NU-101 Nursing Assistant Practice

Course Description:  Nursing Assistant Practice introduces concepts and skills essential to the provision of basic nursing care to individuals in a variety of health care settings, including ethical and legal standards; observation, measurement, reporting, and documentation; interpersonal skills and communication with clients, families and team members; patient/client centered care; infection control and standards/transmission based precautions; personal care, activities of daily living; nutrition and elimination; safety and emergency procedures; basic restorative care, medical-surgical, primary and public health care and end of life care.

  • This course also meets PLO #(s)   1-7 of the Nursing Assistant program.

A. PROGRAM LEARNING OUTCOMES (PLOs):
The student will be able to:

  1. Demonstrate self-awareness of personal and workplace actions based on the role of the nursing assistant, core nursing values, lifelong learning, standards of practice, and ethical-legal principles.
  2. Communicate effectively using interpersonal, documentation, and technology skills. 
  3. Provide a safe, caring, culturally relevant and therapeutic environment to improve patient/client care outcomes in a variety of settings.
  4. Use medical terminology and abbreviations accurately to report patient/client health status and interpret nursing care plans.
  5. Report basic health observations and prioritize deviations in patient/client health.
  6. Organize and safely provide basic nursing care to individuals across the lifespan under the supervision of a professional or practical nurse.
  7. Participate in basic wellness care of individuals in primary care and public health settings.
B. STUDENT LEARNING OUTCOMES (SLOS): - GENERAL

The student will be able to:

  1. Demonstrate the professional behavior, work and practice standards, and ethics expected of the nursing assistant role. 
  2. Apply principles of effective communication, documentation, and technology in nursing assistant practice. 
  3. Provide caring and therapeutic nursing to achieve positive patient/client health outcomes.
  4. Report and record basic health observations and deviations in a timely manner.
  5. Organize and provide safe basic nursing care to patients across the lifespan under the supervision of a professional or practical nurse.
  6. Apply basic wellness care principles to own self-care.

SLO

PLO 1

PLO 2

PLO 3

PLO 4

PLO 5

PLO 6

PLO7

1

IDM

 

 

 

 

 

 

2

 

IDM

 

D

 

 

 

3

 

 

IDM

 

 

 

 

4

 

 

 

 

ID

 

 

5

 

 

 

 

 

IDM

 

6

 

 

 

 

 

 

ID

I = Introduced
D = Demonstrated
M = Mastered

C. STUDENT LEARNING OUTCOMES (SLOs)-SPECIFIC
The student will be able to:
General SLO 1. Demonstrate the professional behavior, work and practice standards, and ethics expected of the nursing assistant role.


Student Learning Outcomes

Assessment Strategies

1.1 Distinguish the nature and scope of practice of nursing assistants from registered nurses, practical nurses, EMTs, medical assistants, community health assistants/workers, and expanded roles based on state rules and regulations.

Quizzes, exams, written assignment or group presentations (with rubrics), or problem-based scenario (with rubric)

1.2 Identify the various kinds of health care settings, regulatory agencies, and quality improvement overseeing care.

Quizzes, exams, written assignment or group presentations (with rubrics) or problem-based scenario (with rubric)

1.3  Begin to apply legal-ethical principles, standards of practice, and workplace expectations to patient/client situations in the classroom, practice lab, and clinical scenarios

Quizzes, exams, written assignment or group presentations (with rubrics) or problem-based scenario (with rubric); Clinical evaluation tool, journal

General SLO 2. Apply principles of effective communication, documentation, and technology in nursing assistant practice. 


Student Learning Outcomes

Assessment Strategies

2.1 Identify strategies to communicate effectively with clients, families and health team members, including unique communication needs.

Quizzes, exams, or problem-based scenario (with rubric), Clinical evaluation tool, journal

2.2 Utilize technology such as e-mail and search engines to access current health and nursing assistant practice information.

 

Written assignment or group presentation (with rubric)

2.3  Accurately use and interpret medical terminology and abbreviations

Quizzes, exams
Clinical evaluation tool

2.4 Document patient/client observations, measurements, activities, and changes appropriately.

 

Quizzes, exams, written assignment or group presentations (with rubrics) or problem-based scenario (with rubric); Clinical evaluation tool, journal

General SLO 3. Provide caring and therapeutic nursing to achieve positive patient/client health outcomes.


Student Learning Outcomes

Assessment Strategies

3.1 Identify measures to promote a safe, caring, therapeutic environment to promote patient/client care outcomes in a variety of settings.

Quizzes, exams, or problem-based scenario (with rubric), Clinical evaluation tool, journal

3.2 Demonstrate basic knowledge of body systems and common health alterations, adapting patient care as needed.

Quizzes, exams, written assignment or group presentations (with rubrics) or problem-based scenario (with rubric); Clinical evaluation tool, journal (with rubric)

3.3 Demonstrate basic interpersonal skills showing respect for cultural sensitivity and cultural safety, supporting a therapeutic environment.

