Health Occupations

Dual Credit
Competencies - PC3
(NAC -Nursing Assistant Certified)

This class is for students interested in any medical or health related field--physician, nurse, lab employee, dentist, veterinarian, sports or physical therapist, pharmacist, EMT, psychologist--and is taught by a registered nurse. Fundamentals of medical terminology, legal/ethical issues, safety procedures, basic infection control, and professional behaviors will be presented. This course also offers consumer information regarding the health care system. Students explore employment options in health care, and field training requirements at entry levels. Basic anatomy and physiology will be introduced. A Health or Science credit may be earned if student completes section I and II for an entire year. Semester one is offered at GHHS during the first half of the year. Semester two involves several hours of field experience in a hospital setting, and student will need to provide transportation. At the end of both sections, students are eligible to take the CNA test (Certified Nursing Assistant), an entry level certification for the nursing field. Related courses students may want to consider include: anatomy, child psychology, athletic performance training, interpersonal relations, and biology.

Helpful Links:

NW Fast Growing Health Care Careers

SE Health Care Careers

WA Health Care Careers

HealthJobsforYou.com

WA State Medical Association

Nat'l Institutue of Health Lifeworks

AMA Health Careers

US Dept of Labor

Health Career Guide

Pfizer Guide to Careers in the Healthcare Industry

Western Washington Area Health Education Center

Nursing Assistant Training, WA State

Course Outline

CLASS ONE Read text: Introduction to Clinical Allied Health, Chapters 1, 2, 3, & 4

Introduction

Class Description and Requirements
o   Syllabus
o   Class Schedule
o   Requirements
o   Examinations and OBRA exam

Role of Nursing Assistant
o   The health team: Career exploration in
       health occupations
o   Job description vs WACs
o   Work habits
      - Appearance and hygiene
      - Dependability and work ethics, integrity,
          code of conduct
o   Licensing requirements

Client Rights
o   Right to be informed
o   Right to privacy and confidentiality
o   Rights as a citizen
o   Right to be free from physical and mental abuse and restraint
o   Right to care of personal belongings

Legal Responsibilities
o   Terminology: Abuse and neglect
o   Client complaint procedure
o   Worker's right to know
o   Uniform Disciplinary Act

CLASS TWO Read text chapters 6 & 19

Client needs
o   Maslow's Hierarch of needs
o   Personal choices, independence,
      decision making
o   Role changes
o   Family support
o   Rehabilitation
o   Personal possessions
o   Cultural diversity: Race and religion

Communication Skills
o   Verbal vs Non-verbal
o   Factors influencing communication
o   Encouraging communication
o   Barriers to communication
o   Modification of communication r/t client
      limitations and behavior
o   Consequences of personal behavior

Stress Management
o   Stress definition
o   Signs and symptoms
o   Coping mechanisms

Leadership Roles
o Community involvement
o Staff supervision and support

CLASS THREE Read text chapters 7, 8, & 9
Safety o Accident prevention o Falls o Burns o Environment safety - temperature - noise - cleanliness and neatness - general comfort o Protective devises/restraints o Fire and disaster procedures/evacuation o Hazardous material management	Infection Control o Terminology o Routes of transmission o Medical asepsis o Hand washing o Linen management o Universal precautions o Isolation

CLASS FOUR Read text chapter 11

Lab 1

Hand washing skills

Body Mechanics/transfer skills
o   Center of gravity
o   Base of support
o   Rules of correct body mechanics
o   Transfers with transfer belt and without
o   Ambulation

