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					CHAPTER 1
WHERE YOU WORK
Curriculum Outline
CONTENT                                           BEHAVIORAL OBJECTIVE                                 SUGGESTED ACTIVITIES

What is long term care?                            Define what makes life worth living                Discussion; small group
  Medical care                                                                                        activity; lecture
  Nursing and rehabilitative care                 Describe a Long Term Care facility                 Discussion; small group
  Personal care                                                                                       activity
  Residential care                                List four services provided in long term care      Discussion

Why are people admitted to long term care?         List the types of care offered in long term care
  The long term care population
                                                     Give two reasons why people are admitted         Discussion; lecture
                                                      to long term care


Who provides care in a long term care facility?      Define the role of the members of the            Lecture; discussion
                                                      interdisciplinary health care team

How is care paid for?                                Explain how care is paid for
   Medicare
   Medicaid
   Personal resources
   Managed care plans
   Long term care insurance
                                                                                                       Lecture; discussion
Who oversees long term care?                       Describe the agency that oversees long term
                                                    care
CHAPTER 2
Starting Your Job: What to Expect
Curriculum Outline
Content                                  Behavioral Objective                              Suggested Activities

Providing care
   Providing the best care possible
   Mindful caregiving                      Explain what is meant by mindful              Group activities; lecture; discussion
   Understanding residents’ routines        caregiving
   Values and culture                      List ten questions to ask when learning
   Ethics                                   about a resident’s routine
   Developing trust                        Define ethical decisions                      Lecture; discussion

The interdisciplinary team
   Developing a relationship with the      Describe the nursing team                     Small group activity; lecture;
     charge nurse                           Explain the importance of developing a        discussion
                                                                                           Small group activity; lecture
   Developing relationships with co-        trusting relationship with the charge nurse
     workers                                 and co-workers
   Daily assignments
                                            List three questions to ask when receiving    Small group activity
                                             an assignment
Approaches to care
                                            Describe the three different approaches to    Discussion; group activities
                                             care
Factors that influence care
                                                                                           Lecture; discussion
                                            List at least three factors that influence
Job functions                                care
                                                                                           Lecture; discussion
                                            Describe four essential job functions
Taking care of yourself                      common in nurse assistant job descriptions
                                                                                           Group presentations; discussion;
   Coping with stress                                                                     flip chart /student responses
   Coping with your emotions               Describe two ways to take care of yourself
CHAPTER 3
Understanding People
Curriculum Outline

CONTENT                                     BEHAVIORAL OBJECTIVE                               SUGGESTED ACTIVITIES

Psychosocial wellbeing
  Discovering the resident                    Describe how to know a resident                Group presentations; discussion;
                                                                                               Lecture
Gaining an understanding of residents
  Erikson’s eight stages of psychosocial      List Erickson’s eight stages of psychosocial   Lecture; flip chart; discussion;
     development                                development                                    group presentations
  Maslow’s hierarchy of needs                 Define Maslow’s hierarchy of needs
    - Physical needs
    - Safety and security needs
    - Social needs
    - Self-fulfillment needs
  Other needs of residents                    List ways to meet resident’s needs             Flip chart /student responses;
     - Sexual needs                                                                            discussion;
     - Spiritual needs
  Cultural and values differences
  Meeting different needs

Understanding a resident’s history             Describe how knowing a resident’s history      Lecture; group presentations; flip
                                                will help understand resident’s needs          chart /student responses;
                                                                                               discussion
  Chapter 4


Understanding People’s Rights
Curriculum Outline

CONTENT                                      BEHAVIORAL OBJECTIVE                                   SUGGESED ACTIVITIES

Legal rights                                    Define rights                                      Flip chart /student responses;
                                                                                                    discussion; lecture
Right to exercise one’s rights                  List the rights in the Residents’ Bill of Rights   Flip chart /student responses;
   How to assist residents to exercise                                                             discussion; group presentations
     their rights

Right to privacy and confidentiality
   How to protect resident’s rights to
     privacy

Right to information
   Your responsibilities for providing
     information

Right to choose
   How to help residents exercise their
     right to choose

Right to notification of change
   When to notify residents of change

Protection of resident’s personal funds
     Your responsibility regarding
      resident’s funds

Grievance rights
   Your responsibility regarding resident
     grievances

Admission, transfer and discharge rights
    Your role in transfers and
     discharges

Right to be free from restraint and abuse       Define terms used for abuse                        Flip chart /student responses;
   What you can do to be free from             List what is required in an abuse program          Discussion
     abuse

                                                Define the role of the ombudsman                   Lecture
Ombudsman program
Chapter 5
Your Role in Ensuring Quality of Life
Curriculum Outline

CONTENT                                        BEHAVIORAL OBJECTIVE                                SUGGESTED ACTIVITIES

What is dignity?                                  Describe why treating a resident with dignity   Flip chart /student responses;
  How perception influences dignity               is important                                    lecture; discussion; group
  Changing a resident’s self-perception                                                           presentations

Honoring a resident’s life
   Who is Anna Mae Halgrim Seaver?

Helping the resident to redefine their life

What difference does promoting dignity make?

Considering the resident as a customer            Describe what a customer service focus          Flip chart /student responses;
   How to add customer service into your          means for a nurse assistant                     lecture; discussion
    caregiving

Activities                                        Explain the importance of activities for        Lecture; discussion
                                                   residents

Quality of life


A different way to provide care                   Describe the principles of the Eden             Flip chart /student responses;
                                                   Alternative                                     lecture; discussion
Chapter 6
The Role of the Family
Curriculum Outline
CONTENT                                       BEHAVIOR OBJECTIVE                               SUGGESTED ACTIVITIES

What is family?                                  Define family                                Discussionl; role play; lecture;
  The family as customer                                                                      flip chart /student responses;
                                                                                               lecture; discussion
Why is family important?                      State why family is important

What happens to families when residents get
admitted?
   The adjustment process                       Define the family’s adjustment process       Flip chart /student responses;
   Guilt                                                                                      lecture; discussion;
   Anger                                                                                      group presentations
   Uncertainty
   Sadness
   Loss of control
   Relief

Your relationship with the family


Involving the family in care
    Communicating effectively with family       Explain how to develop a relationship with   Flip chart /student responses;
                                                  the family                                   discussion
     members

Family visits                                    Describe how to make the resident’s family   Group presentations;
                                                  feel part of the health care team            discussion
   Managing family members’ expectations
   When families express distress

