SRJC Course Outlines

3/28/2024 5:13:18 AMNRA 150A Course Outline as of Summer 2017

Changed Course
CATALOG INFORMATION

Discipline and Nbr:  NRA 150ATitle:  CERT. NURSE ASSISTANT  
Full Title:  Certified Nurse Assistant
Last Reviewed:2/6/2023

UnitsCourse Hours per Week Nbr of WeeksCourse Hours Total
Maximum6.00Lecture Scheduled3.2517.5 max.Lecture Scheduled56.88
Minimum6.00Lab Scheduled3.5010 min.Lab Scheduled61.25
 Contact DHR6.00 Contact DHR105.00
 Contact Total12.75 Contact Total223.13
 
 Non-contact DHR0 Non-contact DHR Total0

 Total Out of Class Hours:  113.75Total Student Learning Hours: 336.88 

Title 5 Category:  AA Degree Applicable
Grading:  Grade Only
Repeatability:  00 - Two Repeats if Grade was D, F, NC, or NP
Also Listed As: 
Formerly: 

Catalog Description:
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This course is designed to teach the Certified Nurse Assistant (CNA)  students basic patient care skills, psychosocial/cultural understanding, and communication techniques necessary to help meet the needs of the patient.  All aspects of care are designed to allow the student to utilize these skills in a health care facility.  Students learn theory and basic patient care skills necessary for certification as a CNA. This course meets all of the CA Department of Public Health requirements for a Nursing Assistant Training and Assessment Program (NATAP).

Prerequisites/Corequisites:


Recommended Preparation:
Eligibility for ENGL 100 or ESL 100

Limits on Enrollment:

Schedule of Classes Information
Description: Untitled document
This course is designed to teach the Certified Nurse Assistant (CNA)  students basic patient care skills, psychosocial/cultural understanding, and communication techniques necessary to help meet the needs of the patient.  All aspects of care are designed to allow the student to utilize these skills in a health care facility.  Students learn theory and basic patient care skills necessary for certification as a CNA. This course meets all of the CA Department of Public Health requirements for a Nursing Assistant Training and Assessment Program (NATAP).
(Grade Only)

Prerequisites:
Recommended:Eligibility for ENGL 100 or ESL 100
Limits on Enrollment:
Transfer Credit:
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP

ARTICULATION, MAJOR, and CERTIFICATION INFORMATION

Associate Degree:Effective:Inactive:
 Area:
 
CSU GE:Transfer Area Effective:Inactive:
 
IGETC:Transfer Area Effective:Inactive:
 
CSU Transfer:Effective:Inactive:
 
UC Transfer:Effective:Inactive:
 
C-ID:

Certificate/Major Applicable: Certificate Applicable Course



COURSE CONTENT

Student Learning Outcomes:
At the conclusion of this course, the student should be able to:
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1.  Meet State of California criteria for eligibility to take CNA Certification Examinations.
2.  Demonstrate knowledge, skills and abilities required for an entry-level CNA.
 

Objectives: Untitled document
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. Identify patients' rights and confidentiality as mandated by federal and state regulations
5. (DHR) Demonstrate the key components in effective communications with the resident, the
    family, and the members of the health care team.
6. (DHR) 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 dietary substrates, 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 and EMR 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.

