All Courses

IAM 2065 - Supervised Work II Term III

• Perform all work of an industrial maintenance apprentice in a safe manner
• Demonstrate a willingness to continue training in the program by attending the didactic portion of the program

IAM 3010 - Industrial Mechanics I

• Safety and PPE used in various situations.
• Precision measurement using micrometers, calipers and linear scales.
• Identify and use various types of hand tools.
• Calculations in both the metric and English systems of measurement.
• Linear, area and volume measurements and their uses.
• Define rigging of loads and the type of knots and hitches used.
• Lifting of loads using block and tackle. Slings and hydraulic hoists.
• Types of ladders and scaffolds safely and effectively.
• Identify the function of lubrication.
• Define viscosity as it relates to lubrication.
• Identify common types of lubricant and their application.

IAM 3015 - Supervised Work III Term I

• Perform all work of an industrial maintenance apprentice in a safe manner
• Demonstrate a willingness to continue training in the program by attending the didactic portion of the program

IAM 3020 - Industrial Mechanics II

• Identify functions of a bearing.
• Compare the difference between radial and axial loads.
• List and describe common types of bearings.
• Identify common causes of bearing failure.
• Demonstrate the ability to remove and install frictionless bearings.
• Identify three common types of belts used in flexible belt drives.
• Demonstrate the proper V-belt alignment and tensioning.
• Describe the function of variable-speed belt drives.
• Calculate gear ratios and gear speeds found in a mechanical drive.
• List and describe common gear teeth forms.
• Demonstrate how to measure backlash.
• Describe and identify common types of gear wear.
• Identify three major causes of machine vibration.
• Describe common means of vibration measurement. 
• Explain the vibration analysis process.
• Demonstrate how dial indicators are used in alignment.
• List the typical order of procedures for proper alignment.

IAM 3030 - Blueprint Reading

• Define an engineering drawing.
• Distinguish between a detail drawing and an assembly drawing.
• Locate information in the title block, revision block and parts list.
• Interpret the drawing scale.
• Describe the 6 principle views.
• Define visible, hidden, center, phantom and break lines.
• Identify auxiliary views, partial views, and enlarged views.
• Define the difference between third-angle and first-angle orthographic projection.
• Define and demonstrate line precedence.
• Define a sectional view and when it is used.
• Define when a cutting plane is used.
• Identify and explain the purpose of dimensions and tolerances.
• Identify and explain the purpose of dimension lines, extension lines and leaders.
• Define and recognize chain dimensioning.
• Define and recognize baseline dimensioning.
• Define and recognize direct dimensioning.
• Define tolerance accumulation.
• Interpret the MMC of an external feature and an internal feature
• Interpret the LMC of an external feature and an internal feature.
• Define clearance fit, interference fit and transitional fit and give an example of each.
• Interpret a typical GD&T feature control frame.

IAM 3035 - Supervised Work III Term II

• Perform all work of an industrial maintenance apprentice in a safe manner
• Demonstrate a willingness to continue training in the program by attending the didactic portion of the program

IAM 3040 - Maching Principles

• Describe the operation of a lathe
• Demonstrate the proper setup of the lathe to machine a turning.
• Describe and demonstrate speed and feed when cutting.
• Demonstrate the proper tool selection based on stock material and type of cut. 
• Describe the operation of a milling machine.
• Demonstrate the proper setup of the mill to machine a surface.
• Demonstrate the single datum method of layout to locate the center of holes.
• Demonstrate the ability to use a drill/tap chart to select the proper size hole.
• Demonstrate the ability to manually thread shafts and tap holes to a print.

IAM 3050 - Welding Principles

Fabrication and Layout

• Perform a material take off in conformance to drawings and specifications.
• Lays out components, structural, and others, and their locations to dimensions and tolerances indicated on drawings.
• Uses the scale of a drawing to determine locations not explicitly dimensioned
• Uses the scale of a drawing to determine dimensions not explicitly shown
• Distinguishes between object lines, dimension and extension lines, center lines, section lines, and other lines commonly found in construction and fabrication drawings.
• Interprets welding symbols to determine type, geometry, process, extent, and required testing of welds.
• Pronounces and uses welding terms in conversation.
• Uses welding terms in written work.

SMAW, GMAW, and GTAW

• Cuts or removes metal as required by job assignment using the oxy-fuel and plasma arc cutting process on plain carbon steel
• Visually examines the resulting surface for conditions meeting the assignment’s specifications

Fillet and Groove Welds Using SMAW, GMAW, and GTAW Processes

• In all feasible positions, makes a single pass weld on plain carbon steel, stainless steel, and aluminum using the correct process.

IAM 3055 - Supervised Work III Term III

• Perform all work of an industrial maintenance apprentice in a safe manner
• Demonstrate a willingness to continue training in the program by attending the didactic portion of the program

IAM 4010 - Programmable Logic Control I

This course has three objectives: PLC electrical safety, relating electrical principles to PLC’s and electrical circuits and PLC’s.

Student Learning Outcomes:
Students will be able to demonstrate knowledge of:

• List the sections of a PLC that are common to all PLC’s.
• Identify electrical shock considerations for working with PLC’s.
• Explain the function of grounding in electrical systems.
• Identify safety considerations for force and disable commands.
• Define the two types of voltage AC and DC.
• Define and describe lockout and tagout.
• Explain the function of symbols on electrical diagrams.
• Define and describe a ladder diagram.
• Describe PLC output current ratings.
• Identify the advantages of terminal strip wiring.
• Identify the advantages of using a PLC for motor control.

IAM 4020 - Programmable Logic Control II

• Describe the function and operation of a PLC input section.
• Describe the function and operation of a PLC output section.
• Describe the function and operation of a PLC CPU.
• Identify and describe PLC size classifications.
• Define for factor and the two types of form factors.
• List and describe the 5 sections of a PLC operating cycle. 
• Identify and describe PLC programming diagram rules.
• Describe the common types of bit instructions.
• Describe the process of a PLC scan.
• Define and list the common functions of PLC timer instructions.
• Describe the execution of a TON instruction.
• Describe the function of a TOF instruction.
• Describe the function of a RES instruction.
• Describe the common function of PLC counter instructions.
• List common elements of counter instructions.
• List common types of counter instructions and bits used with counter instructions.  

IAM 4025 - Supervised Work IV Term I

• Perform all work of an industrial maintenance apprentice in a safe manner
• Demonstrate a willingness to continue training in the program by attending the didactic portion of the program

IAM 4030 - PLC System Interfacing

• Define the types of primary systems used to produce work in a PLC.
• Describe the functions of a system interface device.
• List common input devices and output components found in network control systems.
• Describe common interface devices used to control high-power loads.
• Define control relay and identify terms used to describe a
• Compare the characteristics of electrommechanical relays and solid-state relays.
• Identify common uses of contactors.
• Describe the function and operation of a magnetic motor starter.
• Describe the function and operation of an electric motor drive.
• Identify power supply issues to consider when installing PLC’s.
• List considerations for wiring PLC’s.
• Identify checks required for wiring PLC’s.
• Identify checks required at PLC startup.

IAM 4040 - PLC System Troubleshooting

• Identify methods used to troubleshoot PLC circuits and systems.
• List general safety precautions required when using test instruments on PLC controlled systems.
• Compare the advantages and disadvantages of using test lights.
• List common types of meters used when working with PLC’s.
• Describe common methods for determining voltage type.
• List and describe test instruments used to measure temperature.
• Demonstrate how the temporary end (TND) instruction mat be used to isolate problems.
• Demonstrate how to use the FORCE instruction how it may be used to find wiring faults.
• Demonstrate how to use the DISABLE command to troubleshoot program errors.

IAM 4045 - Supervised Work IV Term II

• Perform all work of an industrial maintenance apprentice in a safe manner
• Demonstrate a willingness to continue training in the program by attending the didactic portion of the program

IAM 4050 - Basic Robot Operation

• The student is instructed in safety concerns that apply specifically to robots.  Robots can move unexpectedly and with great force causing bodily harm.  The student needs to respect and thoroughly understand the potential damage robots can do to persons and property.
• The student learns and demonstrates the safety related terms of maximum envelope, operating envelope, restricted envelope and awareness barrier.
• The student gains knowledge in safety enhancing devices such as light curtains, safety fences, software axis limits, hard stops and the dual-check safety option.
• The student is instructed in the four components of the robot system: mechanical system; software; the controller; peripheral equipment.
• The student is instructed in the function of the robot controller.
• The student demonstrates the proper procedure to safely power up the robot using the standard operation panel (SOP).
•  The student is instructed in the motion of a 6 axis robot and the corresponding X, Y, Z, W, P and R three-dimensional Cartesian coordinate system.
• The student demonstrates the procedure used to set up software axis limits that keep the robot in its safe operating envelope.
• The student is instructed in the teach pendant motion keys, execution keys, program editing keys, application-specific keys, and help/diagnostic keys.
• The student will demonstrate the ability to recover from common faults.
• The student will demonstrate the ability to program a User frame, a Jog frame (JGFRM), and a Tool frame and define the purpose of each frame. 

IAM 4060 - Robot Handling Tool I

IAM 4070 - Robot Handling Tool II

• Define a tool frame.
• Set up a tool frame.
• Jog the robot in the tool frame.
• Define a user frame.
• Set up a user frame.
• Jog the robot in the user frame.
• Define a jog frame.
• Set up a jog frame.
• Jog the robot in the jog frame.
• Inserting blank lines into a program.
• Deleting lines from a program.
• Finding specific instructions within a program.
• Renumbering position ID’s.
• Copying a program.
• When to apply IF and SELECT instructions.
• When to apply WAIT instructions.
• How to use the OFFSET, PR instruction.
• How to configure I/O.
• How to create a MACRO.
• When to use a MACRO.

IAM 4075 - Supervised Work IV Term III

• Perform all work of an industrial maintenance apprentice in a safe manner
• Demonstrate a willingness to continue training in the program by attending the didactic portion of the program

IIT 0001 - Worker Characteristics

1. Attendance

1. Attends class as scheduled.
2. Arrives/leaves on time (no tardies).
3. Notifies the instructor before or on the day of being absent.

2. Character

1. Displays loyalty, honesty, trustworthiness.
2. Displays dependability and reliability.
3. Displays initiative, self-discipline, and self-responsibility.
4. Displays self-discipline and performs what is asked of them.

3. Teamwork

1. Respect the rights of others.
2. Maintains appropriate confidentiality.
3. Cooperative, mannerly, and appropriately assertive.
4. Displays a customer service attitude.
5. Seeks opportunities for continuous learning from others.

4. Appearance

1. Demonstrates appropriate dress indicative of trade.
2. Demonstrates professional grooming and hygiene.
3. Presents oneself professionally each day.

5. Attitude

1. Displays a positive and professional attitude.
2. Displays self-confidence.
3. Displays high expectations of success in trade.

6. Productivity

1. Follows safety practices.
2. Maintains a neat and clean work area.
3. Follows directions and procedures.
4. Completes assignments within deadlines.

7. Organization Skills

1. Prioritizes and manages class time.
2. Demonstrates flexibility in handling change.

8. Communications

1. Displays appropriate nonverbal skills (eye contact, body language).
2. Displays appropriate listening skills.
3. Use appropriate language on a professional level.

9. Cooperation

1. Displays leadership skills.
2. Appropriately handles criticism, conflicts, and complaints.
3. Demonstrates problem-solving capabilities.
4. Maintains appropriate relationships with instructors and peers.
5. Follows requests of instructor.

10. Respect

1. Engages with cultural and racial diversity in a professional manner.
2. Refrains from engaging in harassment of any kind.
3. Encourages others to avoid harassment.

IIT 0002 - Worker Characteristics

1. Attend class as scheduled.
2. Arrives/leaves on time (no tardies).
3. Notifies the instructor before or on the day of being absent.

B. Character

1. Displays loyalty, honesty, trustworthiness.
2. Displays dependability and reliability.
3. Displays initiative, self-discipline and self-responsibility.
4. Displays self-discipline and performs what is asked of them.

C. Teamwork

1. Respect the rights of others.
2. Maintains appropriate confidentiality.
3. As a team worker who is cooperative, mannerly, and appropriately assertive.
4. Displays a customer service attitude.
5. Seeks opportunities for continuous learning from others.

D. Appearance

1. Demonstrates appropriate dress indicative of trade.
2. Demonstrates professional grooming and hygiene.
3. Presents oneself professionally each day.

E. Attitude

1. Displays a positive and professional attitude.
2. Displays self-confidence.
3. Displays high expectations of success in trade.

F. Productivity

1. Follows safety practices.
2. Maintains a neat and clean work area.
3. Follow directions and procedures.
4. Completes assignments within deadlines.

G. Organization Skills

1. Prioritizes and manages class time.
2. Demonstrates flexibility in handling change.

H. Communications

1. Displays appropriate nonverbal skills (eye contact, body language).
2. Displays appropriate listening skills.
3. Use appropriate language on a professional level.

I. Cooperation

1. Displays leadership skills.
2. Appropriately handles criticism, conflicts, and complaints.
3. Demonstrates problem-solving capabilities.
4. Maintains appropriate relationships with instructors and peers.
5. Follows requests of instructor.

J. Respect

1. Engages with cultural and racial diversity in a professional manner.
2. Refrains from engaging in harassment of any kind.
3. Encourages others to avoid harassment.

IIT 0003 - Worker Characteristics

1. Attends class as scheduled.
2. Arrives/leaves on time (no tardies).
3. Notifies the instructor before or on the day of being absent.

B. Character

1. Displays loyalty, honesty, trustworthiness.
2. Displays dependability and reliability.
3. Displays initiative, self-discipline and self-responsibility.
4. Displays self-discipline and performs what is asked of them.

C. Teamwork

1. Respect the rights of others.
2. Maintains appropriate confidentiality.
3. As a team worker who is cooperative, mannerly, and appropriately assertive.
4. Displays a customer service attitude.
5. Seeks opportunities for continuous learning from others.

D. Appearance

1. Demonstrates appropriate dress indicative of trade.
2. Demonstrates professional grooming and hygiene.
3. Presents oneself professionally each day.

E. Attitude

1. Displays a positive and professional attitude.
2. Displays self-confidence.
3. Displays high expectations of success in trade.

F. Productivity

1. Follows safety practices.
2. Maintains a neat and clean work area.
3. Follows directions and procedures.
4. Completes assignments within deadlines.

G. Organization Skills

1. Prioritizes and manages class time.
2. Demonstrates flexibility in handling change.

H. Communications

1. Displays appropriate nonverbal skills (eye contact, body language).
2. Displays appropriate listening skills.
3. Use appropriate language on a professional level.

I. Cooperation

1. Displays leadership skills.
2. Appropriately handles criticism, conflicts, and complaints.
3. Demonstrates problem-solving capabilities.
4. Maintains appropriate relationships with instructors and peers.
5. Follows requests of instructor.

J. Respect

1. Engages with cultural and racial diversity in a professional manner.
2. Refrains from engaging in harassment of any kind.
3. Encourages others to avoid harassment.

IIT 1010 - Orientation and Safety

 

Course Description:
Orientation and Safety provides basic instruction in the normal class routine and basic safety practices that students may encounter in workplaces that employ IT professionals.