When you become like a family member
Chapter 7
Communication
Curriculum Outline

CONTENT                                         BEHAVIORAL OBJECTIVE                               SUGGESTED ACTIVITIES

How we communicate
   Verbal communication                           List ways to make verbal communication         Flip chart /student responses;
   Nonverbal communication/body language           effective                                      discussion; lecture; small
   Touch                                          Explain the importance of nonverbal            group activity
   Listening                                       communication, touch, and listening             Group presentations;
   Validating communication                                                                       discussion

Promoting effective communication                  List general guidelines for good               Discussion; lecture; flip chart
                                                    communication and active listening             /student responses
Ending a conversation

Problems of ineffective communication

Special communication needs                        Explain ways to communicate with residents     Group presentations; role
   Communicating with demanding residents          who have special communication needs           plays; discussion
   Communicating with residents who need
    encouragement
   Communicating with residents with visual
    impairment
   Communicating with residents with hearing
    impairment
   Communicating with residents who are
    depressed
   Communicating with residents with
    cognitive
   impairment
   Communicating with residents with speech
    impairment
                                                   Describe ways to handle residents’             Discussion; flip chart /student
Communication and inappropriate behavior                                                           responses; lecture
                                                    inappropriate behavior or aggression
   Responding to sexual advances
   Responding to sexual abuse
                                                   Describe how to resolve conflicts              Discussion; flip chart /student
Conflict resolution                                                                                responses; lecture, group
   Understanding yourself                                                                         presentations
   Reactions to conflict
   Nondefensive communication
   Effective communication when conflict
     occurs
   Steps for conflict resolution
                                                                                                   Lecture
                                                   Explain when it is OK to talk about yourself
Communicating about yourself                        with residents
                                                                                                   Lecture
                                                   Demonstrate proper telephone courtesy
Telephone courtesy
Chapter 8
Documentation Principles and Procedures
Curriculum Outline
CONTENT                                           BEHAVIORAL OBJECTIVE                           SUGGESTED ACTIVITIES

Gathering information about residents and their      Name all the locations where resident      Small group activity;
care activities                                       information can be found                   responses; discussion;
   Residents                                                                                    lecture; flip chart /student
   The resident’s chart                                                                         responses
   Other communication devices
   Other people
   Facility policies and procedures

The difference between objective and subjective      Explain the difference between objective   Flip chart /student responses;
information                                           and subjective information                 discussion; lecture; group
                                                                                                 presentations
Resident assessment
   Quality indicators

Resident care plan                                   Explain your role in the care planning     Flip chart /student responses;
    Your role in the care plan meeting               process                                    optional group activity

How to report information                                                                        Lecture; group presentations;
   Routine reporting                                Explain when and how to report and         flip chart /student responses
   Immediate reporting                               document information
   “By a certain time” reporting

Incident reports

Your role in documentation
   Guidelines for documentation
   Correcting a mistake in documentation
                                                                                                 Group activity; lecture
Common medical terms and abbreviations
                                                     Identify medical terminology and
                                                      abbreviations
Chapter 9
Prevention and Control of Infection
Curriculum Outline
 CONTENT                                           BEHAVIORAL OBJECTIVES                              TRAINING

 How microorganisms cause infections

 How microorganisms are transmitted: the chain         State how microorganisms are transmitted      Discussion; responses;
 of infection                                          Describe how the body responds to infection   lecture; flip chart ; group
     The microorganism                                                                               activity listing responses
     The reservoir
     Portal of exit from the reservoir
     Modes of transmission from the reservoir
     Direct transmission
     Indirect transmission
     Airborne transmission
     Portal of entry into susceptible host
     Susceptible host

 Strategies for breaking the chain of infection     Define your role in identifying the signs,       Lecture; flip charts
     Handwashing and other strategies               symptoms, and clues of infection
     Breaking the chain at the mode of
      transmission link
     Breaking the chain at the susceptible host
      link
                                                                                                      Lecture; skill demonstration;
 Handwashing                                           Demonstrate the skill of handwashing          practice; skills check-off
 Using barriers                                        Demonstrate the proper way to put on and      Lecture; skill demonstration;
    Gloves                                             remove gowns, aprons, gloves, masks, and      practice; skills check-off
    Gowns                                              eye protection
    Disposable plastic aprons
    Eye protection
                                                                                                      Flip chart /student responses
 Isolation precautions                                 Explain your facility’s policies and          lecture; discussion
     Transmission-based precautions                    procedures related to isolation precautions
      - Airborne precautions
      - Droplet precautions
      - Contact precautions
     Applying isolation precautions
     Psychosocial needs of residents on
       isolation precautions
                                                                                                      Flip chart /student responses
 Cleaning, disinfection, and sterilization             State your role in cleaning objects and
    Cleaning                                           disposing of solid items in the resident’s
                                                        environment
    Disinfection
    Sterilization
    Designated clean and dirty areas of the
     facility
Chapter 10
Personal Injury Prevention and Protection
Curriculum Outline
CONTENT                                           BEHAVIORAL OBJECTIVE                           SUGGESTED ACTIVITIES

Protecting yourself from bloodborne infections       Explain standard precautions               Lecture; discussion;
   Standard precautions                                                                         demonstration
    - Handwashing
    - Gloves
    - Mask, eye protection, face shield
    - Gown
    - Resident care equipment
    - Environmental control
    - Linen
    - Occupational health and bloodborne
      pathogens
    - Resident placement

OSHA Bloodborne Pathogens Standard                   Define the OSHA Bloodborne Pathogens       Flip chart; lecture; group
   Preventing needlesticks                           standard                                   presentations; discussion
   Exposure control plan
      Engineering and work practice controls
      Personal protective equipment
      Housekeeping
      Hepatitis B vaccination and post-
        exposure evaluation and follow-up
    Information and training requirements
      Information and bloodline pathogens
      HIV and AIDs
      Hepatitis B and Hepatitis C
   Nurse assistant tasks involving exposure to
    blood

Special equipment and supplies for infection
prevention and control
   Wastes requiring special handling
                                                     Define ergonomics                          Flip chart; lecture
Injury Prevention (Ergonomics)
                                                     List at least ten common sense rules for   Demonstration; discussion; flip
Mindful decision making: injury prevention                                                       chart /student participation;
                                                      preventing injury
   Common sense rules                                                                           lecture
   Residents
   Nurse assistant
   Environment
                                                     Demonstrate good body mechanics            Flip chart; lecture; small group
Body mechanics                                                                                   activity; discussion;
   Principles of body mechanics                                                                 demonstration; return
   - Step 1: things to consider                                                                  demonstration
   - Step 2: prepare yourself
   - Step 3: determine how to move

