility policy/procedure or see Appendix A

Identify common causes for bleeding/lacerations in the

17 nursing home resident

a. Skin tears due to repositioning or transfer x ch. 11

b. Falls x ch. 11

c. Other x ch. 11

Describe ways to prevent bleeding/lacerations in the

18 nursing home resident

Care with resident while transferring, repositioning

a. (consideration of skin fragility) x ch. 11

b. Prevention of falls (see objective #3) x ch. 11

Demonstrate the appropriate nurse aide action/response for

19 the resident who is bleeding

a. Facility policy/procedure or see Appendix A x na

Universal Precautions (see objective #10 – Unit on Infection

b. Control) x ch. 12

Describe safety practices to prevent fires in the nursing

20 home.

a. Supervised smoking x ch. 11

b. Fire code/regulations per State Fire Marshal x ch. 11

21 Facility policy/procedure

a. Resident Safety Procedure x na

b. Fire extinguisher usage x ch. 11

22 Facility policy/procedure

23 Facility policy/procedure

VIII Unit 8: Basic Personal Care Skills

8-1: Introduction

Describe factors, which ensure the comfort, dignity, safety,

cleanliness, and independence of the resident in the

1 provision of personal care

a. Knowledge, attitude, skills of staff x na

b. Understanding of basic human needs x text

c. Resident’s Rights x text

Importance of nurse aide’s role: aide’s knowledge of resident

d. nurse aide as primary provider of personal care x text

Give three reasons why personal care is essential to a long-

2 term care resident



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

a. Basic human needs – comfort x text

b. Resident’s Rights x text

c. Prevention of problems/poor outcomes x text

3 Explain the components of personal care

a. Oral hygiene x text

b. Skin care x text

c. Perineal care x text

d. Foot care x text

e. Nail care x text

f. Dressing x text

g. Grooming x text

h. Bathing x text

Units 8-2 through 8-8 provides detailed instruction for

4 personal care skills

Identify observations the nurse aide should make during the

5 provision of personal care

Discuss the nurse aide’s responsibility in reporting and

recording observations noted during the provision of

6 personal care

a. Characteristics of observations:

1. Accuracy x na

2. Timeliness x na

3. Objectivity x na

b. Types of observations

1. Resident x na

2. Environment x na

c. Written/oral reporting and recording x na

d. Chain of command x na

Unit 8: Basic Personal Care Skills

8-2 Oral Hygiene

Definition: cleanliness and comfort of the oral cavity

(mucous membranes, tongue, teeth/dentures); care of the

mouth and teeth using techniques such as brushing,

1 flossing, mouthwash, etc., as appropriate

2 Effects of oral hygiene on:

a. Comfort x text

b. Prevention of problems x text

c. Appetite x text

d. Socialization x text

3 Identify the levels of assistance required for oral hygiene

a. Non-assisted x text

b. Partially assisted x text



11/16/2011 C:\Docstoc\Working\pdf\9ce2db1d-f103-4140-880a-75773555d215.xls 18

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

c. Totally assisted x text

Identify safety precautions for the nurse aide providing oral

4 hygiene

a. Universal precautions x text

b. Protection from biting, combativeness, etc. x text

5 Demonstrate oral hygiene for the resident with natural

a. Facility policy/procedure or see Appendix A x na

b. Non-assisted x skills

c. Partially assisted x skills

d. Totally assisted skills

1. Comatose resident x text

2. Paralyzed resident x text

e. Care and proper storage of equipment/toothbrush x skills

6 Demonstrate oral hygiene for the resident with dentures

a. Facility policy/procedure or see Appendix A x text

b. Non-assisted x text

c. Partially assisted x text

d. Totally assisted x text

7 Identify special precautions used in the care of dentures

a. Solutions x text

b. Care and proper storage of equipment/dentures x text

c. Safe handling (nurse aide and resident) x text

d. Removal and insertion x na

e. Identification x text

f. Inspection for damage and fit x na

Demonstrate oral hygiene for the resident without teeth or

8 dentures

a. Facility policy/procedure or see Appendix A x na

b. Non-assisted x na

c. Partially assisted x na

d. Totally assisted x na

e. Care and proper storage of equipment x na

9 Demonstrate oral hygiene for the resident with special

a. Facility policy/procedure or see Appendix A x na

b. Feeding tube x na

Other (recent tooth extractions, cancer of tongue, tracheotomy,

c. difficulty swallowing) x na

d. Care of proper storage of equipment x na

Discuss the nurse aide’s responsibility in reporting and

recording observations noted during the provision of oral

10 hygiene

a. Type of observations



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

1. Inspection x na

2. Resident’s concerns x na

b. Types of observations to report x na

c. Written/oral reporting and recording x na

Unit 8: Basic Personal Care Skills

8-3: Skin Care

1 Describe skin changes that occur with aging

a. Dryness x text

b. Itching x text

c. Fragility x text

d. Decreased subcutaneous fat/”padding” x text

2 Explain the importance of skin care

a. Comfort x text

b. Prevention of problems x text

c. Maintenance of health skin x text

3 Identify skin care needs

a. Cleanliness x text

b. Lubrication x text

c. Protection x text

4 Identify methods to maintain healthy skin

a. Cleanliness

1. Frequency x text

2. Consideration of problems such as incontinence x text

b. Lubrication

1. Types x text

2. Frequency x text

c. Protection x text

d. Nutrition/hydration x text

e. Maintenance of circulation x text

5 Demonstrate techniques for proper skin care

a. Facility policy/procedure or see Appendix A x na

b. Massage x text/skills

c. Cleanliness x text/skills

d. Lubrication x text/skills

e. Protection x text/skills

Discuss the nurse aide’s responsibility in recording and

reporting observations noted during the provision of skin

6 care

a. Types of observations

1. Inspection x text

2. Resident’s concern x text

b. Types of observations to report x text



11/16/2011 C:\Docstoc\Working\pdf\9ce2db1d-f103-4140-880a-75773555d215.xls 20

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

c. Written/oral reporting and recording x text

Identify conditions that predispose a resident to skin

7 problems

a. Incontinence x text

b. Immobility/weakness/paralysis x text

c. Circulatory impairment x text

d. Diabetes x text

e. Dehydration/malnutrition x text

f. Gait instability/falls x text

g. Decreased sensation x text

h. Age-related changed x text

i. Other

Unit 8: Basic Personal Care Skills

8-4: Hand and Foot Care

Describe the important of hand and fingernail care for the

1 nursing home resident

a. Comfort x text

b. Hygiene x text

c. Resident Rights x text

Identify observations the nurse aide should make during

2 hand and fingernail care

a. Physical changed

1. Contracture x text

2. Thickened nails x text

3. Color of skin and nails x text

4. Hangnails x text

b. Resident concerns x text

Discuss the nurse aide’s responsibility in reporting and

3 recording observations noted during hand and fingernail

a. Timeliness x na

b. Written/oral reporting and recording x na

c. Chain of command x na

Demonstrate cleaning, filing and trimming of resident’s

4 fingernails

a. Facility policy/procedure x na

b. Nail care as a routine part of bathing x text/skills

Discuss the importance of foot and toenail care for the

5 nursing home resident

a. Definition of foot care as the provision of:

1. Comfort x text

2. Hygiene x text

b. Resident Rights x text



11/16/2011 C:\Docstoc\Working\pdf\9ce2db1d-f103-4140-880a-75773555d215.xls 21

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

c. Prevention of problems/maintenance of mobility x text

Nurse aide performs toenail care/trimming if included in

d. facility policy x text/skills

Identify observations the nurse aide should make during

6 foot care

a. Physical changes

1. Thickness of nails x text

2. Color of skin and nails x text

3. Skin temperature x text

4. Abnormalities x text

b. Resident concerns x text

Discuss the nurse aide’s responsibility in reporting and

recording observations noted during the provision of foot

7 care

a. Timeliness x na

b. Written/oral reporting and recording x na

c. Chain of command x na

d. Nurse aide as primary observer of resident’s feet/nails x na

Identify risk factors and problems that may require a nurse

8 or a podiatrist to perform food and toenail care

a. Diabetes x text

b. Peripheral vascular disease x text

c. Edema x text

d. Excessively thick nails x text

e. Abnormalities listed in #6 x text

f. Structural abnormalities (hammer toes, etd.) x text

g. Other

Give examples of problems and consequences that may

9 result from toenail care or neglected nails

a. Examples of problems

1. Nails too short/too long x text

2. Inappropriate angle of trim x text

3. Nicks/cuts x text

b. Consequences

1. Pain/immobility x text

2. Infection x text

Identify the importance of proper fit of shoes, socks, and

10 slippers

a. Safety x text

b. Comfort x text

c. Prevention of problems such as corns, blisters x text





11/16/2011 C:\Docstoc\Working\pdf\9ce2db1d-f103-4140-880a-75773555d215.xls 22

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

Importance of inspecting footwear for fit, wear, structure,

d. foreign objects x text

11 Demonstrate foot care

a. Facility policy/procedures or see Appendix A x na

b. Foot care as routine part of bath x text/skills

Unit 8: Basic Personal Care Skills

8-5: Hair Care and Shaving

1 Discuss the importance of hair care and shaving

a. Comfort x text

b. Hygiene x text

c. Resident Rights x text

Identify observations the nurse aide should make during

2 hair care and shaving

a. Physical characteristics

1. Changes x text

2. Lesions x text

3. Abnormal hair loss x text

4. Condition of scalp x text

b. Resident’s concerns x text

Discuss the nurse aide’s responsibility in reporting and

recording observations noted during the provision of hair

3 care and shaving

a. Timeliness x na

b. Written/oral reporting and recording x na

c. Chain of command x na

Demonstrate hair care for a male and female using the

4 appropriate level of assistance

a. Facility policy/procedure or see Appendix A x na

b. Female

1. Resident preference x text/skills

2. Care of comb and brush x text/skills

c. Male

1. Resident preference x text/skills

2. Care of comb and brush x text/skills

Demonstrate shaving the male resident using the

5 appropriate level of assistance

a. Facility policy/procedure or see Appendix A x na

b. Types of razors

1. Electric x text

2. Safety razor x text

c. Safety precautions x text

d. Frequency x text



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

e. Resident preferences x text

f. Care of Equipment

1. Identification x text

2. Cleaning and storage x text

3. Proper disposal of safety razor x text

Demonstrate shaving/hair removal for a female resident

6 using the appropriate level of assistance

a. Facility policy/procedure or see Appendix A x na

b. Facial hair

1. Shaving x skills

2. Tweezing x skills

3. Resident preferences x skills

c. Leg and axillary hair

1. Shaving x skills

2. Resident preference x skills

Unit 8: Basic Personal Care Skills

8-6: Perineal Care

1 Identify perineal area/perineum

2 Discuss the importance of perineal care

a. Comfort x text

b. Hygiene x text

c. Resident Rights x text

d. Prevention of problems

1. Infection in uncircumcised male x text

2. Vaginitis x text

Identify observations the nurse aide should make during the

3 provision of perineal care

a. Physical characteristics

1. Lesions x text

2. Drainage/discharge x text

3. Odor x text

4. Cysts, abscesses, lumps, bruises x text

5. Other abnormalities x text

b. Resident concerns (pain, itching, burning) x text

Discuss the nurse aide’s responsibility in reporting and

recording observations made during the provision of

4 perineal care

a. Timeliness x na

b. Written/oral reporting and recording x na

c. Chain of command x na

Give examples of resident problems/conditions that

5 necessitate frequent perineal care



11/16/2011 C:\Docstoc\Working\pdf\9ce2db1d-f103-4140-880a-75773555d215.xls 24

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

a. Incontinence (urinary and fecal) x text

b. Foley catheter x text

c. Vaginitis x text

6 Demonstrate perineal care for male and female residents

a. Facility policy/procedure or see Appendix A x na

Perineal care as routine part of a.m. and h.s. care and more

b. frequently as needed x na

c. Importance of privacy and dignity during the procedure x na

d. Use of universal precautions in providing perineal care x na

Unit 8: Basic Personal Care Skills

8-7: Bathing-Bed/Tub/Shower

1 Discuss the importance of bathing

a. Comfort x text

b. Hygiene x text

c. Resident Rights x text

d. Opportunity for communication/social interaction x text

e. Opportunity of observations x text

f. Integration and organization of other procedures x na

Describe factors which ensure the comfort, dignity, safety,

cleanliness and independence of a resident who is being

2 bathed

a. Knowledge, skills, attitude of staff x text

b. Understanding of basic human needs x text

c. Resident Rights x text

d. Importance of nurse aide’s role x text

e. Safety factors

1. Water and environmental temperature x text

2. Prevention of falls x text

f. Infection control practices x text

3 Identify types of baths

a. Bed x text

b. Tub x text

c. Shower x text

d. Whirlpool x text

e. Other x text

Identify the levels of assistance that may be required for

4 bathing

a. Non-assisted x text

b. Partially assisted x text

c. Totally assisted x text

Identify observations the nurse aide should make while

5 bathing a resident



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

a. Physical characteristics* x text

b. Resident concerns* x text

*See Units 8-1 through 8-6 (skin, hair, etc.)

Discuss the nurse aide’s responsibility in reporting and

6 recording observations made while bathing a Resident

a. Timeliness x na

b. Written/oral reporting and recording x na

c. Chain of command x na

7 Demonstrate: Bed bath, Tub bath, Shower

a. Facility policy/procedure or see Appendix A x na

b. Bed bath

1. Non-assisted x skills

2. Partially assisted x skills

3. Totally assisted x skills

c. Tub bath

1. Non-assisted x na

2. Partially assisted x na

d. Shower

1. Non-assisted x na

2. Partially assisted x na

3. Totally assisted x na

e. Care and storage of equipment and resident’s belongings x na

Unit 8: Basic Personal Care Skills

8-8: Dressing and Appearance

Identify the importance of clean, appropriate dress and

1 appearance for the nursing home resident

a. Comfort x na

b. Dignity x na

c. Resident Rights x na

d. Hygiene x na

e. Social, psychological aspects of dressing and appearance x na

Discuss ways to promote resident rights in relation to dress

2 and appearance

a. Choices x na

b. Resident preference x na

c. Allowing resident self care are much as possible x na

d. Consideration of past preferences and lifestyle x na

e. Labeling and proper care of clothing and footwear x na

f. Consideration of resident needs in accordance with care plan x na

Identify observation the nurse aide should report while

3 dressing a resident

a. Missing clothing items x na



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

b. Fit of clothing x na

c. Repair needs x na

d. Need for modification of clothes to facilitate independence x na

e. Appropriateness for season and temperature x na

f. Change in self care ability x na

Demonstrate dressing a resident using the appropriate level

4 of assistance

a. Facility policy/procedure or see Appendix A x na

b. Levels of assistance

1. Non-assisted x na

2. Partially assisted x na

3. Totally assisted x na

c. Guidelines to ensure resident dignity

1. Undergarments x na

2. Resident’s own clothing x na

3. Correctly fastened and applied clothing x na

4. Matching (socks, shoes, etc.) x na

5. Appropriate coverage x na

d. Care and storage of resident’s belongings x na

Describe ways to enhance a resident’s appearance

5 according to resident’s preference and/or past preference

a. Makeup x na

b. Jewelry x na

c. Nail polish x na

d. Cologne, aftershave x na

e. Other

f. Care and storage of resident’s belongings x na

IX Unit 9: Care of the Resident Environment

1 Define resident environment

a. Physical

1. Temperature x na

2. Lighting x na

3. Ventilation x na

4. Equipment x na

5. Other

b. Psychosocial

1. Stimulation x na

2. Personalization x na

3. Privacy x na

c. Resident’s possessions x na

d. Relationship of environment to level of function x na

2 Discuss the importance of resident’s personal space



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

a. Resident Rights x text

b. Impact of dignity, self-esteem, individualization x text

c. Personalization of environment/resident’s possessions x text

3 Identify unsafe conditions in the resident’s environment

a. Clutter x ch. 11

b. Spills x ch. 11

c. Equipment

1. Poor repair x ch. 11

2. Improper use (wheelchair, unstable chairs, restraints) x ch. 11

d. Poor lighting x na

e. Inappropriate temperature/humidity x na

f. Electrical hazards x ch. 11

g. Unclean environment x ch. 11

h. Unsafe substances within resident’s reach x ch. 11

4 Identify resident risks that may result from unsafe

a. Falls x ch. 11

b. Hypo/hyperthermia x ch. 11

c. Infection x ch. 12

d. Infestation (ants, cockroaches, etc.) x ch. 11

e. Poisoning/toxicity x ch. 11

Describe ways the nurse aide can maintain a safe

5 environment for the nursing home resident

a. Adequate lighting and temperature x na

b. Free of clutter x ch. 11

c. Appropriate use of:

1. Side rails x ch. 11

2. Call lights x ch. 11

3. Wheelchair brakes x ch. 11

d. Cleanliness

1. Adherence to routine cleaning schedules x na

Evaluation of cleanliness – routine inspection x na

e. Consideration of resident’s level of function x na

Explain the nurse aide’s role in reporting and recording

6 conditions in the resident’s

a. Timeliness x na

b. Written/oral reporting and recording x na

c. Chain of command

1. Nursing x na

2. Other (maintenance, dietary, etc.) x na

7 Definition of occupied and unoccupied bed

8. Describe the importance of handling bed linen properly x text

a. Infection control x text



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

b. Dust, lint x text

Identify situations when a resident’s be linen should be

9 changed

a. Soiling x text

b. Wetness x text

c. Resident comfort x text

d. Routine changing per facility policy x na

10 Identify special equipment that may be used on the bed

a. Egg crate mattress x na

b. Air mattress x na

c. Naso-gastric tube x na

d. Oxygen x na

e. Urinary drainage system x na

f. Other x na

11 Per facility equipment (electric, manual, etc)

12 Facility policy/procedure

Unit 10: Care of the Resident with Cognitive Impairment

X (Dementia Alzheimer’s Disease and Related Disorders)

Define cognitive impairment as diminished cognitive ability

such as impaired memory, judgment, insight, capacity for

logical thinking and abstract thought. Impairment of higher

1 intellectual functions.

2 Identify causes of cognitive impairment.

a. Reversible causes

1. Medications x text

2. Malnutrition x text

3. Environmental x text

4. Dehydration x text

5. Other x text

b. Irreversible causes

1. Dementia x text

2. Brain injury x text

Define dementia as irreversible loss of intellectual function

3 due to a disease process.

Discuss the importance of understanding cognitive

impairment and dementia and appropriate ways to care for

4 the resident with cognitive impairment.

a. More than half of nursing home residents have a dementing x text

b. Impact if appropriate care and understanding.

1. Preservation/Restoration quality of life. x text

2. Minimal or no use of physical, chemical restraints x text

3. Maintenance of independence and function for as long as x text



11/16/2011 C:\Docstoc\Working\pdf\9ce2db1d-f103-4140-880a-75773555d215.xls 29

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

Describe the effects of cognitive impairment and

5 implication for care.

a. Impaired cognition/intellectual fuction (confusion)

1. Memory problems - especially short-term x text

2. Impaired judgment x text

3. Impaired insight x text

4. Impaired time orientation x text

5. Diminished attention span x text

b. Altered behavior

1. Agitation x text

2. Combativeness x text

3. Nighttime wakefulness x text

4. Wandering x text

5. Delusions x text

6. Resistance to ADL x text

Discuss common causes of increased confusion and/or

6 altered behavior in the resident with cognitive impairment.

a. Concept of lowered stress threshold x text

b. inability to process information x text

c. Causes of increased confusion and/or altered behavior

1. Fatigue x text

2. Physical illness/discomfort x text

3. Over-stimulation environment (sensory overload) x text

4. New situation – change in schedule or routine x text

5. Medications x text

6. Visual/hearing impairment – distortion of information (lack

of familiar cues) x text

Describe ways to minimize confusion and prevent altered

7 behavior in the resident with cognitive impairment.

a. Communication

1. Clear x text

2. Slow x text

3. Simple, short sentences and instructions x text

4. Non-threatening, calm approach x text

5. Avoid reasoning and logic (person cannot think logically –

increases frustration) x text

b. Environmental modification

1. Reduced stimulus environment x text

2. Familiarity/visual cues x text

3. Adequate lighting x text

c. Facilitate sensory input (hearing aids, eyeglasses) x text

d. Frequent rest periods x text



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

e. Structure and routine x text

f. Individualized care plan x text

g. Capitalize on resident strengths/areas of intact intellect x text

h. Techniques for encouragement/reinforcement x text

i. Characteristics of Observations

1. Timelines x na

2. Written/oral reporting and recording x na

3. Chain of command x na

8 Discuss ways to deal with the resident behaviors

a. Introduce appropriate terms to describe behaviors x text

b. Approach person slowly from front – make eye contact x text

c. Calm, non threatening approach x text

Take resident to quiet area with stress reduction techniques

d. (music massage ect.) x text

e. Validation, refocusing techniques x text

Describe ways to prevent and eliminate the use of physical

and chemical restraints in the resident with cognitive

9 impairment.

a. Methods as outline in objective 7 and 8 x na

b. See Unit 11 on Restraints x na

Describe ways to promote resident rights for the person

10 with cognitive impairment.

a. Choice based on needs and individual’s capacity to make x text

Maintenance of function, independence, encourages and

b. support self care x text

c. Respect of privacy and possessions x text

d. Treat as an adult x text

e. See unit on Resident Rights

Describe feelings and attitudes a nurse aid may experience

11 in caring for a resident with cognitive impairment.

Importance of knowing the resident as on individual – use

a. resident personal history x text

b. Positive feelings/attitudes

1. Fondness x text

2. Caring, nurturing x text

3. Satisfaction x text

c. Negative feelings/Attitudes

1. Fear x text

2. Avoidance x text

3. Frustration x text

4. Impatience x text

5. Devaluation of the person as an individual x text



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

a. Family/significant other as sources of information

1. Resident’s past preferences and lifestyle x text

2. Resident’s personal history and interests – information to

provide a view of the Resident as an individual x text

b. Family/significant other as source of support

1. Assistance with structure and routine x text

2. Other

Unit 11: Creating an Environment for Restraint

XI Elimination, Reduction, Appropriate Use

Identify strategies to reduce or eliminate the use of physical

1 and chemical restraints. Strategies focusing on:

Development of individualized care plans based on

a. comprehensive assessment. x na

b. Communication x na

c. Supervision/assistance x na

d. Reduced stimulus environment x na

e. Management of difficulty behaviors

1. Wandering x na

2. Agitation/combativeness x na

3. Sleep disturbances x na

4. Hallucinations/delusions x na

f. Fall risk reduction x na

Rehabilitative/restorative care (increasing mobility, strength,

g. activities of daily living performance) x na

h. Meeting psychosocial needs. x na

Definition of physical restraint per State Operations

2 Manual, Survey Guidelines.

Identify devices in a nursing facility that could meet the

3 definition of physical restraints

a. Lap buddies x na

b. Positioning device x na

c. Alarms

1. Bed x na

2. Chairs x na

d. Low beds x na

e. Mats x na

f. Other x na

4 Give examples for the use of physical restraints

a. Criteria for appropriate use of restraints x na

1. Evidence of use of less restrictive measures that proved to be

ineffective x na





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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

2. Temporary (ongoing evaluation with goal of using less

restrictive measures) x na

3. Consent by resident or legal representative x na

4. Medically justified/medical order x na

5. Part of treatment plan based on comprehensive assessment. A

restraint may be used for various reasons. Different in use are

based on intent of use and whether justified, limited,

supervised. For example: A vest restraint can be used to keep a x na

b. Example of appropriate use of physical restraints. x text

c. Examples of inappropriate use of physical restraints. x text

Demonstrate the application and removal of physical

5 restraints.