Student Learning Outcomes:

1. Workers’ rights and employer responsibilities
2. Worker safety and health resources
3. OSHA procedures like inspections and violation reporting
4. Major fall hazards and protection from falls
5. Major electrocution hazards and protection from electrocution
6. How to protect themselves from injuries caused by contact or impact with an object or piece of equipment
7. Major hazards of and protection from caught-in or -between hazards
8. Employer requirements for caught-in or -between hazard protection
9. Using proper equipment (PPE) for protection from common workplace hazards
10. Common health hazards such as chemicals, heat, noise, etc.
11. Major hazards at an excavation job site
12. Major hazards related to handling, storing, using, and disposing of materials in the workplace
13. Working safely and competently around scaffolds
14. Proper use of hand and power tools
15. Protection from common hazards in using hand and power tools
16. Safe driving skills
17. Benefits and elements of Emergency Action Plans and Fire Prevention Plans
18. Unique hazards of and precautions taken when working near cranes
19. Safety knowledge when working around welding and cutting equipment

IIT 1011 - Technology Foundations

 

Student Learning Outcomes:
1.     Solve problems that include calculating with multiple variables

2.     Calculate percent change, such as when determining the difference between the original price and the sale price of an item

3.     Solve problems involving unit conversion with decimals and/or mixed numbers, such as when calculating miles to kilometers

4.     Calculate volume and compare results, such as when evaluating the various capacities of soup cans available

5.     Determine the size of proportional objects

6.     Verify the accuracy of calculations

7.     Interpret sales, marketing, or industry conditions and make predictions based on trends represented in complex graphs

8.     Use advanced reading strategies to understand elevated domain-based vocabulary

9.     Generalize knowledge gained from complex informational text to other real-world scenarios

10.  Make decisions based on a deep understanding of a procedural, regulatory, or informational document

IIT 1020 - A+ Certification Preparation

• CompTIA A+
• TestOut PC Pro

 

Student Learning Outcomes:

1. Identifying, using, and connecting hardware components and devices
2. Types of networks and connections, including TCP/IP, WIFI, and SOHO
3. Install and configure laptops and other mobile devices and support applications
4. Install and support Windows OS, including command line and client support system, system configuration imaging, and troubleshooting Mac OS, Chrome OS, Android, and Linux OS
5. Troubleshooting real-world device and network issues
6. Cloud computing concepts and set up client-side virtualization
7. Troubleshooting PC and mobile device issues including common OS, malware, and security issues
8. Security vulnerabilities for devices and their network connections
9. Best practices for safety, environmental impacts, communication and professionalism

IIT 1030 - Customer Service

 

Course Description:
This course trains students in self-management and soft skills to provide competent professional help-desk customer service and support.

Student Learning Outcomes:

1. The evolution of technical support
2. The components of a successful service desk
3. Different types of customer service and support organization
4. The role and operation of internal and external service desks
5. The role of outsourcing in the support industry
6. The IT incident management process
7. Customer communication technologies and service desk communication tools
8. Benchmarking and individual performance goals
9. Factors that influence the service desk location and layout
10. How to avoid stress factors
11. How to organize work for personal success

IIT 1040 - Ticket System Fundamentals

1. The ticket life cycle and appropriate workflow
2. Multiple ticket and task creation methods
3. Prioritizing key details for efficient problem analysis and resolution
4. Leveraging advanced ticketing features for efficiency
5. Effective team collaboration for problem-solving
6. Proper ticket updating and management to increase customer satisfaction

IIT 2020 - Network+ Certification Preparation

IIT 1030 Customer Service

IIT 1040 Ticket System Fundamentals

Industry Certifications

• CompTIA Network+ 
• TestOut Network Pro

1. Basic networking concepts, including network services, physical connections, topologies and architecture, and cloud connectivity
2. Security concepts and network attacks for threat prevention and defense
3. Routing technologies and networking devices
4. Wireless technology configuration
5. Troubleshooting common cable, connectivity, and software issues related to networking
6. Network optimization and monitoring to ensure business continuity

IIT 3020 - Security+ Certification Preparation

• CompTIA Security+ 
• TestOut Security Pro

1. Key cybersecurity terminology and concepts and foundational security controls
2. How to assess the security posture of an enterprise environment
3. Vulnerability management techniques
4. How to respond to common threats, cyberattacks, vulnerabilities, and security incidents
5. Appropriate mitigation techniques for monitoring and securing hybrid environments
6. Different architecture models, principles of securing enterprise infrastructure, and data protection strategies

IIT 3030 - Cloud Computing Fundamentals

• AWS Cloud Practitioner

1. The AWS Cloud and its value proposition
2. Aspects of AWS Cloud economics
3. Different cloud architecture design principles
4. The AWS shared responsibility model
5. The AWS Cloud security and compliance concepts
6. AWS access management capabilities
7. Resources for security support
8. Methods of deploying and operating in the AWS cloud
9. AWS global infrastructure
10. The core AWS services
11. Resources for technology support
12. The various pricing models for AWS (On-Demand Instances, Reserved Instances, and Spot Instance)
13. The various account structures in relation to AWS billing and pricing
14. Resources available for billing support

IIT 3040 - 3D Printing Projects

1. The basics of setup, functionality, operation, troubleshooting and essential design software
2. The connection between Digital Ideation and Physical Building
3. Problem solving and teamwork
4. The difference between constructive and destructive manufacturing processes

MAS 0001 - Worker Characteristics

1.  Attendance    
   1. Attends Class as scheduled.
   2. Arrives/leaves on time (no tardies)
   3. Notifies instructor prior to or day of being absent.
2. Character         
   1. Displays loyalty, honestly, trustworthiness.
   2. Displays dependability and reliability.
   3. Displays initiative, self-discipline and self-responsibility.
   4. Displays self-discipline and performs what is ask of them.
3. Teamwork       
   1. Respects the rights of others.
   2. Maintains appropriate confidentiality.
   3. Is a team worker that is cooperative, mannerly, and appropriately assertive.
   4. Displays a customer service attitude.
   5. Seeks opportunities for continuous learning from others.
4. Appearance    
   1. Demonstrates appropriate dress indicative of trade.
   2. Demonstrates professional grooming and hygiene.
   3. Presents oneself professionally each day.
5. Attitude           
   1. Displays a positive and professional attitude.
   2. Displays self-confidence.
   3. Displays high expectations of success in trade.
6. Productivity    
   1. Follows safety practices.
   2. Maintains a neat and clean work area.
   3. Follows directions and procedures.
   4. Completes assignments in keeping with deadlines.
7. Organization Skills      
   1. Prioritizes and manages class time.
   2. Demonstrates flexibility in handling change.
8. Communication           
   1. Displays appropriate nonverbal skills (eye contact, body language).
   2. Displays appropriate listening skills.
   3. Uses appropriate language on a professional level.
9. Cooperation   
   1. Displays leadership skills.
   2. Appropriately handles criticism, conflicts and complaints.
   3. Maintains appropriate relationships with instructors and peers.
   4. Follows requests of instructor.
10. Respect            
    1. Engages with cultural and racial diversity in a professional manner.
    2. Refrains from engaging in harassment of any kind.
    3. Encourages others to avoid harassment.

MAS 0002 - Worker Characteristics

1.  Attendance    
   1. Attends Class as scheduled.
   2. Arrives/leaves on time (no tardies)
   3. Notifies instructor prior to or day of being absent.
2. Character         
   1. Displays loyalty, honestly, trustworthiness.
   2. Displays dependability and reliability.
   3. Displays initiative, self-discipline and self-responsibility.
   4. Displays self-discipline and performs what is ask of them.
3. Teamwork       
   1. Respects the rights of others.
   2. Maintains appropriate confidentiality.
   3. Is a team worker that is cooperative, mannerly, and appropriately assertive.
   4. Displays a customer service attitude.
   5. Seeks opportunities for continuous learning from others.
4. Appearance    
   1. Demonstrates appropriate dress indicative of trade.
   2. Demonstrates professional grooming and hygiene.
   3. Presents oneself professionally each day.
5. Attitude           
   1. Displays a positive and professional attitude.
   2. Displays self-confidence.
   3. Displays high expectations of success in trade.
6. Productivity    
   1. Follows safety practices.
   2. Maintains a neat and clean work area.
   3. Follows directions and procedures.
   4. Completes assignments in keeping with deadlines.
7. Organization Skills      
   1. Prioritizes and manages class time.
   2. Demonstrates flexibility in handling change.
8. Communication           
   1. Displays appropriate nonverbal skills (eye contact, body language).
   2. Displays appropriate listening skills.
   3. Uses appropriate language on a professional level.
9. Cooperation   
   1. Displays leadership skills.
   2. Appropriately handles criticism, conflicts and complaints.
   3. Maintains appropriate relationships with instructors and peers.
   4. Follows requests of instructor.
10. Respect            
    1. Engages with cultural and racial diversity in a professional manner.
    2. Refrains from engaging in harassment of any kind.
    3. Encourages others to avoid harassment.

MAS 0003 - Worker Characteristics

1.  Attendance    
   1. Attends Class as scheduled.
   2. Arrives/leaves on time (no tardies)
   3. Notifies instructor prior to or day of being absent.
2. Character         
   1. Displays loyalty, honestly, trustworthiness.
   2. Displays dependability and reliability.
   3. Displays initiative, self-discipline and self-responsibility.
   4. Displays self-discipline and performs what is ask of them.
3. Teamwork       
   1. Respects the rights of others.
   2. Maintains appropriate confidentiality.
   3. Is a team worker that is cooperative, mannerly, and appropriately assertive.
   4. Displays a customer service attitude.
   5. Seeks opportunities for continuous learning from others.
4. Appearance    
   1. Demonstrates appropriate dress indicative of trade.
   2. Demonstrates professional grooming and hygiene.
   3. Presents oneself professionally each day.
5. Attitude           
   1. Displays a positive and professional attitude.
   2. Displays self-confidence.
   3. Displays high expectations of success in trade.
6. Productivity    
   1. Follows safety practices.
   2. Maintains a neat and clean work area.
   3. Follows directions and procedures.
   4. Completes assignments in keeping with deadlines.
7. Organization Skills      
   1. Prioritizes and manages class time.
   2. Demonstrates flexibility in handling change.
8. Communication           
   1. Displays appropriate nonverbal skills (eye contact, body language).
   2. Displays appropriate listening skills.
   3. Uses appropriate language on a professional level.
9. Cooperation   
   1. Displays leadership skills.
   2. Appropriately handles criticism, conflicts and complaints.
   3. Maintains appropriate relationships with instructors and peers.
   4. Follows requests of instructor.
10. Respect            
    1. Engages with cultural and racial diversity in a professional manner.
    2. Refrains from engaging in harassment of any kind.
    3. Encourages others to avoid harassment.

MAS 0004 - Worker Characteristics

1.  Attendance    
   1. Attends Class as scheduled.
   2. Arrives/leaves on time (no tardies)
   3. Notifies instructor prior to or day of being absent.
2. Character         
   1. Displays loyalty, honestly, trustworthiness.
   2. Displays dependability and reliability.
   3. Displays initiative, self-discipline and self-responsibility.
   4. Displays self-discipline and performs what is ask of them.
3. Teamwork       
   1. Respects the rights of others.
   2. Maintains appropriate confidentiality.
   3. Is a team worker that is cooperative, mannerly, and appropriately assertive.
   4. Displays a customer service attitude.
   5. Seeks opportunities for continuous learning from others.
4. Appearance    
   1. Demonstrates appropriate dress indicative of trade.
   2. Demonstrates professional grooming and hygiene.
   3. Presents oneself professionally each day.
5. Attitude           
   1. Displays a positive and professional attitude.
   2. Displays self-confidence.
   3. Displays high expectations of success in trade.
6. Productivity    
   1. Follows safety practices.
   2. Maintains a neat and clean work area.
   3. Follows directions and procedures.
   4. Completes assignments in keeping with deadlines.
7. Organization Skills      
   1. Prioritizes and manages class time.
   2. Demonstrates flexibility in handling change.
8. Communication           
   1. Displays appropriate nonverbal skills (eye contact, body language).
   2. Displays appropriate listening skills.
   3. Uses appropriate language on a professional level.
9. Cooperation   
   1. Displays leadership skills.
   2. Appropriately handles criticism, conflicts and complaints.
   3. Maintains appropriate relationships with instructors and peers.
   4. Follows requests of instructor.
10. Respect            
    1. Engages with cultural and racial diversity in a professional manner.
    2. Refrains from engaging in harassment of any kind.
    3. Encourages others to avoid harassment.

MAS 1010 - Technology Foundations

Students will be able to demonstrate knowledge of:

Reading

• Reading material such as workplace documents such as messages, emails, letters, directions, signs, bulletins, manuals, policies, contracts, and regulations.
• Using the information read to make job-related decisions and solve problems.
• Identify correct meaning of a word when the word is defined in the reading.
• Identify correct meaning of a word based on how the word is used in passage.
• Identify acronyms, jargons or technical terms that are defined in passage.
• Identify purposes, main idea and/or topics in messages.
• Identify details that support topics in messages.
• Identify needed actions from messages.
• Identify steps, and sub steps, in a set of directions.
• Read/Follow instructions/directions in correct order.
• Read/Follow instructions/directions that include if-then-else statements.
• Read/Follow instructions/directions that include maps, diagrams or floor plans.
• Identify cause and effect in directions.
• Solve problems from troubleshooting directions using cases and effects.
• Apply general reading strategies for reading directions.
• Find information in indexes, tables of contents, and glossaries.

Basic Writing

• Produce writing that consists of complete sentences.
• Exhibit organization of thoughts and ideas.
• Develop writing using proper sentence parts/parts of speech and sentence structure.
• Use punctuation and capitalization appropriately.
• Demonstrate proper use of plural forms for names, compound words and numbers.
• Identify verb tenses and demonstrate using them properly.
• Identify adjectives and adverbs and demonstrate using them properly.
• Identify commonly misspelled words.
• Proofread and edit writing.
• Write structurally, grammatically, and mechanically correct sentences.
• Demonstrate the phases of writing including draft, revision, and final copy.
• Construct an easy-to-follow, logical progression of ideas and information.

Graphic Literacy

• Read, review and interpret simple to more complex graphs, charts (bar, line, & pie), and tables.
• Identify trends and patterns in graphs, charts and/or tables; and locate information in graphs, charts and/or tables.
• Read and interpret blueprints, schematic drawings, diagrams, specifications, and/or work orders/ticketing systems.
• Read and understand various equipment gauges, valves, levels, dials, dashboards, etc. for operation monitoring.
• Follow and understand checklists.
• Practice visualization to imagine how something will look after it is moved around or when its parts are moved, rearranged, or newly assembled.
• Demonstrate an understanding of data relationships and comparing trends - variables, dependency, creating summaries, etc.
• Draw conclusions and/or apply data from graphs, charts, and/or tables to specific situations.
• Evaluate information/data to determine compliance with standards.
• Making decisions and solving problems by analyzing information/data and evaluating results.
• Ability to concentrate on a task over time without being distracted.

Applied Mathematics

• Efficiently and accurately solve basic mathematical operations dealing with whole numbers, fractions, decimals and percentages.
• Convert between fractions, decimals, and percentages.
• Apply basic mathematical operations to applied mathematical situations.
• Apply basic graphing and statistical principals to a technical field.
• Efficiently and accurately solve basic algebraic methods and operations.
• Calculate one- and two-step conversions.
• Calculate averages, simple ratios, proportions and rates using whole numbers and decimals.
• Locate and use appropriate formulas.
• Calculate using mixed units.
• Calculate perimeter and areas of basic shapes.
• Calculate percentage discounts or markups.
• Decide what information, calculations, or unit conversions to use to find the answer to a problem.
• Identify where a mistake occurred in a calculation.
• Solve problems that require mathematical operations using mixed units - ie. 6 feet 2 inches.
• Conversions between standard and metric measurements.
• Able to work multiplication and division with ease. 
• Calculate volume of basic shapes.

MAS 1020 - Orientation and Construction Safety

MAS 1030 - Tools and Equipment

MAS 1040 - Limes, Cements, and Mortars

MAS 1050 - Stock Wall with Materials

MAS 1060 - Cleaning Block and Brick

MAS 1070 - Erecting Scaffolds

MAS 1080 - Blueprint Reading

MAS 1090 - Concrete

MAS 2010 - Concrete Block Fundamentals

MAS 2020 - Block Fireplaces and Chimneys

MAS 2030 - Block Doors and Window Construction

MAS 3010 - Brick Fundamentals

MAS 3020 - Brick Fireplaces and Chimneys

MAS 3030 - Brick Doors and Window Construction

MAS 4010 - Stone Fundamentals

MAS 4020 - Stone Fireplaces and Chimneys

MAS 4030 - Stone Doors and Window Construction

MPN 0001 - Worker Characteristics

Attendance

1. Attends class as scheduled.
2. Arrives/leaves on time (no tardies).
3. Notifies instructor prior to or day of being absent.

