OAKTON COMMUNITY COLLEGE

 

GENERIC COURSE SYLLABUS

 

 

I.  Course:

 

Prefix   Number           Name                                                   Credit     Lecture     Lab

BNA       100               Basic Nursing Assistant Training            6               4              7

 

II.  Prerequisite:

 

Successful completion of admission process (see attached).

 

III.  Course (Catalog) Description:

 

This course offers a basic study of principles and procedures used by the nurse assistant in long term care, home health settings and hospitals.  The focus is on basic human needs and care of the elderly.  Integration of skills and concepts is acquired through hands on clinical experience at a local health care facility.  This course meets the Illinois Department of Public Health requirements for nursing assistant.

 

IV.  Learning Objectives:

 

Upon completion of the course, the student will be able to:

 

  1. Identify the role of the Certified Nursing Assistant (CNA) as a member of the health care team.
  2. Recognize the legal and ethical responsibilities of the CNA.
  3. Demonstrate effective communication skills with residents/patients and staff.
  4. Apply principles of infection control in the health care setting.
  5. Demonstrate the ability to perform nursing assistant skills in a safe manner according to established criteria.
  6. Demonstrate the ability to meet residents’ basic needs with empathy and caring.

 

V.  Academic Integrity:

 

Students and employees at Oakton Community College are required to demonstrate academic integrity and follow Oakton’s Code of Academic Conduct. This

code prohibits:

 

 

There are serious consequences to violations of the academic integrity policy. Oakton’s policies and procedures provide students a fair hearing if a complaint is made against you.  If you are found to have violated the policy, the minimum penalty is failure on the assignment and, a disciplinary record will be established and kept on file in the office of the Vice President for Student Affairs for a period of 3 years.

 

Details of the Code of Academic Conduct can be found in the Student Handbook.

 

 

VI.  Sequence of Topics:

 

BNAT COURSE OUTLINE

 

Unit 1:  Introduction to Health Care Facilities and the working environment

 

  1. Functions of health care facilities
  2. Roles of the health care team
  3. Personal qualities of a nursing assistant
  4. Duties of a nursing assistant
  5. Legal and ethical responsibilities of a nursing assistant
  6. Admission to a health care facility
  7. Infection control in the working environment
  8. Principles of hand washing
  9. Principles of sterilization and disinfection
  10. Isolation techniques
  11. Universal precautions

 

Unit 2:  Safety needs of the employee and resident/patient

 

  1. Body mechanics
  2. Fire
  3. Restraints
  4. Principles Posey restraint application
  5. Introduction to charting and medical abbreviations
  6. Disaster plan

 

Unit 3:  The Patient Unit

 

  1. Components of a resident/patient room
  2. Bedmaking unoccupied and occupied (demonstrations, lab practice, return demonstration)
  3. Proper linen handling techniques

 

Unit 4:  Introduction to the Resident/Patient

 

  1. Residents’ rights
  2. Communication elements/ techniques/ barriers
  3. Psychological needs of residents/ patients and families
  4. Normal growth and development during the life span
  5. Sensory changes in the elderly

 

Unit 5:  Personal Care of the Resident/Patient

 

  1. Overview of the integumentary system
  2. Pressure sores, cause and prevention
  3. Observation skills
  4. Hot and cold applications to the skin
  5. Complete and partial bedbath (demonstration, lab practice, return demonstration)
  6. Oral hygiene
  7. Shaving
  8. Combing hair
  9. Nail care, foot care
  10. Dressing resident/ patient
  11. Perineal Care

 

Unit 6:  Vital Signs

 

  1. Overview of the cardiovascular and respiratory systems
  2. Common health problems of the cardiovascular and respiratory systems
  3. TPR (demonstration, lab practice, return demonstration)
  4. Blood Pressure (demonstration, lab practice, return demonstration)
  5. Height and weight (demonstration, lab practice, return demonstration)
  6. Heimlich maneuver
  7. CPR training

 

Unit 7:  Lifting and Moving of Resident/ Patient

 

  1. Overview of skeletal/muscular system
  2. Common health problems of the skeletal/ muscular systems
  3. Rehabilitation/ restorative principles
  4. Lifting and moving in bed (demonstration, lab practice, return demonstration)
  5. Gait belt application (demonstration, lab practice, return demonstration)
  6. Ambulation (demonstration, lab practice, return demonstration)
  7. Transfers (demonstration, lab practice, return demonstration)
    1. one man transfer
    2. two man transfer
    3. Hoyer lift
  8. Range of Motion (ROM) and positioning in bed (demonstration, lab practice, return demonstration)
  9. Use of wheelchair, gerichair, walker, cane

 

Unit 8:  Nutritional Needs of the Resident/Patient

 

  1. Overview of the digestive system
  2. Common health problems of the digestive system
  3. Food pyramid
  4. Therapeutic diets
  5. Feeding techniques
  6. Care of the resident/patient with a gastric feeding tube