Preventing resident falls                            Describe how to prevent resident falls     Lecture; demonstration
   Why residents fall
   Preventing falls
    - Devices and equipment used to prevent
      falls

Environmental awareness                              Discuss your role in preventing injuries   Lecture; group presentations
   Wet floor                                                                                    discussion
   Electrical safety
   Chemical safety
     Material Safety Data Sheets (MSDS)
     Container labeling
     Emergency first aid for chemical exposures
     The “Right to Know” law
     Safety around oxygen
                                                      Discuss their role in disaster preparedness    Flip chart ; Appendix D
Disaster preparedness                                                                                review; lecture; discussion
   Weather
   Fire
    - If you are first to notice a fire
    - If a fire alarm sounds on another wing or
      unit
    - If an evacuation is ordered

Incident reporting
Chapter 11
The Aging Process and Disease Management
Curriculum Outline

CONTENT                                     BEHAVIORAL OBJECTIVE                                      SUGGESTED ACTIVITIES

Learn how residents feel about aging           Identify four general characteristics of aging        Flip chart; discussion;
                                                                                                      lecture
Avoid labeling                                 Explain why no one should be labeled by
                                                disease or condition

Acute versus chronic problems                  Define the terms acute, chronic, observation,         Flip chart /student responses;
                                                signs, and symptoms                                   lecture; discussion

Cancer                                         Explain the importance of early detection of
                                                cancer
Infection
    Localized responses                       Describe how the body responds to infection           Flip chart; lecture; small group
    Whole body responses                                                                             activity; discussion
    Silent responses

Identifying signs and symptoms of
common infections
    Clues to infection in older adults
    Putting together clues to infection

