Course Title: Business Computer Applications I

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Course Title: Business Computer Applications I Powered By Docstoc
					                          Nurse Assistant
The Nurse Assistant Certificate Program prepares students for employment in long-term
care facilities, home health agencies, and hospitals where basic bedside nursing care is
needed. Classroom instruction includes an introduction to health care, essential OBRA
(Federal Nursing Home Reform Act from the Omnibus Budget Reconciliation Act of
1987) skills required for certification, body structure and function, and the job-seeking
process, with an introduction to computer skills, as they relate to the health care industry.
Students participate in a minimum of 100 hours of clinical experience through internships
at nursing homes, acute hospitals, and/or other health care facilities under the supervision
of the instructor (10 hours simulated clinical experience, 90 hours on site clinical
experience with a minimum of 40 hours in a nursing home).

Reinforced in this course are medical terminology, science, mathematics, written and oral
communication, as well as basic nursing assistant clinical skills. Instruction in CPR and
First Aid is presented in this course. If time permits, students may also have an
opportunity to rotate through other departments of the hospital to gain knowledge of how
health care areas work together.

Students successfully completing the course with the required grade in clinical
experience, a written examination, and performance assessment will be eligible to
become Certified Nursing Assistants in the state of Louisiana. It is recommended that
students take Introduction to Health Occupations and/or Medical Terminology before
enrolling in this course.
Prerequisite: None

                              Table of Contents
Health Occupations Content Related Standards                                                   2

Content Guideline
         Introduction to Health Care                                                          7
         Basic Body Structure and Function                                                    7
         Nursing Fundamentals I                                                               8
         Microbiology                                                                         9
         Communication                                                                       10
         Mathematics                                                                         10
         Anatomy and Physiology                                                              11
         Legal Rights and Ethics                                                             11
         Safety and Emergency Care                                                           11
         Skills in Specific Area                                                             12
         Body Mechanics                                                                      12
         Examination and Therapies                                                           12
         Observing/Charting/Reporting                                                        13
         Rehabilitation                                                                      13
         Vital Signs and Measurement                                                         13
         Nutrition                                                                           13
         Specimen Collection                                                                 14
         Mental Health/Interpersonal Skills                                                  15
         Lab Practice                                                                        15
         Clinical Rotation/Skills Application                                                15
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                              Nurse Assistant                                                                                                                                                         Content Guideline
Louisiana




                                                                                                                                                                                                                                                                                                                                                                                                                                 Vital Signs and Measurements
                                                                                                                                                                                                                                                                                                                                                                                 Observing/Charting/Reporting
Health Occupations Education




                                                                                                                        Body Structure and Function




                                                                                                                                                                                                                                                                               Safety and Emergency Care




                                                                                                                                                                                                                                                                                                                                                     Examination and Therapies
                                                                                          Introduction to Health Care




                                                                                                                                                                                                                            Anatomy and Physiology
Related Content Standards




                                                                                                                                                      Nursing Fundamentals I




                                                                                                                                                                                                                                                     Legal Rights and Ethics



                                                                                                                                                                                                                                                                                                           Skills in Special Area

                                                                                                                                                                                                                                                                                                                                    Body Mechanics
                                                                                                                                                                                              Communication




                                                                                                                                                                                                                                                                                                                                                                                                                Rehabilitation
                                                                                                                                                                               Microbiology



                                                                                                                                                                                                              Mathematics
*All benchmarks are not marked for all Health Occupations courses.




                                                                                                                                                                                                                                                                                                                                                                                                                                                                Nutrition
                                                  Strand 1.0: Academic Foundation
Standard 1.1 Health Occupations students will know the subject matter required for proficiency within their area and utilize this
knowledge as needed in their role.
1. Read and write proficiently.                                                           
2. Interpret charts, graphs, reports, and manuals.                                                                                                                            
3. Perform mathematical operations, including computations and conversions, weights and                                                                                                                                                                                                                    
   measures.
4. Master use of health care terminology, symbols, and abbreviations specific to career   
   area.
5. Apply knowledge of life sciences such as biology, anatomy and physiology, chemistry,   
   physics, and human growth and development.
6. Utilize knowledge of disease processes relating to body systems.                       
7. Research the history and current trends specific to career health occupations.         
8. Identify career challenges, responsibilities, and specific health occupation skills.                                                                                                                                                                                                                                                                                                                                                                        
                                                      Strand 2.0: Communication
Standard 2.1 Health Occupations students will use appropriate verbal and nonverbal communication to establish an effective therapeutic
relationship.
1. Recognize the importance of effective communication.                                                                                                                        
2. Evaluate others’ ability to communicate and comprehend.                                                                                                                     
3. Demonstrate knowledge of attitudes and behaviors that act as communication barriers.                                                                                                                                                                                                                                                                                                                                         
4. Identify elements necessary for meaningful communication to take place.                                                                                                                                                                                                                                                                                                                                                      


