WNC



Western Nevada CollegeCourse SyllabusNURS 130: Nursing AssistantRaylene Stiehl, RN, MSN-EDKelli Yates, RN, BSN Fall Semester 2018DISCLAIMER: The information in this syllabus describes the Nursing Assistant Program of Western Nevada College at the time of publication. Changes may be made to policies, the calendar, curriculum, costs or other content.Created: August 25/Stiehl/WNCCNA/Syllabus NURS 130: NURSING ASSISTANT Number of Credits: 6 (Theory & Lab 118 clock hours, Clinical 32hours Prerequisites: Age 16 years oldCurrent CPR certification. Basic Life Support Healthcare Provider through the American Heart Association (AHA). Submission of card required. Submission of information detailing required medical tests, required immunizations, and evidence of holding major medical insurance. See the Nursing and Allied Health (NAH) website for detailed information.Course Description:Prepares students to function as certified nursing assistants who assist licensed nurses in providing direct care to non-critical patients in a variety of healthcare settings. Upon successful completion of the course students are eligible to take the Nevada State Board of Nursing Certification Examination. 118 hours of theory and lab and 32 hours of clinical.The Nursing Assistant course has three components generally provided as follows:Classroom Theory- 2 hours per 2 evenings times 15 weeks plus final (90 minutes) =Classroom Laboratory- 1:45 hours per 2 evenings times 15 weeks plus mock skill demonstration (45 minutes)Clinical- 32 hours, comprised of four 8-hour shiftsIn the classroom environment theory content is presented for the purpose of assisting students in acquiring knowledge of the role of the nursing assistant, the scope of practice of the nursing assistant, and skills that are within the scope of practice of the nursing assistant. During the laboratory component students learn and practice patient care clinical skills first discussed in the theory portion of the course. All required nursing clinical skills must be passed at 100%. Refer to the Course Schedule and Skills Assessment Checklist. Clinical rotations allow students to work with CNA’s and nursing personnel to provide of hands on patient care. Your instructor will assign your clinical site location(s) and facility orientation requirements to you. Students will participate in providing nursing care to patients according to the Nevada Scope of Practice for Nursing Assistant’s and under the direction of the instructor and a licensed nurse.Student Learning Outcomes:Upon successful completion of NURS 130 the student will be able to:Assist the licensed nurse in the delivery of direct patient care in a variety of health care settings.Demonstrate knowledge of ethical and legal principles that guide the scope of practice of the nursing assistant.Demonstrate knowledge of and appreciation for the physical, social, emotional, and psychological aspects of the healthcare consumer.Demonstrate effective verbal and non-verbal communication skills during interactions with healthcare consumers and members of the healthcare team.Apply to the Nevada State Board of Nursing to take the written and manual examinations to achieve certification as a nursing assistant.Instructors:Theory and Lab: Raylene.stiehl@wnc.edu, Fallon Rural Nursing Lab. Office Hours:Monday 12-1pm, 4pm to 5pm Tuesday 12 – 1 pm, 4pm to 5pmWednesday 12 – 1 pm, 4pm to 5pm Second half of semester Thursday 1 – 4 pmClinical: Kelli Yates, RNTextbook and Workbook:Nursing Assisting A Foundation in Care Giving Fourth Edition Diana L. Dugan, RNHartman Publishing, ISBN 978-1-60425-061-9Workbook Nursing Assisting A Foundation in Care Giving Fi Edition Hartman Publishing, ISBN 978-1-60425-062-6Learning Activities:The course is designed to facilitate learning through the use of the following: teaching/learning modalities: lecture, discussion, group work, reading and written assignments, videos, demonstration, student response system, practice of skills in the nursing lab at Western Nevada College and at assigned clinical settings.Grading for each unit follows: Minimum of 80% on all written and oral quizzes/tests Minimum of 100% (pass/fail) on all skills listed in NATCEP Learners are permitted to practice skills until 100% accuracy is achieved. The test of skills must be given by a Registered Nurse who holds an instructor certification. Retakes are permitted on all oral or written quizzes/tests, up to two (2) times. The competency-based curriculum allows for variation in completion time because of the differences in individual learners. VII.Grading Policy:Students will be evaluated on the theory (classroom), laboratory, and clinical portion of the course. A point value that evaluates the student’s participation and competency in each of these areas is identified on the Course Schedule. As governed by the Nevada State Board of Nursing, students must achieve an 80% passing grade for the final written exam (theory) and 100% passing grade for all of the skills and clinical portions of this course in order to receive an overall passing grade.In addition to the 80% written final and 100% practical skills