Integumentary system (skin)                   Identify the structure, function and aging-related     Pre-assigned group
    Structures                                changes of the 10 body systems                         presentations
    Functions                                  Give an example of each body system’s changes               or
                                                                                                      Flip chart; lecture
    Aging changes                               as the body ages
    Abnormal signs and symptoms                Give five examples of information that should be
    Observations to report                      reported to the nurse
    Common chronic illnesses, diseases,        Complete a resident’s chart with a description of
     and problems of the                         an illness, disease or problem; signs and
    integumentary system                        symptoms; your role in observation and
    - Dry skin                                   intervention; the goals of care; and interventions
        Signs and symptoms of dry skin          or skills for care.
        Nurse assistant’s role in
         observation and intervention
        Goals of care
        Interventions or skills for care
    - Contact dermatitis
       Signs and symptoms of contact
       dermatitis
        Nurse assistant’s role in
         observation
        and intervention
        Goals of care
        Interventions or skills for care
                                                                                                      Pre-assigned group
                                               Identify the structure, function and aging-related    presentations
Musculoskeletal system                          changes of the 10 body systems
   Structures                                 Give an example of each body system’s changes
                                                                                                             or
   Functions                                                                                         Flip chart; lecture
                                                as the body ages
   Aging changes                              Give five examples of information that should be
   Abnormal signs and symptoms                 reported to the nurse
   Observations to report                     Complete a resident’s chart with a description of
   Common chronic illnesses, diseases,         an illness, disease or problem; signs and
    and problems of the musculoskeletal         symptoms; your role in observation and
    system                                      intervention; the goals of care; and interventions
   - Arthritis                                  or skills for care.
      Signs and symptoms of arthritis
       Nurse assistant’s role in
        observation and intervention
       Goals of care
       Interventions or skills for care
    - Osteoporosis
       Signs and symptoms of
        osteoporosis
       Nurse assistant’s role in
        observation and intervention
       Goals of care
       Interventions or skills for care                                                              Pre-assigned
                                               Identify the structure, function and aging-related    Group presentations, skill
Respiratory System                              changes of the 10 body systems                        demonstration, skills practice,
   Structures                                 Give an example of each body system’s changes         skills check-off
                                                as the body ages                                              or
   Functions
   Aging changes                              Give five examples of information that should be      Flip chart; lecture, skill
                                                reported to the nurse                                 demonstration, skills practice,
   Abnormal signs and symptoms
                                               Complete a resident’s chart with a description of     skills check-off
   Observations to report
                                                an illness, disease or problem; signs and
   Common chronic illnesses, diseases,
                                                symptoms; your role in observation and
    and problems of the
                                                intervention; the goals of care; and interventions
   respiratory system                          or skills for care.
   - Cold and flu
       Signs and symptoms
       Nurse assistant’s role in
        observation and intervention
       Goals of care
       Interventions or skills for care
       Sputum specimens
   - Pneumonia
       Signs and symptoms of
        pneumonia
       Nurse assistant’s role in
        observation and intervention
       Goals of care
       Interventions or skills for care
   - Chronic obstructive pulmonary
      disease (COPD)
       Signs and symptoms of COPD
       Nurse assistant’s role in
        observation and intervention
       Goals of care
                                                                                                      Pre-assigned group
       Interventions or skills for care       Identify the structure, function, and aging-related   presentations; skill
                                                changes of the circulatory system                     demonstration; skills practice;
Circulatory system
                                               Give an example of the system’s aging changes         skills check-off
    Structures
                                               Give five examples of information that should be              or
    Functions                                  reported to the nurse                                 Flip chart; lecture; skill
    Aging changes                             Complete a patient chart with a description of an     demonstration; skills practice,
    Abnormal signs and symptoms                illness, disease, or problem; signs and               skills check-off
    Observations to report                     symptoms; your role in observation and
    Common chronic illnesses, diseases,        intervention; the goals of care; and interventions
     and problems of the circulatory            or skills for care
     system
    - Congestive heart failure (CHF)
        Signs and symptoms of CHF
        Nurse assistant’s role in
         observation and intervention
        Goals of care
        Interventions or skills for care
    - Peripheral vascular disease
        Signs and symptoms of
         peripheral
        vascular disease
       Nurse assistant’s role in
        observation and intervention
       Goals of care
       Interventions or skills for care
    - Coronary artery disease
       Signs and symptoms of coronary
       artery disease
       Nurse assistant’s role in
        observation
       Goals of care
       Interventions or skills for care
    - Cerebral vascular accident (CVA)
       Signs and symptoms of CVA
       Nurse assistant’s role in
        observation and intervention                                                                  Pre-assigned
       Goals of care                          Identify the structure, function, and aging-related   Group presentations; skill
       Interventions or skills for care        changes of the circulatory system                     demonstration; skills practice;
                                               Give an example of the system’s aging changes         skills check-off
Digestive system
                                               Give 5 examples of information that should be                 or
   Structures                                  reported to the nurse                                 Flip chart; lecture; skill
   Functions                                  Complete a patient chart with a description of an     demonstration; skills practice;
   Aging changes                               illness, disease, or problem; signs and               skills check-off
   Abnormal signs and symptoms                 symptoms; your role in observation and
   Observations to report                      intervention; the goals of care; and interventions
   Common chronic illnesses, diseases,         or skills for care
     and problems of the digestive system
    - Constipation
       Signs and symptoms of
         constipation
       Nurse assistant’s role in
         observation
       and intervention
       Goals of care
       Interventions or skills for care
    - Diarrhea
       Signs and symptoms of diarrhea
       Nurse assistant’s role in
         observation
                                                                                                      Pre-assigned
       and intervention
                                               Identify the structure, function, and aging-related   group presentations; skill
       Goals of care                                                                                 demonstration; skills practice;
       Interventions or skills for care        changes of the circulatory system
                                               Give an example of the system’s aging changes         skills check-off
                                               Give five examples of information that should be              or
Urinary system                                                                                        Flip chart; lecture; skill
   Structures                                  reported to the nurse
                                                                                                      demonstration; skills practice;
   Functions                                  Complete a patient chart with a description of an
                                                                                                      skills check-off
   Aging changes                               illness, disease, or problem; signs and
   Abnormal signs and symptoms                 symptoms; your role in observation and
                                                intervention; the goals of care; and interventions
   Observations to report
                                                or skills for care
   Common chronic illnesses, diseases,
     and problems of the urinary system
    - Urinary tract infections
       Signs and symptoms of urinary
         tract infections
       Nurse assistant’s role in
         observation and intervention
       Goals of care
       Interventions or skills for care
    - Urinary incontinence
       Signs and symptoms of urinary
         incontinence
       Nurse assistant’s role in
         observation and intervention
       Goals of care
       Interventions or skills for care
         Bladder training program
         Prompted training program
       General guidelines for resident                                                              Pre-assigned group
        care during bladder training and                                                             presentations
        thereafter                                                                                          or
       Applying a disposable brief or        Identify the structure, function, and aging-related   Flip chart; lecture
        panty liner                            changes of the circulatory system
         Urinary catheter care               Give an example of the system’s aging changes
                                              Give five examples of information that should be
Nervous system                                 reported to the nurse
   Structures                                Complete a patient chart with a description of an
   Functions                                  illness, disease, or problem; signs and
   Aging changes                              symptoms; your role in observation and
   Abnormal signs and symptoms                intervention; the goals of care; and interventions
                                               or skills for care
   Observations to report
   Common chronic illnesses, diseases,
     and problems of the nervous system
    - Multiple sclerosis
       Signs and symptoms of multiple
       sclerosis
       Nurse assistant’s role in
        observation
       and intervention
       Goals of care
       Interventions or skills for care
    - Parkinson’s disease
       Signs and symptoms of
        Parkinson’s
       disease                                                                                      Pre-assigned group
       Nurse assistant’s role in                                                                    presentations
        observation and intervention          Identify the structure, function, and aging-related          or
       Goals of care                          changes of the circulatory system                     Flip chart; lecture
       Interventions or skills for care      Give an example of the system’s aging changes
                                              Give five examples of information that should be
Endocrine system                               reported to the nurse
   Structures                                Complete a patient chart with a description of an
   Functions                                  illness, disease, or problem; signs and
   Aging changes                              symptoms; your role in observation and
   Abnormal signs and symptoms                intervention; the goals of care; and interventions
   Observations to report                     or skills for care
   Common chronic illnesses, diseases,
    and problems of the endocrine
    system
   - Diabetes
      Signs and symptoms of diabetes                                                                Pre-assigned group
      Nurse assistant’s role in                                                                     presentations
        observation                           Identify the structure, function, and aging-related
                                                                                                            or
      and intervention                        changes of the sensory system
                                                                                                     Flip chart; lecture
      Goals of care                          Give an example of the system’s aging changes
      Interventions or skills for care       Give five examples of information that should be
                                               reported to the charge nurse
Sensory system                                Complete a patient chart with a description of an
  The eye                                      illness, disease, or problem; signs and
   Structure                                  symptoms; your role in observation and
                                               intervention; the goals of care; and interventions
   Function
                                               or skills for care
   Aging changes
   Abnormal signs and symptoms
   Observations to report
   Common chronic illnesses, diseases,
    and problems of the eye
    - Cataracts
       Signs and symptoms of cataracts
       Nurse assistant’s role in
         observation
       and intervention
       Goals of care
       Interventions or skills for care
    - Blindness
       Signs and symptoms of blindness
       Nurse assistant’s role in
         observation
       and intervention
       Goals of care
       Interventions or skills for care

 The ear
   Structure
   Function
   Aging changes
   Abnormal signs and symptoms
   Observations to report
   Common chronic illnesses, diseases,
    and problems of the ear
   - Hearing loss
       Signs and symptoms of hearing
        loss
       Nurse assistant’s role in
        observation
       and intervention                                                                             Pre-assigned group
       Goals of care                                                                                presentations
       Interventions or skills for care      Identify the structure, function, and aging-related          or
                                               changes of the reproductive system                    Flip chart; lecture
 The other senses                             Give an example of the system’s aging changes
   Aging changes                             Give five examples of information that should be
   Abnormal signs and symptoms                reported to the charge nurse
   Observations to report                    Complete a patient chart with a description of an
                                               illness, disease, or problem; signs and
Male reproductive system                       symptoms; your role in observation and
   Structures                                 intervention; the goals of care; and interventions
   Functions                                  or skills for care
   Aging changes

Female reproductive system
   Structure
   Functions
   Aging changes
   Abnormal signs and symptoms
   Observations to report
   Common chronic illnesses, diseases,
    and problems of the female
    reproductive system
   - Vaginal infections
       Signs and symptoms of vaginal
       infections
       Nurse assistant’s role in
        observation
       and intervention
       Goals of care
       Interventions or skills for care
Chapter 12
Themes of Care
Curriculum Outline
CONTENT                               BEHAVIORAL OBJECTIVE                              SUGGESTED ACTIVITIES

Themes of care                           Define the themes of care                     Small group activity (role
   Communication                                                                       model); discussion; large
   Autonomy                                                                            group activity
   Respect
   Maximizing potential
   Safety
   Infection control
   Observation
   Time management

