COURSE SYLLABUS
1. TITLE OF COURSE: Nurse Assistant Clinical Experience
PREFIX/NUMBER: NUA 170 CREDIT HOURS: 1
2. PREREQUISITE: Successful completion of NUA 101.
A minimum of 24 hours of scheduled clinical is required for this course.
3. RESOURCES NEEDED:
TEXT: Lippincott’s Textbook for Nursing Assistants by
Pamela Carter and Susan Lewsen
Lippincott’s Workbook for Nursing Assistants
Pamela Carter and Susan Lewsen
SUPPLIES: Pen, watch with second hand, stethoscope, gait belt
4. COURSE DESCRIPTION:
Applies knowledge gained from NUA 101 in a clinical setting while completing job seeking skills.
5. CLINICAL COMPETENCIES:
A. Form a therapeutic relationship, communicate and interact competently on a one-to-one basis with patients/clients/residents.
B. Demonstrate sensitivity to patients/clients/residents emotional, social and mental health needs.
C. Assist patients’/clients’/residents’ in attaining, maintaining independence.
D. Exhibit behavior in support and promotion of patient/client/residents’ rights.
E. Demonstrate observational and documenting skills needed in the assessment of patients’/clients’/residents’ health, physical condition and well-being.
6. EVALUATION PROCEDURES
Laboratory Completion S/U
To pass this course clinical performance must be evaluated as satisfactory, demonstrated by the following:
1. All Check-offs must be completed in NUA 101 to attend any clinical assignment.
2. Attendance at all scheduled clinicals is required.
3. A student who is late will receive a clinical warning. A second tardy will result in clinical probation and possible dismissal from the program.
4. Evidence of Health: Completion of the health summary is due upon entry into the nursing assistant program including proof of Rubella and Rubeola vaccine or titer, Tetanus and Diphtheria toxoid (within past 10 years), TB test (2step and must be done annually), and Hepatitis B vaccine. Students declining the Hepatitis B vaccination must sign the Hepatitis B vaccination waiver form. Students may not begin the course until evidence of health and current immunizations are in the nursing office. Immunizations must be kept up-to-date for the students to continue in clinical practice. Yearly requirements of TB testing (2step) must be active for the duration of the academic year. Expirations occurring mid-course are not acceptable. Students are responsible for keeping original record submitted to the nursing office. The community health department does offer some immunizations at a nominal cost based on income. Failure to maintain current requirements will result in probationary status.
5. CPR: Proof of current CPR certification must be in the students’ file, prior to the beginning of the first clinical course. Mandatory yearly renewal is the students’ responsibility. Evidence of renewal must be submitted to the nursing department prior to the expiration date. CPR must be active for the academic year. Expirations occurring mid-course will not be acceptable.
6. Drug Testing/Background Checks: Students’ are subject to preliminary drug testing/background checks before the program begins. Students’ are responsible for the cost as part of their fees. Students’ may also be subjected to random, mandatory drug testing at the clinical agency in which they may practice. Students’ are responsible for the cost. If results are inconclusive, a mandatory re-test will be required at the students’ expense. Students testing positive will be immediately dismissed from the program and clinical agency.
7. Malpractice Insurance: Each student is required to purchase malpractice insurance through the cashier's office and have on file a copy to prove that it was obtained prior to their first clinical day.
8. Identification: Name tags are required and may be purchased at the students' expense through the Pueblo Community College Center.
9. Uniforms: A plain white scrub uniform may be purchased through any of the uniform shops locally. White shoes are required as part of the uniform and may be official white duty shoes available in any uniform shop or plain all white tennis shoes with no skid soles. Only closed back shoes are permitted in the nursing facilities. Stethoscopes are also considered part of a nursing assistant uniform and may also be purchased in a local uniform shop.
10. Patches: Uniform patches are required as part of your uniform to demonstrate school designation. They may be purchased through the nursing office for a nominal fee. The patch is worn on the uniforms left sleeve.
11. Professional Behavioral Expectations: The following behavioral characteristics are essential to persons in the helping profession of nursing, and students are expected to give evidence of the following characteristics: respect, courtesy, flexibility, adaptability, honesty, patience, cooperativeness and consideration for others. Students must consistently use safe practices (handwashing, use of side rails, proper body mechanics in positioning and ambulating). Students must comply with the standards of professionalism such as punctuality, dress code, attitude, and accept constructive criticism. Students must give accurate oral report to the appropriate staff and protect the patient’s right to privacy.