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                               Nurse Assistant                                                                                                                                                          Content Guideline
Louisiana




                                                                                                                                                                                                                                                                                                                                                                                                                                   Vital Signs and Measurements
                                                                                                                                                                                                                                                                                                                                                                                   Observing/Charting/Reporting
Health Occupations Education




                                                                                                                          Body Structure and Function




                                                                                                                                                                                                                                                                                 Safety and Emergency Care




                                                                                                                                                                                                                                                                                                                                                       Examination and Therapies
                                                                                            Introduction to Health Care




                                                                                                                                                                                                                              Anatomy and Physiology
Related Content Standards




                                                                                                                                                        Nursing Fundamentals I




                                                                                                                                                                                                                                                       Legal Rights and Ethics



                                                                                                                                                                                                                                                                                                             Skills in Special Area

                                                                                                                                                                                                                                                                                                                                      Body Mechanics
                                                                                                                                                                                                Communication




                                                                                                                                                                                                                                                                                                                                                                                                                  Rehabilitation
                                                                                                                                                                                 Microbiology



                                                                                                                                                                                                                Mathematics
*All benchmarks are not marked for all Health Occupations courses.




                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Nutrition
5. Adapt to individual needs, including paraphrasing or translating.                                                                                                             
6. Demonstrate an understanding of multicultural and multilingual needs and capabilities.                                                                                        
7. Use tools of communication specific to each facility’s policy and procedures.                                                                                                                                                                                                                                                                                                                                                                                 
8. Access and process electronically produced information.                                                                                                                       
9. Practice confidentiality in all facets of communication.                                                                                                                                                                                                                                                 
                                                   Strand 3.0: Health Care Systems
Standard 3.1 Health Occupations students will understand how their role fits into the overall health care environment.
1. Explain the organizational structure in health care facilities.                          
2. Utilize facility resources, staff, policy, and procedure manuals.                        
3. Participate in career and technological student organizations, such as VICA and HOSA.                                                                                                                                                                                                                                                                                                                                                                         
Standard 3.2 Health Occupations students will identify how key systems affect services performed and quality care.
1. Explain the array of services available to clients, patients, and residents.             
2. Identify methods of reimbursements affecting the quality of health care delivery.        
                                                   Strand 4.0: Employability Skills
Standard 4.1 Health Occupations students will understand how employability skills enhance their employment opportunities and career
satisfaction.
1. Research various health occupations, career opportunities, employer expectations, and    
   employment outlook.
2. Investigate various health occupations career options and educational requirements.      
3. Contrast certification, registration, and licensure.                                     


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                              Nurse Assistant                                                                                                                                                            Content Guideline
Louisiana




                                                                                                                                                                                                                                                                                                                                                                                                                                    Vital Signs and Measurements
                                                                                                                                                                                                                                                                                                                                                                                    Observing/Charting/Reporting
Health Occupations Education




                                                                                                                           Body Structure and Function




                                                                                                                                                                                                                                                                                  Safety and Emergency Care




                                                                                                                                                                                                                                                                                                                                                        Examination and Therapies
                                                                                             Introduction to Health Care




                                                                                                                                                                                                                               Anatomy and Physiology
Related Content Standards




                                                                                                                                                         Nursing Fundamentals I




                                                                                                                                                                                                                                                        Legal Rights and Ethics



                                                                                                                                                                                                                                                                                                              Skills in Special Area

                                                                                                                                                                                                                                                                                                                                       Body Mechanics
                                                                                                                                                                                                 Communication




                                                                                                                                                                                                                                                                                                                                                                                                                   Rehabilitation
                                                                                                                                                                                  Microbiology



                                                                                                                                                                                                                 Mathematics
*All benchmarks are not marked for all Health Occupations courses.