 

Unit 9:  Bowel Elimination

 

  1. Normal functioning
  2. Common problems
  3. Bowel training
  4. Enema administration (demonstration, lab practice, return demonstration)
  5. Colostomy bag (demonstration, lab practice, return demonstration)
  6. Application of incontinent pads
  7. Bedpan (demonstration, lab practice, return demonstration)
  8. Collection of stool specimens

 

Unit 10: Urinary Elimination

 

  1. Overview of the urinary system
  2. Normal Urination
  3. Urinary incontinence
  4. Bladder retraining
  5. Urinary catheters and closed drainage system
  6. Condom catheter, leg bag
  7. Bedpan, urinal, commode and incontinent products
  8. Urinary specimens
    1. routine
    2. mid-stream
    3. 24 hour

 

Unit 11:  Fluid Balance

 

a.   Dehydration

b.   Intake

c.   Output

d.   Metric system of measure

e.   Calculating intake and output

 

Unit 12: Rehabilitation/ Restorative

 

a.   Overview of the nervous system

b.   Common disorders of the nervous system (stroke, spinal cord injury, seizures,   Parkinson’s, Alzheimer’s)

c.   Care of the resident/Patient with a nervous system disorder

d.   Posey restraint application (demonstration, lab practice, return demonstration)

 

Unit 13:  Alzheimer’s Disease and Related Disorders

 

a.       Symptoms

b.      Stages

c.       Social/ economic impact

d.      Family role/ community resources

e.       Behavior issues

f.        Care/ Management

1.      communication techniques

2.      environmental factors

3.      approaches to activities of daily life

4.      therapeutic activities

g.       Nutrition

h.       Caretaker support

 

Unit 14:  Care of the Diabetic

 

  1. Overview of the endocrine system
  2. Symptoms of diabetes
  3. Treatment

 

Unit 15:  Human Sexuality

 

  1. Overview of the reproductive system
  2. Age-related changes
  3. Douche administration (demo)

 

Unit 16:  Preoperative and Postoperative Care

 

  1. Preparing patient for surgery
  2. Preparing a post operative unit
  3. Stretcher transfer (demonstration, lab practice)
  4. Care of a postoperative patient
  5. Signs/ symptoms of shock
  6. Application of TED hose (demonstration, lab practice)
  7. Care of patient with an IV

 

 

Unit 17:  Care of the Patient with Cancer

 

  1. Warning signs
  2. Treatment
  3. Emotional needs

 

Unit 18:  Care of the Terminally Ill Patient/ Resident

 

  1. Psychological needs
  2. Signs of approaching death
  3. Hospice
  4. Special Care needs
  5. Grieving process
  6. Staff burnout
  7. Postmortem care

 

Unit 19:  Home Care

 

  1. Transfer
  2. Discharge
  3. Home health care team
  4. Role of CNA
  5. Professional behaviors
  6. Types of home care providers

 

VII.  Methods of Instruction:

 

Lectures, discussion, audiovisuals, demonstration of skills, supervised skill practice, tutoring, return demonstrations and clinical supervision of resident/ patient care.

 

VIII.  Course Practices Required:

 

Theory: Reading textbook, reviewing lecture notes, studying unit objectives.

 

Lab:  Supervised practice, review of videos, return demonstration.  Skill performance is evaluated by return demonstration in college laboratory.  Selected skills must be dated and initialed by the lab instructor at the time of completion.  Evaluation of skill performance will be based on the student’s ability to demonstrate organizational skills, patient safety, asepsis and patient comfort.  Students are expected to practice as often as necessary prior to skill testing.

 

Clinical:  The clinical experience is planned to integrate concepts and skills as listed in the outline.  Clinical skills are added incrementally.  Students need to pass all assigned lab skills and be prepared to perform them on a patient under the supervision of an instructor in clinical.  Instructors will sign the student off on specific skills on the Procedural Performance Checklist as the student exhibits competence.

IX.  Instructional Materials:

 

Textbook: Mosby’s Textbook for Nursing Assistants, by Shelia Sorrentino.  6th edition, or comparable text.

 

X.  Methods of Evaluating Student Progress:

 

In order to successfully complete the course, the student must pass all three components of the program as outlined below, Theory, Lab, and Clinical.  In accordance with the Illinois Department of Public Health guidelines the student must pass the state approved Manual Skill Competency Evaluation (21 Skills).  This competency evaluation is integrated into the lab and clinical portion of the course.

 

Theory – the student must:

a.       Complete all scheduled tests (6) and pass each test with grade of “C” or better.

b.      Pass the final examination with a grade of 70% (C) or better.

 

Lab – the student must:

  1. Pass all lab skill tests and maintain a “C” or better average throughout the course.
  2. Pass all assigned lab skill tests prior to participation in clinical practice.
  3. Pass manual skill final exam.