Topics and Scope
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I. Orientation and Introduction: The Purpose of the Long-Term Residential Care Facility
II. Legal Regulations in Residential Care
    A. Title 22, Division 5
    B. Omnibus Budget Reconciliation Act (OBRA)
    C. Ethics and professionalism
     D. Maintaining confidentiality behaviors
III. Roles and Responsibilities of the CNA
IV. Patients' Rights
    A. Federal and state laws
    B. Resident's rights
    C. Reporting abuse
    D. Role of ombudsman
    E. CNA's role in maintaining
V. Interpersonal Communication Skills and Methodologies
    A. Resident
    B. Family and guests
    C. Influence of cultural factors
    D. Observation of interactive patterns
    E. The health care team
VI. Body Mechanics      
    A. Purpose of/rules for CNA/HHA      
    B. Comfort, safety measures for resident/client
    C. Transfers of dependent patients:
         1. proper techniques
         2. positioning in bed
         3. transfer belts
         4. mechanical lifts, lift sheets
         5. wheel chairs
    D. Ambulatory residents:
         1. gait belts
         2. walkers and canes   
VII. Rehabilitative Nursing
    A. CNA role in assisting resident
         1. gaining and maintaining independence
         2. facilitate range of motion exercises
    B. Rehabilitation team
    C. Comfort and adaptive devices
    D. Visually impaired
    E. Hearing impaired            
VIII. Resident Distress Emergencies
    A. Recognizing common signs, symptoms
    B. Common conditions associated with distress
    C. Cardiac arrest
    D. Immediate interventions
         1. use of the abdominal thrust
         2. emergency codes in long-term facilities
         3. general rules of emergency care
IX. 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
X. Basic Personal Care of Client
    A. Bathing
    B. Dressing
    C. Grooming
    D. Oral care
    E. Toileting
XI. Patient Care Procedures
    A. Nutrition
         1. basic food groups
         2. common therapeutic diets
         3. importance of hydration and nutrients
    B. Observation and charting
         1. objective and subjective charting
         2. vital signs reporting
         3. report/record in appropriate documents
         4. medical terminology and abbreviations in charting
    C. Personal hygiene for the dependent client
         1. specimen collection: stool, urine, sputum
         2. bowel care: enemas, rectal tubes, suppositories
         3. tubes: gastrointestinal (GI), Nasogastric (NG)
         4. Intravenous (IV) monitoring
         5. application of: ointments, powders, dressings, bandages and lotions
    D. Admissions, transfers and discharges from a facility      
XII. 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      
XIII. 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      
XIV. Death and Dying
    A. Recognizing early signs
         1. physical
         2. psychosocial/cultural
         3. spiritual
    B. Later stages
         1. signs of approaching death
         2. understanding family coping mechanisms
         3. providing support to resident and family
         4. post-mortem care
XV. Medical and Surgical Asepsis
    A. Chain of infection
         1. disease transmission
         2. signs and symptoms
         3. lines of defense in the body
    B. Infectious agents
    C. Associated infectious diseases
    D. Standard precautions
    E. Isolation
 
Topics and Scope are introduced in lecture and then demonstrated in the lab the same day.
 
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 V - XV; and Assignments 3 and 4.

Assignments:
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Lecture Assignments:
1. Reading assignments in textbook and selected handouts - approximately 20-40 pages per week
2. Completion of assignments in student workbook
3. Creation of skills flashcards
4. Group projects
5. Quizzes (10-16) and final exam
6. Written case studies
 
Lab Assignments:
Under supervision, demonstrate competency in all skills on skills performance exams

Methods of Evaluation/Basis of Grade.
Writing: Assessment tools that demonstrate writing skill and/or require students to select, organize and explain ideas in writing.Writing
0 - 5%
Student Workbook and case studies
This is a degree applicable course but assessment tools based on writing are not included because skill demonstrations are more appropriate for this course.
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.Problem Solving
10 - 20%
Student Workbook Assignments, group projects
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
20 - 35%
Skill-based and physical demonstrations used for assessment purposes including skill performance exams
Exams: All forms of formal testing, other than skill performance exams.Exams
30 - 50%
Quizzes and final exam
Other: Includes any assessment tools that do not logically fit into the above categories.Other Category
10 - 15%
Attendance and participation. Skills flash cards. Minimum of 100 clinical hours and 50 theory hours per California Department of Health Services regulations.


Representative Textbooks and Materials:
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Nurse Assistant Training and Assessment Program, Model Curriculum for Nurse Assistant. Chancellor's Office California Community Colleges, current version
Mosby's textbook for Nursing Assistants. 9th ed. Sorrentino, Sheila and Remmert, Leighann. Elsevier. 2016
Mosby's textbook for Nursing Assistants- Workbook. 9th ed. Sorrentino, Sheila and Remmert, Leighann. Elsevier. 2016
Instructor prepared materials

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