Importance of proper application (most injuries occur when

a. restraints are improperly applied) x na

b. Facility policy/procedure or see: Appendix A x na

Emphasis on appropriate application, removal, release, exercise

c. every two (2) hours x na

Identify appropriate observations to make while a resident

6 is physically restrained.

a. Effectiveness of devices in context of care plan x na

b. Frequency of observations x na

c. Potential problems

1. Signs of impaired circulation x na

2. Evidence of skin irritation/injury x na

3. Effects on behavior (i.e. agitation, anxiety, fear) x na

4. Decline in physical function or condition (mobility,

incontinence, pressure sores) x na

d. Characteristics of observations

1. Timeliness x na

2. Written/oral reporting and recording x na

3. Chain of command x na

Define chemical restraint per State Operations

7 Manual/Survey Guidelines.

Describe the possible effects of chemical restraints. Changes

8 in mood, behavior, mobility, cognition.

9 Give examples for use of chemical restraints.

Examples of appropriate use of chemical restraints based on

a. individualized care plan when other strategies are ineffective. x na

b. Examples of inappropriate use of chemical restraints x na

Identify appropriate observations to be made for a resident

10 who is chemically restrained.

a. Effectiveness of chemical restraint in context of care plan x na



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

b. Potential side effects – changes in behavior/status

1. Alteration in cognition x na

2. Sleepiness/lethargy x na

3. Impaired communication x na

4. Altered ability to perform activities of daily living x na

5. Gait disturbance x na

6. Dizziness x na

c. Characteristics of observations

1. Timeliness x na

2. Written/oral reporting and recording x na

3. Chain of command x na

Discuss possible outcomes of restraint use (physical and

11 chemical)

a. General – physical and psychological discomfort x text

b. Physical

1. Increased muscle rigidity, weakness, unsteadiness –

immobility falls x text

2. Reduced or impaired circulation x text

3. Abrasions, skin tears x text

4. Pressure sores x text

5. Incontinence x text

6. Constipation/impaction x text

7. Ankylosed joints and contracted muscles x text

8. Bone resorption due to immobility and demineralization x text

9. Death – strangulation or impaired respiratory function x text

10. Safety to self, others x text

11. Maintenance/improvement of posture x text

c. Psychological

1. Depression x text

2. Loss of will to live x text

3. Confusion x text

4. Changes in mood and behavior (positive or negative) x text

XII Unit 12: Vital Signs, Height, Weight

1 Define body temperature

2 Identify ways of taking a resident’s temperature

a. Routes

1. Oral x ch. 13

2. Rectal x ch. 13

3. Axillary x ch. 13

b. Methods

1. Glass x ch. 13

2. Electronic thermometer x ch. 13



11/16/2011 C:\Docstoc\Working\pdf\9ce2db1d-f103-4140-880a-75773555d215.xls 34

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

3. Topical/temp strip x ch. 13

c. Other routes and methods per facility

3 Identify range for body temperature

a. Normal range

1. Oral x ch. 13

2. Rectal x ch. 13

3. Axillary x ch. 13

B. Fever x ch. 13

C. Hypothermia x ch. 13

4 Describe factors and conditions that affect body

a. Infection x ch. 13

b. Environmental temperature x ch. 13

5 Facility policy/procedure

6 Define pulse/Overview of cardiovascular system

7 Identify the method used by a nurse aide to take a

a. Radial x ch. 13

b. Other methods/sites per facility

8 Identify normal pulse range

9 Describe factors/conditions that affect pulse rate

a. Disease

1. Infection x ch. 13

2. Cardio – vascular disease x ch. 13

b. Medications x ch. 13

c. Emotional status (stress, etc) x ch. 13

d. Activity level x ch. 13

10 Facility policy/procedure or see

11 Overview of respiratory system

12 Normal respiratory rate

13 Describe factors/conditions that affects respiratory rate

a. Diseases

1. Infections x ch. 13

2. Cardio-vascular disease x ch. 13

3. Pulmonary disease x ch. 13

b. Activity level x ch. 13

14 Facility policy/procdure or see

15 Overview of cardiovascular system

16 Identify types of equipment for taking blood pressure

a. Types of sphygmomanometers x ch. 13

b. Cuff sizes x ch. 13

17 Identify factors that affect blood pressure

a. Diseases x ch. 13

b. Emotional status x ch. 13



11/16/2011 C:\Docstoc\Working\pdf\9ce2db1d-f103-4140-880a-75773555d215.xls 35

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

c. Techniques and equipment x ch. 13

d. Position x ch. 13

e. Activity level x ch. 13

f. Medication x ch. 13

g. Diet (caffeine, sodium) x ch. 13

h. Other

18 Facility policy/procedure

Describe importance of taking the resident’s height and

19 weight

a. Evaluation of nutritional status x ch. 13

b. Basis for medication order x ch. 13

c. Basis for diet orders x ch. 13

20 Identify factors that affect a resident’s height and weight

a. Aging changes x ch. 13

b. Nutrition x ch. 13

c. Activity level x ch. 13

d. Diseases (osteoporosis, etc.) x ch. 13

Demonstrate taking and recording a resident’s weight.

21 (Resident who is standing, resident who is unable to stand)

a. Facility policy/procedure x na

b. Equipment

1. Balance type scale x skills

2. Bed scale x na

3. Chair scale x na

22 Facility policy/procedure

Describe the nurse aide’s responsibility in reporting and

23 recording vital signs, height, and weight.

a. Abnormal x na

b. Timeliness x na

c. Written/oral reporting and recording – flow sheets x na

d. Chain of command x na

Unit 13: Meeting Nutrition/Hydration Needs of the Nursing

XIII Home Resident (Eating, Feeding, Hydration, I &O)

1 Define nutrition/hydration

a. Basic food groups x na

b. Role or calories, nutrients, fluids x na

Identify nutrition/hydration needs of the nursing home

2 resident

a. Nutrient/caloric requirements x na

b. Fluid requirements x na

c. Factors affecting nutritional needs: x na

1. Physical problems/diseases (diabetes, pressure sores, fever, x na



11/16/2011 C:\Docstoc\Working\pdf\9ce2db1d-f103-4140-880a-75773555d215.xls 36

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

2. Height/weight x na

3. Activity x na

Identify the physical changes of aging that affect

3 nutrition/hydration status of the nursing home resident.

a. Taste x na

b. Smell x na

c. Dentition x na

d. Thirst mechanism x na

Describe psychosocial factors that affect

4 nutrition/hydration status of the nursing home residents

a. Loneliness x na

b. Skin and mucous membrane changes (increased dryness) x na

c. Change in environment and routine x na

d. Mental status (cognitive impairment) x na

Describe changes that may occur with inadequate

5 nutrition/hydration

a. Weight change x na

b. Skin and mucous membrance changes (increased dryness) x na

c. Lethargy x na

d. Confusion x na

e. Changes in elimination (constipation, oliguria) x na

6

a. Timeliness x na

b. Written/oral reporting and recording x na

1. Flow sheets x na

2. Food acceptance record x na

c. Accurate weight x na

d. Chain of command x na

Discuss the various types of special diets that may be used

7 for nursing home resident

a. Diabetic diet x na

b. Sodium-restricted diet x na

c. Liquid diet x na

d. Soft diet x na

e. Mechanical soft diet x na

f. Nutritional supplement s x na

g. Force or restrict fluids x na

h. Pureed x na

i. Low cholesterol/low fat x na

8 Name alternative nutrition/hydration therapies

a. Nasogastric tube feeding x na

b. Hyperalimentation/Total Parenteral Nutrition (TPN) x na



11/16/2011 C:\Docstoc\Working\pdf\9ce2db1d-f103-4140-880a-75773555d215.xls 37

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

c. Intravenous (IV) x na

d. Percutaneous Enterostomal x na

e. Gastrostomy Tube (PEG Tube) x na

Describe strategies to maintain/improve a resident’s

9 nutrition/hydrations

C. Consideration of eating environment

1. Physical (noise, odors, cleanliness, etc) x na

2. Social (conversation, social interaction) x na

d. Temperature and appearance of food x na

e. Position of resident while eating x na

f. Oral Hygiene x na

g. Dentures in place (fits) x na

h. Hand washing for resident x na

i. Adequate time for eating x na

j. Timing of Toileting x na

Discuss ways to maintain/improve nutrition/hydration for

10 the resident with special needs/problems

a. Methods to assist individuals with special needs:

1. Visual impairment x na

2. Dysphagia x na

3. Limited manual dexterity x na

4. Cognitive impairment x na

5. Agitation/combativeness x na

b. Storing/hoarding food x na

c. Non-compliance with diet x na

Discuss that importance of a team approach in

11 maintaining/improving a resident’s nutrition/hydration

a. Dietician and dietary department x na

b. Nursing x na

c. Social Work x na

d. Nursing Aid x na

e. Family x na

Demonstrate feeding techniques using the appropriate level

12 of assistance

a. Facility policy/procedure x na

b. Levels of assistance

1. Non-assisted x na

2. Partially assisted x na

3. Totally assisted x na

c. Verify resident identity and appropriate tray x na

d. Techniques for residents with special needs x na

e. Protection of resident’s clothing x na



11/16/2011 C:\Docstoc\Working\pdf\9ce2db1d-f103-4140-880a-75773555d215.xls 38

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

f. Removal of tray, food, and cleaning of eating area x na

g. Signs indicating resident is having difficulty x na

h. Pre and post meal grooming x na

13 Define intake and output

a. Intake (food and fluid) x text

b. Output (feces, urine, emesis, wound drainage, perspiration) x text

14 Physical problems, chronic illness

a. Dehydration x text

b. Kidney failure x text

c. Weight change x text

d. Other x text

Discuss the nurse aide’s responsibility in reporting and

15 recording intake and output

a. Timeliness x na

b. Written/oral reporting and recording

1. Flow sheets x na

c. Chain of command x na

16 Demonstrated measuring and recording intake and output

a. Facility policy/procedure x na

b. Intake (food, fluids per facility policy – l.e. oz OR cc) x na

c. Output

1. Urine x na

2. Emesis x na

3. Feces x na

Facility policy/procedure (see Unit 7 on Safety/Emergency

17 Procedures)

XIV Unit: 14 Elimination

1 Identify routes of elimination

a. Urine x A&P

b. Feces x A&P

c. Skin (perspiration) x A&P

d. Wound drainage x A&P

e. Emesis x A&P

Describe aging changes that affect bowel and bladder

2 elimination in the nursing home resident

a. Change in bowel

1. Decreased motility, tone, sensation x na

b. Changes in bladder

1. Decreased muscle tone, sensation x na

2. Decreased sphincter control x na

Identify common elimination problems that may occur in a

3 nursing home resident



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

a. Diarrhea x na

b. Constipation/fecal impaction x na

c. Urinary tract infections x na

d. Incontinence x na

4 Discuss the impact of restraint use on elimination patterns

Restraint use as a contributing factor to uninary and fecal

a. incontinence, constipation x na

Discuss ways to enhance elimination and prevent common

5 elimination problems

a. Dietary consideration (food and fluid) x na

b. Activity/Exercise x na

c. Frequency of toileting x na

d. Knowledge of resident’s elimination pattern x na

e. Dignity, privacy during toileting x na

Discuss the nurse aide’s responsibility in reporting and

6 recording observations related to elimination

a. Timeliness x na

b. Verbal/oral reporting and recording x na

c. Chain of command x na

d. Appropriate observations to make:

1. Color x na

2. Odor x na

3. Amount x na

4. Character (blood, etc.) x na

5. Frequency x na

6. Discomfot x na

7 Discuss the nurse aide’s role in bowel and bladder training

a. Definition of bowel and bladder training per facility procedures x na

b. Nurse aide’s role per facility policy x na

c. Reporting and recording x na

8 Definition of:

a. Urinary incontinence x med terms

b. Fecal incontinence x med terms

9 Describe factors that may cause incontinence

a. Infrequent toileting x na

b. Urinary tract infection x na

c. Diuretics x na

d. Laxatives x na

e. Neurologic disorders (CVA, etc) x na

f. Restraint use x na

Discuss the impact of incontinence on the nursing home

10 resident



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

a. Physical

1. Skin breakdown x na

2. Discomfort x na

b. Psycho-social

1. Shame, embarrassment x na

2. Social isolation x na

3. Negative attitude of staff x na

11 Discuss ways to decrease/prevent incontinence episodes

a. Frequent toileting x na

b. Accessibility of toilet/commode/bedpan/urinal x na

c. Dietary considerations x na

d. Bowel and bladder training x na

12 Identify ways to manage incontinence

a. Appropriate use of absorbent products/pads x na

b. Maintenance of resident’s dignity and rights x na

Demonstrate toileting using appropriate level of assistance

13 for: a. Toilet, b. Commode, c. Bedpan, d. Urinal

a. Facility policy/procedure x na

b. Levels of assistance

1. Non-assisted x na

2. Partially assisted x na

3. Totally assisted x na

c. Maintenance of privacy, dignity x na

d. Universal precautions x na

e. Care and storage of equipment x na

14 List reasons why urinary catheters are used

a. Intermittent vs. indwelling x na

b. Urinary retention x na

c. Skin breakdown x na

d. Other

15 Identify types of urinary catheters

a. Internal

1. Foley x na

2. Straight x na

b. External

1. Condom drainage units x na

c. Suprapubic catheters x na

Discuss special considerations in caring for the resident

16 with urinary catheter

a. Position of tubing x na

b. Safety precautions when transferring or ambulating resident x na

c. Observations to make x na



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

d. Maintaining integrity of the system (patency) x na

17 Demonstrate catheter center: Facility policy/procedure

Demonstrate measuring and recording output: Facility

18 policy/procedure

Demonstrate collecting urine and stool specimens: Facility

19 policy/procedure

a. Routine urine specimen x na

b. Clean catch mid-stream x na

c. Stool specimen from hemoccult x na

d. Other x na

XV Unit 15: Rehabilitative Restorative Care

1 Definition of rehabilitative/restorative care:

Process by which people who have been disabled by injury or

sickness are helped to recover as much as possible of their

a. original abilities for the activities of daily living x text

b. Activities to improve or maintain functions x text

To help resident do as much as they can, as well as they can,

2 for a long as they can.

a. Prevention x text

b. Restoration x text

c. Maintenance x text

3 List the components of rehabilitative restorative care

a. Mobility x text

b. Range of motion x text

c. Positioning/turning x text

d. Transfer x text

e. Assistive devices, i.e. wheelchair, walker x text

4 All health care team members

text/guest

a. Occupational therapist x speaker

text/guest

b. Physical therapist x speaker

c. Speech therapist x na

d. Restorative aide x na

guest

e. Nursing Staff x speaker

guest

f. Social Worker x speaker

g. Activities Director x na

guest

h. Physician x speaker

i. Dietician x na



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

j. Family x na

Describe the role of the nurse aide in rehabilitative

5 restorative care

a. Maintenance of safe environment x na

b. Psychological support i.e. encouragement, praise x na

c. Integrations of rehabilitative/restorative care plan into daily x na

d. Characteristics of Observations

1. Timeliness x na

2. Written/oral reporting and recording x na

3. Chain of command x na

Definition of body mechanics as special ways of standing

and moving one’s body to make the best use of strength and

6 avoid fatigue or injury:

a. Importance for nurse aide

1. Prevention of injury (especially back injury) x text

2. Safety x text

3. Enhancement of strength and stability x text

b. Importance for resident

1. Prevention of injury and problems x text

2. Safety x text

Demonstrate the used of proper body mechanics when

7 delivering care

Facility policy for specific activities such as transfer, lifting,

a. moving, ect. x na

b. Incorporation of principles of body mechanics

1. Broadened stance/wide base of support x text/skills

2. Used of major muscle groups of lifting x text/skills

3. Appropriate posture/body alignment x text/skills

Definition of mobility as ambulation and maintenance of

8 joint function

a. Prevention of problems related to immobility

1. Cardio-vascular reconditioning x na

2. Loss of muscle tones/strength x na

3. Pressure sores x na

4. Contractures x na

5. Constipation x na

6. Psychological effects x na

7. Joint stiffness “disuse syndromes” x na

8. Hypostatic pneumonia x na

b. Benefits of maintaining function x na

1. Maintenance of physical functions x na

2. Maintenance of psychological function x na



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

9 Facility policy/procedure or see Appendix A

a. Ambulation without assistance x skills

b. Ambulation with assistance x skills

c. Ambulation with walker x skills

d. Ambulation with care x skills

e. Used of wheelchair x skills

f. Use of artificial limb x na

10 Facility policy/procedure or see Appendix A

a. Transfer to and from: chair, bed, wheelchair, commode, toilet, x skills

b. Equipment: mechanical lifts, slide x na

c. Other

Describe the benefits of proper turning and positioning:

11 Prevent/minimize:

a. Pressure sores x text

b. Contractures x text

c. Joint stiffness x text

d. Discomfort/pain x text

Discuss factors that determine the frequency of

12 positioning/turning a resident

a. Resident’s request x text

b. Physician order x text

c. Care Plan x na

Facility policy/procedure or see Appendix A for

13 positioning/turning:

a. Turning in bed x text/skills

b. Positioning in bed x text/skills

c. Positioning in chair x text/skills

Discuss the nurse aide’s responsibility in reporting,

recording and observing related to positioning/turning of

14 resident

a. Timeliness x na

b. Written/oral reporting x na

c. Positioning in chair x na

15 Facility policy/procedure regarding: sandbags, pillow, etd

Identify the importance of range of motion exercises for

16 nursing home residents

a. Exercise muscles and joints x text/skills

b. Maintenance of mobility and function x text/skills

17 Facility policy/procedure

Maintenance of mobility, function and independence,

18 improvement in function





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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

Eating aids, plate guards, braces, splints and prosthetic

19 devices

Unit 16: Care of the Resident with Developmental

XVI Disabilities

Discuss characteristics of the resident with mental

1 retardation (developmental disabilities)

a. Cognitive/intellectual characteristics

1. Impaired memory x na

2. Impaired ability to learn x na

3. Decreased attention span x na

4. Poor impulse control x na

5. Impaired language/communication x na

6. May have limited ability to perform ADL’s independently x na

b. Psychological characteristics

1. Altered perceptions x na

2. Emotional liability x na

3. Inappropriate responses x na

c. Chronological age will not match developmental age x na

Identify the common causes of mental retardation

2 (developmental disability)

a. Congenital disorders (i.e. Down’s Syndrome) x A&P

b. Brain injury x A&P

Describe the nurse aide’s role in caring for the resident with

3 mental retardation (developmental disabilities)

a. Maintenance of resident rights and dignity x na

b. Physical needs

1. Safety x na

2. Supervision (ADL, activities) x na

c. Psychological needs

1. Communication methods x na

2. Acceptance and support x na

3. Encouragement for self-help and independence x na

4. Assist other residents to be sensitive to the needs of the

person with mental retardation x na

XVII Unit 17: Depression

1 Identify symptoms of depression in the elderly

a. Sadness x na

b. Withdrawal x na

c. Fatigue x na

d. Anorexia x na

e. Weight loss x na

f. Sleep disturbance x na



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

g. Confusion x na

h. Suicidal thoughts x na

2 Name two types/causes of depression in the elderly

a. Situational

1. Losses x na

2. Nursing home placement x na

b. Chemical

1. Medication side effects x na

2. Altered brain chemicals (neurotransmitters) x na

3 Identify possible outcomes of untreated depression

a. Suicide

1. Active x na

2. Passive (refusing meds, food) x na

b. Increasing physical debilitation due to weight loss, etc. x na

4 Identify methods used to treat depression

a. Counseling x na

b. Medication x na

Discuss the nurse aide’s role in caring for a resident who is

5 depressed

a. Observation and reporting of symptoms/behavior change x na

b. Reassurance, support – convey individual’s value and worth x na

c. Listening x na

Encouragement/participation in activities and socialization as

d. appropriate x na

XVII Unit 18: Caring for the Resident at the end of life

Describe common feelings that a nursing home resident

1 may have about death and dying

a. Acceptance (may be a common response in nursing home x na

b. Fear x na

c. Denial x na

d. Anger x na

2 Identify physical needs of the dying resident

a. Comfort/ positioning x na

b. Environment x na

c. Hygiene/cleanliness x na

3 Identify psychological needs of the dying resident

a. Dignity x na

b. Resident preference regarding solitude or interaction x na

c. Support/understanding x na

d. Need for listening and touch x na

Awareness of resident’s sensitivity to what is being said/ability

e. to hear when other senses diminished x na



11/16/2011 C:\Docstoc\Working\pdf\9ce2db1d-f103-4140-880a-75773555d215.xls 46

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

f. Spiritual needs x na

Describe the feelings and responses the resident’s family,

4 friends, roommate may have during the dying process

a. Guilt x na

b. Anger x na

c. Sadness/depression x na

d. Avoidance x na

e. Denial x na

f. Acceptance x na

g. Relief x na

5 Describe the nurse aide’s role in caring for a dying resident

a. Physical care/comfort x na

b. Support and caring x na

c. Observations x na

d. Reporting/recording appropriate information x na

e. Knowledge of nursing care plan regarding advanced directives x na

Describe the nurse aide’s role in working with the family of

6 a dying resident

Interaction and communication of appropriate information per

a. facility policy x na

b. Reporting/recording – appropriate information x na

c. Understanding/support x na

d. Comfort (information about meals, coffee, etc.) x na

e. Special visiting policy x na

f. Cultural issues/variations x na

g. Myths x na

Identify ways to support other nursing home residents

7 when a resident dies

a. Listening x na

b. Caring, interested attitude x na

c. Appropriate observations (signs of depression, etc.) x na

d. Reporting/recording appropriate information x na

8 Identify one’s own feelings about death/dying

a. Self-examination of feelings (loss, sadness, etc.) x na

b. Nurse aide’s relationship with resident x na

Describe ways to cope with one’s own feelings when a

9 resident dies

a. Talking with peers x na

b. Talking with professional staff x na

c. Other

10 Facility policy/procedure

XIX Unit 19: Caring for the Resident with Acquired Immune



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

1 Definition of Acquired Immune Deficiency Syndrome

2 Definition of HIV

Identify sources of the AIDS virus (HIV) and methods of

3 transmission

a. Sources of HIV

1. HIV positive blood x A&P

2. HIV positive body fluids x A&P

Methods of transmission of HIV – Direct contact of blood with

b. HIV positive blood, body fluids

1. Transfusions x A&P

2. Puncture wounds/needle sticks/breaks in skin x A&P

3. Mucous membranes “splashed” with contaminated body x A&P

4. Sexual contact x A&P

Describe symptoms and problems of the nursing home

4 resident with AIDS

a. Physical

1. Physical debilitation x na

2. Susceptibility to infection x na

3. Cognitive impairment (dementia syndrome) x na

b. Psychological

1. Age (younger than typical nursing home resident) x na

2. Depression x na

3. Fear x na

4. Guilt x na

5. Death, dying issues x na

Discuss one’s own feeling and attitudes about caring for the

5 resident with AIDS

a. Self-examination of feelings x na

b. Importance of accurate knowledge x na

Describe the nurse aide’s role in caring for the resident with

6 AIDS

a. Resident rights/confidentiality x na

b. Physical needs

1. Comfort x na

2. Hygiene x na

3. Use of Standard Precautions – see Unit 6 x na

4. Nutrition x na

c. Psychological needs

1. Support x na

2. Listening x na

3. Maintenance of dignity x na

d. Reporting/recording appropriate information x na



11/16/2011 C:\Docstoc\Working\pdf\9ce2db1d-f103-4140-880a-75773555d215.xls 48

GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

XX Unit 20: Clinical Practicum

Resident care which integrates knowledge and skills of

1 nurse aide









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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

CLUSTER PATHWAY SKILLS

I CLIENT INTERACTION I

II EMPLOY INTRA TEAM COMMUNICATION II

III COLLECT INFORMATION III

IV TREATMENT PLANNING AND IV

V MONITOR CLIENT STATUS V

VI 06 EVALUATE PATIENT STATUS VI



THERAPEUTIC SERVICES

SECTION # 3

MICHIGAN STANDARDS

4 3 2 1 N 4 3 2 1 N

I CLIENT INTERACTION x

Therapeutic services professionals will be able to

explain planned procedures to patients and health

professionals including goals, side effects and coping

strategies. They will use various strategies to respond

A to questions and concerns of patients.