How to use themes in your work           List general questions you should consider    Discussion; small group
                                          when beginning a skill                        activity; flip chart /student
                                                                                        responses; lecture; discussion

Table 12-1 Common preparation steps      List the commonly used preparation and        Flip chart /student responses;
                                          completion steps                              lecture; discussion
Table 12-2 Common completion steps

The format of skill procedures

CMS requirements for quality care        List several CMS requirements for services    Lecture; small group activity;
                                          that long term care facilities must provide    discussion
                                          residents
Chapter 13
Gathering Information
Curriculum Outline
CONTENT                                             BEHAVIORAL OBJECTIVE                                SUGGESTED ACTIVITIES

Physical exam and history                              Explain the purpose of an accurate history      Flip chart /student responses;
                                                                                                        lecture; discussion

Purpose of history                                     Describe what information the health care       Flip chart; student activity;
                                                        team obtains about a resident’s past medical    demonstration; role play
                                                        history                                         activity; lecture

Obtaining the history                                  Define two interviewing techniques the
                                                        health care team uses during the physical
                                                        exam.
Collecting the history data
                                                       Describe two methods used by the health
                                                        care team for collecting history data
Review of body systems
                                                       Describe questions asked by the health care
                                                        team during the review of body systems.
Nurses assistant’s role in the physical
examination                                            Explain your role in the physical examination
Techniques used in physical examination
                                                       Explain techniques used by the physician to
Taking and recording vital signs                        examine the resident
   Temperature
    - How to clean a glass thermometer
    - How to shake down a glass thermometer
    - How to read a thermometer
    - Oral temperature
    - Rectal temperature                                                                                Lecture; flip chart /student
    - Axillary temperature                             Demonstrate how to take an oral                 activity; skill demonstration;
                                                        temperature                                     skills practice; skills check-off
                                                       Demonstrate how to take a rectal
                                                        temperature
                                                       Demonstrate how to take an axillary
                                                        temperature
                                                                                                        Flip chart; lecture; skill
  Pulse rate                                           Demonstrate how to take a radial pulse          demonstration; skills practice;
                                                                                                        skills check-off
  Respiratory rate                                     Demonstrate how to count respirations

  Blood pressure                                       Demonstrate how to take a blood pressure

  Accurate reporting and recording of vital signs
                                                                                                        Flip chart; lecture; skill
  Height and weight                                    Demonstrate how to measure height and           demonstration; skills practice;
                                                        weight                                          skills check-off
Chapter 14
The Importance of Creating a Home
Curriculum Outline
CONTENT                                              BEHAVIORAL OBJECTIVE                                 SUGGESTED ACTIVITIES

Admission of residents                                  Describe your role in admitting a resident       Small group activity;
   The interdisciplinary approach to admission                                                           flip chart /student responses;
   What can you do to prepare for the new                                                                lecture; role play activity;
    resident?                                                                                             discussion
   Greeting residents

Creating a home in a long term care facility            List three ways to make a resident’s room        Flip chart /student responses;
                                                         home-like                                        lecture; discussion

Responsibilities in caring for residents’ personal      Describe their role in caring for a resident’s   Lecture; discussion;
belongings                                               belongings                                       small group activity
   Care of a residents’ clothes
   Care of residents’ other belongings

Respecting residents’ privacy                           Explain ways to ensure a resident’s privacy      Flip chart /student responses;
                                                                                                          lecture; discussion

Bed making                                              Demonstrate how to make an occupied and          Flip chart /student responses
                                                         unoccupied bed                                   Discussion lecture; skill
Finishing touches                                                                                         demonstration; skills practice;
                                                                                                          skills check-off
Call system                                             Demonstrate the use of a call system

Transfer of a resident
   Interdisciplinary approach for transferring a       Describe your role in transferring and           Lecture; discussion
    resident                                             discharging a resident
   How you can prepare for the transfer of a
    resident
   Transferring residents

Discharge of a resident
                                                                                                          Discussion; flip chart /student
   Interdisciplinary approach for discharging a
                                                                                                          responses; discussion; lecture
     resident
   Helping residents adjust in the discharge
   Day of discharge
Chapter 15
Learning to Position and Move Correctly
Curriculum Outline
CONTENT                                       BEHAVIORAL OBJECTIVE                            SUGGESTED ACTIVITIES

How movement affects body systems

Why moving and positioning are important            State the importance of moving and       Flip chart /student responses
                                                     positioning residents correctly          discussion; lecture

Preparing to move or position a resident            List at least five questions to          Flip chart /student responses;
   When to get help                                 consider when preparing to move or       discussion
                                                     position a resident

Communicating with residents

Moving                                              Demonstrate how to move a                Lecture; skill demonstration; skills
                                                     resident:                                practice; skills check-off
                                                     Up in bed when a resident can help
                                                     Up in bed when a resident is unable
                                                           to help
                                                      •     Moving to the side of the bed
                                                        when a resident can help
                                                       Moving to the side of the bed
                                                        when the resident is unable to
                                                        help.
                                                       Moving to the side of the bed
                                                        using a draw sheet
                                                       Turning a resident from supine
                                                        position to side lying for personal
                                                        care
                                                       Moving a resident from supine to
                                                        sitting
                                                       Moving a resident from sitting to
                                                        supine position
Positioning
   Fowler’s position                                  Positioning a resident on their
   Side-lying position                                 back
   Positioning a resident in a chair                  Positioning a resident on their
                                                        side
                                                       Using a gait belt
Moving a resident from one place to another
(transfer)                                                                                    Lecture; skill demonstration; skills
                                                  Transferring a resident                     practice; skills check-off
     Using a guard belt
     Putting a guard belt on a resident            Demonstrate how to help a resident
     Considerations for transfers                   move from bed to chair and back
     Two-person assistive device transfer           with the help of a coworker (with or
                                                     without a mechanical lift), and how
                                                     to move a resident up in a
Stopping a fall                                      wheelchair, commode or toilet            Lecture; discussion; skill
   If a resident falls and seems injured
                                                    Explain what to do if a resident falls   demonstration
Chapter 16
Personal Care
Curriculum Outline

CONTENT                                         BEHAVIORAL OBJECTIVE                             SUGGESTED ACTIVITIES

Making routine activities mindful                      Define personal care                     Flip chart /student responses;
                                                                                                 discussion; lecture

   Daily routines based on personal                   Give examples of ways to make            Discussion; small group activity
    preferences                                         routine activities mindful and to
                                                       consider the resident’s preferences in
   Determination of assistance needs and               personal care.
    observation during personal care                   State why observation is important       Flip chart /student responses;
                                                        during personal care.                    lecture

