Standard

CNA 100 – Patient Care Fundamentals

Course Description

Introduces student to the occupation of Certified Nurse Assistant. Emphasis is placed on human anatomy and physiology, cardiac pulmonary resuscitation, and nutrition and diet therapy. Topics include: role and responsibilities of the Certified Nurse Assistant; topography, structure, and function of body systems; legal and safety requirements in the patient care field; equipment use and care; and performance skills standards and procedures.

Competency Areas	Hours
Role and Responsibilities of the Certified Nurse Assistant	Class	5
Topography, Structure, and Function of Body Systems	D. Lab	6
Legal and Safety Requirements in the Patient Care Field	P. Lab/O.B.I.	0
Equipment Use and Care	Credit	8
Performance Skills Standards and Procedures

Prerequisite:	None
Corequisite:	None

Course Guide

Competency	After completing this section, the student will:	Hours
		Class	D.Lab	P.Lab/ O.B.I.
ROLE AND RESPONSIBILITIES OF THE CERTIFIED NURSE ASSISTANT		10	0	0
Job characteristics	Identify the qualities and characteristics of a successful nursing assistant.
	Describe the roles and responsibilities of the Certified Nurse Assistant.
Health care team	Discuss and review the health care team.
Perineal care	Discuss perineal care.
	Discuss observations, experiences, and application of skills in the clinical setting.
Certification requirements	Discuss written and practical performance skills.
Dealing with death	Discuss the cultural and ethical aspects of death, post-mortem care and personal feelings.
TOPOGRAPHY, STRUCTURE, AND FUNCTION OF BODY SYSTEMS		10	0	0
Aging process	Identify and discuss the aging process: normal changes, physical changes, emotional and psychological changes, and social changes.
	Identify and describe nursing care to help adapt to the physical changes of aging.
	Define normal aging.
Compare mental disorders	Discuss confusion, dementia, Alzheimer’s Disease, related disorders and stages.
Patient admission	Discuss admissions of a patient.
Home care	Discuss caring for the resident’s environment.
Bowel dysfunction	Discuss bowel incontinence and training.
Urinary track	Discuss how to aid the patient with urinary incontinence and bladder training.
	Discuss digestion and the urinary system.
Musculoskeletal system	Discuss assistance with patient moving, exercise, and the musculoskeletal system.
Endocrine system	Discuss food and nutrition, endocrine system, difficulty swallowing, and maintaining fluid intake.
Vital signs	Discuss assessing vital signs, breathing, and circulation.
Respiratory system	Discuss hypertension and specific diseases and problems related to respiratory system.
Death signs	Discuss signs of approaching death.
LEGAL AND SAFETY REQUIREMENTS IN THE PATIENT CARE FIELD		10	0	0
Ethics	Discuss developing a personal code of ethics.
Clinical evaluation	Discuss daily clinical evaluations.
	Discuss legal and ethical issues.
Control lung infection	Discuss preventing the spread of germs.
	Discuss infectious diseases: AIDS, Hepatitis, Tuberculosis, and the control recommendations.
	Discuss infection control in a long-term setting: MRSA Fact Sheet, infection control, bacteria: the secrets of resistance, caring for the AIDS patient, and skin sores.
Correct lifting	Discuss how to avoid lifting strains.
Care of injured patient	Discuss accident prevention: assisting the resident with dizziness.
	Discuss caring for a patient with broken bones.
	Discuss the use of cold for an injury.
	Discuss prosthetic devices and the patient’s call light.
	Discuss aid to a choking patient.
Liability form	Discuss release of liability form.
EQUIPMENT USE AND CARE		10	10	0
Aseptic techniques	Perform techniques of handling equipment using correct aseptic techniques.
	Perform aseptic techniques for catheters and catheter bags, colostomy bags, tissues, and incontinent pads.
Operate equipment	Discuss equipment care and use.
	Demonstrate measuring oral temperature using a glass thermometer, electronic thermometer, and a rectal temperature.
	Demonstrate measuring an axillary temperature.
	Demonstrate measuring a radial pulse, respiration, blood pressure, vital signs, and height and weight.
PERFORMANCE SKILL STANDARDS AND PROCEDURES		10	50	0
	Demonstrate assisting the patient out of the bed to the bathroom.
	Demonstrate assisting the patient onto a bedpan (method 1 and method 2).
	Demonstrate offering a urinal to a patient.
	Demonstrate collecting a stool specimen.
	Demonstrate removing a fecal impaction.
	Demonstrate collecting a routine urine specimen.
	Demonstrate collecting a clean catch specimen for male and female.
	Demonstrate collecting a 24-hour urine specimen.
	Perform reality orientation for cognitively impaired.
	Perform aseptic handwash.
	Perform proper handling of linen.
	Discuss five elements of communication: verbal and non-verbal communication, communicating effectively, blocks that prevent communication, and impairments that block communication.
	Role play/discussion: communicating with the hearing impaired, communicating with the visually impaired, and communicating with speech impairment.
	Demonstrate giving a patient a bed bath.
	Demonstrate giving a patient a back rub.
	Demonstrate sitting a patient up in bed.
	Demonstrate moving a patient using a drawsheet.
	Demonstrate turning a patient to Semi-Prone position.
	Demonstrate log rolling the patient.
	Perform tub, shower and/or whirlpool baths.
	Demonstrate oral hygiene for conscious and unconscious patient.
	Demonstrate oral hygiene for patient with dentures.
	Demonstrate brushing and combing patient’s hair.
	Perform bed baths.
	Demonstrate female and male perineal care.
	Demonstrate shampooing a patient’s hair in the shower and bed.
	Demonstrate shaving a male patient using a disposable razor and electric razor.
	Demonstrate removing hair from chin, nose, and ear.
	Demonstrate facility evacuation plan for disaster, fire, etc.
	Demonstrate Heimlich Maneuver, cradle drop, extremity carry, swing carry, pack strap, and hip carry.
	Discuss and identify the proper procedures for performing CPR.
	Demonstrate CPR skills.
	Discuss dangling the lower extremities, pivot transfer (from the wheelchair to the bed), ambulation with a walker, protecting the falling patient, using the Gait Belt, moving patient using the mechanical lift, and range motion.
	Demonstrate assisting a patient to sit up in a chair.
	Demonstrate assisting a patient to ambulate alone or with a cane or walker.
	Demonstrate transferring a patient, using a mechanical lift, from bed to a stretcher using a four-man lift and from a bed to a wheelchair/geriatric chair.
	Demonstrate care of a patient in restraints.
	Demonstrate serving a meal tray to a patient in room.
	Demonstrate feeding a dependent patient.
	Demonstrate testing urine for glucose and acetone using a dipstick and/or strip method.
	Demonstrate measuring intake and output.
	Discuss assisting a patient with a bedpan and urinal.
	Discuss the urinary and digestive system.
	Demonstrate skills for catheter care for female and male.
	Demonstrate how to give a soapsuds enema and a Fleet’s enema.
	Demonstrate post-mortem care.
	Complete mandatory clinical skills.

Suggested Resources

Johnson-Paulson, J., & Goodwin, M). How to be a Nurse Assistant. (Current edition) Washington, DC: American Health Care Assoc.

American Heart Association. (Current edition) Healthcare Provider’s Manual for Basic Life Support. Dallas: Author.