1 Use Oral Communications.

a Assess patients' understanding of the information

b Demonstrate empathy for patients.

Modify communication to the needs of the patients and

c appropriate to the situation.

2 Use Written Communication.

a Develop clear written patient information and instructions.

Keep written records as appropriate within facility policies

b and protocols.

II EMPLOY INTRA TEAM COMMUNICATION x

Therapeutic services professionals will be able to

communicate patient information among team

A members allowing for feedback as needed.

1 Understand Team Interactions.

Distinguish appropriate role and responsibilities of each

a team member.

Respect and value the expertise and contributions of all

b team members.

c Evaluate relevancy of information to be conveyed.

Formulate and report information in a way that in a clear

d and concise manner.

III COLLECT INFORMATION x



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

Therapeutic services professionals will use facility

protocol and regulatory guidelines for collecting

patient information. They will participate in

A identifying patient heath care needs, strengths and

1 Collect Information.

Collect and format information using facility protocols and

a regulatory guidelines.

Analyze information collected to develop appropriate

b therapeutic response.

c Maintain confidentiality according to facility protocol.

IV TREATMENT PLANNING AND x

Therapeutic services professionals will understand the

purposes of the treatment plan & collaborate in

planning procedures that support the goals for the

patient according to facility protocol, regulatory &

A within guidelines their scope of practice.

1 4.011 Utilize planning strategies.

Create a treatment plan using a problem-solving model,

a incorporating patient input.

b Select appropriate resources to implement treatment plan.

c Evaluate the plan for appropriate outcomes.

2 4.012 Implement treatment plan.

a Evaluate priorities in order to organize work.

Use equipment and instruments according to the

b manufacturer's guidelines and accepted safety practice.

Document actions according to facility protocol and

c regulatory guidelines.

V MONITOR CLIENT STATUS x

Therapeutic services professionals will monitor and

assess patients’ health status, and develop appropriate

A therapeutic response based on facility protocol

1 5.011 Monitor Client.

a Analyze and assess patient response.

b Assess need for follow up and changes to treatment plan.

Respond to patient health changes as prescribed by facility

c protocol.

Evaluate patient response to administered treatments and

d procedures.

VI 06 EVALUATE PATIENT STATUS x





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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

Therapeutic services professionals will evaluate patient

needs, strengths and problems in order to determine if

A treatment goals are being reached.

1 Evaluation

Choose appropriate evaluation tools to assess patient

a response to treatment plan.

b Analyze information gathered.

Revise or create modifications to treatment plan based on

c patient response.









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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

CLUSTER FOUNDATION SKILLS

I ACADEMIC FOUNDATIONS I

II COMMUNICATION II

III PROBLEM SOLVING AND THINKING SKILLS III

IV INFORMATION TECHNOLOGY APPLICATIONS IV

V SYSTEMS V

VI SAFETY, HEALTH, AND ENVIRONMENTAL VI

VII LEADERSHIP AND TEAMWORK VII

VIII ETHICS AND LEGAL RESPONSIBILITIES VIII

IX EMPLOYABILITY AND CAREER DEVELOPMENT IX

X TECHNICAL SKILLS X

Health

CLUSTER FOUNDATIONS

SECTION # 4

MICHIGAN STANDARDS

4 3 2 1 N 4 3 2 1 N

Health care workers will know the academic subject

matter required for proficiency within their area. They

will use this knowledge as needed in their role. In

A additions to state high school graduation requirements,

1 Use a knowledge of human structure and function.

Describe the basic structures and functions of cells, biology

a tissues, organs, and systems as they relate to home ostasis. x A&P

Compare relationships among cells, tissues, organs, and biology

b systems. x A&P

c Explain body planes, directional terms, quadrants, and x A&P

Analyze the interdependence of the body systems as they

d relate to wellness, disease, disorders, therapies, and care x A&P

2 Use a knowledge of diseases and disorders.

Compare selected diseases/disorders including respective

classification(s), causes, diagnosed, therapies, and

a care/rehabilitation to include biotechnological x A&P

Analyze methods to control the spread of pathogenic Ch. 12 &

c microorganisms. x A&P

d Contrast various types of immunities. x A&P

Analyze body system changes in light of diseases,

e disorders and wellness. x A&P

f Compare the aging process among the body systems. x A&P

II COMMUNICATION





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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

Health care workers will know the various methods of

giving and obtaining information. They will

A communicate effectively, both orally and in writing.

1 Use Communication Skills.

a Adjust communication to other's ability to understand. x english

Apply the elements of communication using the sender- english

b receiver model. x 12

Apply active listening skills using reflection, restatement, english

c and clarification techniques. x 12

d Demonstrate courtesy to others including self-introduction. x english

Interpret verbal and non-verbal behaviors to augment english

e communication and within scope of practice. x 12

f Demonstrate interviewing skills. x english

2 Demonstrate written communication skills.

a Report relevant information in order of occurrence. x lab

b Report subjective information. x all

c Report objective information. x all

Analyze communications for appropriate response and

d provide feedback. x biology

e Organize, write and compile technical information and x portfolio

A&P

Use medical terminology within a scope of practice in newslette

order to interpret, transcribe and communicate rs,

f information, data and observations x showcase

III PROBLEM SOLVING AND THINKING SKILLS

IV INFORMATION TECHNOLOGY APPLICATIONS

Health care workers will use information technology

applications required within all career specialties. They

A will demonstrate use as appropriate to health care

1 Utilize Communication Technology.

portfolio

a Organize records and files to maintain data as required. x Ch. 15

Use communication technology (Fax, E-mail, Internet) to

b access and distribute date and other information. x na

V SYSTEMS

Health care workers will understand how their role fits

into their department, their organization and the

overall health care environment. They will identify

A how key systems affect services they perform and

1 Understand Systems Theory.



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

a Describe systems theory and its' components. x Ch. 1

Construct a general systems model using inputs,

b throughputs, and a feedback loop. x Ch. 1

2 Understand the Health Care Delivery System.

a Construct a healthcare delivery system model. x Ch. 1

Predict where and how factors such as cost, managed care,

technology, an aging population, access to care,alternative

therapies, and lifestyle/behavior changes may affect

b various health care delivery system models x Ch. 1

Project outcomes as interconnected components of a

c modified health care system. x na

Calculate the cost effectiveness of two separate health care

d delivery systems using the same client procedure. x na

3 Describe Health Care Delivery System Results.

Diagram the interdependence of health care professions

within a given health care delivery system and pertaining

a to the delivery of quality health care. x Ch. 1

Design a system analysis process that evaluates the

following outcomes; client satisfaction, productivity, cost

b effectiveness, and efficiency. x Ch. 1

Evaluate the impact of enhanced technology on the health

c care delivery system. x Ch. 1

4 Understand System Change.

Analyze the cause and effect on health care system change

based on the influence of: technology, epidemiology, bio-

ethics, socio-economics, and various forms of

a complimentary (non-traditional) medicine. x Ch. 1

VI SAFETY, HEALTH, AND ENVIRONMENTAL

Health care workers will understand the existing &

potential hazards to clients, coworkers, & self. They

will prevent injury or illness through safe work

A practices & follow health & safety policies &

1 Understand infection control.

a Practice infection control procedures. x skills

Practice appropriate cleaning, disinfecting, and sterilizing

b processes. x skills

c Contrast medical and surgical asepsis. x Ch. 12

2 Employ personal safety practices.

Manage a personal exposure incident in compliance with

a OSHA regulations. x na

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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

b Apply principles of body mechanics and ergonomics. x skills

Use personal protective equipment as appropriate to the

c environment. x skills

3 Use techniques to insure environmental safety.

a Modify the environment to create safe working conditions. x ch. 11

b Demonstrate methods of fire prevention in the health care x ch. 11

c Prevent accidents by using proper safety techniques. x ch. 11

Practice good housekeeping by maintaining a safe work

d environment. x ch. 11

4 Identify common safety hazards.

a Use Materials Safety Data Sheets (MSDS). x ch.11

b Adhere to hazardous labeling requirements. x ch.11

c Comply with safety signs, symbols, and labels. x ch.11

Take appropriate action when observing a hazardous

d material problem. x ch.11

e Apply safety principles within given environment. x ch.11

Handle hazardous chemicals commonly used in the health

f care environment in an appropriate manner. x ch.11

5 Use emergency procedures and protocols.

a Interpret the evacuation plan for the health care setting. x na

Construct an emergency plan for a health care setting in

b response to a natural disaster or other emergency. x na

c Follow the facility procedure when a fire is discovered. x fire drills

Health care workers will understand the fundamentals

of wellness and the prevention of disease processes.

