Maricopa Community Colleges  NCE150   20064-99999 
Official Course Description: MCCCD Approval: 05/23/06
NCE150 20064-99999 LEC 2 Credit(s) 2 Period(s)
Basic Certified Nursing Assistant
Role of certified nurse assistant for clients across the wellness/illness continuum. Introduction to problem solving process specific to meeting the basic and holistic needs of clients. Professional communication skills essential for the certified nurse assistant. Nursing interventions to ensure the needs and safety of the client. Specific types of diseases, conditions and alterations in behavior of the client. Principles of nutrition and fluid balance. Special needs of the elder client in the acute and long-term care settings. Basic emergency care skills and procedures. Prerequisites: None.
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MCCCD Official Course Competencies:
 
NCE150   20064-99999 Basic Certified Nursing Assistant
1. Describe the differences between acute and long-term care. (I, II)
2. Describe the role of the nurse assistant in caring for elder clients and those with alterations in health. (III, IV, V)
3. Describe the roles and responsibilities of the nurse assistant related to ethical and legal standards of the profession. (VI, VII, VIII, IX)
4. Verbalize the common medical terms used for the simple organization of the body, major organs and medical abbreviations. (X)
5. Use simple problem-solving skills when giving care to elderly clients and clients with alterations in health. (XI, XII, XIII)
6. Describe professional communication skills specific to the nurse assistant as a member of the health care team. (XIV, XV, XVI, XVII, XVIII, XIX, XX, XXI)
7. Describe select nurse assisting interventions designed to meet the holistic needs of clients. (XXII, XXIII, XXIV, XXV, XXVI, XXVII, XVIII, XXIX, XXX, XXXI)
8. Describe basic nurse assisting skills to ensure a safe environment and personal safety for the client. (XXXII)
9. Describe basic nursing skills to ensure the general principles of infection control. (XXXIII)
10. Describe the signs and symptoms of specific diseases, conditions and reporting changes to supervisor. (XXXIV)
11. Apply the principles of nutrition and fluid balance to client care. (XXXV)
12. Describe the basic skills and procedures needed for clients in emergency situations. (XXXVI)
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MCCCD Official Course Outline:
 
NCE150   20064-99999 Basic Certified Nursing Assistant
    I. Functions of the health care facility
        A. Acute versus Long Term Care
        B. Rehabilitation /Restoration
        C. Sub-acute
      II. Regulatory agencies
          A. Joint Commission on Accreditation of Healthcare Organizations
          B. Occupational Safety and Health Administration
          C. Medicare / Medicaid certification
        III. Nursing process and role of nursing assistant
            A. Steps of the Nursing Process
              1. Assessment
              2. Planning
              3. Implementation
              4. Evaluation
            B. Who is responsible for each step and the Nursing Assistant's role
          IV. Five Core Values of Nursing
              A. Critical thinking / Problem Solving
              B. Caring & Holism
              C. Safety
              D. Role Development
            V. Elements of the client record
                A. Observing
                B. Reporting & Documenting
              VI. Role and responsibilities of the nurse assistant
                  A. Certification
                  B. Scope of Practice
                  C. Professional behavior & appearance
                VII. Ethical and legal behaviors
                  VIII. Patient's / Client/ Residents Bill of Rights
                      A. Confidentiality & privacy
                      B. Patient's / Client/ Residents right to choices, grievance
                      C. Protection of client from abuse, mistreatment, neglect and the reporting of incidences
                    IX. Restraints
                        A. Types & purpose
                        B. Care of client
                        C. Alternative methods
                        D. Ethical issues
                        E. Legal issues
                      X. Basic medical terminology
                          A. Common prefixes, suffixes, and root words
                          B. Common abbreviations
                          C. Simple to complex organization of the body
                          D. Name and locate major organs, body systems and proper anatomic terms
                        XI. Problem-solving Skills Techniques
                            A. Observe
                            B. Report & Record
                            C. Principles of growth & development
                          XII. Care of the adult with health alteration
                            XIII. Care of the client with cognitive and mental health disorders
                                A. Depression
                                B. Confusion / fearful
                                C. Dementia
                                D. Alcoholism
                                E. Alzheimer's
                              XIV. Supportive communication skills and communication techniques
                                  A. Verbal
                                  B. Non verbal
                                XV. Clients with sensory deficits
                                    A. Aphasia
                                    B. Impaired hearing
                                    C. Impaired vision
                                    D. Cognitive
                                  XVI. Professional Settings
                                      A. Interpersonal
                                      B. Oral communication
                                      C. Conflict resolution
                                    XVII. Cultural sensitivity
                                        A. Non verbal interaction
                                        B. Rituals and beliefs
                                      XVIII. Spiritual needs
                                        XIX. Social needs
                                          XX. Emotional needs
                                            XXI. Resident activities
                                              XXII. Needs related to stages of growth and development
                                                  A. Infant, Toddler, Child
                                                  B. Adult
                                                  C. Elderly
                                                XXIII. Needs of clients in alternate settings
                                                    A. Home Care
                                                    B. Acute care
                                                    C. Sub-acute care
                                                    D. Long-term care
                                                  XXIV. Basic Needs of Clients
                                                      A. Nutrition
                                                      B. Intake / output
                                                      C. Assistive devices for feeding & drinking
                                                    XXV. Sleep and Rest
                                                      XXVI. Comfort measures
                                                          A. AM and PM Care
                                                          B. Oral hygiene
                                                          C. Shaving a male patient
                                                          D. Hair care
                                                          E. Comfort devices
                                                          F. Pain
                                                          G. Elimination needs
                                                        XXVII. Exercise, activity, and complications of immobility
                                                            A. Range of Motion
                                                            B. Use of assistive devices
                                                          XXVIII. Vital signs
                                                              A. Physiological principles
                                                              B. Normal ranges
                                                              C. Reporting
                                                              D. Height and Weight
                                                            XXIX. Special Care Procedures
                                                                A. Pulse Oximetry