                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Nutrition
Standard 4.2 Health Occupations students will demonstrate key employability skills and will maintain and upgrade skills as necessary.
1. Utilize analytical skills to solve problems and make decisions regarding employment.                                                                                                                                                                                                                                                                                                                                                                          
2. Exhibit personal skills, such as attendance, time management, and individual                                                                                                                  
   responsibility.
3. Demonstrate professional conduct, integrity, and appearance.                                                                                                                                  
4. Acquire technology skills.                                                                                                                                                                                                                                                                                                                                                                                                                                     
5. Practice flexibility in adapting to changing situations.                                                                                                                                                                                                                                                                                                                                                                                                      
6. Develop and complete professional portfolio.                                                                                                                                                                                                                                                                                                                                                                                                                   
                                                 Strand 5.0: Ethics and Legal Responsibilities
Standard 5.1 Health Occupations students will understand their legal responsibilities, limitations, accepted ethical practices and the
implications of their actions within the health care environment.
1. Understand malpractice, negligence, and other liability issues.                           
2. Demonstrate an understanding of the importance of the Patient’s Bill of Rights and Code   
   of Ethics.
3. Contrast “Scope of Practice” for specific careers.                                        
4. Recognize the significance of patients’, residents’, and clients’ confidentiality.                                                                                                                                                                                                                                                                                                                                                                           




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                                 Nurse Assistant                                                                                                                                                         Content Guideline
Louisiana




                                                                                                                                                                                                                                                                                                                                                                                                                                    Vital Signs and Measurements
                                                                                                                                                                                                                                                                                                                                                                                    Observing/Charting/Reporting
Health Occupations Education




                                                                                                                           Body Structure and Function




                                                                                                                                                                                                                                                                                  Safety and Emergency Care




                                                                                                                                                                                                                                                                                                                                                        Examination and Therapies
                                                                                             Introduction to Health Care




                                                                                                                                                                                                                               Anatomy and Physiology
Related Content Standards




                                                                                                                                                         Nursing Fundamentals I




                                                                                                                                                                                                                                                        Legal Rights and Ethics



                                                                                                                                                                                                                                                                                                              Skills in Special Area

                                                                                                                                                                                                                                                                                                                                       Body Mechanics
                                                                                                                                                                                                 Communication




                                                                                                                                                                                                                                                                                                                                                                                                                   Rehabilitation
                                                                                                                                                                                  Microbiology



                                                                                                                                                                                                                 Mathematics
*All benchmarks are not marked for all Health Occupations courses.




                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Nutrition
Standard 5.2 Health Occupations students will perform their duties according to regulations, policies, laws, ethical codes, and legislated
rights of patients, residents and clients.
1. Operate within the “Scope of Practice.”                                                                                                                                                                                                                                                                                                                                                                                                                        
2. Comply with legal requirements for documentation.                                                                                                                                                                                                                                                                                                                                                                                                             
3. Report any activity that adversely affects the health, safety, or welfare of clients or                                                                                                                                                                                                                                                                                                                                                                        
   fellow workers.
4. Recognize and respect the patient’s rights associated with religious and cultural                                                                                                            
   differences.
5. Promote justice and equal treatment for all persons.                                                                                                                                         
6. Maintain patient confidentiality.                                                                                                                                                                                                                                                                                                                                                                                                                             
                                                Strand 6.0: Safety Practices/Infection Control
Standard 6.1 Health Occupations students will understand the rationale, regulations, recommendations, and training that govern safety
practices and infection control in health care facilities.
1. Identify the functions of OBRA, OSHA, and other governing agencies.                                                                                                                                                                                                                                                                                                                                                                                            
2. Describe OSHA mandates and Standard Precautions to control the spread of infection                                                                   
   and prevent injury.
3. Identify principles for proper body mechanics for patient and self.                                                                                                                                                                                                            
4. Identify proper procedures in the event of fire and other emergencies.                                                                                                                                        
Standard 6.2 Health Occupations students will prevent injury or illness by following approved health and safety policies and procedures.
1. Demonstrate standard precautions to control the spread of infection.                                                                                                                                                                                                                                                                                                                                                                                           
2. Safely operate commonly used equipment.                                                                                                                                                                      


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                               Nurse Assistant                                                                                                                                                         Content Guideline
Louisiana
Health Occupations Education




                                                                                                                                                                                                                                                                                                                                                                                                                                  Vital Signs and Measurements
                                                                                                                                                                                                                                                                                                                                                                                  Observing/Charting/Reporting
                                                                                                                         Body Structure and Function