Use of gloves in personal care

Personal care routines
                                                       Demonstrate how to help with the         Lecture; skill demonstration; skills
Bathing                                                 following skills:                        practice; skills check-off
   Using a resident’s personal care products          Complete bed bath
   Waterless products                                 Perineal care
   Whirlpool bath                                     Back rub
   Partial bath                                       Tub bath
   Shampooing and conditioning                        Shower
                                                       Whirlpool bath
Oral hygiene                                           Shampoo and conditioning
   Brushing and flossing
                                                                                                 Lecture; demonstration; practice &
   Dentures                                         Brushing and flossing                      return demonstration; nursing arts
   Mouth care for comatose residents                Caring for dentures                        lab
                                                     Mouth care for a comatose resident
Grooming
   Shaving                                                                                      Lecture; demonstration; practice &
   Facial hair                                        Shaving                                  return demonstration; nursing arts
   Hair care                                          Trimming facial hair                     lab
   Care of fingernails                                Hair care
   Care of toenails                                   Care of fingernails
                                                       Care of toenails
Assisting the resident with dressing and                                                         Lecture; skill demonstration; skills
undressing                                             Assisting with dressing and undressing   practice; skills check-off

Preparing for an event
Chapter 17
Assisting with Nutrition
Curriculum Outline
CONTENT                                        BEHAVIORAL OBJECTIVE                          SUGGESTED ACTIVITIES

The role of the food service department           Explain the role of the food service      Discussion; flip chart /student
                                                   department and how you work with that     responses; lecture
Assessing residents’ nutrition                     department

Working together to provide the best for the
resident

Helping residents with a special diet
                                                  List ways to provide and encourage good   Small group activity;
                                                   nutrition                                 discussion; flip chart /student
                                                                                             responses; group
                                                                                             presentations
Making the dining experience pleasant
   Environmental factors                         Give examples of ways to make dining a    Flip chart; small group activity;
   Service factors                                pleasant experience                       group presentations;
   Social factors                                                                           discussion / brainstorming

Assisting residents with meals
   Preparing residents for meals
   Tray preparation
   Serving residents
   Assisting with feeding residents
   Assisting residents with dysphagia
   Important observations while eating
   Identifying residents at risk
   Special devices for eating

Dietary supplements

Residents with feeding tubes

Dehydration
   Preventing dehydration

Food and fluid intake
                                                  Demonstrate how to properly record        Flip chart; lecture; small group
   Evaluating food intake                                                                   activity
                                                   residents’ intake and output
   Evaluating fluid intake
  Chapter 18
  Assisting with Elimination
  Curriculum Outline
CONTENT                                              BEHAVIORAL OBJECTIVE                        SUGGESTED ACTIVITIES

Determining elimination patterns                        Describe how to determine residents’    Flip chart /student responses;
    The resident                                        elimination patterns                    discussion; small group activity;
    The resident’s family                                                                       group presentations
    The resident’s chart

Tips for promoting regular elimination patterns

Maintaining residents’ dignity when helping them        List ways to help residents maintain    Display; demonstration; lecture;
with elimination                                         their dignity when you help them with   discussion
                                                         elimination

Assisting with elimination                              Identify equipment used to help with    Discussion; skill demonstration; skills
   Equipment for elimination                            elimination                             practice; skills check-off
                                                        Demonstrate correct ways to help a
                                                         resident use a bedpan, urinal, and
                                                         portable commode

Problems with elimination                               State how to identify changes in        Lecture
                                                         residents’ elimination patterns

Collecting specimens                                    Demonstrate specimen collection
  Urine specimens                                       techniques                              Lecture; demonstration
    - Urinalysis
    - Clean-catch urinalysis
    - Collecting a 24-hour urine specimen
    - Using reagent sticks (dipsticks) for testing
      urine
    - Glucose and ketone testing
   Stool specimens

Helping a resident with an ostomy                       Describe your role in ostomy care       Display; discussion; flip chart;
     Types of ostomies                                                                          lecture
     Ostomy care
      - Emptying an ostomy bag
  Chapter 19
  Maintaining Skin Integrity
  Curriculum Outline
CONTENT                                    BEHAVIORAL OBJECTIVE                               SUGGESTED ACTIVITIES

The challenge of skin care                    Describe factors that influence skin health    Discussion; lecture

Maintaining skin integrity                    Describe why maintaining skin integrity can    Flip chart; lecture
                                               be a problem for residents in long term care

                                              List at least five strategies for keeping      Group presentations; discussion
                                               residents’ skin healthy

                                              Describe what can happen when a resident’s     Discussion; flip chart; lecture
                                               skin integrity is not maintained


Observation and reporting

Pressure ulcers
   Early signs and symptoms of pressure
    ulcers
   Stages of pressure ulcers
   Treatment of pressure ulcers

Other types of wounds                         Demonstrate other kinds of wounds              Lecture; skill demonstration; skills
                                                                                              practice; skills check-off

Wound care                                    Demonstrate how to remove a wound              Discussion; demonstration
                                               dressing, clean a wound and dress a wound
  Chapter 20
  Emergency Care
  Curriculum Outline
CONTENT                                          BEHAVIORAL OBJECTIVE                                SUGGESTED ACTIVITIES

First Aid                                           Define emergency first aid                      Lecture; discussion

Your role and responsibilities in an emergency      Explain your role and responsibilities in an    Discussion; lecture
                                                     emergency
                                                    State general guidelines to follow in an
                                                     emergency

Heart attack and cardiac arrest                     Identify five signs and symptoms of a heart     Discussion; flip chart; lecture
   Heart attack                                     attack and the care to give a resident having
   Cardiac arrest                                   a heart attack
   Airway
   Breathing
   Circulation                                     Explain how to give cardiopulmonary             Flip chart; lecture;
                                                     resuscitation                                   demonstration

Choking
   The Heimlich maneuver                           Identify the signs of choking and explain the   Flip chart; lecture;
                                                     Heimlich maneuver                               demonstration
Seizure
                                                    Identify the signs of a seizure and how to      Group presentations;
                                                     care for a resident with seizures               discussion
Burns
                                                    Explain what care to give to a resident who
                                                     has a burn
Hemorrhaging
                                                    Explain what care to give to a resident who
                                                     is bleeding
Shock
                                                    Identify the signs and symptoms of shock
                                                     and the care of a resident who is in shock
 Chapter 21
 Pain Management, Sleep, and Comfort
 Curriculum Outline