Character

1. Displays loyalty, honesty, trustworthiness.
2. Displays dependability and reliability.
3. Displays initiative, self-discipline and self-responsibility.
4. Displays self-discipline and performs what is asked of them.

Teamwork

1. Respects the rights of others.
2. Maintains appropriate confidentiality.
3. Is a team worker that is cooperative, mannerly, and appropriately assertive.
4. Displays a customer service attitude.
5. Seeks opportunities for continuous learning from others.

Appearance

1. Demonstrates appropriate dress indicative of trade.
2. Demonstrates professional grooming and hygiene.
3. Presents oneself professionally each day.

Attitude

1. Displays a positive and professional attitude.
2. Displays self-confidence.
3. Displays high expectations of success in trade.

Productivity

1. Follows safety practices.
2. Maintains a neat and clean work area.
3. Follows directions and procedures.
4. Completes assignments in keeping with deadlines.

Organization Skills

1. Prioritizes and manages class time.
2. Demonstrates flexibility in handling change.

Communications

1. Displays appropriate nonverbal skills (eye contact, body language).
2. Displays appropriate listening skills.
3. Uses appropriate language on a professional level.

Cooperation

1. Displays leadership skills.
2. Appropriately handles criticism, conflicts and complaints.
3. Demonstrates problem-solving capabilities.
4. Maintains appropriate relationships with instructors and peers.
5. Follows requests of instructor.

Respect

1. Engages with cultural and racial diversity in a professional manner.
2. Refrains from engaging in harassment of any kind.
3. Encourages others to avoid harassment.

MPN 0002 - Worker Characteristics

MPN 0003 - Worker Characteristics

1. Attendance
   • Attends class as scheduled.
   • Arrives/leaves on time (no tardies).
   • Notifies instructor prior to or day of being absent.
2. Character
   • Displays loyalty, honesty, trustworthiness.
   • Displays dependability and reliability.
   • Displays initiative, self-discipline and self-responsibility.
   • Displays self-discipline and performs what is asked of them.
3. Teamwork
   • Respects the rights of others.
   • Maintains appropriate confidentiality.
   • Is a team worker that is cooperative, mannerly, and appropriately assertive.
   • Displays a customer service attitude.
   • Seeks opportunities for continuous learning from others.
4. Appearance
   • Demonstrates appropriate dress indicative of trade.
   • Demonstrates professional grooming and hygiene.
   • Presents oneself professionally each day.
5. Attitude
   • Displays a positive and professional attitude.
   • Displays self-confidence.
   • Displays high expectations of success in trade.
6. Productivity
   • Follows safety practices.
   • Maintains a neat and clean work area.
   • Follows directions and procedures.
   • Completes assignments in keeping with deadlines.
7. Organization Skills
   • Prioritizes and manages class time.
   • Demonstrates flexibility in handling change.
8. Communications
   • Displays appropriate nonverbal skills (eye contact, body language).
   • Displays appropriate listening skills.
   • Uses appropriate language on a professional level.
9. Cooperation
   • Displays leadership skills.
   • Appropriately handles criticism, conflicts and complaints.
   • Demonstrates problem-solving capabilities.
   • Maintains appropriate relationships with instructors and peers.
   • Follows requests of instructor.
10. Respect
    • Engages with cultural and racial diversity in a professional manner.
    • Refrains from engaging in harassment of any kind.
    • Encourages others to avoid harassment.

MPN 1010 - Basic Nursing Principles for CMA

Vocational Relations (VR):
This content area introduces the student to the profession of nursing. The origins of nursing, the present state of the profession, and the trends for the future of practical nursing are discussed. The legal and ethical aspects of nursing are reviewed and specifically applied to the role of the practical nurse. Nursing functions, roles, rights, and responsibilities are defined. Trends in nursing and nursing education will be explored in the light of current realities with knowledge that nursing is a responsible social discipline and all nurses must be concerned about health maintenance. Emphasis will be placed upon the practical nurse’s functions, ethical and legal rights and responsibilities as a health care provider.

Nutrition and Diet Therapy:
Nutrition provides the student practical nurse with information related to the fundamental principles of normal nutrition. Included in this content area is a study of the basic nutrients, the use of guides for evaluation and planning of normal diets, principles for the safe and economic selection and preparation of food, and a study of selected food legislation. Factors such as age, cultural and religious practices, and socioeconomic conditions are presented as influences on a client’s nutritional well-being. The study of basic nutrition is presented as applicable to the students own daily living habits as well as in the client care situations. The need for an understanding of normal nutrition as a basis for the study of therapeutic diets is discussed.

Geriatric Nursing:
This content area introduces geriatric nursing and the leadership role of the practical nurse caring for older adults in long-term care environments. The normal aging process is explored
 
with emphasis on promoting, maintaining, and restoring health in older adults. Beside the sociological, psychological, and physiological aspects of aging, this unit will also incorporate the financial, safety, and pharmacological aspects of aging. The curriculum, using the nursing process and basic human needs as a framework will integrate cultural diversity, legal/ethical considerations, and the communication process to provide holistic care to the geriatric client.

Student Learning Outcomes:
Vocational Relations (VR):

Upon completion of this content area, the student will be able to:

Recognize the past, present, and changing role of the practical and professional nurse and the role of the members of the health team.

Assume personal responsibility for acquiring the knowledge of the practical nurse.

Recognize the ethical and legal responsibilities of the practical nurse as he/she relates to the client, family, physician, professional nurse, employer, and co-worker.

1. Client rights
2. Good Samaritan Laws
3. Malpractice
4. Current issues in medical ethics
5. Confidentiality/ Health Information Portability and Accountability Act (HIPAA)
6. Legal aspects of nursing practice
7. Health care facility security
8. Fire safety
9. Multicultural diversity
10. Identify the extent of the responsibility and the protection afforded by the Nurse Practice Act.
11. Recognize the importance of health organizations and the need for active participation in practical nursing organizations.
12. Recognize career opportunities as well as the need for continuing education.

Identify and utilize basic various forms of communication.

1. Verbal and nonverbal communication skills
2. Positive and therapeutic group dynamics
3. Develop listening skills- Active and Passive
4. Utilize medical terminology

Nutrition and Diet Therapy:

Upon completion of this content area, the student will be able to:

Recognize that nutrition plays a vital role in the total well-being of an individual.

1. State the common characteristics of a well-nourished vs. malnourished person
2. Discuss the relationship between food, health, and wellness.
3. Discuss the need for nurses to be knowledgeable of nutrition.
4. Describe a detailed nutritional assessment.
5. Discuss the water compartments in the body.
6. Define and discuss the process of digestion, absorption and metabolism.
7. Describe the anatomy and physiology of the digestive system

Identify the functions, requirements, and sources of basic nutrients.

1. State the essential nutrients and discuss their primary functions.
2. Discuss the functions, primary sources and classifications of carbohydrates.
3. Discuss the digestion, absorption, metabolism and elimination of carbohydrates.
4. Discuss the function and composition of protein in the body.
5. Describe the differences between complete and incomplete proteins.
6. Discuss the digestion, absorption, metabolism, and elimination of proteins.
7. Discuss the functions, sources and classifications of fats in the body.
8. Discuss the process of digestion, absorption, metabolism and elimination of fats.
9. State the function of water in the body.
10. State functions and food sources of each vitamin.
11. Discuss the fat-soluble and water-soluble vitamins.
12. Discuss the major minerals, their sources and functions of each mineral.
13. Discuss the minor minerals, their sources and functions of each mineral.

Use basic guides for the evaluation and selection of normal diets for individuals throughout the life cycle..

1. Demonstrate the ability to calculate basal metabolic rate (BMR), as well as body mass index (BMI).
2. Calculate the average energy requirement Kcal needed for a client.
3. Define a balanced diet to identify ways diets can be modified for therapeutic effects.
4. Identify the basic food groups and the chief nutrients each group provides.
5. Identify nutritional requirements for pregnancy/lactation, infancy, childhood, adolescence, young-, middle-, and older- adulthood.

Recognize the influence of physical, cultural, religious and socioeconomic factors on nutrition and factors influencing a client’s ability to adjust to prescribed dietary changes.

1. Discuss the importance nutritional counseling.
2. Discuss criteria for planning appetizing meals.
3. Describe factors influencing the client’s ability to adjust to a prescribed diet therapy.
4. Discuss the development of food customs.
5. List food customs of various cultural groups.
6. Describe unusual food habits (i.e., pica, etc.) and possible food-related disorders.

Identify the uses and therapeutic effects of diets associated with common medical- surgical/psychological disorders..

1. Describe the nutritional diets and list foods found in each.
2. Discuss methods for prevention and treatment of obesity.
3. Discuss underweight dangers, causes and treatment.
4. Define and discuss the types of food allergic reactions and treatments.

Describe methods of storing, preparing, and handling food safely.

1. Discuss illnesses caused by microorganisms in foods and list symptoms of each.
2. State methods for the prevention of food-borne illnesses.

Identify the effects of excesses and deficiencies of the basic nutrients on physiologic functioning.

1. Describe the effects of protein deficiency on the healing process.
2. Describe the disease processes associated with excessive consumption of fats.
3. Describe and discuss the causes of water imbalance
4. Discuss acid-base balance of the human body.
5. Discuss each vitamin deficit and the related symptoms.
6. Discuss methods to avoid mineral deficiencies.
7. Discuss mineral and vitamin toxicity.

Recognize critical elements pertaining to nutrition received by oral diets, enteral, and parenteral nutrition.

1. Understand the differences in how oral diets may be categorized based upon texture/consistency and therapeutic need. (Ex: Regular vs a mechanically altered diet).
2. Monitor the client’s ability to chew and swallow.
3. Understand the role speech therapists/speech language pathologists play in evaluation of client’s abilities to identify diet needs for optimal nutrition.
4. Provide and reinforce client teaching as necessary in regards to education on special diets: diabetic, cardiac/low sodium, etc..
5. Evaluate client’s response/tolerance of diet and report to physician as appropriate.
6. Identify clients at risk for aspiration, ex: feeding tubes, swallowing difficulties.
7. Understand the need for enteral nutrition and the various routes it may be administered, ex: nasogastric, gastrostomy, jejunostomy.
8. Monitor client’s weight and labs as appropriate to evaluate if nutritional needs are being met.
9. Promote client’s independence in eating

Geriatric Nursing:

Upon completion of this content area, the student will be able to:

Identify developmental and physiologic changes related to aging.

1. Describe the physical and emotional effects of the aging process.
2. Describe some common physical changes among the elderly.
3. Describe the body system changes which take place with aging.

Discuss the biological, developmental and psychosocial theories of aging.

1. List some common myths and stereotypes about the aged and aging.
2. Describe philosophies of the major theorists on aging.
3. Describe Erickson’s stage of integrity vs. despair.

Identify alterations common to aging in the health of the older adult and nursing interventions to promote wellness.

1. Apply theoretical knowledge in providing basic care and health teaching to the geriatric client.
2. Describe the importance of relationships and stimulation.
3. Describe nursing measures to assist an older person to meet nutritional needs, elimination, and personal hygiene.
4. Describe ways to help the elderly balance activities and rest.
5. Describe the special needs and problems as related to the elderly.
6. State nursing measures to assist an older person to meet communication needs.

Discuss the concerns of aging persons concerning socioeconomic, safety, security, cultural, psychosocial, physical, legal and ethical factors.

1. Describe how an elderly person compensates for impaired proprioception.
2. Describe family dynamics involved in the caregiving of a geriatric patient.
3. List ways to help the elderly person in completing activities of daily living (ADLs).
4. List risk factors for falls in the geriatric population.
5. List community resources for elderly people and include members of the team.
6. Discuss the dynamics of abuse among the elderly.
7. Recognize problems of the dying patient.
8. Describe important aspects of nursing care for the dying patient.
9. Discuss needs of the family of the dying patient.
10. Evaluate personal beliefs and ideas about the death and dying process.
11. Describe the five stages of death and dying (Elizabeth Kubler-Ross).
12. State the signs of approaching death.
13. Describe techniques for informing and supporting family members when death is imminent.
14. Describe nursing responsibilities associated with postmortem care.
15. Describe the Patient’s Bill of Rights.
16. Describe differences in assisted living, adult day care, intermediate and skilled facilities, respite and hospice, and home care entities.
17. Discuss guidelines for advanced directive, the living will, and power of attorney and do not resuscitate orders.
18. Discuss guidelines for organ donation.
19. Discuss the appropriate use of physical and chemical restraints, alternative measures and legal issues.

Discuss problems, treatments and nursing interventions related to common diseases/disorders of the elderly.

1. Define primary degenerative dementia and secondary dementia.
2. Describe Alzheimer’s disease, physiological changes and theories related to causes.
3. Describe nursing care of a patient with dementia.
4. Identify differences between delirium and dementia.Define and describe rehabilitation nursing, bowel/bladder training, and skin care, mobility training and adaptive devices
5. Discuss the leadership role of the Practical Nurse in the care of the geriatric client.

MPN 1020 - Fundamentals of Nursing for CMA

1. Identify and utilize scientific principles and fundamental skills to give nursing care as a practical nurse.

2. Demonstrate knowledge of safe nursing practice by observing and instituting safety measures as needed.

3. Demonstrate knowledge of assessment skills.

4. Identify his/her role as a member of the healthcare team.

5. Provide appropriate nursing care, recognizing that all clients have the same basic needs of personal care and hygiene.

6. Utilize the nursing process to provide individualized nursing care.

7. Recognize the influence of multicultural differences in nursing care.

8. Demonstrates appropriate nursing documentation.

9. Demonstrate knowledge of client care organization and prioritization.

10. Apply evidence-based practice when providing client care.

11. Recognize reportable changes in client’s health status.

12. Utilize observational, assessment, and communication skills in client care.

13. Provide nursing measures designed to prevent complications of immobility.

14. Complete a client assessment including: nursing history, physical assessment, height/weight, and vital signs.

15. Incorporate patient teaching and reinforcement as indicated by client care needs.

16. Identify the Practical Nurse’s role in emergency situations.

17. Identify the principles of standard /universal precautions related to emergency situations.

18. Recognize the Practical Nurse’s legal and ethical responsibilities, including:Good Samaritan Law and Common Legal Issue.

19. Identify physiological and psychological needs in emergency situations.

MPN 1030 - Administration of Medications and Basic IV

Compute dosage calculations related to pediatric medication administration (i.e. mg/kg/dose).

Discuss the administration of medications to the geriatric client.

1. Describe how pharmacokinetic change during aging and why medications may affect the elderly differently.
2. Identify factors increasing the risk of medication-related problems.
3. Discuss how responses to medications are less predictable in an older person.
4. Identify common drugs used in geriatrics and their common side effects.

Discuss important nursing concepts in relation to the process of venipuncture.

1. Discuss important aspects of patient preparation for insertion of an intravenous (IV) cannula.
2. Compare and contrast the characteristics between veins and arteries.
3. Identify advantages and disadvantages of selecting each hand or arm vein for intravenous (IV) therapy.
4. Contrast characteristics and uses of the various venipuncture devices.
5. Describe the clinical sequences for a successful intravenous (IV) cannulation.

Display knowledge of nursing practice in relation to infusion therapy.

1. Be knowledgeable of the state nurse practice act as it relates to intravenous (IV) therapy.
2. Describe the sequential steps for administration of intravenous (IV) infusion solutions.
3. Discuss the safety recommendations that reduce exposure to needlestick injuries and exposure to patient body fluids during intravenous (IV) therapy.
4. List the factors that interfere with the delivery of accurate IV flow rates by gravity infusion and the interventions that promote accurate infusion delivery.
5. Verbalize the nursing strategies that prevent intravenous (IV) therapy-related problems.
6. Identify requirements for documentation of intravenous (IV) infusions.