 

Clinical – the student must:

  1. Pass all required skills on the Procedural Performance checklist and receive a “C” or better.
  2. Comply with other rules pertaining to Clinical Practice.

 

Students’ progress is monitored on an ongoing basis.  Individual evaluation of learning needs is done as needed as for all three components, theory, lab and clinical.  Students also have an opportunity to do a midterm and final self evaluation with the instructor.

 

XI.  Other Course Information:

 

Attendance:

 

Students are expected to attend all scheduled classes, laboratory sessions, and clinical practicums.  Patient/ resident care requirements demand that all students must be on time for clinical experience as well as classes.  More than two absences may be grounds for dismissal.  All classroom and clinical hours not attended must be made up hour-for-hour.  The student is responsible for scheduling makeup time with the instructor within one week following the absence.  The student will submit to the instructor written answers to questions on material covered in class during the absence.  During the makeup session the instructor will review course material and lab skill demonstrations from the missed class as well as supervise the student’s lab skill practice.

 

 

Other Rules Pertaining to Clinical Practice:

 

When doing the clinical practicum the student will not perform any tasks without supervision by a BNAT instructor.

 

If the student is judged to be unsafe or demonstrates unprofessional behavior, this may constitute grounds for an unsatisfactory grade and may result in dismissal from the clinical unit.

 

Each student’s right to participation in the clinical portion of the curriculum is also contingent upon compliance with the rules of the clinical facility.  The clinical facility has sole discretion to determine when its rules have been violated.

 

Program Completion

 

1.  A certificate of completion will be awarded to each student upon successful completion of the BNAT course.

 

2.  Upon successful completion of the course the student will be eligible to take the Illinois Nurse Aide Competency Exam.  Testing information is available at:  www.nurseaidetesting.com

 

3.  The Health Care Worker Background Check Act requires the new nursing assistant to have a criminal background check before their name can be added to the Nurse Aide Registry in Illinois.

 

Those students who complete BNAT, and pass the Competency Exam and the criminal background check will be entered into the IDPH Certified Nurse Aide Registry.  Illinois Department of Public Health requests that Cna’s notify the registry within 30 days of an address change.  Cna’s who are on the registry and have not worked for pay for a period of 2 years will need to be retrained.  For students interested in continuing their nursing studies at the Oakton Community College, Cna certification is a prerequisite.

 

 

If you have a documented learning, psychological, or physical disability you may be entitled to reasonable academic accommodations or services.  To request accommodations or services, contact the ASSIST office in the Learning Center.  All students are expected to fulfill essential course requirements.  The College will not waive any essential skill or requirement of a course or degree program.

 

 

Effective beginning term:                                                Ending term:

 

Reviewed by Dept/ Program Chair:                                                       Date:

 

Approved by Dean:                                                                              Date:

OUTLINE OF CLINICAL SKILLS

 

Clinical practicum #1

  1. Orientation to facility policies
  2. Tour facility
  3. Patient assignment
  4. Communication skills
  5. Bedmaking

 

Clinical practicum #2

  1. Bedmaking
  2. Review of care plans
  3. Observation of baths and personal care
  4. Vital signs
  5. Height and weight

 

Clinical practicum #3

  1. Bedmaking
  2. Temperature, pulse, respirations
  3. Height, weight
  4. Blood pressure
  5. Assist with baths and personal care

 

Clinical practicum #4, #5, #6

  1. Occupied bed
  2. Complete and partial bed bath
  3. Positioning in bed
  4. Lifting and moving in bed
  5. Applying incontinent pads
  6. Feeding
  7. Care of a resident with a gastric tube
  8. Vital signs
  9. Wheelchair/ Gerichair
  10. Nail care
  11. Shaving
  12. Backrub
  13. Shampoo and combing hair
  14. Dressing patient
  15. Oral hygiene
  16. Final unit check
  17. Range of motion
  18. Perineal care

 

Clinical Practicum #7

  1. Tub baths
  2. Showers
  3. Feeding
  4. Catheter care
  5. Transfers
  6. Hoyer lift
  7. Positioning

 

Clinical Practicum #8

  1. Tub baths
  2. Shower
  3. Feeding
  4. Catheter Care
  5. Transfers
  6. Hoyer lift
  7. Positioning
  8. Posey application
  9. TED hose application
  10. Empty and measure urinary drainage bag

 

Clinical Practicum #9 and #10

  1. Perform skills as assigned from session 1 through 8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attachment

 

Minimum Requirements to be considered for Course Admission

 

1.  Complete the Reading Progress Scale with a score of 7-9.

2.  Complete the Math Wide Range Achievement Test with a score of level 6 or above.

3.  Complete BNAT written and listening comprehension tests.

4.  Submit results of recent physical examination, required titers, immunizations/ hepatitis declination and TB test.

5.  Initiate a background check in accordance with the Criminal Background Check Act in Illinois.

6.  Complete an interview with BNAT staff.