At the conclusion of this course, the student should 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. 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 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.
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. Recognizing, reporting, and preventing abuse
D. Role of ombudsman
E. CNA's role in maintaining
V. Interpersonal Communication Skills and Methodologies
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
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
D. Oral care
XI. Patient Care Procedures
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 between metric and household systems
E. Conversion between 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
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
Topics and Scope are introduced in lecture and then demonstrated in the lab the same day.
Students will perform a minimum of 105 hours of externship in health care facility settings as stated in the course description.