Discuss client care and nursing practice of practical nurses in relation to central venous catheters.

1. Describe the types and features of central venous catheters (also called central lines or CVLs).
2. Identify the major complications associated with central venous access devices: air embolus, fibrin sheath, occlusion sepsis, and superior vena cava syndrome.
3. Be knowledgeable of the state nurse practice act as it relates to central venous catheters.

Discuss client care and nursing practice of practical nurses in relation to peripherally inserted central catheters.

1. Describe the types and features of the peripherally inserted central catheters (also called PIC catheters or PICCs).
2. Identify the major complications associated with PICCs.
3. Be knowledgeable of the state nurse practice act as it relates to peripherally inserted central catheters.

Discuss why and when intravenous (IV) fluid therapy is needed and the components of how the correct fluid type is selected.

1. Name the two major fluid compartments in the body.
2. Discuss the processes by which fluid balance is maintained.
3. Identify important measures of electrolyte balance.
4. Summarize the differences between isotonic, hypotonic, and hypertonic solutions.
5. Recognize clinical features for fluid volume deficit and fluid volume excess.
6. Understand the difference between fluid replacement and fluid maintenance in relation to IV fluid therapy.

Demonstrate knowledge of intravenous (IV) medication administration and the practical nurse’s scope of practice.

1. Verbalize the sequential steps for intravenous (IV) drug administration.
2. Identify critical elements of therapeutic drug monitoring when the drug is administrated intravenously.
3. List immediate actions to be taken in the event of an adverse drug reaction.
4. Discuss the advantages and disadvantages of various routes of intravenous (IV) drug administration.
5. Describe features that differ among intravenous (IV) infusion pumps.

Demonstrate knowledge of blood and blood component administration and the practical nurse’s scope of practice.

1. Recognize potential signs and symptoms for acute hemolytic transfusion reaction.
2. Describe the nursing management process for blood and blood product transfusion reaction.

Demonstrate knowledge of total parenteral nutrition (TPN) administration and the practical nurse’s scope of practice.

1. Describe the indications and contraindications of total parenteral nutrition.
2. Discuss the components of a nutritional assessment.
3. Recognize the common diagnostic laboratory values used to monitor TPN.
4. Identify the potential complications of TPN.

MPN 1050 - Clinical I for CMA

Upon completion of this course, the student under the supervision of the instructor will be able to accomplish the following objectives as assigned by the instructor including, but not limited to the following skills lab competencies. The student must receive a satisfactory evaluation in the competencies assigned by the instructor for progression. An unsatisfactory evaluation will result in the student not being able to progress regardless of the academic average.

Competencies:

1. Hand washing

2. Performing CPR/ AED Use/Airway Management/ Heimlich Maneuver - all age groups, according to American Heart Association (AHA) Guidelines

3. Measuring vital signs

4. Maintaining client safety

5. Utilizing universal/ standard precautions

6. Transferring clients

7. Positioning clients

8. Performing range of motion (ROM) exercises

9. Bed making

10. Performing hygiene measures

11. Assisting with elimination

12. Collecting specimens

13. Applying anti-embolism stockings/devices

14. Feeding

15. Measuring Intake/Output

16. Performing sterile procedures

17. Supplying oxygen therapy

18. Providing tracheostomy care

19. Suctioning

20. Administering a tube feeding

21. Performing wound care

22. Applying principles of the nursing process

23. Performing post-mortem care

24. Applying and removing restraints

25. Performing urinary catheterization

26. Use of pulse oximetry

27. Assist in the assessment of emergency situations

28. Application of bandages, binders, and splints

29. Irrigation: urinary catheter, bladder, wound, ear, nose, or eye

30. K-Pad application

31. Urinary catheter: insertion, maintenance, care, and removal of

32. Gastric tube: care and irrigation

33. Ostomy Care

34. Aseptic measures

35. Initiating and maintaining isolation precautions

36. Oral hygiene/denture care

37. Blood glucose monitoring

38. Patient assessment

CLINICAL/LAB/SIMULATION COMPETENCIES:

Upon completion of this course, the student under the supervision of the instructor will be able to accomplish the following objectives. The instructor will assign, monitor, and evaluate skills lab competencies. The student must receive a satisfactory evaluation in the competencies assigned by the instructor for progression. An overall unsatisfactory evaluation will result in the student not being able to progress regardless of the academic average.

1. Administer medications per the “Rights” of administration.

2. Safely calculates and/or converts dosages according to prescribed standards.

3. Document accurately the administration of medications given.

4. Implements appropriate safety measures in relation to medication administration.

5. Selects and demonstrates appropriate use of equipment/supplies necessary for administration of medications.

6. Describe the proper way to draw up and administer insulin.

7. Demonstrates the ability to interpret and transcribe medication orders accurately.

8. Apply critical thinking to the principles of medication administration.

9. Demonstrate effective use of the time management skills with administration of medications.

10. Outline the nursing action to be taken if complications occur from medication administration.

11. Model safe use of selected IV equipment

12. When given a prescribed quantity of fluid to be infused, calculates the flow rate correctly.

13. Select appropriate sites for and demonstrate insertion of IV infusion devices.

14. Correctly and aseptically starts an IV infusion.

15. Demonstrate use of infusion pumps and controllers accurately.

16. Demonstrate assembling and setting up IV solutions with tubing and needles.

17. Discontinue an IV infusion and IV device safely.

18. Employ safe, effective care of patients receiving IV therapy and discuss the signs and symptoms of complications

MPN 2010 - Pharmacology I for CMA

Differentiate between pharmacology and drug therapy.

Select authoritative sources of drug information.

Discuss major drug laws and standards.

Describe the main categories of controlled substances in relation to therapeutic use and potential for abuse.

Identify nursing responsibilities in handling controlled substances correctly.

Discuss the role of the Food and Drug Administration.

Analyze the potential impact of drug costs on drug therapy regimens.

Describe the main pathways and mechanisms by which drugs cross biologic membranes and move through the body.

Identify and develop basic knowledge of general pharmacokinetics for each body system and/or classification of drugs.

1. Describe the principles of absorption, distribution, metabolism, and excretion of drugs in the body
2. Discuss the clinical usefulness of measuring serum drug levels
3. Describe major characteristics of the receptor theory of drug action
4. List drug-related and patient-related variables that affect drug actions

Differentiate between agonist drugs and antagonist drugs.

Discuss mechanisms and potential effects of drug-drug interactions.

Identify signs and symptoms that may occur with adverse drug effects on major body systems.

Discuss general management of drug overdose and toxicity.

1. Discuss selected drug antidotes
2. Discuss interventions to increase therapeutic effects and decrease adverse effects of drug therapy

Describe major considerations in drug therapy for children, adults, and patients with impaired renal or hepatic function or critical illness.

Discuss application of the nursing process in home care settings.

Identify and have basic knowledge of common drug classifications, drug actions, side effects, nursing considerations, client education, and precautions with administration.

Drugs Affecting the Central Nervous System (CNS).

1. Discuss signs and symptoms of CNS depression and CNS stimulation.
2. Discuss general types and characteristics of CNS depressant drugs.
3. Describe specific antidotes for overdoses of central nervous system (CNS) depressant drugs and the circumstances indicating their use
4. List characteristics of benzodiazepine antianxiety and hypnotic drugs in terms of mechanism of action, indications for use, nursing process implications, and potential for abuse and dependence.
5. Describe strategies for preventing, recognizing, or treating benzodiazepine withdrawal reactions.
6. Contrast characteristics of selected non-benzodiazepines and benzodiazepines.
7. Discuss the use of flumazenil and other treatment measures for overdose of benzodiazepine.
8. Discuss characteristics of phenothiazines and related antipsychotics.
9. Compare characteristics of “atypical” antipsychotic drugs with those of “typical” phenothiazines and related antipsychotic drugs.
10. State interventions to decrease adverse effects of antipsychotic drugs.
11. State interventions to promote compliance with outpatient use of antipsychotic drugs.
12. Discuss characteristics of antidepressants in terms of mechanism of action, indications for use, adverse effects, principles of therapy, and nursing process implications.
13. Compare and contrast the different categories of antidepressants: selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs), mixed serotonin-norepinephrine reuptake inhibitors (SNRIs), monoamine oxidase (MAO) inhibitors, and other atypical antidepressants.
14. Discuss selected characteristics of atypical antidepressants.
15. Describe the use of lithium in bipolar disorder.
16. Describe the use of atypical antipsychotics in the manic phase of bipolar disorder.
17. Discuss interventions to increase safety of lithium therapy.
18. Describe the nursing role in preventing, recognizing, and treating overdoses of antidepressant drugs and lithium.
19. Analyze important factors in using antidepressant drugs and lithium inspecial populations.
20. Describe general characteristics of central nervous system (CNS) stimulants.
21. Discuss reasons for decreased use of amphetamines for therapeutic purposes.
22. Discuss the rationale for treating attention deficit-hyperactivity disorder with CNS stimulants.
23. Identify effects and sources of caffeine.
24. Identify nursing interventions to prevent, recognize, and treat stimulant overdose.

Drugs Affecting the Peripheral Nervous System (PNS)

1. State names and general characteristics of drugs affecting the autonomic nervous system.
2. Identify effects produced by stimulation of alpha- and beta-adrenergic receptors.
3. List characteristics of adrenergic drugs in terms of effects on body tissues, indications for use, adverse effects, nursing process implications, principles of therapy, and observation of patient responses.
4. Discuss use of epinephrine to treat anaphylactic shock, acute bronchospasm, and cardiac arrest.
5. Identify patients at risk for the adverse effects associated with adrenergic drugs.
6. List commonly used over-the-counter preparations and herbal preparations that contain adrenergic drugs.
7. Discuss principles of therapy and nursing process for using adrenergic drugs in special populations.Describe signs and symptoms of toxicity due to noncatecholamine adrenergic drugs.
8. Discuss treatment of overdose with noncatecholamine adrenergic drugs.
9. List characteristics of antiadrenergic drugs in terms of effects on body tissues, indications for use, nursing process implications, principles of therapy, and observation of patient response.
10. Discuss alpha1-adrenergic blocking drugs and alpha2-adrenergic agonists in terms of indications for use, adverse effects, and other selected characteristics.
11. Compare and contrast beta-adrenergic blocking drugs in terms of cardioselectivity, indications for use, adverse effects, and other selected characteristics.
12. Discuss principles of therapy and nursing process for using antiadrenergic drugs in special populations.
13. Describe effects and indications for use of selected cholinergic drugs.
14. Discuss drug therapy for myasthenia gravis.
15. Discuss the use of cholinergic drug therapy for paralytic ileus and urinary retention.
16. Discuss drug therapy for Alzheimer’s disease.
17. Describe major nursing care needs of patients receiving cholinergic drugs.
18. Describe signs, symptoms, and treatment of overdose with cholinergic drugs.
19. Discuss atropine and pralidoxime as antidotes for cholinergic drugs.
20. Discuss principles of therapy for using cholinergic drugs in special populations.
21. List characteristics of anticholinergic drugs in terms of effects on body tissues, indications for use, nursing process implications, observation of patient response, and teaching patients.
22. Discuss atropine as the prototype of anticholinergic drugs.
23. Discuss clinical disorders or symptoms for which anticholinergic drugs are used.Describe the mechanism by which atropine relieves bradycardia.
24. Review anticholinergic effects of antipsychotics, tricyclic antidepressants, and antihistamines.
25. Discuss principles of therapy and nursing process for using anticholinergic drugs in special populations.
26. Describe the signs and symptoms of atropine or anticholinergic drug overdose and its treatment.

Drugs used to fight infection

1. Outline common and potentially serious adverse effects of antimicrobial drugs.
2. Identify patients at increased risk for adverse drug reactions to antimicrobial drugs.
3. Discuss ways to increase benefits and decrease hazards of antimicrobial drug therapy.
4. Discuss ways to minimize emergence of drug-resistant microorganisms.
5. State appropriate nursing implications for a patient receiving an antimicrobial drug.
6. Discuss important elements of using antimicrobial drugs in children, older adults, patients with renal or hepatic impairment, and patients with critical illness.
7. Describe general characteristics of beta-lactam antibiotics.
8. Discuss penicillins in relation to effectiveness, safety, spectrum of antibacterial activity, mechanism of action, indications for use, administration, observation of patient response, and teaching of patients.
9. Differentiate among extended-spectrum penicillins.
10. Describe characteristics of beta-lactamase inhibitor drugs.
11. Discuss similarities and differences between cephalosporins and penicillins.
12. Differentiate cephalosporins in relation to antibacterial spectrum, indications for use, and adverse effects.
13. Describe major characteristics of carbapenem and monobactam drugs.
14. Identify characteristics of aminoglycosides and fluoroquinolones in relation to effectiveness, safety, spectrum of antimicrobial activity, indications for use, administration, and observation of patient responses.
15. Recognize factors influencing selection and dosage of aminoglycosides and fluoroquinolones.
16. Discuss the importance of measuring serum drug levels during aminoglycoside therapy.
17. Describe measures to decrease nephrotoxicity and ototoxicity with aminoglycosides
18. Describe characteristics, uses, adverse effects, and nursing process implications of fluoroquinolones.
19. Discuss major characteristics and clinical uses of tetracyclines.
20. Recognize doxycycline as the tetracycline of choice in renal failure.
21. Discuss characteristics, clinical uses, adverse effects, and nursing implications of selected sulfonamides.
22. Recognize trimethoprim-sulfamethoxazole as a combination drug that is commonly used for urinary tract and systemic infections.
23. Describe the use of urinary antiseptics in the treatment of urinary tract infections.
24. Identify characteristics and specific uses of macrolide and ketolide antibacterials.
25. Compare and contrast macrolides and ketolides with other commonly used antibacterial drugs.
26. Discuss characteristics and clinical indications for using chloramphenicol, clindamycin, daptomycin, linezolid, metronidazole, quinupristin- dalfopristin, rifaximin, spectinomycin, and vancomycin.
27. Discuss the roles of metronidazole and oral vancomycin in the treatment of pseudomembranous colitis.
28. List characteristics, uses, effects, and nursing implications of using primary antitubercular drugs.
29. Describe the rationale for multiple-drug therapy in treatment of tuberculosis.
30. Discuss ways to increase adherence to antitubercular drug therapy regimens.
31. Describe factors affecting drug therapy in multidrug-resistant (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB).
32. Discuss difficulties in developing and using antiviral drugs.
33. Differentiate types of antiviral drugs used for various viral infections.
34. Describe selected antiviral drugs in terms of indications for use, adverse effects, and nursing process implications.
35. Discuss the rationale for using combinations of drugs in treating human immunodeficiency virus (HIV) infection.
36. Describe commonly used antifungal drugs in terms of indications for use, adverse effects, and nursing process implications.
37. Differentiate between adverse effects associated with systemic and topical antifungal drugs.

Drugs used to manage pain

1. List characteristics of opioid analgesics in terms of mechanism of action, indications for use, and major adverse effects.
2. Describe morphine as the prototype of opioid analgesics.
3. Explain why higher doses of opioid analgesics are needed when the drugs are given orally.
4. Contrast the use of opioid analgesics in opioid-naive and opioid-tolerant patients.
5. Describe characteristics and treatment of opioid toxicity.
6. Discuss principles of therapy for using opioid analgesics in special populations.
7. Discuss non-opioid drugs used in pain management.
8. Discuss aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) in terms of mechanism of action, indications for use, contraindications to use, nursing process, and principles of therapy.
9. Compare and contrast aspirin, other NSAIDs, and acetaminophen in terms of indications for use and adverse effects.
10. Differentiate among antiplatelet, analgesic, and anti-inflammatory doses of aspirin.
11. Differentiate between nonselective NSAIDs and the cyclooxygenase-2 inhibitor, celecoxib.
12. Identify factors influencing the use of aspirin, NSAIDs, and acetaminophen in special populations.
13. Discuss recognition and management of acetaminophen toxicity.
14. Discuss the use of NSAIDs and antigout drugs.
15. Discuss the use of NSAIDs, triptans, and ergot antimigraine drugs.
16. Drugs Affecting the Neuromuscular System.
17. Discuss major factors that influence choice of an antiseizure drug for a patient with a seizure disorder.
18. Recognize characteristics and effects of commonly used antiseizure drugs.
19. Differentiate between older and more recent antiseizure drugs.
20. Compare advantages and disadvantages between monotherapy and combination drug therapy for seizure disorders.
21. Apply the nursing process with patients receiving antiseizure drugs.
22. Discuss the use of antiseizure drugs in special populations.
23. Differentiate the types of commonly used antiparkinson drugs.
24. Discuss therapeutic and adverse effects of dopaminergic and anticholinergic drugs.
25. Discuss the use of antiparkinson drugs in selected populations.
26. Discuss common symptoms and disorders for which skeletal muscle relaxants are used.
27. Differentiate uses and effects of selected skeletal muscle relaxants.