                                                                B. Hot and Cold Applications
                                                                C. Specimen collection/tests
                                                              XXX. Care of the Emotionally Stressed Client
                                                                  A. Defense mechanisms
                                                                  B. Agitation
                                                                XXXI. Care of the Dying Client
                                                                    A. 5 Stages of Grief
                                                                    B. Signs of Dying/Death - Code status
                                                                    C. Needs of dying clients and families
                                                                      1. Emotional
                                                                      2. Spiritual & Cultural XXXII. Safety
                                                                    A. Principles of environmental safety
                                                                    B. Client safety and mobility
                                                                    C. Fall prevention
                                                                    D. Response to falls
                                                                    E. Home care Hazardous conditions
                                                                  XXXIII. Infection control
                                                                      A. Chain of infection
                                                                      B. Defense mechanisms
                                                                      C. Inflammatory process
                                                                      D. Standard Precautions
                                                                    XXXIV. Body Systems
                                                                        A. Respiratory system
                                                                          1. Chronic Obstructive Pulmonary Disease
                                                                          2. Bronchitis
                                                                          3. Asthma
                                                                          4. Tuberculosis
                                                                        B. Cardiovascular system
                                                                          1. Congestive Heart Failure
                                                                          2. Myocardial Infarction
                                                                          3. Atherosclerosis
                                                                          4. Angina
                                                                          5. Hypertension
                                                                          6. Pacemakers
                                                                        C. Urinary system
                                                                          1. Unineary Tract Infection
                                                                          2. Kidney failure
                                                                          3. Renal/blood dialysis
                                                                        D. Diabetes
                                                                          1. alkalosis
                                                                          2. acidosis
                                                                        E. Musculoskeletal system
                                                                          1. Fractures (hips and limbs)
                                                                          2. Osteoporosis
                                                                          3. Arthritis
                                                                        F. Nervous system
                                                                          1. Cataracts
                                                                          2. Glaucoma
                                                                          3. Hearing loss
                                                                          4. Trans Ischemic Attack
                                                                          5. Cerebral Vascular Attack
                                                                          6. Parkinson's disease
                                                                          7. Spinal cord injuries
                                                                          8. Cerebral palsy
                                                                          9. Seizures
                                                                          10. Fainting
                                                                        G. Integumentary system
                                                                          1. Shingles
                                                                          2. Lice/scabies
                                                                          3. Injuries
                                                                          4. Pressure ulcers
                                                                        H. Gastrointestinal system
                                                                          1. Diverticulitis
                                                                          2. Ulcers
                                                                          3. Hernias
                                                                          4. Gall bladder disease
                                                                        I. Reproductive system
                                                                          1. AIDS/Sexually Transmitted Diseases
                                                                          2. Prostatic hypertrophy
                                                                          3. Retrocele/cystocele
                                                                          4. Prolapsed uterus
                                                                        J. Physical changes of aging on body systems
                                                                      XXXV. Principles of Nutrition and Fluid Balance
                                                                          A. Basic food groups
                                                                          B. Basic therapeutic diets
                                                                          C. Assisting clients with eating /devices
                                                                          D. Fluid hydration/restriction
                                                                          E. Food choices
                                                                            1. Age-related
                                                                            2. Cultural factors
                                                                        XXXVI. Emergency Situations
                                                                            A. Prevention of Injury
                                                                            B. Poisonings
                                                                            C. Thermal injuries
                                                                            D. Skin injuries
                                                                            E. Choking
                                                                            F. First Aid Procedures
                                                                            G. Bleeding
                                                                            H. Transfusion reactions
                                                                            I. Shock
                                                                            J. Choking
                                                                            K. Thermal injuries
                                                                            L. Cardiac arrest
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