B They will practice preventive health behaviors among

1 Describe healthy behaviors.

a Apply behaviors that promote health and wellness. x skills

newslette

Advocate available preventive health screening and rs,

b examinations. x showcase

c Use practices that promote the prevention of disease and x skills

d Use appropriate safety practices as related to high-risk x skills

e Evaluate the validity of alternative health practices. x alt.

VII LEADERSHIP AND TEAMWORK

Health care workers will understand the roles and

responsibilities of individual members as part of the

health care team, including their ability to promote the

A delivery of quality health care.

1 Describe health care teams.



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

a Apply the team concept in providing quality patient care. x activity

b Recognize characteristics of effective teams. x activity

c Analyze roles of various team participants. x activity

d Respond to given critical situations. x activity

e Accept compromise as necessary to ensure a best out x activity

2 Describe team member participation.

Communicate verbally and nonverbally with team

a colleagues to assure a best result for the client. x activity

b Collaborate with others to formulate team objectives. x activity

Act responsibly as a team member, competing assigned

c tasks in a timely and effective manner. x activity

d Actively listen to other team members. x activity

e Exercise leadership skills as appropriate. x activity

Respect and value the expertise and contributions of all

f team members. x activity

Work collaboratively with persons from diverse

g backgrounds to accomplish a common goal. x activity

h Apply corrective action to an acknowledged conflict x activity

VIII ETHICS AND LEGAL RESPONSIBILITIES

Health care workers will understand the legal

responsibilities, limitations, and implications of their

A actions within the health care delivery setting.

1 Describe legal implications.

Analyze legal responsibilities, limitations, and news

a implications of actions. x article

Use problem solving techniques when confronted with news

b legal dilemmas of issues. x article

Compare and contrast behaviors and practices that could news

c result in malpractice, liability, or negligence. x article

Comply with policies and requirements for documentation

d and rerecord keeping. x na

e Comply with established risk management criteria and x na

f Determine when an incident is reportable. x discussio

g Comply with non-discriminatory laws. x discussio

h Comply with institutional policy and procedure. x discussio

2 Describe legal practices.

Perform duties according to regulations, policies, laws, discussio

a and legislated rights of clients. x n

b Maintain clients' rights according to the Patients' Bill of x discussio

c Maintain confidentiality. x discussio



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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

Practice within licensure, certification, registration, and discussio

d legislated scope of practice. x n

e Apply the doctrine of informed consent. x discussio

f Evaluate technological threats to confidentiality. x discussio

Follow mandated standards for workplace safety, i.e., discussio

g OSHA, CDC, CLIA. x n

Apply mandated standards for harassment, labor, and discussio

h employment laws. x n

Health care workers will understand accepted ethical

practices with respect to cultural, social, and ethnic

differences within the health care environment. They

B will perform quality health care delivery.

1 Describe legal and ethical boundaries.

Differentiate between morality and ethics and the movie

a relationship of each to health care outcome. x discussio

b Differentiate between ethical and legal issues impacting x articles

c Contract personal, professional, and organizational ethics. x na

d Analyze legal and ethical aspects of confidentiality. x na

e Discuss bio-ethical issues related to health care. x articles

f Analyze and evaluate the implications of medical ethics. x articles

2 Describe ethical practice.

Demonstrate professionalism when interacting with fellow

a students, co-workers, and the organization. x ongoing

b Respect interdisciplinary roles of team members. x ongoing

Report activities and behaviors by self and others that

adversely affect the health, safety, or welfare of students,

c clients, or co-workers. x ongoing

d Demonstrate fairness and equal treatment of all persons. x ongoing

Practice responsibly within the ethical framework of the

e Patients' Bill of Rights. x ongoing

f Value clients' independence and determination. x ongoing

3 Understand cultural, social, and ethnic diversity.

Discuss the impact of religions and cultures on those

giving and receiving health care with an understanding of

a past and present events. x ongoing

Demonstrate respect of individual cultural, social, and

b ethnic diversity within the health care environment. x ongoing

IX EMPLOYABILITY AND CAREER DEVELOPMENT







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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

Health care workers will understand how

employability skills enhance their employment

opportunities & job satisfaction. They will demonstrate

A key employability skills & will maintain & upgrade

1 Use Key Employability Skills.

a Adapt to the dynamics of change. x ongoing

Adopt personal appearance and hygiene habits appropriate

b to the health care environment and industry expectations. x ongoing

c Proactive personal integrity and honesty. x ongoing

Evaluate work assignments and initiate action with

d confidence commensurate with work assignment. x ongoing

Formulate solutions to problems using critical thinking

e skills (analyze, synthesize, evaluate) independently and in x ongoing

Interact appropriately and respectfully with diverse ethnic,

age, cultural, religious, and economic groups in various

f employment and social situations. x ongoing

Exhibit respectful and empathetic behavior when

interaction with peers, superiors, subordinates, and

g customers in one-on-one and group situations. x ongoing

Follow attendance policies of the employer or educational

h institution. x ongoing

i Accept responsibility for own actions. x ongoing

2 Use Interpersonal Communications.

Communicate in a straightforward, understandable,

a accurate, and timely manner. x ongoing

Listen attentively to verbal instruction, requests, and other

b information to verify accuracy. x ongoing

Provide written communication that is accurate and

c grammatically correct, using nomenclature appropriate to x ongoing

Interpret technical materials used for health care practices

d and procedures. x ongoing

3 Evaluate need for personal growth and development.

Engage in continuous self-assessment and goals

a modification for personal and professional growth. x ongoing

Manage time, prioritize responsibilities, and meet

b completion dates as specific by employer and client. x ongoing

Show enthusiasm and commitment by meeting

c expectations and priorities of the organization. x ongoing

4 Utilize Career Decision-making Strategies.





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GAP ANALYSIS/MACOMB COUNTY

National Cluster: Health Sciences

National Pathway:Health Sciences

Michigan Program: Health Sciences /Nursing





RATING SCALE:









Secondary Delivery

4 = Exceeds criteria and/or able to teach task

State Standards









Post Secondary

National Codes

3 = Accomplishes task to criteria

Local Task

2 = Accomplishes task with help ID Code/

1 = Exposed to the task Delivery

N = Not exposed to task Point

Explore a potential health science career path in at least

one of the following health care services: diagnostic,

a therapeutic, information, or environmental. x ongoing

Consider levels of education, credentialing requirements,

employment opportunities, workplace environments, and

b career growth potential for a service area. x ongoing

X TECHNICAL SKILLS

Health care workers will apply technical skills

required for all career specialties. They will

A demonstrate skills and knowledge as appropriate.

1 Understand occupational safety techniques.

Apply Standard Precautions as described in the rules and

regulations set forth by the Occupational Safety and

a Healthy Administration (OSHA). x ongoing

Demonstrate safety procedures to protect clients, co-

b workers, and self. x ongoing

Richmon

Obtain Cardiopulmonary Resuscitation (CPR) d-Lenox

c certification. x EMS

d Obtain First Aid Certification. x planning









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