                                                                                                                                                                                                                                                                                Safety and Emergency Care




                                                                                                                                                                                                                                                                                                                                                      Examination and Therapies
                                                                                           Introduction to Health Care
Related Content Standards




                                                                                                                                                                                                                             Anatomy and Physiology
                                                                                                                                                       Nursing Fundamentals I




                                                                                                                                                                                                                                                      Legal Rights and Ethics



                                                                                                                                                                                                                                                                                                            Skills in Special Area

                                                                                                                                                                                                                                                                                                                                     Body Mechanics
                                                                                                                                                                                               Communication




                                                                                                                                                                                                                                                                                                                                                                                                                 Rehabilitation
                                                                                                                                                                                Microbiology



                                                                                                                                                                                                               Mathematics
*All benchmarks are not marked for all Health Occupations courses.




                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Nutrition
3. Demonstrate proper emergency procedures and protocols.                                                                                                                                                      
4. Apply the principles of proper body mechanics for patient and self.                                                                                                                                         
5. Comply with pertinent regulatory guidelines.                                                                                                                                                                                                                                                                                                                                                                                                                
                                            Strand 7.0: Interpersonal Skills and Teamwork
Standard 7.1 Health Occupations students will understand the role and responsibilities of each member of the health care team and
interact professionally.
1. Respect interdisciplinary, cultural, and religious differences among team members and                                                                                                                                                                                                                                                                                                                                                                      
   health care recipients.
2. Practice team membership skills, such as cooperation, leadership, and communication.                                                                                         
3. Effectively manage conflict within the workplace.                                                                                                                                                                                                                                                                                                                                                                            
4. Interact consistently within the facility guidelines and lines of authority.                                                                                                                                                                                                                                                                                                                                                                                
                                            Strand 8.0: Procedure Implementation
Standard 8.1 Health Occupations students will perform procedures within their scope of career-specific practice, utilizing criteria as
established by governmental agencies and industry-specific standards.
1. Gather necessary equipment and supplies for specific procedure.                                                                                                                                            
2. Perform procedures accurately in a timely manner.                                                                                                                                                           
3. Clean and properly maintain equipment and work area.                                                                                                                                                                                                                       
4. Document and report all actions, observations, and results of procedures to                                                                                                                                                                                                                                                                                                                                                                                 
   instructor/supervisor.
5. Make suggestions to supervisor regarding procedure modifications, if appropriate.                                                                                                                                                                                                                                                                                                                                                                            



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                               Nurse Assistant
                                Content Guideline
           (All items in bold font are required for articulation to post-secondary)

                               (The student will be able to…)

Unit One
Introduction to Health Care

1.  Discuss the health care facilities in your community.
2.  Recognize the parts of the human care team.
3.  Discuss how health care is paid for.
4.  Identify the purposes, organization, and responsibilities of health care facilities
    and its team members, including ethical and legal aspects, to include the
    Omnibus Budget Reconciliation Act (OBRA) and the Health Insurance
    Portability and Accountability (HIPPA) regulations.
5. List the responsibilities of the health care provider.
6. Exhibit the acceptable personal health, hygiene, and grooming practices.
7. Use effective communication and observational skills.
8. Identify potential hazards in the home and health care environment, including
    fire safety and prevention.
9. Perform Cardio Pulmonary Resuscitation (CPR) procedures for adult, child, and
    infant; and perform obstructed airway procedures for the conscious and unconscious
    person.
10. Identify major types of patients and basic human needs.
11. Participate in HOSA (Health Occupations Students of America).
12. Utilize facility policy and procedure manuals to explain methods of delivering patient
    care.
13. Discuss educational requirements of Certified Nurses Aide (CNA).

Unit Two
Body Structure and Function

1. Summarize terms and definitions related to body structure and functions.
2. Identify the general organization of the body, including the body cavities and
   quadrants.
3. Explain structure and function of cells, tissues, organs, and systems.
4. Explain structure and functions of the major body organs and systems and
   common disorders associated with each.
5. Identify medical terms by analyzing their components including prefixes, root
   words, and suffixes.




