Syllabus Nursing Assistant 3905 - staffwwccedu

Syllabus Allied Health & Safety Education (509) 527-4589 (509) 527-4226 fax Walla Walla Community College 500 Tausick Way Walla Walla, WA 99362-9267 (509) 522-2500 NURSING ASSISTANT PROGRAM SYLLABUS NA 3905 Summer Quarter 2009 Instructor Contact Information Class Time/Days Lab Time/Days Location Sandra Gonzalez Graham MSN 509-527-4462 office phone sandra.graham@ wwcc.edu 9am to 2:00 pm some days till 1:00 pm Monday through Thursday Room 1707 for Class Except on June 25 and July 9(Room 1835) Room 1720/1722 for Lab Odd Fellows Home Regency at the Park Clinical Site See Class Calendar for variation in dates, time or location. COURSE GOALS AND OBJECTIVES: The general objective for the Nursing Assistant Program is to provide basic classroom and clinical training to enable the student to function as a Nursing Assistant as defined by OBRA and Washington State law. (See handout on Competency Based Outline) At the completion of the course the student will demonstrate:  Basic understanding of health care, the role of the nursing assistant and the roles of the various members of the health care team.  Effective communication skills with clients, family, and other health care team members.  Basic techniques needed for general health assessment and daily care of residents.  The cause and effect of various disease processes and the interventions needed for safety and personal and preventative care.  Cultural awareness in all aspects of care and building on student’s own cultural strengths. Revised 5/27//2009 1 Syllabus  English language competence for workplace communication/documentation EXPECTATIONS OF STUDENTS There are a number of expectations to achieving the goals of this course and successfully passing the State certification exam. They include: A. ATTENDANCE  Attendance is expected at every class, lab and clinical day.  There are no provisions for make-up of homework, labs, class assignments, quizzes or clinicals missed due to absence or tardiness. B. LAB EXPECTATIONS: Attendance at each practice lab and skills exam is expected. Competency in all 24 skills is expected (See list below). Each practiced skill is worth 5 points for a total of 120 cumulative points. These skills are the same required for certification as a nursing assistant in the State of Washington. Lab participation will consist of practicing all skills as written in the NACES handbook. Be prepared to volunteer as a patient for selected skills. Wear clothes appropriate to practice any assigned skill as a client. Wear comfortable shoes. Bring your Pink Skills sign off sheet to each lab. All skills are required to be performed in lab before attending clinical. Students will participate in the maintenance of the lab, making sure to return all equipment to its proper storage place. This includes but is not limited to re-making beds, re-folding dry clean linen and sorting wet linen. Moving Mannequins 1. Any transfer of the mannequins must be performed under the guidance and the presence of an instructor. 2. Transferring of a mannequin will be done by placing a sheet under the mannequin’s entire body, using two people to transfer the mannequin onto a flat surface. For instance, tables, countertops or gurney in rooms 1720/1722. 3. Mannequins are not to be placed in a chair, on the floor, or in a wheelchair at any time. Items required for Lab are:  Transfer (Gait) Belt  Blood pressure Cuff and Stethoscope  Wristwatch with a second hand (Must have) for each lab and skills test) Revised 5/27//2009 2 Syllabus CNA State Skills  Washes Hands  Measures and records weight of ambulatory client  Provides mouth care  Dresses client with affected right arm  Transfers client from bed to wheelchair using transfer (gait) belt  Assists to ambulate using transfer (gait) belt  Cleans upper or lower dentures  Performs Passive Range of Motion (PROM) for one shoulder  Performs Passive Range of Motion (PROM) for one knee and one ankle  Measures and records urinary output  Assists client with use of standard bedpan  Provides Perineal care  Provides Catheter Care on female manikin  Counts and records radial pulse.  Counts and records respirations  Measures and records client’s blood pressure (one-step procedure)  Applies one knee-high elastic stocking on manikin  Makes an occupied bed  Provides foot care  Provides fingernail care on one hand  Feeds client who cannot feed self  Positions client on side  Gives modified bed bath (face and one arm, hand and underarm)  Donning and Removing PPE Other Skills: Practiced/Demonstrated but not tested:          Measuring Height Use of walker, crutches Urinary care skills- emptying the drainage bag, applying a condom catheter, securing the leg strap, and transferring to a leg bag. Locates and Measures Carotid and Apical pulses Oxygen Needs – Respiratory Equipment, Measuring and Recording Oxygen Saturation Measure Temperature with Tympanic and Digital thermometer. Delegated Medication Administration Delegated Blood Sugar Check Delegated Dressing Change C. ACTIVE PARTICIPATION in class discussions and assignments. Active participation is important to successful learning. You will be encouraged to join in on class discussions, share relevant experiences, and ask questions. Revised 5/27//2009 3 Syllabus Teaching methods will include:  Class lecture  Experiential learning opportunities  Role playing  Videos and interactive computer activity  Return demonstrations  Games D. READING AND HOMEWORK ASSIGNMENTS Reading of each chapter should be done before the chapter is presented in class. 