Drugs Affecting the Respiratory System

1. Identify general categories of drugs used to treat respiratory disorders.
2. Discuss the uses and effects of bronchodilating drugs, including adrenergics, anticholinergics, and xanthines.
3. Differentiate between short-acting and long-acting inhaled beta2- adrenergic agonists in terms of uses and nursing process implications.
4. Discuss the uses of anti-inflammatory drugs, including corticosteroids, leukotriene modifiers, and mast cell stabilizers.
5. Discuss reasons for using inhaled drugs when possible.
6. Differentiate between “quick relief” and long-term control of asthma symptoms.
7. Discuss the use of antiasthmatic drugs in special populations.
8. Delineate effects of histamine on selected body tissues.
9. Discuss allergic rhinitis, allergic contact dermatitis, and drug allergies as conditions for which antihistamines are commonly used.
10. Identify the effects of histamine that are blocked by histamine1 (H1) receptor antagonist drugs.
11. Differentiate first- and second-generation antihistamines.
12. Describe antihistamines in terms of indications for use, adverse effects, and nursing process implications.
13. Discuss the use of antihistamines in special populations.
14. Review decongestant and adverse effects of adrenergic drugs.
15. Describe general characteristics and effects of antitussive agents.
16. Discuss the advantages and disadvantages of using combination products to treat the common cold.
17. Evaluate over-the-counter allergy, cold, cough, and sinus remedies for personal or patients’ use..

Drugs Affecting the Cardiovascular System

1. Discuss atherosclerosis as the basic disorder causing many cardiovascular disorders for which drug therapy is required.
2. Differentiate the types of drugs used to treat heart failure (HF).
3. Identify the role of digoxin in the management of heart failure (HF) and atrial fibrillation.
4. List characteristics of digoxin in terms of effects on myocardial contractility and cardiac conduction, indications for use, principles of therapy, and nursing process implications.
5. Differentiate digitalizing and maintenance doses of digoxin.
6. Explain the roles of potassium chloride, lidocaine, atropine, and digoxin immune fab in the management of digoxin toxicity.
7. Discuss the roles of sodium channel, beta-adrenergic, potassium channel, and calcium channel blockers along with two unclassified drugs in the management of dysrhythmias.
8. Describe the nursing process implications and actions related to caring for patients using selected antidysrhythmic drugs.
9. Describe principles of therapy to include nonpharmacologic and pharmacologic measures to manage tachydysrhythmias.
10. Describe general characteristics and types of antianginal drugs.
11. Discuss nitrate antianginals in terms of indications for use, routes of administration, adverse effects, nursing process implications, and drug tolerance.
12. Differentiate between short-acting and long-acting dosage forms of nitrate antianginal drugs.
13. Use the nursing process in the care of individuals on antianginal and adjunctive therapy for treatment of myocardial ischemia.
14. Describe therapeutic and adverse effects of vasopressor drugs used in the management of hypotension and shock.
15. Review the effects of alpha-adrenergic blockers, beta-adrenergic blockers, calcium channel blockers, and diuretics in hypertension.
16. Discuss angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers in terms of mechanisms of action, indications for use, adverse effects, and nursing process implications.
17. Describe the rationale for using combination drugs in the management of hypertension.
18. Discuss interventions to increase therapeutic effects and minimize adverse effects of antihypertensive drugs.
19. Discuss the use of antihypertensive drugs in special populations.
20. List characteristics of diuretics in terms of mechanism of action, indications for use, principles of therapy, and nursing process implications.
21. Discuss major adverse effects of thiazide, loop, and potassium-sparing diuretics.
22. Identify patients at risk for developing adverse reactions to diuretic administration.
23. Recognize commonly used potassium-losing and potassium-sparing diuretics.
24. Discuss the rationale for using combination products containing a potassium-losing and a potassium-sparing diuretic.
25. Discuss the rationale for concomitant use of a loop diuretic and a thiazide or related diuretic.
26. Discuss important elements of diuretic therapy in special populations.
27. Compare and contrast heparin and warfarin in terms of indications for use, onset and duration of action, route of administration, blood tests used to monitor effects, and nursing process implications.
28. Discuss antiplatelet agents in terms of indications for use and effects on blood coagulation.
29. Describe thrombolytic agents in terms of indications and contraindications for use, routes of administration, and major adverse effects.
30. Describe systemic hemostatic agents for treating overdoses of anticoagulant and thrombolytic drugs.
31. Use the nursing process in the care of patients on anticoagulant, antiplatelet, and thrombolytic agents.
32. Describe dyslipidemic drugs in terms of mechanism of action, indications for use, major adverse effects, and nursing process implications.

Drugs Affecting the Endocrine System

1. Compare steroid and protein hormones in relation to site of action and pharmacokinetics.
2. Differentiate between physiologic and pharmacologic doses of hormonal drugs.
3. Identify clinical uses of selected hormones.
4. Recognize the limitations of hypothalamic and pituitary hormones as therapeutic agents.
5. Identify major nursing considerations in the care of patients receiving specific hypothalamic and pituitary hormones.
6. Review physiologic effects of endogenous corticosteroids.
7. Discuss clinical indications for use of exogenous corticosteroids.
8. Differentiate between physiologic and pharmacologic doses of corticosteroids.
9. Differentiate between short-term and long-term corticosteroid therapy.
10. Recognize at least 10 adverse effects of long-term corticosteroid therapy.
11. Examine the potential benefits for administering corticosteroids topically when possible rather than systemically.
12. Analyze the use other drugs and interventions to decrease the need for corticosteroids.
13. Discuss the use of corticosteroids in selected populations and conditions.
14. Apply the nursing process with a patient receiving long-term systemic corticosteroid therapy, including teaching needs.
15. Describe characteristics, uses, and effects of thyroid drugs.
16. Identify characteristics, uses, and effects of antithyroid drugs.
17. Evaluate the influence of thyroid and antithyroid drugs on the metabolism of other drugs.
18. Evaluate the use of calcium and vitamin D supplements, calcitonin, and bisphosphonate drugs in the treatment of osteoporosis.
19. Describe major effects of endogenous insulin on body tissues.
20. Discuss characteristics and uses of the various types of insulins and insulin analogs.
21. Differentiate types of oral agents used to manage diabetes mellitus in terms of mechanisms of action, indications for use, adverse effects, and nursing process implications.
22. State reasons for combinations of insulin and oral agents or different types of oral agents.
23. List the three common types of insulins, stating their onset, peak, and duration of action; and the four common groups of oral anti-diabetic agents, identifying examples of each group.
24. Outline the benefits and risks of postmenopausal hormone replacement therapy.
25. Recognize adverse effects associated with estrogens, progestins, and hormonal contraceptives.
26. Apply nursing process with patients taking estrogens, progestins, and hormonal contraceptives.
27. Discuss uses and effects of exogenous androgens and anabolic steroids.
28. Identify potential consequences of abusing androgens and anabolic steroids.

Drugs Affecting the Gastrointestinal System

1. Identify general categories of drugs used to treat gastrointestinal disorders.
2. Discuss the effects of non-gastrointestinal drugs on gastrointestinal functioning.
3. Describe adverse effects associated with overdoses of vitamins.
4. Discuss the rationale for administering vitamin K to newborns.
5. Describe treatment of sodium, potassium, magnesium, and chloride imbalances.
6. Describe treatment of iron deficiency anemia.
7. Discuss the chelating agents used to remove excessive copper, iron, and lead from body tissues.
8. Assist patients with effective use of approved weight-loss drugs, when indicated.
9. Differentiate the types of drugs used to treat peptic ulcers and acid reflux disorders.
10. Discuss the advantages and disadvantages of proton pump inhibitors.
11. Differentiate between prescription and over-the-counter uses of histamine2 receptor blocking agents.
12. Discuss significant drug-drug interactions with cimetidine.
13. Describe characteristics, uses, and effects of selected antacids.
14. Discuss the rationale for using combination antacid products.
15. Differentiate the major types of laxatives according to effects on the gastrointestinal tract.
16. Differentiate the consequences of occasional laxative use from those of chronic laxative use.
17. Discuss rational choices of laxatives for selected patient populations or purposes.
18. Discuss possible reasons for and hazards of overuse and abuse of laxatives.
19. Describe types of diarrhea in which antidiarrheal drug therapy may be indicated.
20. Differentiate the major types of antidiarrheal drugs.
21. Discuss characteristics, effects, and nursing process implications of commonly used antidiarrheal agents.
22. Differentiate the major types of antiemetic drugs.
23. Discuss characteristics, effects, and nursing process implications of selected antiemetic drugs.

Drugs Affecting the Hematopoietic and Immune Systems

1. Discuss common characteristics of immunizations.
2. Discuss the importance of immunizations in promoting health and preventing disease.
3. Identify authoritative sources for immunization information.
4. Discuss ways to promote immunization of all age groups.
5. Discuss the use of hematopoietic agents in the treatment of anemia.
6. Discuss the use of filgrastim and sargramostim in neutropenia and bone marrow transplantation.
7. Describe the adverse effects and nursing process implications of administering filgrastim and sargramostim.
8. Discuss interferons in terms of clinical uses, adverse effects, and nursing process implications.
9. Discuss characteristics and uses of major immunosuppressant drugs in autoimmune disorders and organ transplantation.
10. Identify adverse effects of immunosuppressant drugs.
11. Discuss nursing interventions to decrease adverse effects of immunosuppressant drugs.
12. Describe major types of antineoplastic drugs in terms of mechanism of action, indications for use, administration, and nursing process implications.
13. Discuss the rationales for using antineoplastic drugs in combination with each other, with surgical treatment, and with radiation therapy.
14. Drugs Used in Ophthalmic Conditions.
15. Discuss selected drugs in relation to their use in ocular disorders.
16. Use correct techniques to administer ophthalmic medications.
17. Assess for ocular effects of systemic drugs and systemic effects of ophthalmic drugs.

Drugs Used in Dermatologic Conditions

1. Review characteristics of skin structures that influence drug therapy of dermatologic disorders.
2. Discuss antimicrobial, anti-inflammatory, and selected miscellaneous drugs in relation to their use in dermatologic disorders.
3. Use correct techniques to administer dermatologic medications.

MPN 2020 - Mental Health for CMA

Discuss the history and trends in Mental Health Nursing.

Explain the shift to community based mental health services that began in the late 1950s.

Define mental illness.

Identify members of the mental health team and their roles.

Describe spiritual, cultural, and ethnic issues associated with mental health nursing.

Describe ethical and legal issues associated with mental health nursing (HIPAA and confidentiality).

Describe the rights of the Psychiatric mentally ill client.

Identify and discuss defense mechanisms.

Discuss a continuum for mental health illness.

Identify conditions that precede admission to an inpatient mental health treatment setting.

Identify mental health resources available in the community for the client and family.

Define the difference between delusions, hallucination, and illusions.

Identify the importance of therapeutic communication in the management of mental health disorders.

Discuss verbal and nonverbal communications

1. Identify techniques that enhance communication
2. Identify techniques that hinder communication.

Contrast and compare the purpose, focus, communication style, and goals for a social, intimate, and a therapeutic relationship.

Discuss the therapeutic milieu.

Define crisis interventions.

Identify classifications, uses, actions, side effects, toxicity levels, and nursing considerations for selected psychoactive medications

1. Antidepressants/ serotonin replacement
2. Anti-manic/ Mood stabilizers
3. Anti-Parkinson’s
4. Antianxiety and hypnotics
5. Stimulants as Mood Elevators
6. Anticonvulsants
7. Antipsychotics
8. Monoamine Oxidase (MAO) inhibitors.

Define somatic psychotherapy and its benefits.

List six (6) complementary and alternative medicines used in mental health.

Discuss psychosomatic and dissociative disorders.

1. Theories of somatoform disorders: Body dysmorphic disorder; Somatization disorder; Conversion disorder; Pain disorder; Hypochondriasis
2. Theories of dissociative disorders: Dissociative identity disorder; Depersonalization disorder

Discuss mood disorders

1. Depressive disorders: Major depressive disorder; Dysthymic disorder.
2. Bipolar Disorder
3. Premenstrual dysphoric disorder
4. Postpartum depression

Discuss anxiety disorders

1. Panic disorder
2. Phobias
3. Generalized anxiety disorder
4. Obsessive-compulsive disorder (OCD)
5. Posttraumatic stress disorder (PTSD)
6. Acute Stress Disorder
7. Atypical anxiety disorder

Discuss eating disorders

1. Anorexia nervos
2. Bulimia nervosa
3. Obesity

Discuss personality development and personality disorders.

1. Borderline personality disorder
2. Antisocial personality disorder
3. Narcissistic personality disorder

Discuss substance related disorders.

1. Define chemical dependency/substance abuse
2. Describe signs that may indicate substance abuse or chemical dependency
3. Discuss the impact substance abuse has on the client, the family, and society
4. Discuss how to care for the substance abuse client within the healthcare facility
5. Discuss commonly abused substances and causes of substance abuse
6. Define and discuss co-dependency and enabling
7. Discuss detoxification and rehabilitation.

Discuss sexual disorders (Gender identity disorder)

Discuss cognitive and thought disorders.

1. Dementia
2. Alzheimer’s
3. Delirium
4. Delusional and shared psychotic disorders
5. Schizophrenia: Paranoid type; Catatonic type; Undifferentiated
6. Developmentally disabilities: Describe the levels of developmental disability; Identify and discuss common diseases and disorders contributory to developmental disability

Discuss nursing care of the suicidal client.

Identify nursing care adjustments for the clients with dual-diagnosis.

Discuss nursing care of clients experiencing sexual, physical, and emotional abuse.

Discuss how nursing care is affected when caring for clients coping with chronic/terminal illnesses, homeless clients, aging clients, or incarcerated clients.

MPN 2030 - Medical and Surgical Nursing I for CMA

Safely and effectively apply scientific principles of nursing to the care of the adult medical-surgical patient.

Recognize the grieving process:

1. Trauma
2. Terminal illness
3. Complications of perioperative care

Identify the PN’s role in providing care to the acutely ill patient.

Recognize pathophysiological changes related to disease processes in the care of the adult patient.