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Unit Three
Nursing Fundamentals I

1. Demonstrate knowledge and skill in the following criteria identified by the
   Louisiana Department of Health and Hospitals’ Louisiana Register and OBRA
   as guidelines for Certified Nursing Assistant training:
   a. Appropriate communication and interpersonal skills.
   b. Basic concepts of infection control.
   c. Safety and emergency procedures.
   d. Basic nursing skills.
       i.     bed-making
       ii.    taking vital signs
       iii.   measuring height and weight
       iv.    caring for the residents’ environment
       v.     measuring fluid and nutrient intake and output
       vi.    assisting in the provision of proper nutritional care
       vii.   ambulating, transferring, using body mechanics
       viii. maintaining infection control and safety standards
       ix.    attaining/maintaining proficiency in CPR
       x.     caring for residents when death is imminent
       xi.    recognizing abnormal signs and symptoms of common diseases and
              conditions
   e. Basic personal care skills including, but not limited to.
       i.     bathing
       ii.    mouth care
       iii.   grooming
       iv.    dressing
       v.     toileting
       vi.    assisting with eating, hydrations, and skin care
   f. Mastering basic skills.
       i.     modification of their own behavior in response to residents’ behavior
       ii.    identifying developmental tasks associated with the aging process and
              using task analysis
       iii.   segmenting of those tasks to increase independence
       iv.    providing training in and the opportunity for self care according to
              residents’ capabilities
       v.     demonstrating principles of behavior modification by reinforcing
              appropriate behavior and causing inappropriate behavior to be
              reduced or eliminated
       vi.    demonstrating skills supporting age-appropriate behavior by allowing
              the resident to make personal choices
       vii.   providing and reinforcing other behavior consistent with residents’
              dignity
       viii. utilizing residents’ family as a source of emotional support
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    g.  Skills which incorporate principles or restorative nursing.
        i.      use of assistive devices in ambulation, eating, and dressing
        ii.     maintenance of range of motion
        iii.    proper turning and position both in bed and chair
        iv.     transferring
        v.      bowel and bladder training
        vi.     care and uses of prosthetic devises, such as hearing aids, artificial
                eyes, artificial limbs, etc.
    h. Behavior which maintains residents’ rights including but not limited to:
        i.      assisting a resident to vote
        ii.     providing privacy and maintaining confidentiality
        iii.    allowing the resident to make personal choices to accommodate
                individual needs
        iv.     giving assistance in resolving grievances
        v.      providing needed assistance in getting to and participating in resident,
                family groups and other activities
        vi.     maintaining reasonable care of residents’ personal possessions
        vii.    providing care which maintains the resident free from abuse,
                mistreatment or neglect
        viii. reporting any instances of poor care to appropriate facility staff
        ix.     maintaining the residents’ environment and care as to minimize the
                need for physical or chemical restraints
2. Discuss the responsibilities related to admission, transfer, and discharge of
    clients receiving care in various healthcare facilities.
3. Identify the basic principles of infection control and Standard and Transmission
    Based Precautions.
4. Explain how HIPPA compliance regulation impacts workers in long term care.
5. Demonstrate an understanding of the concepts of assessing biological,
    psychosocial, socio-cultural, spiritual needs, and/or developmental factors that
    influence good health.
6. Demonstrate an understanding of the concepts of planning and incorporating.
    a. therapeutic interventions
    b. collaboration as a member of the health team
    c. rehabilitative/restorative care concepts
    d. concepts of death with dignity
    e. nursing process in nursing care
7. Demonstrate an understanding of the concepts of evaluating the effectiveness of
    nursing care rendered specific to the applied nursing interventions.
8. Demonstrate and exhibit responsibility and accountability in accordance with
    the Practice of Practical Nursing, defined in Section 961 of Chapter 11 of the LA
    Revised Statutes of 1950, as amended through 1999, and the LA State Board of
    Nursing.
9. Complete the appropriate Skills Checklist (refer to the Work-Based Learning
    Manual CNA competencies list).
10. Safely operate equipment in the patient’s unit.
11. Perform appropriate specimen collection.
12. Provide skin care measures for the prevention and treatment of pressure ulcers
    (decubitus).
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13. Provide appropriate preoperative and postoperative care.
14. Apply binders, elastic stockings, elastic bandages, and slings.
15. Perform prosthesis care.
16. Apply warm and cold applications.
17. Assist with physical examinations.
18. Provide appropriate care for patient with infusions, subclavian lines, gastric tubes,
    and oxygen therapy.
19. Care for patients with seizure disorders.
20. Care for patients with diabetes mellitus.
21. Care for orthopedic patients.
22. Provide postpartum care.
23. Provide care for the newborn and infants.
24. Demonstrate care for the dying patient and the family.
25. Perform CPR, Heimlich Maneuver, and Automated External Defibrillator (AED)
    skills.