If behaviors are observed as unacceptable in the clinical setting, the student will be required to meet with the CNA Coordinator. A determination will be made at that time if the student will be placed on warning or dismissed from the CNA course. Students are expected to follow the “chain of command” as outlined in the college student handbook and catalog.
12. Students may not use crude or vulgar language; appropriate medical terms are to be learned and used.
13. Students must discuss and correct problems with their skills or grades at the instructor's request.
SPECIAL REMARKS:
1. Incompletes: Students requesting an incomplete grade must contact the instructor prior to the end of the course. A minimum of two-thirds (2/3) of the course must be completed prior to consideration. Each request will be considered individually.
2. Outside Employment: The nursing assistant program is a concentrated course. Work schedule must be arranged to avoid time conflict with class and requirements. If financial aid is needed, the student should consult the Financial Aide office.
3. Flexibility: Flexibility is essential. Students must be prepared to work any day of the week or any hours due to limited clinical facilities in the community. Clinical settings may change on short notice. The nursing faculty makes every effort to notify students of changes as quickly as possible.
4. Transportation: Students are responsible for providing their own transportation to clinical agencies as assigned and are expected to meet all clinical schedules as established.
5. Students with a health problem will need to bring a physicians’ release slip prior to the start of the clinical experience section. It is suggested that the lab check-off sheet, which clearly lists the tasks that students are expected to perform, be shown to the health care provider who is assessing your condition and limitations.
6. Students are expected to meet the physical requirements of the clinical facility used or the student may not be able to meet the requirements of the course.
7. TOPICAL OUTLINE
Outline View
I Communication Skills
II Residents Rights – Promotion of Independence
III Medical Terminology
IV Emergency Care – Heimlich Maneuver
V. The Circulatory System and Related Care
VI. Measuring Vital Signs
VII. Infection Control – Hand Washing
VIII. Safety Restraints
IX. The Patient’s Environment
X. Body Mechanics, Transfer, Reposition in Bed and Wheelchair
XI. Admitting/Transferring and Discharging a Patient, Height & Weight
XII. Bed Making
XIII. Personal Care of the Patient
XIV. Bed Bath, Back Rub
XV. Peri-care, Bedpans, Shaving, Shampooing, Grooming, Denture Care, Hair Care, Care of Eyeglasses and Hearing Aide
XVI. The Respiratory System and Related Care, Oxygen & CPR
XVII. The Gastrointestinal System and Related Care, Colostomy Care
XVIII. Nutrition for the Patient
XIX. The Urinary System & Related Care
XX. Specimen Collection
XXI. Integumentary System & Related Care, Warm & Cold Applications
XXII. Care of the Surgical Patient TEDS/Ace Bandages, Phlebitis
XXIII. Special Procedures
XXIV The Musculoskeletal System & Related Care, ROM
XXV. Neonatal & Pediatric Care
XXVI. The Older Adult Patient & Long Term Care
XXVII. The Nervous System & Related Care
XXVIII. The Endocrine System & Related Care of Diabetes
XXIX. Home Health Care
XXX. Rehabilitation & Return of Self Care
XXXI. Other Patient with Special Needs
XXXII. The Terminally Ill Patient & Postmortem Care
8. METHODS OF INSTRUCTION:
To be successful in this course, students are expected to participate in discussions, readings, testing and demonstrate clinical competence.
9. ACADEMIC INTEGRITY:
The very nature of higher education requires that students adhere to accepted standards of academic integrity. Therefore, Pueblo Community College has adopted a policy of academic conduct as described in the Student Handbook. Violation of academic integrity may be defined to include the following: cheating, plagiarism, falsification and fabrication, abuse of academic materials, complicity in academic dishonesty, and personal misrepresentation. It is the student’s responsibility to be aware of the behaviors that constitute academic dishonesty. Sanctions for violating the standards of academic integrity may include warning, probation, suspension, and/or failure of the course or assignment at the discretion of the instructor.
10. ADA NOTICE:
Students who have a documented disability may be eligible to receive accommodations for this class. Please contact the Disability Resources Center at 549-3446 for further information.