Bed making
o Occupied
o Unoccupied

Range of Motion

Positioning of Client
o   body alignment
o   beds
o   chairs

Assistive devices
o   Walkers
o   Canes
o   Wheelchairs
o   Crutches

Information Technology
o   Electronic documentation
o   Web site exploration

Prosthetic devices
o   Orthopedic
o   Eyes
o   Internal devices

CLASSES FIVE, SIX AND SEVEN
HIV/AIDS

CLASSES EIGHT, NINE, & TEN
CPR/Heimlich maneuver
First Aid

CLASS ELEVEN Read test chapters 13 & 14
Pressure Sores o Skin layer o Skin changes o Terms o Risk factors o Stages of ulcers o Prevention o Management of ulcers	Hot and Cold Applications o Principles o Types - soaks - heat lamps - heat/ice packs - icy/hot machine o Precautions Measurements of Height and Weight

CLASS TWELVE Read text chapter 10 & 12

Vital Signs
o   Temperature
o   Pulse
o   Respirations
o   Oximetry
o   Blood Pressure

Observations
o Objective vs Subjective
o Head to toe

Reporting and Charting
o   Principles of charting
o   What to chart
o   General comments
o   Incident and abuse charting

Health Care Plan
o Characteristics
o Role of NA

Lab 2

Vital signs

Height/weight

Personal care and hygiene
o   Bed bath
o   Back rub
o   Shower and shave
o   Perinial Care
o   Dental/oral hygiene
o   Hair care/shampoo
o   Nail care
o   Foot care
o   Dressing and undressing
o   Toileting assistance

Sterile Procedure project

CLASS THIRTEEN Read text chapter 15
Neuro system o Components - Brain - Spinal cord - Nerves - Nerve cells o Physiology o Abnormalities - Brain injury - Spinal cord injury - Nerve injury - Chemical abnormalities - Seizures o Nursing care	Aphasia o Definition o Communication o Nursing considerations

CLASS FOURTEEN Read text chapters 15 & 16: 1-6
Cardiovascular o Components o Function o Age related changes o Emergencies o Diseases o Nursing care	Respiratory System o Components o Functions o Age related changes o Emergencies o Diseases o Nursing Care

CLASS FIFTEEN Read text chapter 16 & 17

Digestive system
o   Components
o   Functions
o   Age related changes
o   Emergencies
o   Diseases
o   Nursing care

Elimination
o   Observation/reporting
o   Diseases
o   Bowel retraining
o   Ostomies
o   Specimens

Reproductive System
o Components male/female
o   Functions
o   Age related changes
o   Emergencies
o   Diseases
o   Nursing care

Lab 3

Nutrition
o   Nutrients and their functions
o   Basic food groups
o   Nutritional considerations for the elderly
o   Special diets
o   Dysphagia
o   Tube feedings, parenteral nutrition

Hydration
o Basic principles
o Hydration considerations of elderly

Food Service
o   Health and sanitation
o   Procedure
o   Isolation clients

Feeding Clients
o   Food preparation
o   Preparing client to feed
o   Comfort and care
o   Assistive feeding devices

Urinary System
o   Components
o   Functions
o   Emergencies
o   Diseases
o   Nursing care
o   Foley care

CLASS SIXTEEN Read text chapter 17
Endocrine system o Components o Functions o Emergencies o Diseases o Nursing care	Diabetes o Definition o Risks o Treatment o Nursing implications

CLASS SEVENTEEN Read text chapter 5: 15
Cancer o Definition o Types o Risks o Treatments o Nursing care	Death & Dying o Stages of Grief o Signs/symptoms of imminent death o Nursing care of the dying patient o Nursing care of the family o Post mortem care

CLASS EIGHTEEN Read text chapter 5
Restorative nursing o Job description o Procedures o Nursing care Mental disabilities o Developmental disabilities o Mental illness o Dementia	Developmental Stages o Definitions o Nursing implications

CLASS NINETEEN
Aging Process o Physical changes o Psychological change o Social changes o Nursing care Mental disabilities o Developmental disabilities o Mental illness o Dementia	Cognitive Disabilities o Alzheimer's disease o Organic brain syndrome o Communications o Behaviors o Nursing care of client and family Lab 4 Review basic care Skills check off Written final