Unit Four
Microbiology

1.  Explain factors associated with growth and spread of microorganisms.
2.  Define terms and basic principals of microbiology.
3.  Discuss basic structures, growth requirements, and microbial relationships.
4.  Briefly discuss the classification of gram-positive bacteria according to shape, disease
    entity, and the preferred antibiotic treatment.
5. Classify gram-negative bacteria according to shape, disease entity, and preferred
    antibiotic treatment.
6. Summarize the infectious disease process.
7. List effective infection control methods.
8. Explain the infection control guidelines issued by the Occupational Safety and Health
    Administration (OSHA).
9. Discuss the human body’s autoimmune response.
10. Describe the body’s inflammatory and allergic responses.
11. Discuss the mode of transmission, standard precautions, and complications of AIDS.
12. Distinguish among types of wound healing and factors affecting them.

Unit Five
Communication

1. Define communication and demonstrate effective communication skills.
2. Discuss verbal and nonverbal communication. List three examples of nonverbal
   communication.
3. Stress the importance of using and understanding empathic, tactful, respectful, and
   courteous attitudes in relationships with patients.
4. Explain transcultural differences in the health care environment.
5. Define medical terminology and abbreviations commonly used in health care
   facilities.
6. Provide techniques of effective communication.
7. Communicate with patients and their families.
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8. Apply medical terminology to the clinical area.
9. Integrate medical terms and abbreviations relevant to each unit of instruction
    throughout the entire course.
10. Identify the important elements of communicating within a facility by phone,
    intercom, and call signal.
11. Discuss obstacles to good communication.

Unit Six
Mathematics

In this unit the student reviews basic mathematical skills in relationship to the healthcare
environment.

1. Practice addition, subtraction, division, and multiplication.
2. Perform multiplication and division of whole numbers, mixed numbers, decimals, and
   percentages.
3. Convert decimals to percentages and percentages to decimals.
4. List four basic rules to follow when using the metric system.
5. Convert ounces to cubic centimeters/milliliters, pounds to kilograms, and ounces to
   grams.
6. Recognize time on a 24-hour clock
7. State the metric unit of measure used to determine length, distance, weight, and
   volume.

Unit Seven
Anatomy and Physiology

1. Explore the structure and function of the skeletal system.
2. Explain in basic terms the structure and function of the muscular system.
3. Discuss the structure and function of the endocrine system.
4. List and explain the structure and function of the urinary system.
5. Explain the structure of the reproductive system.
6. Restate the structure and function of the nervous system.
7. Summarize the structure and function of the gastrointestinal system.
8. Present the structure and function of the respiratory system.
9. Relate the understanding of the structure and function of the cardiovascular system.
10. Demonstrate knowledge of the structure and function of the integumentary system.
11. Discuss the disorders of the body such as diseases, conditions, and syndromes.

Unit Eight
Legal Rights and Ethics

1. List patients’, residents’, and clients’ rights.
2. Discuss legal and ethical issues as they relate to the nursing assistant.
3. Define ethics and cite examples of ethical and unethical behavior in the areas of
   confidentiality, dependability, and accuracy.
4. Demonstrate the importance of desirable personal characteristics.
5. Explain the patient’s bill of rights.
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Unit Nine
Safety and Emergency Care

1. Perform cardiopulmonary resuscitation (CPR) procedures for the adult, child and
    infant; and perform obstructed airway procedures for the conscious and the
    unconscious person.
2. Demonstrate safety and preventive measures.
3. Identify potential hazards in the home and health care environment.
4. Review facilities’ disaster plans.
5. Identify and discuss common hazards and safety measures in the home and health
    care facilities.
6. Identify the functions of OBRA, OSHA, and other governing agencies.
7. List principles for proper body mechanics for patient and self.
8. Demonstrate Standard Precautions to control the spread of infection during an
    emergency.
9. Safely operate commonly used equipment.
10. Apply the principles of proper body mechanics for patient and self.
11. Demonstrate how to properly use an upright scale, pediatric scale, and chair scale.
12. Apply medical asepsis and infection control.
13. Use standard precautions and isolations techniques according to OSHA guidelines.
14. Discuss the use of restraints.
15. Verbalize factors that may affect personal safety in the workplace.
16. Comply with pertinent regulatory guidelines.
17. Act appropriately in a weather emergency.
18. Discuss safe use of oxygen.
19. Discuss ways to handle personal safety on the job.
20. Provide basic emergency care.