1. Homework will be collected at the beginning of class, no later than 15 minutes after the class begins. No homework is to be done during class time. 2. Late homework will be graded but not given any credit. 3. No homework will be accepted before the due date or that if it is handed in by other students. E. TESTING Testing includes both written and skills exams Quizzes can be expected. See calendar for specifics Final Exam is in the last day of class – See class calendar F. GRADING Your grade is determined by a total points system for each section of coursework. Seventy-five percent (75%) is required to pass the course in each of the following sections of course work: The sections are: Section 1- Homework, Class Assignments, Quizzes and Test Section 2- Lab and Skills Testing Section 3- Clinical The grades in each section will be averaged for your total grade Being on time to class is important. Entering class late is disruptive and all homework assignments will be collected within the first 15 minutes of class. Students with a cumulative grade less than 75% are not eligible to participate in clinical. GRADING SCALE GRADE A AB+ B SCORE-% 94-100% 90-93% 87-89% 84-86% POINT 4.0 3.7 3.3 3.0 Revised 5/27//2009 4 Syllabus BC+ C CD+ D F 81-83% 78-80% 75-77% 70-74% 67-69% 63-66% 0-62% 2.7 2.3 2.0 1.7 1.3 1.0 0.0 Students who drop the class are recommended to go to admissions and withdraw from the class. Failure to do this will result in a grade of “F” and affect your grade point average. The grade of “I” meaning incomplete may be assigned only upon the request of the student and with the agreement of the instructor. Incompletes are given to the student who is doing passing work and has completed at least two-thirds of the course when a circumstance arises that prevents normal completion. Neither lateness in completing work, getting immunizations and screenings on time for clinical, nor the desire to do extra work to raise a poor grade is considered an extenuating circumstance. A student must obtain and Incomplete Grade Contract from the Admission Office and negotiate the formal agreement with the instructor specifying the work done, the work remaining to complete the course and the time allowed to do the work. G. STUDENT CONDUCT 1. Each student is responsible for his/her own learning and personal integrity in the learning process. Cheating is receiving inappropriate assistance from another person such as answers to test questions, copying someone’s homework, etc. all work you turn in should be your own. If you find that you are having difficulty at any time, you are encouraged to seek help form the instructors for additional tutoring. Any student found to be cheating on any coursework will receive 0 points for that assignment. Any subsequent cheating will result in further disciplinary action and may jeopardize your class standing. 2. Cell phones and pagers are required to be in the off position during class time and put away off the desk/table during class time. During clinical cell phones need to be left in a safe place. Personal calls and trips to the bathroom should be taken at the break time provided. You may give the clinical facility number and/ or the clinical instructor’s number as an emergency contact number. 3. Eating in class is permitted, but please clean up after yourself. 4. Students are expected to participate in an orderly manner. Students are to remain in their seats during class time. Personal calls and trips to the bathroom should be taken at the break time provided. Revised 5/27//2009 5 Syllabus 5. Students whose behavior distracts from the learning process will be asked to leave for the day and will count as an absence. Misconduct without resolution will result in further disciplinary action decided by the student conduct committee. Students are expected to refrain from alcohol or mind-altering substance before and during care of client. (See Substance Abuse Policy) 6. ADADEMIC WARNING, PROBATION, SUSPENSION The Nursing Assistant Program follows the academic warning and suspension policy as outlined in the college Student Handbook. SUBSTANCE ABUSE For the purposes of this program, substance abuse is defined as: the abuse or illegal use of alcohol and/or drugs, and being under the influence of such, while participating in any school-sanctioned activity. In accordance with RCW 18.130 (Washington State Department of Health, Regulation of Health Professions, Uniform Disciplinary Act) and the Walla Walla Community College Substance Abuse Policy, the Allied Health & Safety Education department faculty actively oppose the ingestion of any substance that interferes with healthy development and function in the physical, psychological, social, occupational, and spiritual areas. Unauthorized alcohol intake is prohibited on the WWCC campus. Walla Walla Community College Policies and Washington State laws governing Health Care Providers both consider substance abuse to be a health and safety problem. Substance abuse has significant negative effects on safety and performance. Clients are at risk for serious injury if a student is under the influence of a substance which inhibits performance. THE SAFETY OF THE CLIENT IS OUR FIRST PRIORITY. Expectations All Allied Health students shall abstain from alcohol and/or drug use within eight hours prior to their practicum and class periods. This includes the use of illegal drugs, the illegal use of prescription drugs, and the abuse or illegal use