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Upon completion of the course, students will be able to:
1. Discuss legal implications of Title 22, Division 5, California Code of Regulations and Omnibus Budget Reconciliation Act (OBRA).
2. Describe roles and responsibilities of the CNA.
3. Define the qualities of a qualified CNA, including professional and ethical behavior.
4. Recognize, identify, and support patients' rights and confidentiality as mandated by federal and state regulations
5. Demonstrate the key components in effective communications with the resident, the family, and the members of the health care team.
6. Demonstrate the ability to provide care while being sensitive to cultural diversity.
7. Identify and demonstrate correct principles of body mechanics and positioning, transfer and ambulation techniques in providing resident care.
8. Demonstrate how to assist the resident to achieve optimal levels of functioning through the use of rehabilitative procedures or restorative aids.
9. Identify the role of the CNA in preventing and responding to emergency situations such as fire, disaster, choking, and cardiac arrest.
10.List safety rules for providing a safe environment, including safe use of oxygen.
11.Identify personal hygiene care and assist or perform necessary patient care skills as identified by the resident's daily needs.
12.Identify basic food groups, nutrients, and common therapeutic diets, and assist the resident to meet nutrition and hydration needs.
13.Define objective and subjective observation skills.
14.Demonstrate reporting and recording skills on appropriate documents using correct medical terms, abbreviations and measures.
15.Describe basic structure of the body and review effects of aging on body structure and function.
16.List available community resources that assist with the psychosocial, spiritual, cultural, and grief and bereavement needs of the dying resident, and support for family members.
17.Identify and utilize principles of infection control.
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1. Orientation and introduction: The purpose of the long-term residential care facility.
2. Legal Regulations in Residential Care:
a. Title 22, Division 5
b. Omnibus Budget Reconciliation Act (OBRA)
c. Ethics and professionalism
d. Maintaining confidentiality behaviors
3. Roles and Responsibilities of the CNA.
4. Patients' Rights:
a. Federal and state laws
b. Resident's rights
c. Reporting abuse
d. Role of ombudsman
e. CNA's role in maintaining
5. Interpersonal Communication Skills and Methodologies Related to:
a. Resident
b. Family and guests
c. Influence of cultural factors
d. Observation of interactive patterns
e. The health care team
6. Body Mechanics:
a. Purpose of/rules for CNA/HHA
b. Comfort, safety measures for resident/client
c. Transfers of dependent patients:
i. Proper techniques
ii. Positioning in bed
iii.Transfer belts
iv.Mechanical lifts, lift sheets
v. Wheel chairs
d. Ambulatory residents:
i. Gait belts
ii. Walkers and canes
7. Rehabilitative Nursing:
a. CNA role in assisting resident with:
i. Gaining and maintaining independence
ii. Facilitate range of motion exercises
b. Rehabilitation team
c. Comfort and adaptive devices
d. Visually impaired
8. Resident Distress Emergencies:
a. Recognizing common signs, symptoms
b. Common conditions associated with distress
c. Cardiac arrest
d. Immediate interventions
i. Use of the abdominal thrust
ii. Emergency codes in long-term facilities
iii. General rules of emergency care
9. Natural Disasters/Emergencies/Unusual Occurrences:
a. CNA role
b. Prevention and management
c. Providing safe environment
d. Oxygen use/safety
e. Resident postural support and implications for use
10. Basic Personal Care of Client:
a. Bathing
b. Dressing
c. Grooming
d. Oral care
e. Toileting
11. Patient Care Procedures:
a. Nutrition
i. Basic food groups
ii. Common therapeutic diets
iii.Importance of hydration and nutrients
b. Observation and charting:
i. Objective and subjective charting
ii. Vital signs reporting
iii. Report/record in appropriate documents
iv. Medical terminology and abbreviations in charting
c. Personal hygiene for the dependent client:
i. Specimen collection: stool, urine, sputum
ii. Bowel care: enemas, rectal tubes, suppositories
iii.Tubes: gastrointestinal (GI), Nasogastric (NG)
iv.Intravenous (IV) monitoring
v. Application of: ointments, powders, dressings, bandages and lotions
d. Admissions, transfers and discharges from a facility
12. Weights and Measures:
a. Metric and household measures
b. Weight, length and liquid
c. Measuring equipment
d. Conversion metric vs. household systems
e. Greenwich time to military time
13. The Long-Term Care Patient:
a. Effects of aging on body structure, function
b. Common physical, psychological conditions
c. Community resources
d. Recreational and social needs
14. Death and Dying:
a. Recognizing early signs
i. Physical
ii. Psychosocial/cultural
iii. Spiritual
b. Later stages:
i. Signs of approaching death
ii. Understanding family coping mechanisms
iii. Providing support to resident and family
iv. Post-mortem care
15. Medical and Surgical Asepsis:
a. Chain of infection
i. Disease transmission
ii. Signs and symptoms
iii.Lines of defense in the body
b. Infectious agents
c. Associated infectious diseases
d. Standard precautions
e. Isolation
During Contact DHR hours students will perform a minimum of 105 hours of externship in health care facility settings as stated in the course description. While working in an actual clinical setting students will apply and demonstrate their knowledge and skill level related to Topics and Scope Items 5 - 15; and Assignments 3 and 4.