Unit Ten
Skills in Special Area

1. Demonstrate the appropriate care of patients with special equipment as it applies to
   the nursing assistant.
2. Outline skills required to give personal care to critically ill patients.
3. Describe skills needed to give personal care to emotionally disturbed patients.
4. Assist the homebound patient with activities of daily living (ADL), (maintaining a
   safe, clean, and comfortable environment under professional supervision).
5. Assist the long-term care resident (LTC) resident with ADL (maintaining a safe,
   clean, and comfortable environment).

Unit Eleven
Body Mechanics

1. Utilize proper body mechanics.
2. Discuss methods of transferring patients.
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3. Move a patient in bed that is able to assist you.
4. Move a helpless patient in bed.
5. Help a patient sit and dangle.
6. Log roll and turn a patient.
7. Demonstrate draping and positioning of patients.
8. Use a transfer sheet to move and position the patient.
9. Transfer a patient to a chair or wheelchair.
10. Transfer a patient from a bed to a stretcher.
11. Explain how to use a mechanical lift safely.
12. Assist patients in range of motion of the joints.
13. Define medical terms referring to body mechanics and movement.
14. Safely use and operate commonly used equipment in the patient unit.
15. Discuss the purpose, theory, and terminology of body mechanics.
16. Demonstrate the use of good body mechanics.
17. Discuss and demonstrate safe transfer and ambulating procedures.

Unit Twelve
Examination and Therapies

1.   Describe how to prepare patients for routine and specialty examinations.
2.   Assist with patient examinations.
3.   Describe types of heat therapies available.
4.   Discuss types of cold therapy that can be used.
5.   Explain the uses of bandages, dressings, and binders.
6.   Use medical terminology and abbreviations in the health care field.
7.   Remember to be sensitive to the patient’s feelings.

Unit Thirteen
Observing/Charting/Reporting

1. Explain methods for observing the patient in their environment.
2. Describe the differences in subjective and objective observations and give examples
   of each.
3. Give examples of how to use your senses in making decisions.
4. List pertinent observations that should be made and reported.
5. Discuss the recognition of abnormal signs and symptoms of common diseases and
   conditions.
6. Prioritize assignments and organize daily work schedule based on observed patient
   needs and time frame.

Unit Fourteen
Rehabilitation

1.   Describe the role of the nursing assistant in a patient’s rehabilitation.
2.   Explain how a nursing assistant helps a patient in traction.
3.   Discuss the purpose and care of casts, braces, and splints.
4.   Explain how a nursing assistant helps a patient ambulate.
5.   Describe different types of walking aids.
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6. Define the key terms learned in rehabilitation.
7. Practice walking with a cane, crutches, and a walker.
8. Discuss the importance of range of motion (ROM) and describe how to perform.

Unit Fifteen
Vital Signs and Measurements

1.   Explain the significance, outlining normal and abnormal values.
2.   Explain and stress the importance of accurate recording and reporting.
3.   Practice taking vital signs on other students.
4.   Discuss pulse rates and how to measure accurately.
5.   Observe normal and abnormal respirations and record appropriately.
6.   Define blood pressure and describe how to measure it.
7.   Discuss the different ways to measure height and weight.

Unit Sixteen
Nutrition

1. Explain basic food groups needed for a well balanced diet.
2. Discuss regular versus therapeutic diets.
3. Explain how to prepare a patient for meals and how to serve the tray.
4. Assist in feeding patients.
5. Describe how to monitor and calculate intake and output (I&O).
6. Discuss the importance of special diets.
7. Describe the special procedures used for patients that have intravenous therapy.
8. Describe several specific cultural and religious dietary preferences.
9. Define the key terms associated with nutrition.
10. List foods included or omitted in common therapeutic diets.
11. Explain and demonstrate how to feed or assist the patient in eating.
12. Simulate feeding a blind patient by role-playing using blindfolds.
13. Discuss feeding patients with special needs, e.g., blind, assisting devices.
14. Discuss principles, procedures, and output, e.g., forcing fluids.
15. List all fluids that should be included on intake records.
16. Explain the importance of and the procedure for providing drinking water to patients.
17. Describe briefly other methods of maintaining nutritional needs.