1. Identify signs and symptoms of diseases related to each body system
2. Identify diagnostic studies in relation to each body system
3. Identify treatment modalities as related to diseases
4. Identify nursing measures as indicated in the following disorders

• Fluid and Electrolyte Balance Disorders
  • Differentiate among the following fluid compartments: intracellular, extracellular, interstitial, and intravascular.
  • Discuss at least four major nursing responsibilities associated with laboratory tests ordered by a clinician.
  • In the clinical laboratory, demonstrate a client and family teaching session, emphasizing the importance of fluid and electrolyte balance and the types of care that may be needed for the client.
  • Identify at least four possible causes of the two major types of fluid imbalances (fluid volume excess and fluid volume deficit), including at least two nursing considerations for each cause.
  • State at least two nursing considerations for each: dependent edema, sacral edema, pitting and non-pitting edema, and pulmonary edema.
  • State the normal serum levels for the following electrolytes: sodium, potassium, calcium, magnesium, chloride, and phosphorus.
  • Identify at least four causes of each type of electrolyte imbalance.
  • Discuss the major symptoms associated with each type of electrolyte imbalance, stating at least three nursing considerations related to each condition.
  • Differentiate among the four major types of acid-base imbalances: respiratory acidosis, respiratory alkalosis, metabolic acidosis, and metabolic alkalosis.
  • Identify at least four nursing considerations related to the data collection, assessment, monitoring, and care of a client with acidosis and a client with alkalosis.
• Neurological Disorders
  • List physiological changes that occur in the nervous system with aging.
  • Discuss the Glasgow coma scale.
  • Identify the significant subjective and objective data related to the nervous system that should be obtained for a patient during assessment.
  • Explain the importance of prevention in problems of the nervous system, and give several examples of prevention.
  • Differentiate between normal and common abnormal findings of a physical assessment of the nervous system.
  • List common laboratory and diagnostic examinations for evaluation of neurological disorders.
  • Differentiate among the following diagnostic tests: computed tomography (CT), positron emission tomography (PET), magnetic resonance imaging (MRI), cerebral angiography, cerebral arteriography, myelography, brain scan, electroencephalography, and videotelemetry.
  • Discuss the nursing care involved for a client before and after a lumbar puncture (LP).
  • Compare and contrast migraine and cluster headaches, including nursing considerations for each condition.
  • List four classifications of seizures, their characteristics, clinical signs, aura, and postictal period.
  • Identify the main characteristics of at least three types of partial seizures and at least six types of general seizures.
  • Discuss the causes, signs and symptoms, and nursing implications for the following disorders involving nerves: trigeminal neuralgia, Bell’s palsy, and herpes zoster.
  • Discuss various neurological disturbances in motor function and sensory/perceptual function.
  • Compare paraplegia with quadriplegia, including a discussion of at least four differences in nursing care for each condition.
  • Give examples of six degenerative neurological diseases and explain the etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, and nursing interventions for each.
  • Describe at least five signs and symptoms, therapies, and at least five nursing considerations for each of the following degenerative disorders: multiple sclerosis, Parkinson’s disease, myasthenia gravis, Huntington’s disease, and amyotrophic lateral sclerosis.
  • Discuss the causes, signs and symptoms, therapies, and at least five nursing considerations for each of the following inflammatory disorders: brain abscess, meningitis, encephalitis, Guillain-Barré syndrome, post-polio syndrome, and acute transverse myelitis.
  • Discuss the etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, and nursing interventions for intracranial tumors, craniocerebral trauma, and spinal trauma.
  • List five signs and symptoms of increased intracranial pressure and why they occur, as well as nursing interventions that decrease intracranial pressure.
  • Explain the nursing care required for clients with concussion, brain laceration and contusion, skull fractures, and hematoma.
  • Identify at least three pre- and postoperative nursing considerations for a client undergoing craniotomy.
  • Discuss the etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, and nursing interventions for a stroke patient.
  • Explain the mechanism of injury to the brain that occurs with a stroke and traumatic brain injury.
  • Discuss patient teaching and home care planning for the patient with stroke, multiple sclerosis (MS), Parkinson’s disease, and myasthenia gravis.
• Sensory Disorders
  • Describe two changes in the sensory system that occurs as a result of the normal aging process.
  • Describe the purpose, significance of results, and nursing responsibilities related to diagnostic studies of the visual and auditory systems.
  • Describe age-related changes in the visual and auditory systems and differences in assessment findings.
  • State at least ten nursing considerations for the care of the client with: a visual deficit, including pre- and postoperative nursing considerations; a hearing deficit.
  • Define radial keratotomy, photorefractive keratectomy (PRK), and laser-assisted in situ keratomileusis (LASIK).
  • Define the following refractive errors: myopia, hyperopia, astigmatism, and presbyopia.
  • Describe the following: inflammatory and infectious eye disorders (conjunctivitis, blepharitis, hordeolum, chalazion, trachoma, and keratitis); structural disorders (ectropion, entropion, and ptosis).
  • Differentiate chronic open-angle glaucoma, acute closed-angle glaucoma, and secondary glaucoma, identifying at least three nursing considerations for each disorder.
  • Explain the causes and treatments for cataracts.
  • Identify at least two nursing considerations for each of the following types of eye traumas: hematoma, foreign bodies, hyphema, chemical burns, corneal abrasions, and detached retina.
  • Describe inflammatory conditions of the lid, conjunctiva, and cornea with etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis.
  • Compare the nature of cataracts, diabetic retinopathy, retinal detachment, glaucoma, and macular degeneration, and the etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis.
  • Discuss corneal injuries including etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis.
  • List tips for communicating with hearing- and sight-impaired people.
  • Give patient instructions regarding care of the eye and ear in accordance with written protocol.
  • Compare and contrast conductive hearing loss, sensorineural hearing loss, central hearing loss, and functional hearing loss.
  • Discuss noninfectious disorders of the ear, including etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis.
  • Discuss the causes and at least two nursing interventions for each of the following disorders of the external ear: impacted earwax, furuncles, foreign objects, external otitis, fungal infections, and punctured tympanic membrane; and disorders of the middle ear: otitis media, serous otitis media, acute purulent otitis media, and chronic otitis media.
  • Describe the appropriate care of the hearing aid.
  • Describe the care of a client who is to undergo a tympanoplasty and myringotomy with insertion of tympanostomy tubes.
  • Identify communication resources for people with visual and/or hearing impairment.
  • Describe home health considerations for people with eye or ear disorders, surgery, or visual and hearing impairments.
  • Describe the various surgeries of the ear, including the nursing interventions, patient teaching, and prognosis.
  • Discuss at least three nursing considerations for a client with Meniere’s disease.
  • Identify at least two nursing considerations for clients with a tactile, gustatory, or olfactory disorder.
• Respiratory Disorders
  • Differentiate the following Respiratory disorders: Acute asthma, streptococcal throat infectious, influenza, laryngitis, bronchitis, pneumonia, pleurisy, histoplasmosis, tuberculosis, and emphysema.
  • Describe nursing interventions to assist patients with retained pulmonary secretions.
  • Identify signs and symptoms that indicate a patient is experiencing hypoxia.
  • Identify strategies the nurse can teach patients to decrease the risk of infection.
  • Differentiate between tuberculosis infection and tuberculosis.
  • Discuss medications commonly prescribed for the patient with tuberculosis.
  • Discuss the principle of low-flow oxygen required for patients with emphysema.
  • Compare/contrast nursing assessment and interventions for the patient with chronic obstructive pulmonary disease (COPD) and the patient with pneumonia.
  • Discuss nursing interventions for the patient with a laryngectomy.
  • Identify possible nursing diagnoses for the patient with altered respiratory function.
  • Identify nursing interventions relevant to psychosocial concerns of the patient with altered respiratory functions.
  • Discuss risk factors associated with pulmonary emboli.
  • Cardiovascular or Peripheral Vascular Disorders.
  • Discuss the location, size, and position of the heart.
  • Identify the chambers of the heart.
  • List the functions of the chambers of the heart.
  • Identify the valves of the heart and their locations.
  • Discuss the electrical conduction system that causes the cardiac muscle fibers to contract.
  • Explain what produces the two main heart sounds.
  • Trace the path of blood through the coronary circulation.
  • Discuss risk factors in coronary artery disease (CAD), differentiating factors which can be modified and those that cannot.
  • Describe diagnostic tests used to evaluate cardiovascular function.
  • Describe five cardiac dysrhythmias.
  • Compare etiology/pathophysiology, signs and systems, medical management, and nursing interventions for patients with angina pectoris, and myocardial infarction, or heart failure.
  • Specify patient teaching for patients with cardiac dysrhythmias, angina pectoris, myocardial infarction, heart failure, and valvular heart disease.
  • Discuss the signs and symptoms of pulmonary edema.
  • Discuss medical management and nursing interventions for the patient with pulmonary edema.
  • Identify risk factors associated with peripheral vascular system.
  • Describe the effects of aging on the peripheral vascular system.
  • Compare and contrast signs and symptoms associated with arterial and venous disorder.
  • Discuss nursing interventions for arterial and venous disorders.
  • Compare essential (primary) hypertension and secondary hypertension.
  • Discuss the importance of patient education for hypertension.
  • Discuss appropriate patient education for thrombophlebitis.
• Endocrine Disorders
  • Discuss the etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis for patients with acromegaly, gigantism, dwarfism, diabetes insipidus, syndrome of inappropriate antidiuretic hormone (SIADH), hyperthyroidism, hypothyroidism, goiter, thyroid cancer, hyperparathyroidism, hypoparathyroidism, Cushing’s syndrome, and Addison’s disease.
  • Name the common laboratory tests and radiology procedures performed to evaluate functioning of the pituitary, thyroid, parathyroid, and adrenal glands, and pancreas.
  • Explain how to test for Chvostek’s sign, Trousseau’s sign, and carpopedal spasms.
  • Differentiate the four major tests used to test blood glucose levels.
  • Describe the difference between gigantism and acromegaly, and SIADH and diabetes insipidus.
  • Compare and contrast Graves’ disease, cretinism, and myxedema, including at least three nursing considerations for each.
  • List two significant complications that may occur after thyroidectomy.
  • Identify at least five pre- and postoperative nursing considerations for a client who needs a thyroidectomy.
  • Explain the differences between hyperparathyroidism and hypoparathyroidism.
  • Describe the three major adrenal gland disorders: Cushing’s syndrome, primary aldosteronism, and Addison’s disease.
  • Describe the etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis for patient with diabetes mellitus.
  • Explain the interrelationship of nutrition, exercise, and medication in the control of diabetes mellitus.
  • Discuss the various insulin types and their characteristics.
  • Differentiate between the signs and symptoms of hyperglycemia and hypoglycemia.
  • List five nursing interventions that foster self-care in the activities of daily living of the patient with diabetes mellitus.
  • Discuss the acute and long-term complications of diabetes mellitus.
  • Differentiate among the following type: type 1 and type 2 diabetes mellitus, gestational diabetes, and impaired glucose homeostasis.
  • Compare and contrast hypoglycemia, hyperglycemia, diabetic ketoacidosis (DKA), and nonketotic hyperosmolar state, including causes, signs and symptoms, treatment, and nursing considerations.
  • Identify two examples of macrovascular and microvascular complications of diabetes.
  • Prepare a diabetic client teaching plan that addresses at least ten topics for discussion.
  • Demonstrate the use of a blood glucose monitor in the skills laboratory.
• Gastrointestinal Disorders
  • Describe common diagnostic tests performed on clients with gastrointestinal disorders.
  • Describe nursing measures after liver biopsy.
  • Explain nursing management of clients undergoing diagnostic testing for a gastrointestinal disorder.
  • Discuss assessment findings and treatment of eating disorders, esophageal disorders, and gastric disorders.
  • Describe the nursing management of a client with a nasogastric or gastrointestinal tube or gastrostomy.
  • Identify strategies for relieving upper gastrointestinal discomfort.
  • Discuss the nursing management of clients undergoing gastric surgery.
  • List factors that contribute to constipation and diarrhea and describe nursing management for clients with these problems.
  • Explain the symptoms of irritable bowel syndrome.
  • Contrast Crohn’s disease and ulcerative colitis.
  • Describe the features of appendicitis and peritonitis.
  • Describe nursing management for a client with acute abdominal inflammatory disorders.
  • Describe the nurse’s role as related to care measures for the client with intestinal obstruction.
  • Differentiate between diverticulosis and diverticulitis.
  • Identify factors that contribute to the formation of an abdominal hernia.
  • Discuss nursing management for a client requiring surgical repair of a hernia.
  • Describe warning signs of colorectal cancer.
  • List common problems that accompany anorectal disorders.
  • Explain possible causes of jaundice.
  • List common findings manifested by clients with cirrhosis.
  • Discuss common complications of cirrhosis.
  • Identify the modes of transmission of viral hepatitis.
  • Discuss nursing management for clients with a medically or surgically treated liver disorder.
  • Identify factors that contribute to, signs and symptoms of, and medical treatments for cholecystitis.
  • Name techniques for gallbladder removal.
  • Summarize the nursing management of clients undergoing medical or surgical treatment of a gallbladder disorder.
  • Describe the treatment and nursing management of pancreatitis.
  • Describe the treatment of pancreatic carcinoma.
  • Explain the nursing management of clients undergoing pancreatic surgery.
  • Differentiate between ileostomy and colostomy.
  • Discuss preoperative nursing care of a client undergoing ostomy surgery.
  • List complications associated with ostomy surgery.
  • Discuss postoperative nursing management of a client with an ileostomy.
  • Describe the components used to apply and collect stool from an intestinal ostomy.
  • Cite reasons for changing an ostomy appliance.
  • Explain how stool is released from a continent ileostomy.
  • Describe the two-part procedure needed to create an ileoanal reservoir.
  • Discuss various types of colostomies.
  • Explain ways that clients with descending or sigmoid colostomies may regulate bowel elimination.
• Urinary/Renal Disorders
  • Discuss the purpose and nursing responsibilities related to the common diagnostic tests and procedures performed on the urine, kidneys, ureters, and bladder.
  • Discuss the prevention of and observation for side effects of diuretic therapy.
  • Discuss the treatment and nursing care for urinary incontinence.
  • Describe the treatment and care of acute and chronic glomerulonephritis patient.
  • Identify methods of preventing complications and renal damage in the patient with an infection of the urinary tract.
  • Discuss treatment and nursing interventions for the patient with urinary calculi and methods of preventing their formation.
  • Discuss treatment and care for patients with acute and chronic renal failure.
  • Explain the purpose of dialysis and differentiate between peritoneal dialysis and hemodialysis.
  • Differentiate preoperative and postoperative nursing interventions for patients with the following methods of urinary diversion: cutaneous ureterostomy and ileal conduit.
  • Discuss nursing interventions for diagnostic studies of the urinary system.
  • Identify the nursing responsibilities related to dressings, drains, and urinary drainage tubes after surgery on the urinary tract.
• Reproductive Disorders
  • Discuss the impact of illness on the patient’s sexuality.
  • Describe nursing interventions for patients with menstrual disturbances.
  • Discuss nursing interventions for the patient undergoing diagnostic studies related to the reproductive system.
  • Discuss the importance of the Papanicolaou (Pap) smear test in early detection of cervical cancer.
  • Describe the treatment and care of the patient with pelvic inflammatory disease (PID), endometriosis, and ovarian cancer.
  • Identify the clinical manifestations of a vaginal fistula.
  • Describe the preoperative and postoperative nursing interventions for the patient requiring major surgery of the female reproductive system.
  • Describe the common problems with cystocele, rectocele, and the related medical management and nursing interventions.
  • Discuss surgical approaches for cancer of the breast.
  • Discuss nursing interventions for the patient who has had a modified radical mastectomy, including discharge instruction.
  • Describe nursing interventions for the patient with prostatitis.
  • Distinguish between hydrocele and varicocele.
  • Discuss the importance of monthly testicular self-examination beginning at 15 years of age in males.
  • Discuss patient education related to prevention of sexually transmitted diseases
• Musculoskeletal Disorders
  • Discuss the diagnostic procedures pertinent to musculoskeletal function.
  • Compare methods of assessing circulation, nerve damage, and infection in a patient who has a traumatic insult to the musculoskeletal system.
  • Identify at least four major components of nursing care necessary to protect the client from the hazards of immobilization.
  • Compare the medical regimens for patients suffering from gouty arthritis, rheumatoid arthritis, and osteoarthritis.
  • Describe the nursing interventions appropriate for degenerative joint disease (osteoarthritis and ankylosing spondylitis).
  • List at least four healthy lifestyle measures people can practice to reduce the risk of developing osteoporosis.
  • Describe the surgical intervention for arthritis of the hip and knee.
  • Describe the nursing interventions for the patient undergoing a total hip or knee replacement.
  • Discuss nursing interventions appropriate for a patient with a fractured hip after open reduction with internal fixation (ORIF) and bipolar hip prosthesis (hemiarthroplasty).
  • Discuss at least six important areas of nursing care for the client who has had an amputation and now has a limb prosthesis.
  • Describe the phenomenon of phantom pain.
  • State at least three nursing considerations for clients with temporomandibular joint (TMJ), muscular dystrophy, and osteoporosis.
  • Differentiate between skin traction and skeletal traction, including indications and nursing considerations for each type of traction.
  • List at least two types of skin and skeletal traction.
  • Discuss at least three nursing measures for care of clients with the following treatments: external fixation, ORIF, and arthroplasty.
  • Identify at least nine complications of fractures or bone surgery.
  • Explain the difference between primary and metastatic bone tumors.
  • Discuss the physiology of fracture healing (hematoma, granulation tissue, and callus formation).
  • Describe the signs and symptoms of compartment syndrome.
  • List nursing interventions appropriate for a fat embolism.
  • List four nursing interventions appropriate for bone cancer.
• Integumentary Disorders
  • Identify at least eight types of skin lesions, providing an example of each type.
  • State at least four possible nursing diagnoses for a client with a chronic skin disorder.
  • Relate at least three nursing interventions for the care of a client with pruritus.
  • Discuss the following conditions, including at least two nursing considerations for each condition: acute and chronic skin conditions (urticaria, vitiligo, dermatitis, eczema, and psoriasis); infections (warts, condylomata acuminata, impetigo, and folliculitis); parasitic infestations (scabies, lice, bedbugs); and sebaceous gland disorders (sebaceous cysts, seborrhea, seborrheic dermatitis, and dandruff).
  • Describe at least four types of dressings, four types of topical medications, and the processes of debridement and skin grafting that may be used when treating burns.
  • State the pathophysiology involved in a burn injury.
  • Discuss the stages of burn care with appropriate nursing interventions.
  • Identify the methods used to classify the extent of a burn injury.
  • Identify at least five complications that occur during burn recovery.
  • Discuss at least four nursing considerations during the rehabilitative stage of burn healing.
  • Identify three common nonmalignant and malignant skin lesions.
  • Discuss at least four interventions that can be used to prevent skin cancer.
• Hematologic/Lymphatic Disorders
  • List the common diagnostic tests for evaluation of blood and lymph disorders, and discuss the significance of the results.
  • Apply the nursing process to care of the patient with disorders of the hematological and lymphatic systems.
  • Compare and contrast the different types of anemia in terms of pathophysiology, assessment, medical management, and nursing interventions.
  • Compare and contrast the disorders of coagulation (thrombocytopenia, hemophilia, disseminated intravascular coagulopathy (DIC)) in terms of pathophysiology, assessment, and nursing interventions.
  • Discuss medical management of patients with hemophilia and disseminated intravascular coagulopathy (DIC).
  • List six signs and symptoms associated with hypovolemic shock.
  • Discuss the important aspects that should be presented in patient teaching and home care planning for the patient with pernicious anemia.
  • Discuss the prognosis for patients with acute and chronic leukemia.
  • Discuss the nursing intervention and the patient teaching for the patient with multiple myeloma.
  • Discuss the primary goal of nursing interventions for the patient with lymphedema.
  • Differentiate between Hodgkin’s disease and non-Hodgkin’s lymphomas and related medical management and nursing interventions.
• Cancer
  • Discuss the risk factors for the development of and the warning signs.
  • Discuss development, preventions and detection of cancer.
  • Define the terminology used to describe cellular changes, characteristics of malignant cells, and types of malignancies.
  • Describe the pathophysiology of cancer, including the characteristics of malignant cells and the nature of metastasis.
  • Describe the major categories of chemotherapeutic agents.
  • Describe the process of metastasis.
  • Describe reasons for delay in seeking medical care when diagnosis of cancer is suspected.
  • List common diagnostic test used to identify the presence of cancer.
  • Define the systems of tumor classification: grading and staging.
  • Discuss general guidelines for the use of pain relief measures of the patient with advanced cancer.
  • Describe nursing interventions for the individual undergoing surgery, radiation therapy, chemotherapy, bone marrow or peripheral stem cell transplantation.
• Immune Disorders
  • Differentiate between natural and acquired immunity.
  • Describe mechanisms of immune response.
  • Compare and contrast humoral and cell-mediated immunity.
  • Explain the concepts of immunocompetency, immunodeficiency, and autoimmunity.
  • Discuss factors that influence the development of hypersensitivity.
  • Identify the clinical manifestations of anaphylaxis.
  • Outline the immediate aggressive treatment of systemic anaphylactic reaction.
  • Discuss selection of blood donors, typing and cross-matching, storage, and administration in the prevention of transfusion reaction.
  • Discuss the causation of autoimmune disorders; explain plasmapheresis in the treatment of autoimmune diseases.
  • Explain an immunodeficiency disease.
• Human Immunodeficiency Virus (HIV)/ Autoimmune Deficiency Syndrome (AIDS)
  • Describe the agent that causes HIV.
  • Describe definition of AIDS given by the Centers for Disease Control and Prevention.
  • Explain the difference between HIV infection, HIV Disease, and AIDS.
  • Describe the progression of HIV infection.
  • Discuss how HIV is and is not transmitted.
  • Discuss the pathophysiology of HIV disease.
  • Discuss the laboratory and diagnostic tests related to HIV disease.
  • Describe patients who are at risk for HIV infection.
  • Discuss the nurse’s role in assisting the HIV-infected patient with coping, grieving, reducing anxiety, and minimizing social isolation.
  • Identify signs and symptoms that may be indicative of HIV disease.
  • Identify opportunistic infections associated with advanced HIV and/or AIDS.
  • Discuss treatments and nursing care for the patient with AIDS.
• Care of the Surgical Patient
  • Identify the purposes of surgery.
  • Distinguish among elective, urgent, and emergency surgery.
  • Describe the pre-admission process.
  • Discuss laboratory, diagnostic tests and procedures required during perioperative phase.
  • Discuss factors which influence an individual’s surgical outcome.
  • Discuss considerations for the older surgical patient during the perioperative phases.
  • Discuss the emotional impact of surgery.
  • Describe the care of the client during the pre-operative surgical phase including:
  • Describe the care of the client during the intra-operative surgical phase.
  • Describe the care of the client during the immediate post- operative surgical phase.
  • Describe the care of the client during the later post-operative surgical phase.
  • Discuss the use of pain medication and their effects related to anesthesia.
  • Discuss the nurse’s role in informed consent.
  • Identify medications that are frequently used pre- and post- operatively.
  • Discuss how the client’s daily medications impact surgery.
  • Discuss the complications of anesthesia.
  • Discuss safety as it relates to the surgical patient during the perioperative phases.
  • Discuss the nursing process in care of the postoperative patient.
  • Discuss postoperative discharge criteria.
  • Identify and discuss common complications during the perioperative phases.
  • Describe the stages of the healing process and complications related to the surgical incision.