CONTENT                           BEHAVIORAL OBJECTIVE                              SUGGESTED ACTIVITIES

Pain                                  Describe your responsibility for reporting   Lecture; discussion; flip chart
   Screening for pain                 pain
   Understanding pain                                                              Lecture; discussion; flip chart
   Reporting pain accurately         Describe what you might see when a
   Pain left untreated                resident is in pain                          Flip chart; lecture; group
   Pain treatment                    List five side effects of pain medications   presentations
                                      Describe five complementary or alternative
                                       measures to help manage pain
Promoting comfort and sleep                                                         Lecture; flip chart; discussion
                                      List ways to promote comfort and sleep
  Chapter 22
  End of Life
  Curriculum Outline
CONTENT                                            BEHAVIORAL OBJECTIVE                            SUGGESTED ACTIVITIES

Living wills                                          Describe a living will                      Lecture; flip chart /student
                                                                                                   responses
Feelings about dying                                  Describe different feelings about death

Stages of dying                                       List the stages of dying                    Lecture; discussion

End of life care                                      Describe end of life care                   Flip chart; lecture; discussion
   Hospice

Your role through the dying process                   List specific things you can do to help     Discussion; discussion;
   Comfort measures for the dying resident            residents and family members during the     lecture
   Helping the family during the process of           dying process
    dying
   Religious and cultural practices
   Helping other residents cope with their loss
   Managing your own feelings

Signs of approaching death                                                                         Lecture; discussion; group
                                                                                                   activities

Physical care of the body                             Describe the care of the body after death   Lecture
  Chapter 23
  Other Work Environments and Resident Populations
  Curriculum Outline
CONTENT                                              BEHAVIORAL OBJECTIVE                                SUGGESTED ACTIVITIES

Different long term care environments

Assisted living facilities                              Describe the services that are provided in an   Discussion; flip chart; lecture
                                                         assisted living facility

Subacute care units                                     Describe the types of patients admitted to      Small group activity;
                                                         subacute care units                             flip chart; lecture

Facilities for residents with developmental             Define developmental disability                 Group presentations;
disabilities                                                                                             discussion
    Mental retardation                                 Describe mental retardation, Down
    Down syndrome                                       syndrome, Autism, Cerebral Palsy, and
    Autism                                              Epilepsy
    Cerebral palsy
    Epilepsy

Care of residents with developmental disabilities       Define the habilitation model used for the      Flip chart; lecture
                                                         care of residents with developmental
                                                         disabilities
Care of residents with HIV or AIDS

Understanding cognitive impairment and                  List the diseases that can cause dementia       Flip chart; lecture
dementia

Stages of Alzheimer’s Disease                           Name five symptoms of each stage of
                                                         Alzheimer’s disease

Your role in caring for residents with Alzheimer’s                                                       Flip chart; lecture;
                                                        Describe six principles guiding your care of
Disease and related disorders                                                                            group presentations;
                                                         residents with Alzheimer’s disease
   Provide guidance and direction                                                                       discussion
   Discover and use residents’ abilities
   Promote each resident’s dignity
   Comfort and reassure each resident
   Anticipate basic needs
   Enjoy residents and help them enjoy life
                                                                                                         Flip chart; lecture
General techniques for responding to behavioral         List general techniques for responding to
symptoms                                                 behavioral symptoms
   Enter a resident’s reality
   Know your resident
   Know your resources
   Communicate with the resident
      Body language
      Facial expressions
      Tone of voice
      Communicate techniques
   Motivate the resident
   Stop when a resident resists your care
   Specific behavioral symptoms
      Agitation
      Anxiety
      Delusion
      Depression
      Wandering
      Insomnia
        Hallucinations                                 Discuss ways to change your care when         Group presentations;
                                                         helping residents with Alzheimer’s with the   discussion
Specific techniques for activities of daily living       activities of daily living
   Toileting
   Hydration
   Eating
   Dressing
   Bathing
   Grooming
  Chapter 24
  Specialty Skills for Subacute Environments
  Curriculum Outline
CONTENT                                         BEHAVIORAL OBJECTIVE                                 SUGGESTED ACTIVITIES

Care of residents with diabetes in a subacute      Describe a subacute setting                      Flip chart; demonstration;
setting                                            Demonstrate how to obtain a blood glucose        lecture; skill demonstration;
   Glucometer testing, refrigeration, sharps       sample by fingerstick                            skills practice; skills check-off
      management                                   Demonstrate how to provide diabetic foot
                                                    care

Care of the residents and persons needing          Describe your role in oxygen administration
oxygen therapy

Positioning for easier breathing                   Demonstrate how to assist with                   Flip chart; bridging; flip chart
                                                    diaphragmatic breathing, deep breathing,         discussion; lecture; group
                                                    coughing and an incentive spirometer             presentations; discussion; skill
                                                   List safety rules during oxygen therapy          demonstration; skills practice;
                                                   Demonstrate how to assist with                   skills check-off
                                                    administering oxygen by nasal canula and
                                                    by simple face mask
                                                   Describe the three common types on
                                                    artificial airways, and mechanical ventilation
Hot and cold applications                                                                            Lecture; flip chart
                                                   List the types of heat applications and
                                                    explain guidelines to follow when applying
                                                    heat
                                                   List the types of cold applications and
                                                    explain guidelines to follow when applying
                                                    cold
Caring for the person receiving dialysis                                                             Bridging; discussion; lecture;
                                                   Describe dialysis and your role in caring for    group presentations
                                                    a person receiving peritoneal dialysis
                                                   State the signs and symptoms to observe
                                                    and report when a person is receiving
                                                    hemodialysis
Alternative nutrition                                                                                Flip chart; lecture
                                                   State the reasons for enteral feedings or
                                                    total parenteral nutrition
  Chapter 25
  Care of the Person Having Surgery
  Curriculum Outline
CONTENT                          BEHAVIORAL OBJECTIVE                                 SUGGESTED ACTIVITIES

Common fears about surgery           Explain how you can help reduce a person’s      Option one
                                      fear and anxiety about having surgery           Discussion; pre-assigned role
                                                                                      modeling; skill demonstration;
                                                                                      skills practice; skills check-off
                                                                                      (Involves entire chapter)

                                                                                      Option two
                                                                                      Flip chart /student responses;
                                                                                      lecture; discussion

Before surgery                       State what information is given to the person   Flip chart; lecture

                                     Explain your role in preoperative phase of      Flip chart; lecture
                                      surgery