required by the NSBN, students must achieve an overall course score of 80% or more to pass the course and receive a final grade of Pass.You have the opportunity to earn 1300 points for this course. Required Assessment Demonstration/Quizzes/Tests: Chapter Quizes / 28 total – online plus student handbook Lecture/Vocabulary: Nursing Assistant in long term care Ethics/legal issues, Communication Skills, communication techniques, human needs, infection prevention, safety and body mechanics, emergency care, first aid and disasters, Admission/transfer/discharge, bedmaking/unit care, positioning, moving and lifting, personal care, vital signs, nutrition / fluid balance, I & O worksheet, gastrointestinal system, urinary system, reproductive system, telemetry lead placement, cardiovascular system, respiratory system, integumentary system, musculoskeletal system, nervous system, endocrine, systems, immune/lymphatic/cancer, rehabilitation/restorative care, subacute care, endo-of-life care, new position as CNA 280 quiz pointsDemonstration: In class demonstrations to correspond with lecture and vocabulary skills for Nursing Assistant in long term care Ethics/legal issues, Communication Skills, communication techniques, human needs, infection prevention, safety and body mechanics, emergency care, first aid and disasters, Admission/transfer/discharge, bedmaking/unit care, positioning, moving and lifting, personal care, vital signs, nutrition / fluid balance, I & O worksheet, gastrointestinal system, urinary system, reproductive system, telemetry lead placement, cardiovascular system, respiratory system, integumentary system, musculoskeletal system, nervous system, endocrine, systems, immune/lymphatic/cancer, rehabilitation/restorative care, subacute care, feeding, ROM, endo-of-life care, new position as CNA Mock Sills 250 points Written Clinic Experience Assignment x 4 clinical 40Daily Questions from (1 point for each question ) 2 questions weekly required for 15 weeks30Mid-Term Test: 100Clinical rotations: 2004 (8 hour) 32 total, Mandatory Attendance 50 points eachSkills Exam: 200Must pass with 100%Final Test: 100Must pass with 80 % or betterTotal Points1001300 VIII.Attendance Policy:Attendance:Attendance will be taken before each scheduled class or clinical. Students who are tardy or absent will be counseled after the first two violations and may risk withdrawal if not compliant with attendance policy.Attendance is required for all portions of the program. Students who have an emergency or who are ill must contact the instructor in person in regards to the reason they will be absent. Failure to inform the instructor of an unplanned absence may result in withdrawal from the program.Clinical attendance is mandatory. Absences will be dealt with on a case-by-case basis. Make up portions of clinical will be at the discretion of the instructor and may result in withdrawal from the program.Mandatory Attendance:As indicated on the course schedule several days require Mandatory Attendance. Absence during these days seriously impacts the student’s ability to meet the course objectives. Students may be required to withdraw from the course if an absence occurs on a mandatory attendance day.Specific Mandatory Attendance days include:Orientation to the NURS 130: Nursing Assistant program, occurring on the first two days of the programTest days, including written tests, practical skills, and final examsAll Clinical daysRequired Attendance: As indicated on the course schedule, in addition to mandatory attendance days, several days are Required Attendance. Absence during these days impacts the student’s ability to earn points in this course. Missing any of these days’ results in a score of “0” for the day. Missing a portion of the day results in a point deduction for the portion not attended. Absences:Attendance is vital to success in the program. Should an absence be necessary the student must notify the instructor prior to the scheduled class. Students will be allowed two (2) days of absence other than mandatory attendance days, when no absence is permitted. Students will receive a written warning after two days are missed. If more than two days are missed, the student may be required to withdraw from the course.Tardiness:Tardiness for this class will be considered a partial absence. Points will be deducted accordingly at the instructor’s discretion.Please contact Raylene Stiehl at 775 685 4100 for any issues with lab / lectures orKelli Yates 775 287 2332 for clinical issues. Please fill free to call us for any concerns. We are here for your success. Extraordinary Circumstances:At the discretion of the instructor, students holding a score of 80% or better may be granted an additional absence for extraordinary circumstances such as contagious illness or extreme emergency. Students will be required to present documentation of the illness or emergency to their instructor. All clinical days remain mandatory and must be attended.Dismissal /DisciplineThe students will be expected to keep a professional appearance and attitude at all timesCheating will not be tolerated and will be subject to immediate withdrawal