Unit Seventeen
Specimen Collection

1.   Assist ambulatory patients to the toilet while maintaining safety.
2.   Explain the procedure for helping a patient use a portable commode.
3.   List the steps in offering a urinal to a patient.
4.   Describe the use of a bedpan.
5.   Discuss how to meet the needs of an incontinent patient.
6.   Provide the steps for catheter care.
7.   Demonstrate the care of patient’s with indwelling catheters.
8.   Describe the use of a drainage bag and explain how to empty it.
9.   Explain how to accurately and safely collect urine specimens.
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10. Explain how to strain urine for the presence of stones.
11. Discuss the use of rectal tubes and suppositories.
12. Describe the steps of giving an enema.
13. Explain the steps for collecting stool specimens.
14. Verbalize the importance of observation of excreta.
15. Explain why the characteristics of excreta are important.
16. Discuss care of the patient who has a colostomy or an ileostomy.
17. Demonstrate colostomy care.
18. Explain how to obtain a sputum culture.
19. Discuss the care of patients with an inability to control their bladders.
20. Discuss and demonstrate the procedures for collecting specimens.
    a. Routine urine
    b. Clean catch urine
    c. 24-Hour urine
    d. Urine collection from an indwelling catheter
    e. Pediatric urine
    f. Diabetic Urine Test
    g. Straining urine for stones
    h. Stool collection
    i. Sputum collection

Unit Eighteen
Mental Health/Interpersonal Skills

1.  Describe the major mental disorders that afflict people in long-term care facilities.
2.  Discuss special problems that the Alzheimer’s patients exhibit.
3.  Discuss ways to handle patients with schizophrenia.
4.  Describe how to care for patients with depression.
5.  List causes of delirium, disorientation, and confusion.
6.  Verbalize ways to help patients with dementia.
7.  Discuss ways to help people cope with severe anxiety.
8.  Define terms related to mental health and interpersonal skills.
9.  Respect interdisciplinary, cultural, and religious differences among team members
    and health care recipients.
10. Manage conflicts in the workplace.
11. Practice team membership such as cooperation, leadership, and communication.
12. Interact consistently within the facility guidelines and the lines of authority.

Unit Nineteen
Lab Practice

1.   Describe the duties that a nursing assistant is not allowed to perform.
2.   Discuss OBRA (Omnibus Budget Reconciliation Act) requirements.
3.   Describe ways to maintain your personal health and hygiene.
4.   Prepare for emergencies and have equipment available.
5.   Verbalize the role of the nursing assistant.
6.   List 4 ways to handle personal safety on the job.
7.   Practice good hand washing.
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8. Review and discuss blood borne pathogen standards.
9. Describe ethical and legal behavior expected of a health care worker.
10. Performs skill demonstrations with accuracy.
11. Complete certification application forms and other necessary documents.
12. Discuss how to prepare for long-term certification.

Unit Twenty
Clinical Rotation/Skills Application

1.  Gather necessary equipment and supplies for specific procedures.
2.  Perform procedures accurately and in a timely manner.
3.  Clean and properly maintain equipment and work area.
4.  Document and report all actions, observations, and results of procedures to instructor
    or supervisor.
5. Assist the long-term care patient with activities of daily living (ADL),
    maintaining a safe, clean, and comfortable environment.
6. Identify and perform skills needed to give personal care to emotionally disturbed
    patients.
7. Provide appropriate care for patients with special needs.
8. Function appropriately as a contributing member of the health care team in
    providing care for the geriatric client.
9. Apply OBRA Skills required in meeting biological, psychosocial, cultural, and
    spiritual needs of geriatric clients to provide rehabilitative care and support of
    death with dignity, utilizing therapeutic and preventive measures.
10. Demonstrate appropriate communication techniques in interacting with
    geriatric clients, their support persons, and the health care team. Maintain
    compliance with HIPAA Regulations.
11. Demonstrate and exhibit professional responsibility and accountability by
    functioning within the scope as set by the Louisiana Department of Health and
    Hospitals.
12. Complete a job application neatly and in a timely manner.
13. Write a resume to use when applying for a job.
14. Discuss how to dress for a job interview.
15. List seven types of jobs available for certified or licensed nursing assistants.
16. Describe 4 sources of job leads.
17. List five important interviewing skills.
18. Discuss licensing and certification for CPR, First Aid, and CNA.
19. Develop a professional portfolio.
20. Observe and discuss workplace dynamics and contribute to progress.




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