of alcohol. Attending classes and/or practicum while under the influence of alcohol and/or drugs will be cause for suspension from the program. If a student takes a prescribed medication, he/she must inform his/her practicum instructor. If the medication causes the student to be sleepy or slow in response, he/she may be sent home. An individual on medications Revised 5/27//2009 6 Syllabus that dull the senses is not considered a safe practitioner. THE SAFETY OF THE CLIENT IS OUR FIRST PRIORITY. ALL REPORTS OF SUBSTANCE ABUSE IN ANY SCHOOL-SANCTIONED ACTIVITY WILL BE ACTED UPON IMMEDIATELY. (See “Procedure” below). If an Allied Health & Safety Education student should be convicted of a drug-related felony, he/she will be dismissed from the Allied Health & Safety Education Program. Health care facilities will not allow students who have been convicted of a drug-related felony to practice in the practicum area. The Allied Health & Safety Education Department will assist and support any student who wishes to obtain help for drug-related problems. Reporting Suspected Substance Abuse A staff member of the practicum agency who suspects a student of being under the influence of alcohol and/or any other drug should immediately report this observation to the agency supervisor and the WWCC instructor. A student who suspects a peer of being under the influence of alcohol and/or any other drug should immediately report this observation to the WWCC instructor or the agency supervisor (if instructor not immediately available). Procedure An instructor who has received a report of suspected abuse or who suspects a student of being under the influence of alcohol and/or any other drug will immediately remove the student from direct patient care. The instructor will then confer with another instructor or agency staff member to assess, and if possible confirm, the evidence of suspected alcohol or drug use. Should two agree that there is observable evidence of substance abuse, the following will occur:  The student will submit to urine and blood drug testing immediately after signing a consent/release of information form (see “Allied Health Laboratory Test Results Certificate of Agreement” attached). Failure to submit to the testing and/or signing the Certificate of Agreement form will result in immediate suspension from the program. Every effort should be made to obtain testing within one hour from the initial observation of suspected influence. If the suspected Revised 5/27//2009 7  Syllabus offense occurs at a facility with testing capabilities, testing should occur at that facility. If the student is in the classroom or in a practicum setting which does not have testing capabilities, it will be the student’s responsibility to arrange for transportation to the testing facility. Students suspected of substance abuse may not transport themselves. The instructor will contact the testing facility and facilitate expeditious testing, informing them of the student’s impending arrival and need for drug/alcohol testing. If the test results are positive or not immediately available, the student will not be allowed to drive and/or leave the testing facility alone. It is the student’s responsibility to arrange for safe transportation home. The student will be suspended from all Allied Health & Safety Education Program activities until the Coordinator of Allied Health & Safety Education receives a copy of the test results. If the results for alcohol and/or drugs are positive the student will be immediately dismissed from the program. All expenses incurred due to mandatory testing and/or required transportation shall be the responsibility of the student.      Readmission Students dismissed for alcohol/drug problems must provide documentation of substance abuse treatment prior to readmission to any Allied Health & Safety Education Program. In addition, the student will be required to adhere to a plan, developed in conjunction with a counselor, for ongoing evaluation of compliance to the substance abuse policy. Revised 5/27//2009 8 Syllabus ALLIED HEALTH & SAFETY EDUCATION LABORATORY TEST RESULTS CERTIFICATE OF AGREEMENT Under the suspicion of substance abuse, I understand that testing must occur within one hour and, if transportation to a testing facility is required, I may not transport myself. I hereby authorize _____________________________ to perform a urinalysis and blood tests to determine the use of alcohol and/or controlled substances on specimens provided by me. I authorize Walla Walla Community College Allied Health & Safety Education Program to receive these results and utilize the results of this test to determine suitability for continued enrollment in the Allied Health & Safety Education Program. Name (Please Print) Student Identification Number Signature Date Witness Date I hereby refuse to agree to the above testing and realize that my refusal will result in immediate suspension from the program. Student Signature Date Witness Date Witness Date Revised 5/27//2009 9 Syllabus 7. Students are to strive for a professional appearance by adhering to the dress code. CLINICAL AND LAB DRESS CODE Be clean, neat and professional in appearance. Hair needs to be pulled back to avoid drooping into eyes, around the face or on your shoulders. Avoid odors that could be offensive. Avoid smells on your person of tobacco, foods with strong odors, strongly scented hygiene items, strong perfumes, etc. Fingernails are to be kept clean and well groomed. Artificial nails, overlays, etc. are