from programCell phones or electronic devices will not be tolerated and must be turned off and put awayStudents who infringe on patient safety, confidentiality or patient rights may risk immediate withdrawal from programDress Code for Laboratory and Clinical Experiences:Clean scrub-style uniforms are required to be worn during all laboratory & clinical experiences at the hospital. WNC CNA uniform: black pants and white top for all labs and clinical settings. Shoes are to be white or black, clean, and plain. Clogs, Open toe, platform, and canvas shoes are not allowed for safety reasons.A BCCH photo nametag, with first name/last initial and educational credentials (Nurses Assistant in Training, “NAT”), is to be visibly displayed at chest level, and is required to be worn at all times when students are on the clinical unit. The writing must be clearly visible from a distance of at least three (3) feet. Information regarding how and when to obtain the nametag will be provided to the student prior to the start of clincals. Example: Mary C., NAT, Western Nevada CollegeHair is to be clean, appropriately arranged, away from the face and off of the collar; so as not to interfere with the safe delivery of patient care. Natural looking hair color is required. Beards and/or mustaches, if worn, must be neatly trimmed and clean. Agency policies are to be followed concerning hair.The skin is to be clean and free of communicable diseases and offensive odors. All students must bathe and be odor free prior to clinical and laboratory. Students with body odors that are offensive to patients and others (e.g. cigarette odor) will be dismissed from the clinical area for the day.Fingernails are to be clean and short. Artificial (acrylic) nails are prohibited. Nail polish, if worn, must be clear and free from chips.The use of perfumes or colognes is prohibited during clinical agency experiences.Students may wear a plain ring that is free of stones. A ring that is worn must rip gloves or injure of skin. Other jewelry is limited to plain, small post earrings. Dangling, clip-on or hoop earrings are prohibited for safety reasons.Tattoos and body piercing (including tongue rings) must not be visible while the student is in the clinical areas. In addition to the program dress code, students are expected to be in compliance with the clinical agency dress code at all times while at the facility. If students is not in compliance with the dress code will be considered unprepared and may not participate in clinical experiences.Students will abide by all agency dress codes while participating in clinical experiences.Clinical Experience Times and Locations:Clinical experiences will take place on the dates listed on the Course Schedule. Times are coordinated by clinical instructor.Class Requirements:Students are to maintain all pre-requisite requirements throughout the duration of this course. Any and all immunizations, tests, insurance, and certifications required for this course must be renewed or updated before or on the expiration or renewal date. Failure to do so may result in the removal of the student from the course until proof of renewal or updated information has been submitted. Immunizations, Tuberculin screening, major medical insurance, and CPR requirements:Health insurance, screenings and immunizations, CPR certification Authorization to Release Information:Students are required to sign the Authorization to Release Information Form, which grants the college permission to submit the required health, CPR certification and insurance information to the appropriate health care organizations. Students will then be granted the privilege of learning experiences at health organizations.Class Schedule and Required Reading Information:On the first day of class your instructor will distribute the class schedule, which includes required reading and information for the course. It is the responsibility of the student to complete the readings prior to the class, chapters and be prepared to discuss material, perform skills or participate in activities related to the content of the assigned reading.Classroom and Office Behavior Policy:Faculty members set and maintain standards of classroom behavior appropriate to the discipline and method of teaching. Students may not engage in any activity that the instructor deems disruptive or counterproductive to the goals of the class. Instructors have the right to remove offending students from the classroom. Disruptive behavior may result in the imposition of an academic sanction including dismissal from the course and/or a disciplinary sanction pursuant to NSHE Code, Title 2, and Chapter 6.Students are also required to maintain professional behaviors when interacting with nursing program staff, college employees, and peers.Cell Phones and Other Communication Devices:Students are strictly prohibited from using cell phones and electronic communication devices such as laptop computers, iPads, etc. during all classroom, laboratory, and clinical experiences. If phones and devices are brought into the classroom, lab, and clinical environment they are to be turned “off” and stored away