MPN 2040 - Maternity Health for CMA

Discuss the history, trends, and government influences in obstetrical nursing care.

Discuss the ethical, social, cultural, and legal issues in obstetrical nursing care.

Describe fetal development.

1. Fertilization and Cellular Division
2. Stages of Fetal Development
3. Development of Supportive Structures
4. Fetal and Placental Circulation
5. Special Considerations of Fetal Development

• Teratogens and the Fetus
• Ectopic Pregnancy
• Multifetal Pregnancy (multiple gestation)

Discuss the impact pregnancy has on the family unit.

Discuss the physiological changes related to pregnancy.

• Maternal adaptation to pregnancy
  • Signs of pregnancy
    • Presumptive signs
    • Probable signs
    • Positive signs
  • Physiological changes
    • Reproductive system
    • Cardiovascular system
    • Respiratory system
    • GI system
    • Urinary system
    • Integumentary system
    • Musculoskeletal system
    • Sensory System
  • Changing nutritional requirements of pregnancy
    • Weight gain and energy requirements
    • Protein requirements
    • Mineral requirements
    • Vitamin requirements
    • Dietary supplementation
    • Dietary restrictions during pregnancy
    • Special nutritional considerations
  • Common discomforts of pregnancy

Discuss the psychosocial changes related to pregnancy.

1. Maternal psychological response
2. Factors influencing psychosocial adaptation
3. Barriers to prenatal care
4. Abuse and Violence (Partner Abuse)

Discuss prenatal care.

1. Preconception visit
2. Maternal assessment during first prenatal visit
3. Subsequent prenatal visits

• Assessment of fetal wellbeing
  • Kick Counts
  • Ultrasonography
  • Doppler ultrasound blood flow Assessment
  • Alpha- Fetoprotein Screening
  • Multiple Marker Screening
  • Chorionic Villus Sampling
  • Amniocentesis
  • Percutaneous Umbilical Blood Samplies
• Pharmacological agents
• Complementary and alternative medicine (CAM) therapies
• Perinatal Education
  • Goal of perinatal education
  • Types of classes
• The Nurses’ role in prenatal care
  • Nursing Process for Prenatal Care
  • Cultural considerations

Describe the nursing care of women with complications during pregnancy, such as but not limited to the following:

1. Diabetes Mellitus (DM)
2. Gestational Diabetes
3. Cardiovascular Disease
4. Hypertensive Disorders
   • Gestational Hypertension
   • Pregnancy induced hypertension (PIH)
   • Preeclampsia
   • Eclampsia
   • Hemolysis, Elevated Liver Enzymes, Low Platelets (HELLP) Syndrome
   • Chronic hypertension
5. Hyperemesis Gravidarum
6. Bleeding Disorders
   • Ectopic pregnancy
   • Early pregnancy loss
   • Cervical insufficiency
   • Gestational trophoblastic disease
   • Placenta previa
   • Abruptio placentae
7. Iron Deficiency Anemia
8. Sickle Cell Anemia
9. Blood Incompatibilities
   • Rh Incompatibility
   • ABO Incompatibility
10. Asthma
11. Epilepsy
12. Infectious Diseases
13. Sexually Transmitted Infections
14. Trauma

Describe the nursing care of women whose pregnancy is complicated by age-related concerns, such as:

1. Adolescent Pregnancy
2. Pregnancy later in life (advanced maternal age)

Describe the nursing care during antepartum fetal surveillance.
Non-stress test (NST)

1. Vibroacoustic stimulation
2. Contraction stress test
3. Biophysical Profile

Describe the components of the birth process.

1. The Four P’s
   • Power - Contractions
     • Effects on Cervix
       • Effacement
       • Dilatation
     • Phases
       • Increment
       • Peak or acme
       • Decrement
     • Terms
       • Frequency
       • Duration
       • Intensity
       • Interval
   • Passageway
     • True versus false pelvis
   • Passenger
     • Fetal Head Landmarks
     • Size of passenger
     • Number of Passengers
     • Fetal Station
     • Fetal Lie
     • Fetal Attitude
     • Fetal Presentation
     • Cephalic
     • Breech
     • Shoulder
   • Position
     • Maternal Pelvis Side - Left or Right
     • Fetal Reference Points - Occiput, Mentum, Brow or Sacrum
     • Maternal Pelvis Quadrant - Anterior, Transverse or Posterior
2. Placenta

Describe nursing assessment of the birth process.

1. Signs of impending labor
2. Mechanisms of labor
3. True labor versus False labor

Describe the stages and phases of labor.

1. Stage One - Dilatation and Effacement
2. Stage Two - Delivery of Infant
3. Stage Three - Delivery of Placenta
4. Stage Four - Recovery

Discuss the admission process for a patient in labor.

1. Criteria for admission
   • Admission data
     •  Fetal Condition
     • Maternal Conditions
       • Medical/Obstetrical History
       • Drug use: Prescription, over the counter (OTC), Illicit
       • Plans for Birth and Pain Control
       • Status of Labor
   • Admission Procedures
     • Permits and Lab Tests

Describe nursing care of the patient during normal labor and delivery, including but not limited to:

1. Pain management
   • Relaxation techniques
   • Modifiers of pain during labor
   • Nonpharmacological techniques
   • Pharmacological techniques
     • Analgesics
     • Regional analgesics and anesthetics
2. Cultural, spiritual, and ethnic influences
3. Maternal Monitoring
   1. Uterine contractions
   2. Vital signs
   3. Intake and output (I & O)
4. Fetal Monitoring
   • Fetal heart rate (FHR)
     • Intermittent auscultation
     • Continuous Electronic Fetal Monitoring (EFM)
     • Evaluating FHR Patterns
       • Baseline FHR
       • Variability
       • Accelerations
       • Early Decelerations
       • Variable Decelerations
       • Late Decelerations
       • Clarifying Nonreassuring FHR Patterns
         • Fetal Stimulation
         • Fetal Scalp Sampling
         • Fetal Scalp Pulse Oximetry
5. Position Changes
   • For comfort
   • For delivery
   • For complications
6. Coping with Labor
   • Instructions regarding when to “Push”
   • Encouragement to Partner
   • Mood Changes
7. Pharmacological agents
8. Assessment
9. Interventions
10. Alternative methods of delivery

Describe nursing care during obstetrical procedures.

1. Induction or augmentation
   • Indications
   • Contraindications
   • Labor readiness
   • Cervical ripening
     • Mechanical methods
     • Pharmacologic methods
     • Hygroscopic dilators
   • Stripping of membranes/amniotomy
   • Oxytocin induction
2. Amnioinfusion
3. Version
4. Episiotomy
   • Midline
   • Mediolateral

Describe nursing care of women with complications during labor and delivery.

1. Lacerations
   • First Degree
   • Second Degree
   • Third Degree
   • Fourth Degree
2. Assisted delivery
   • Forceps
   • Vacuum Extractions
3. Problems with Mother
4. Prolonged Labor
5. Problems with Fetus
6. Dysfunctional Labor (Dystocia)
7. Precipitate Birth
8. Premature Rupture of Membranes (PROM)
9. Preterm Labor
10. Postterm Pregnancy and Labor
11. Intrauterine Fetal Death
12. Amniotic Fluid Embolism
13. Shoulder Dystocia
14. Umbilical Cord Prolapse
15. Uterine Inversion
16. Uterine Rupture
17. Placental Abnormalities
18. Umbilical Cord Abnormalities

Describe nursing care associated with cesarean delivery (c-section).

1. Indications
2. Incidence
3. Risks
4. Maternal Complications
5. Fetal Complications
6. Incision Types
   • Abdominal
   • Uterine
7. Steps of a Cesarean Birth
   • Preoperative Phase
   • Intraoperative Phase
   • Postoperative Phase
   • Emergency of Unplanned Cesarean Birth
8. Nursing Care for the Cesarean Birth
9. Vaginal Birth After Cesarean (VBAC)
   • Prerequisites
   • Contraindications
   • Risks and Benefits

Describe nursing care immediately after delivery.

1. Maternal
   • Vital Signs
   • Assessment of Fundus
   • Medications
   • Post-Cesarean Birth
   • Post-Epidural/Post-Spinal
   • Perineum
2. Infant
   • Birth to 1 hour
     • Apgar scoring
     • Thermal Environment
     • Cardio-Respiratory Function
     • Gastrointestinal (GI)- First 24 Hours
     • Medications - Prophylaxis
       • Erythromycin
       • Vitamin K
     • Identification
       • Infant’s footprints/Mother’s fingerprint
       • Identification (ID) Bands
       • Photograph with ID Card
     • Weight/Length

Describe changes in maternal anatomy and physiology during the postpartum period.

1. Uterus
2. Lochia
3. Perineum
4. Abdominal Wall
5. Weight Loss
6. Breasts
   • Breast FeedingNon-Breastfeeding
   • Bladder
7. Gastrointestinal (GI) System
8. Extremities
   • Homan’s Sign

Describe nursing care of the patient and family during the postpartum period.