discouraged. Minimal jewelry; no dangly hoop earrings, no long dangly necklaces, no eyebrow earrings or other facial piercings are to be worn during clinical. THE CLINICAL INTERNSHIP will be conducted at a long-term care facility. A total of 56 hours of clinical is required. Students are expected to arrange time off work, and increase needs in childcare. Students are expected to arrange for their own transportation to their clinical sites. Directions will be provided for you. Evidence of completion of class requirements in your student file prior to clinicals to include: Inability to complete any of the requirements prior to the start date of the clinical will disqualify students from entering the clinical environment at any time and result in a failing grade. Students will not be eligible for and “I” Incomplete grade.  Tuberculosis screenings  Criminal History clearance  HIV 7 hour certification  CPR Certification  Required program Immunizations Students requiring a religious or medical exemption are required to meet with the Nursing Assistant Program Coordinator and provided titer results of immunity to disease where appropriate. Students exempt from immunizations and showing no immunity through titer verification will be required to leave the clinical area for an undetermined amount of time in the event an outbreak of any of the immunization preventable diseases. Items needed for clinical:  Name Tag – provided on the first day of clinical  Wrist Watch with second Hand  Scrub Uniform  Closed Toe Shoes  Transfer (Gait) belt  Pen Revised 5/27//2009 10 Syllabus Uniform guidelines: It is not necessary to go on a big shopping spree or spend a lot of money to fulfill the uniform requirement. Please utilize these guidelines as you are selecting your attire. Check with the instructor if you need clarification. Attire must be clean, neat, and pressed. Professional Scrubs are acceptable (cannot have logos, fluorescent colors, etc.) Pants: Tops: - White or colored pants that are professional - No spandex - No jeans - White or colored uniform top or polo shirt - No sleeveless tops - No logos on tops - Identification Tag must be worn during the clinical experience - Shoes and laces must be neat and clean, white athletic shoes are good - No open toe shoes - Shoe must cover heel or have a backstrap Shoes: H. EXPECTATIONS OF THE INSTRUCTOR The instructors will:  Come prepared for class and will arrive on time or early.  Keep you updated on your progress in class in a confidential manner.  Treat you with respect in classes, listen to you and provide you with the information you need to achieve the knowledge, skill and motivation to successfully complete the course. The Instructor may ask a student to leave the Program at any time for infraction of rules. Such infractions may include but are not limited to: absenteeism, chronic tardiness, failure to complete assignments, reluctance and/or refusal to perform clinical tasks, disruptive behavior, inability to learn, test failures, drug or alcohol use, and the judgment of the Instructor that the healthcare field is not the appropriate field for the student. Revised 5/27//2009 11 Syllabus I. REQUIRED READING MATERIALS: Textbook Mosby’s Nursing Assistant 7th Edition by Sorrentino Handbook Washington Nursing Assistant Candidate Handbook, July 1, 2008, will provided in class by your instructor. Dictionary (optional) Longman’s English Dictionary J. Upon successful completion of the Nursing Assistant Program, the following will be issued to you:    DSHS Nursing Assistant Training Certificate of Completion HIV/AIDS 7 hour Training Certificate American Heart Association Healthcare Provider CPR card KEEP THESE DOCUMENTS IN A SAFE PLACE. You will be providing copies of this information to employers. If you lose the documents additional copies will be made available to students who request them; a search & records fee will apply. K. GRIEVANCE PROCEDURE Faculty decisions and application of program policy are final. WWCC policy allows students redress by filing a formal grievance. The grievance must be presented in writing and orally within 5 days of the decision or occurrence. The grievance steps should occur in the following order: 1. Meet with the instructor/ Nursing Assistant Program Director 2. Meet with the Nursing Assistant Program Coordinator and Allied Health Coordinator 3. Meet with the Allied Health Coordinator and Health Science Division Director 4. Meet with the Vice President of Professional/Technical Education If you have a disability for which you are or may be requesting an accommodation, you must contact both your instructor and the Disabilities Coordinator in the Student Development Center, 527-4262, as early as possible in the course. We wish you success in the Nursing Assistant Program Revised 5/27//2009 12 Syllabus Allied Health & Safety Education (509) 527-4589 (509) 527-4226 fax Walla Walla Community College 500 Tausick Way Walla Walla, WA 99362-9267 (509) 522-2500 NURSING ASSISTANT PROGRAM AGREEMENT OF UNDERSTANDING I have read and understand the course objectives, expectations and grievance policy outlined in the nursing assistant course syllabus. I agree to comply with all the requirements to maintain my placement in class. I agree to inform the instructor in person or by phone if I should have difficulty with meeting any of the expectations of attendance and course work. Class # Quarter/Year Student Name (Print) Student Signature Date Revised 5/27//2009 13 Syllabus Revised 5/27//2009 14