from the desktop or work area.Students may use cell phones/devices for verbal and text messaging only when on break and outside of the classroom, laboratory, or working area of clinical facilityStudents may provide family/significant persons the cell phone number of the instructor to contact in case of emergency during class hoursStudents who violate the cell phone/device policy will be given a warning for the first violationStudents will be withdrawn from the course if a second violation occursProfessional and Unprofessional Behaviors for WNC Nursing Assistant Students: Students are expected to adhere to the highest standards of professional conduct during all periods of attendance in classroom, college laboratories, and clinical affiliate sites. Listed below are behaviors that are expected of each student and behaviors that are non-professional and therefore unacceptable. The following behaviors are expected of each student:Show respect for peers, staff, and instructors while in learning environments.Demonstrate responsibility and accountability for own decisions and actions, including seeking guidance and assistance upon recognition of personal limitationsApply knowledge of legal and ethical aspects in the provision of patient care, including recognition of a patient’s rights to privacy, confidentiality and dignityRespond appropriately to constructive criticismConsistently demonstrate punctuality in attendance at class, laboratory and clinical sessions and preparedness for class and clinical assignmentsComply with instructions from faculty and clinical contact personsComplete all written assignments and examinations independently and submit own work unless otherwise instructed to work collaborativelyRemain in clinical area during the assigned time interval and notify the instructor and appropriate staff when leaving a clinical areaAdhere to and respect the procedures and protocols of clinical facilitiesThe following behaviors/conduct are considered unprofessional and may result in the imposition of an academic sanction including dismissal from the program and/or a disciplinary sanction pursuant to NSHE Code, Title 2, Chapter 6:Violation of the ethical and legal standardsInaccurately recording, falsifying or altering patient care records, and/or written assignmentsPhotocopying or printing copies of patient medical records and/or removing printed or electronic copies of patient records from the health care settingReporting to the clinical setting without proper written preparationPerformance impairment due to lack of sleep, illness, influence of mind altering substances, illegal drugs and/or alcohol while in the classroom/laboratory environments or in the clinical areaAdministering treatments in a negligent manner or without permission of the faculty or clinical contact person or without a valid medical orderDisclosing confidential information or knowledge concerning patients to individuals not involved with carePracticing discrimination while rendering nursing careUsing profanity in the clinical area and/or using physical or verbal behavior that could be interpreted as abuseRepeat violation of dress codesFalsification of any information provided to the Nursing & Allied Health Office.Intentionally damaging, stealing, or removing materials or equipment from WNC or any clinical facilityLeaving the clinical area during assignment without faculty and instructor permissionCheating, plagiarizing, lying, or participating in any other form of academic dishonesty as described in the WNC College Catalog under Rules and Sanctions Any student found guilty of academic dishonesty will be disciplinedThe disciplinary action may range from a warning to dismissal from the class Cheating will result in expulsion from the class and will be reported to the Office of Nursing & Allied HealthViolation of sexual harassment policies of the college and health care organizationBlood-borne Pathogen Exposure and Prevention Policy:The Nursing & Allied Health Division has developed a Blood-borne Pathogen Exposure and Prevention Policy to be in compliance with the Occupational Safety and Health Administration (OSHA) StandardsThe policy is intended to provide direction to students and faculty to help prevent exposure to blood-borne pathogens and guidance should such exposure occur. A copy of the policy will be distributed and explained during the first week of the courseProtocol in the Event of Accident at the Health Care Facility:Should a student experience an accident, such as exposure to blood-borne pathogens or back injury while at a health care facility, the student must immediately report the accident to the instructor. The student will be advised to receive appropriate follow up care through his/her health care provider. The health care facility report regarding the injury must be completed prior to leaving the facility.The student is required to complete the Exposure to Blood-borne Pathogens Form for blood borne pathogen exposure, or the WNC Clinical Related Incident/Accident Statement Form for other types of injuries. The instructor will provide the appropriate form at the clinical site if necessary. The