Quizzes, exams, written assignment or group presentations (with rubrics) or problem-based scenario (with rubric); Clinical evaluation tool, journal

General SLO 4.  Report and record basic health observations and deviations in a timely manner.


Student Learning Outcomes

Assessment Strategies

4.1 Recognize basic nursing assistant observations of patients/clients across the lifespan to establish a normal baseline of data.

Quizzes, exams, or problem-based scenario (with rubric), Simulations, Clinical evaluation tool

4.2 Identify critical components of data to report to a supervisor immediately, intermittently throughout a shift; and at the end of a shift.

 

Quizzes, exams, or problem-based scenario (with rubric); Simulation, Clinical evaluation tool

General SLO 5.  Organize and provide safe basic nursing care to patients across the lifespan under the supervision of a professional or practical nurse.


Student Learning Outcomes

Assessment Strategies

5.1 Demonstrate knowledge and skills related to the activities of daily living (ADL), comfort, rest, sleep, and pain for patients/clients of all ages and in all settings.

 

Quizzes, exams, or problem-based scenario (with rubric), Skills competency exams, Simulation, Clinical evaluation tool

5.2 Prioritize and adapt care when the health status of the patient/client changes.

 

Quizzes, exams, or problem-based scenario (with rubric), Simulation, Clinical evaluation tool

5.3 Participate effectively as a member of the health care team.

Clinical evaluation tool

General SLO 6.  Apply basic wellness care principles to own self-care.


Student Learning Outcomes

Assessment Strategies

6.1 Understand the purpose and importance of primary care and public health settings.

Quizzes, exams, or problem-based scenario (with rubric), Clinical evaluation tool

6.2 Recognize the role of the nursing assistant in primary care and public health settings.

 

Quizzes, exams, or problem-based scenario (with rubric), Clinical evaluation tool

6.3 Identify the nursing assistant role in disaster and emergency response in the community.

 

Quizzes, exams, or problem-based scenario (with rubric), Clinical evaluation tool

 

D. COURSE CONTENT

  1. Domain: Legal, ethical and professional behaviors

    Health care system
    Scope and practice of the nursing assistant
    Collaboration with the health care team
    Workplace standards, expectations, and job-seeking skills
    Patient/client rights and responsibilities (ex: HIPPA)
    Patient-centered care across the lifespan

  2. Domain:  Interpersonal skills, communication, and collaboration

    Therapeutic communication skills
    Appropriate and inappropriate communication
    Communicating with patients, families, team members
    Communicating with others who do not speak English, or are physically, cognitively, visually, hearing, or speech impaired.
    Communicating in situations of conflict, violence, grievance,  or other unusual situations

  3. Domain:  Safe, therapeutic environment and quality improvement

    Infection control and standard/transmission based precautions
    Safety and emergency procedures in the health care setting
    Technical skill competency and lifelong learning
    Cultural diversity and cultural safety
    Introduction to human flourishing and therapeutic environments
    Basic concepts of quality improvement

  4. Domain:  Reporting, recording, and documenting observations

    How and what to observe to establish a normal baseline
    Focused nursing assistant assessment
    Vital sign assessments
    When and what to report given developmental age, abilities and changes
    Principles of documentation
    Introduction to disease conditions

  5. Domain: Management of nursing care

    Basic human needs
    Activities of daily living (ADL)
    Personal care
    Positioning devices and restraints
    Nutrition and hydration
    Elimination
    Restorative care
    Measure and record
    Assistive devices
    Functional abilities
    Activity, comfort, pain, rest, and sleep
    End of life care
    Care of the peri-operative patient
    Maternal-child care
    Care of the emotionally stressed patient
    Care of the patient with dementia
    Care in the home setting

  6. Domain: Public health and primary care

    Basic introduction to public health, primary care, and health promotion
    Introduction to wellness and health teaching across the lifespan
    The nursing assistant role in public health and primary care
    The nursing assistant role in disaster and emergency response
    Basic internet public health and primary care resources

E.  Methods of Instruction:

  1. Lectures: in class mini-lectures
  2. Group discussions and exercises (problem-solving, role-playing, teaching, debate)
  3. Follow-a-Nurse
  4. Web-based activities
  5. Skills lab and simulation lab practice
  6. Direct patient/client care

F. REQUIRED Text(S) AND COURSE MATERIALS
Hegner, B.R., Acello, B., and Caldwell, E.  (2011). Nursing assistant care: A nursing process approach: Basic care. Clifton Park, NJ: Delmar (or most recent edition).

G. REFERENCE MATERIALS
Delmar’s Nursing Assistant Skills and Procedures software. (2005). Clifton Park, NJ: Delmar (or most recent edition).

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