                                     Name at least five items on the preoperative    Flip chart; lecture;
                                      checklist                                       small group activity

                                     Describe how you can support family members     Flip chart /student responses;
                                      during surgery                                  lecture; discussion; skill
                                                                                      demonstration; skills practice;
                                                                                      skills check-off

After surgery                        Explain your role in postoperative care         Flip chart /student responses;
                                                                                      discussion; skill demonstration;
                                                                                      skills practice; skills check-off
  Chapter 26
  Special Skills for Special Times
  Curriculum Outline
CONTENT                                    BEHAVIORAL OBJECTIVE                                         SUGGESTED ACTIVITIES

Your role in prenatal care                    Explain your role in prenatal care                       Brainstorm/discussion; flip
                                                                                                        chart; lecture

                                              Identify signs and symptoms during pregnancy to          Flip chart; lecture
                                               report to report to the health care team


                                              State two normal signs and symptoms of pregnancy         Flip chart; small group activity;
                                               for each of the three trimesters                         discussion

                                              Explain the reason for childbirth classes                Brainstorm/discussion. lecture

Labor and delivery                            Explain two signs that labor is about to begin           Group presentations;
                                              Identify the five physical characteristics of the        discussion
                                               newborn evaluated at 1 and 5 minutes after birth
                                              Explain the immediate care of the neonate
                                              Name at least one reason why a woman might need
                                               a cesarean birth

Care of mother during postpartum period                                                                 Group presentations; lecture;
                                              Explain what care is given to the mother during the
                                                                                                        skill demonstration; skills
                                               postpartum period and how to promote post partum
                                                                                                        practice; skills check-off
                                               health
                                              Demonstrate how to assist the postpartum mother
                                               with a sitz bath
Neonatal care                                                                                           Brainstorm/discussion; lecture
                                              Identify standard care given to the newborn in the
                                               first 24 to 48 hours after birth
                                              Name two questions parents frequently ask about
                                               caring for their newborn                                 Flip chart; lecture; skill
                                              Demonstrate how to diaper a newborn, how to bathe        demonstration; skills practice;
                                               a newborn and how to care for a circumcision             skills check-off
                                              Explain how to assist a mother and newborn with
                                               breast feeding and bottle feeding
                                              Give four examples of when parents should call the
                                               health care team about their infant
                                              Name two standard procedures followed before
                                               mother and newborn are discharged from the
                                               hospital
Working with children
                                              Describe pediatric areas in which nurse assistants
                                               can work
Growth and development                                                                                  Group presentations;
                                              Explain why evaluating a child’s growth and              discussion
                                               development is important

Promoting health from infancy into young
adulthood                                     Name two standard procedures followed when a
                                               child is admitted to a pediatric floor and describe
                                               your role in caring got a hospitalized child
                                              Identify two safety tips to teach parents and describe
                                               the importance of immunizations                          Flip chart; lecture;
                                              Name two universal good health habits for all age        brainstorm/discussion
                                               groups, two specific good health habits for
                                               adolescents and at least five behavior risks for
                                               youths today
  Chapter 27
  Restorative Activities
  Curriculum Outline
CONTENT                                        BEHAVIORAL OBJECTIVE                            SUGGESTED ACTIVITIES

What are restorative activities?                  Describe your role in promoting             Small group activity;
                                                   independence                                brainstorm/discussions; flip chart;
Helping residents in the restorative process                                                   lecture

Short- and long-term goals

Cuing, prompting, and encouraging

Assistive devices
   Types of assistive devices                    List different kinds of equipment that      Flip chart; display items;
   Prosthetic and orthotic devices                promote independence                        discussion; small group activity;
   Positioning and seating devices                                                            lecture
   Aids for activities of daily living
   Improper use of equipment
   Faulty equipment

Exercise
    Range-of-motion exercises                    Demonstrate range-of-motion exercises and   Flip chart; lecture; skill
                                                   assisted walking                            demonstration; skills practice; skills
    Active exercise
                                                                                               check-off
       Active assisted exercise
       Passive exercise
  Guidelines for ROM exercises
  Which joints to exercise
  How joints move
  Starting a ROM program
  Walking with a resident
  Chapter 28
  Pulling It All Together
  Curriculum Outline
CONTENT                                      BEHAVIORAL OBJECTIVE                             SUGGESTED ACTIVITIES

The nurse assistant’s contribution to care      State how nurse assistants contribute to     Brainstorm/discussion;
                                                 quality care                                 lecture

Time management                                 Give examples of things that influence how   Brainstorm/discussion;
                                                 tasks are prioritized                        lecture
A day in a facility
   Day shift
   Evening shift
   Night shift
   All shifts

Managing your time: the balance of art and      Describe the theme of time management        Bridging; flip chart; discussion;
science                                                                                       group presentations; case
    Resident’s preferences and routines                                                      studies; group activity/
    Shift responsibilities                                                                   presentations
       Assignment
       Organizing care
  Chapter 29
  Promoting Your Own Health
  Curriculum Outline
CONTENT                          BEHAVIORAL OBJECTIVE                            SUGGESTED ACTIVITIES

Your health choices                 List the factors that influence health      Guided discussion; flip chart
                                                                                 /student responses;
Good health                                                                      lecture

Developing a positive attitude      Explain why having a positive attitude is   Guided discussion; group
                                     important                                   presentations

Good nutrition                      Describe general guidelines for good
  USDA guidelines                   nutrition

Exercise and health                 State the benefits of exercise

Tips for getting started
  Chapter 30
  How to Be a Successful Employee
  Curriculum Outline
CONTENT                                         BEHAVIORAL OBJECTIVE                            SUGGESTED ACTIVITIES

Preparing for the state competency evaluation      Describe what you can do to ensure you      Discussion; lecture; flip chart
                                                    pass the state competency evaluation        /student responses; discussion

Getting a job as a nurse assistant                 Explain how to find a job                   Discussion; flip chart /student
                                                                                                responses; lecture

Getting a successful start at your job             Describe what you can do to be successful   Bridging; lecture; discussion
                                                    when you start your new job


Ongoing success
    Managing yourself and staying motivated       List what you can do to stay motivated on   Group discussion
                                                    the job
     Effective communication and problem          Describe how you can resolve problems on    Lecture; flip chart; small group
      resolution                                    the job                                     activity
     Assertiveness: how to accomplish what                                                     Lecture
      you think is
     important
     Evaluating your work: learning to grow
     Improving care through inservice             Describe the importance of inservice        Lecture
      education                                     education

				
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