appropriate form should be completed within two days and submitted to the Office of Nursing & Allied Health, where it will be placed in the student’s permanent file.The student is responsible for expenses incurred (i.e. examination, treatment) as a result of injury from his/her own actions during a clinical experience. Any expense from injury to a student as a result of the health institution’s environment (e.g. faulty equipment) is usually the responsibility of the institution.Pregnancy Policy/Physical Limitations:Students who have physical limitations, are pregnant or who become pregnant during the nursing assistant course are required to present a written statement from a licensed physician, advanced practice nurse, or certified nurse midwife that states the student is capable of handling the physical activity required in the laboratory and clinical areas. The communication must also list any physical restrictions imposed. The physician will need to determine and document if the skills required to complete the course can safely be completed. The written statement must be submitted to the Office of Nursing & Allied Health by the end of the third month of pregnancy.**It is the responsibility of the students to inform faculty regarding any limitations that prohibit them from safely meeting the course objectives and required skills.Course BreakdownDateContentHandouts/VideosLab Home Work8/27Chapter 1Nursing Assistant in Long Term CareChapter 2Ethical and Legal IssuesCandidate HandbookSyllabusCareGiver ActDNR N/AWorkbookVocabulary8/28Chapter 3Communication SkillsN/AWorkbookVocabulary9/3 Holiday9/4/ ClassChapter 4Communication ChallengesChapter 6Infection PreventionPerform Beginning and Ending Steps for Skills/VideoHand Washing/VideoDonning and Doffing PPE/VideoPPEIsolation PrecautionsTransmission Based PrecautionsWorkbookVocabulary9/10Chapter 5Diversity and Human Needs and DevelopmentBed MakingWorkbookVocabulary9/11QuizChapter 7Safety and Body MechanicsChapter 8Emergency Care, First Aid and DisastersBody MechanicsWorkbookVocabulary9/17Chapter 9Admission, Transfer, Discharge, and Physical ExamsRestraintsOxygen TherapyWheelchair SafetyWorkbookVocabulary9/18Chapter 10Bed Making and Unit CareChapter 11Positioning, Moving , LiftingPositions on Side/VideoTransfers/VideosAssists to Ambulate Using Gait BeltTransferring Patients/BodyMechanicsPositioning, Moving and LiftingAmbulation of Client using a Gait BeltWorkbookVocabulary9/24Chapter 12Personal CareDresses Resident/VideoProvide Mouth Care/VideoCleans Upper and Lower Dentures/VideoProvides Mouth Care/VideoPartial Bed BathOral care/denturesDressing and undressing WorkbookVocabulary9/25Chapter 13Vital SignsCounts and Records Radial Pulse/VideoCounts and Records Respirations/VideoMeasures and Record Blood Pressure/VideoVital SignsBlood Pressure – (one step procedure)Taking and Recording Radial Pulse and RespirationsWorkbookVocabulary10/1Chapter 14Nutrition Fluid BalanceDiet TypesMeasures and Records Weights/VideoFeeds a Dependent Resident VideoFeeding a Client Measure/Record Intake and OutputWorkbookVocabulary10/2Chapter 15The Gastrointestinal SystemMid TermAssist with Bedpan/VideoAssisting with EliminationWorkbookVocabulary10/08Chapter 16The Urinary SystemProvides Catheter Care for Female Patient/VideoAssists with Use of Bed Pan/VideoCatheter CareMeasure and Record OutputBed Pan and Output with Hand WashingWorkbookVocabulary10/09Chapter 17The Reproductive SystemQuizProvides Perineal Care/VideoPerineal Care for Female PatientIsolation Gown and Gloves – Measure and Record Output from Drainage BagWorkbookVocabulary10/15Chapter 18The Integumentary SystemProvides Foot Care/VideoFoot CareWorkbookVocabulary10/16Chapter 19The Circulatory or Cardiovascular SystemApplies One Knee-High Elastic Stockings/VideoIntermittent Sequential Compression DeviceApply SCD’sWorkbookVocabulary10/22Chapter 20The Respiratory SystemApply OxygenWorkbookVocabulary10/23Chapter 21The Musculoskeletal SystemTotal Hip ReplacementTrochanter RollTotal Hip Replacement and Body AlignmentWorkbookVocabulary10/29Chapter 22The Nervous SystemBringing it all togetherWorkbookVocabulary10/30Chapter 23The Endocrine SystemBringing it all togetherWorkbookVocabulary11/5Chapter 24The Immune and Lymphatic Systems and CancerBringing it all togetherWorkbookVocabulary11/6Chapter 25Rehabilitation and Restorative Perform Passive ROM Exercises/VideoAssistive and Adaptive DevicesROM Hip and KneeROM Upper ExtremitiesWorkbookVocabulary11/12- Holiday11/13 - classChapter 26Subacute CareTelemonitor applicationPulse OximetryBringing it All TogetherWorkbookVocabulary11/19Chapter 27End of Life CareQuizPost Mortem CareWorkbookVocabulary11/20Chapter 28Your New PositionCreate a ResumeWorkbook11/26Wrapping it up / ConclusionFinal EXAMWorkbook Turn In11/27Testing - practice12/3Testing- practice12/4Testing-practice12/10Testing12/11TestingClinical Days8am to 5pmMust attend 4 clinical datesOctober 28, SundayOctober 29, MondayOctober 30, TuesdayOctober 31, WednesdayNovember 4, SundayNovember 5, MondayNovember 6, TuesdayNovember 7, Wednesday ................
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