1. Assessment
   • Vital signs
   • Labs
   • Fundus
     • Involution
     • Fundal Massage
   • Afterpains
   • Perineum
     • Episiotomy/Lacerations
   • Lochia
     • Color
     • Consistency
   • Breasts/Nipples
   • Bowel and Bladder
     • Voiding
     • Defecation
   • Maternal- Newborn Bonding
   • Pain
2. Interventions
   • Pharmacological Agents
   • Perineal Care
     • Sitz bath/care of hemorrhoids
   • Bathing
3. Discharge and Discharge Teaching
   • Ovulation and menstruation
   • Birth control
   • Rubella vaccine and RhoGam
   • Activity, Rest, and Diet
   • Follow-up appointments

Discuss how nursing care of the patient is altered during the postpartum period following cesarean delivery.

1. Assessment
   • Uterus
   • Lochia
   • Abdominal Dressing
   • Urinary Catheter
   • Respiratory Care
   • Thrombophlebitis
   • Pain Management
   • Vital Signs and Lab Values
2. Interventions
   • Pharmacological Agents
   • Incision Care
   • Bathing
   • Ambulation
3. Discharge and Discharge Teaching
   • Activity
   • Follow-up appointments

Describe psychological adaptation of the postpartum patient.

1. Bonding
2. Development of Positive Family Relationships
3. Postpartum Depression
4. Postpartum Psychosis
5. Malattachment in the Postpartum Period
6. Grieving Parents

Describe nursing care of the patient with complications during the postpartum period.

1. Hemorrhage
   • Major causes
   • Nursing Interventions
2. Thromboembolic disorders
   • Nursing Interventions
3. Postpartum Infections
   • Nursing Interventions
4.  ​Constipation
   • Nursing Interventions

Describe nursing care of the normal newborn.

1. Assessment
   • Vital Signs
   • Measurements
     • Weight
     • Length
     • Head circumference
     • Chest circumference
   • General Appearance
     • Skin
     • Head
     • Face
     • Eyes
     • Ears
     • Nose
     • Mouth
     • Neck
     • Thorax
     • Abdomen
     • Umbilical Cord
     • Female/Male External Genitalia
     • Anus
     • Eliminations
     • Extremities
     • Back
   • Neurological Assessment
   • Gestational Age Assessment
   • Behavioral Assessment
2. Priorities in Nursing Care
   • Maintaining Effective Airway
   • Facilitating Thermoregulation
     • Mechanisms of Heat Loss
   • Laboratory Screenings
     • Hypoglycemia
     • Polycythemia and Anemia
     • Disease Screening
   • Safety
     • Identification and Security
     • Positioning
   • Prevention of Hemorrhage
   • Prevention of Infection
   • Nourishment
   • Parent Education

Describe nursing care of the newborn with complication/anomalies.

1. Newborn with Special Considerations
   • HIV
   • Infants Born to Substance-abusing Mothers
     • Perinatal Substance Abuse
     • Fetal Alcohol Syndrome
     • Adoption
   • Small for Gestational Age
   • Large for Gestational Age
   • Infants Born to Diabetic Mothers
2. The Preterm Infant
   • Appearance and Activity
   • Special Needs
     • Nutrition
     • Thermoregulation
     • Maintaining oxygenation
     • Prevention of infection
     • Infant stimulation
     • Assessment for neurologic sequelae
     • Metabolic Complication
       • Hypoglycemia
     • Inborn Errors of Metabolism
     •  Birth Injuries
     • Galactosemia
       • Phenylketonuria
       • Congenital Hypothyroidism
3. Birth Injuries
   • Intracranial or Intraventricular Hemorrhage
   • Facial Paralysis
   • Erb’s Palsy
   • Fractures
4. Nervous System Abnormalities
   • Hydrocephalus
     • Types
     • Early Recognition and Treatment
       • Ventriculoperitoneal Shunt
       • Lumboperitoneal Shunt
       • Ventriculoatrial Shunt
     • Nursing Care
     • Complications and Prognosis
   • Spina Bifida
     • Diagnosis
     • Types
     • Nursing Considerations
     • Complications and Long-term Care
5. Developmental Disabilities
   • Mental Retardation
   • Down’s Syndrome
6. Craniofacial Abnormalities
   • Craniosynostosis
   • Cleft Lip and Cleft Palate
7. Digestive Tract Abnormalities
   • Esophageal Atresia/Tracheoesophageal Fistula
   • Imperforate Anus
   • Abdominal Hernias
     • Oomphalocele
     • Gastroschisis
     • Diaphragmatic Hernia
8. Disorders of the Heart and Circulatory System
   • Congenital Heart Disease
   • Hemolytic Disease of the Newborn
     • Rh Incompatibility
9. Orthopedic Abnormalities
   • Congenital Dislocation of the Hip
   • Club Foot
   • Syndactyly
10. Other Disorders
    • Hypospadias

Discuss various types of infant feeding.

1. Breastfeeding
2. Formula Feeding

MPN 2050 - Clinical II for CMA

1. Accept the role of the beginning Practical Nurse by:
   • Demonstrating knowledge of legal and ethical responsibility and limitations when administering patient care
   • Demonstrating confidences by initiating patient care and by performing tasks with minimal supervision
   • Consulting clinical instructor regarding learning needs.
   • Utilizes constructive criticism to improve clinical performances.
   • Demonstrate successful time management skills in delivering patient care.
2. Utilizes appropriate verbal and nonverbal skills while participating in the communication process with patients and colleagues by:.
   • Identifying barriers to communication and adapt to changing needs of the patient.
   • Recording information obtained from a head to toe assessment on the patient’s chart legibly and concisely.
   • Relating pertinent information to colleagues and discussing appropriate nursing action.
   • Establish therapeutic nurse/client relationship.
   • Respond to culturally specific requests/needs according to facility policy.
   • Demonstrates professional, empathetic and therapeutic communication skills in all learning situations.
   • Demonstrate effective and appropriate interactive/communication skills with other members of the healthcare team, as well as the patient and family.
3. Utilize the nursing process in providing care for individuals by:
   • Performing a head to toe assessment.
   • Developing a nursing care plan with the client, family and interdisciplinary healthcare team members, including assessment, short and long term goals, nursing interventions, implementation, and evaluation.
   • Applies the nursing process as a basis for clinical decision-making in classroom activities and in clinical experiences.
   • Constructs and implements safe, effective, patient-centered nursing care using nursing knowledge, information technologies and research evidence.
   • Assist with the admission of a patient: obtaining and recording data on appropriate forms.
   • Taking client history using a structured assessment tool.
   • Applies the nursing process to patient learning needs.
   • Assist the Registered Nurse (RN) in formulating nursing diagnosis.
4. Demonstrate a personal/professional attitude by:
   • Participating in clinical experience by attending, reporting promptly, and staying the entire assigned time.
   • Utilizing appropriate hygienic measures to present a professional appearance.
   • Demonstrating a desire to learn by actively interacting with colleagues.
   • Observe HIPPA guidelines at all times.
   • Applies principles of collaboration and advocacy to safely provide and manage patient care.
   • Emulates professional behavior in all clinical settings.
   • Demonstrate knowledge of the leadership role and personal attributes of the PN.
   • Consider appropriate delegation of duties to non-licensed personnel.
   • Applies ethical and legal principles and professional standards to nursing practice.
5. Demonstrate scientific principles when caring for individuals in various states of the life cycle by:
   • Utilizing principles of microbiology and anatomy to contrast between normal body function and disease process. Plan and perform nursing care on assigned clients recognizing physical, psychosocial, multicultural diversity, and developmental needs.
   • Utilizing basic concepts of nutrition to assist patients to comply with and understand their dietary regime.
   • Utilizing principles of normal growth and development to appropriately care for individuals in various states of the life cycle.
   • Complete an assessment on a geriatric client’s cognitive processes (memory, communication, orientation, problem solving).
   • Assist with activities of daily living (ADL’s) of the geriatric client.
   • Use observational, assessment, and communication skills with the geriatric client.
   • Incorporate patient teaching and reinforcement as needs indicate.
   • Assist with a complete physiological assessment on a geriatric client’s common clinical problems including:
     • Impaired Mobility
     • Alteration in Elimination
     • Risk for Impaired Skin Integrity
     • Risk for Fall or Injury
     • Sleep Pattern Disturbances
     • Altered Nutritional Status
6. Demonstrate ability to:
   • Identify conflicts between the nursing plan of care and the plan of interdisciplinary health team members.
   • Participate in discussing the plan of care with interdisciplinary healthcare team.
   • Implement the plan of care taking into consideration ethical and legal parameters including scope of education with the client and interdisciplinary healthcare team.
   • Assist in discharge planning for assigned clients.
   • Identify health related learning needs.
   • Displays organizational skills by planning and completing patient care in a reasonable time.
   • Implement a teaching plan for clients with common health problems and well- defined learning needs.
   • Implement nursing measures, psychosocial concepts, and assists with diagnostic studies as indicated in the care of patients with health alterations.
   • Document and report care and treatments given and other pertinent observations accurately and completely according to facility policy and clinical procedure
7. Assist in promoting a safe effective care environment conducive to optimal health and dignity.
   • Implement plans of care to meet basic needs including circulation, activity, elimination, comfort, pain management, rest and sleep.
   • Implement nursing interventions to promote health and rehabilitation.
   • Applies sound nursing judgment to nursing situations using standards of care, critical thinking, clinical reasoning, and evidence-based practice.
   • Applies a range of knowledge to promote health and well-being and prevent complications in adults experiencing illness and disease.
   • Initiate basic emergency interventions as needed.
   • Initiate basic nursing interventions to foster client’s social well-being and effective coping mechanisms.
   • Demonstrating appropriate care and teaching to meet patient’s safety needs.
   • Utilize basic therapeutic communication.
   • Assist interdisciplinary healthcare team members with exams and procedures.
   • Observe and communicate Patient’s Bill of Rights.
   • Report unsafe practices.
   • Utilize current technology to enhance client care.
8. Integrate previous nursing knowledge and skills in the prevention and treatment of diseases, including but not limited to:
   • Anatomy and Physiology
   • Nutrition/Diet Therapy
   • Pharmacology
   • Nursing Fundamentals
   • Mental Health

CLINICAL/LAB/SIMULATION COMPETENCIES:

Upon completion of this course, the student under the supervision of the instructor will be able to accomplish the following objectives. The student must receive a satisfactory evaluation during med-cart rotation for progression. An unsatisfactory evaluation will result in the student not being able to progress regardless of the academic average.

1. Utilize drug information sources and be able to identify the generic/trade names, dosage forms of pharmaceutical preparations, the expected local and systemic actions of the drugs special considerations and, side effects/ interactions. Suggested activity: student will complete a drug card on each drug administered.
2. Administer medications per the “Rights” of administration.
3. Document accurately the administration of medications given, including controlled substances, according to the procedure of the facility and program guidelines.
4. Safely calculates and/or converts dosages according to prescribed standards.
5. Evaluate the effectiveness of drugs administered and utilize pain scale when indicated.
6. Implements appropriate safety measures.
7. Selects and demonstrates appropriate use of equipment/supplies for administration of medications.
8. Demonstrate ability to interpret and transcribe the drug order accurately.
9. Demonstrate correct use of the medication administration record, controlled substance record or other records required for the safe administration of medications.
10. Apply critical thinking to the principles of administration of medications.
11. Demonstrate effective use of the time management skills with administration of medications.
12. Assess patients for conditions and factors that are likely to influence drug effects, including age, weight, health status, and lifestyle.
13. Obtain a medication history about the patient’s use of prescription, over-the-counter (OTC), and social drugs as well as herbal and dietary supplements.
14. Identify nondrug interventions to prevent or decrease the need for drug therapy.
15. Observe patients for therapeutic and adverse responses to drug therapy.
16. Teach patients and family members how to use prescription and OTC drugs safely and effectively.
17. When indicated, teach patients about the potential effects of herbal and dietary supplements.
18. For patients who use herbal and dietary supplements, provide-or assist them in obtaining-reliable information.
19. Apply evidence-based data about patients and therapeutic drugs in all steps of the nursing process.
20. Student will demonstrate proper hand washing technique prior to medication preparation and before and after patient contact.
21. Student will demonstrate proper handling of medication to prevent contamination.
22. Student will look up the action and side effects of a new drug prior to administration.
23. Student will calculate correct drug dosage.
24. Student will identify the patient correctly (according to facility policy).
25. Student will administer the correct drug, correct dosage, via correct route, at the correct time.
26. Student will identify correct landmarks and use correct technique in administering medication.
27. Student will demonstrate accurate and timely documentation according to facility policy.
28. Assess level of consciousness and respiratory status before and after administering opioids.
29. Teach patients about safe, effective use of opioid analgesics.
30. Teach patients interventions to prevent or decrease adverse effects of aspirin, other NSAIDs, and acetaminophen.
31. Teach patients guidelines for rational, safe use of antianxiety and sedative-hypnotic drugs.
32. Teach the patient about safe, effective use of adrenergic drugs.
33. Teach patients about safe, effective use of antiadrenergic drugs.
34. Assist patients or caregivers in learning how to manage diabetes care, including administration of medication agents used to manage diabetes mellitus.
35. Collaborate with nurse diabetes educators, dietitians, pharmacists, and others in teaching self-care activities to patients with diabetes.
36. Assess and monitor patients’ conditions in relation to diabetes mellitus and their compliance with prescribed management strategies.
37. Teach parents about recommended immunizations and record keeping.
38. Assist patients/caregivers in preventing or managing symptoms associated with chemotherapy regimens

CLINICAL/LAB/SIMULATION COMPETENCIES:

Upon completion of the mother and infant care clinical rotation, the student under the supervision of the clinical instructor will be able to accomplish the following objectives. The student must receive a satisfactory clinical rotation evaluation for progression. An unsatisfactory clinical rotation evaluation will result in the student not being able to progress regardless of the academic average.

Labor and Delivery:

1. Assist the laboring mother with relaxation exercises.
2. Observe and assist with monitoring of fetal heart tones (FHT).
3. Participate in timing uterine contractions.
4. Observe procedures performed in labor room to prepare for delivery.
5. Observe administration of anesthetics.
6. Observe and assist positioning for delivery.
7. Observe episiotomy and identify type performed.
8. Determine position and presentation of neonate.
9. Observe delivery of neonate.
10. Observe third stage of labor and identify delivery of placenta.
11. Observe identification and/or assist with immediate care to neonate in delivery room.
12. Identify prophylactic measures performed on neonate.
13. Note one and five minute Apgar scores.
14. Observe the alternative methods of delivery as available.
15. Observe and assist with emergency delivery as available.
16. Identify medications given in the labor room and delivery room, their actions, and nursing implications.
17. Effectively and appropriately interact/communicate with all others on the healthcare team.

Postpartum:

1. Assist client with personal hygiene and care measures as ordered (i.e., shower, bed bath, partial bath, peri-care, sitz bath, etc.).
2. Assist with instructing the client on the proper postpartum care.
3. Assess and document: perineal appearance, condition of breasts, amount, color, and consistency of lochia, vital signs, etc.
4. Assess and assist with massage and document condition of fundus (check hospital policy for fundal massage on cesarean section patients).
5. Observe the psychosocial behavior of the family during the postpartum period.
6. Assist with various types of infant feeding.
7. Observe and assist parents in bonding techniques.
8. Assess for and assist with emergency measures in hemorrhage.

Newborn:

1. Take and record: temperature, heart rate, respirations and report abnormal values according to facility policy.
2. Weigh and measure infant.
3. Observe and assist in completing newborn assessment.
4. Provide care for the normal newborn including but not limited to:
   • Cord care
   • Bath
   • Transporting infant to client for feeding
   • Feeding and burping infant (i.e. breast or bottle)
   • Diaper care
5. Observe infant male circumcision.
6. Assist with instructing client on care of newborn.
7. Identifies and implements security measures for newborn.

CLINICAL/LAB/SIMULATION COMPETENCIES:

Upon completion of the mental health nursing clinical rotation, the student under the supervision of the clinical instructor will be able to accomplish the following objectives. The student must receive a satisfactory clinical rotation evaluation for progression. An unsatisfactory clinical rotation evaluation will result in the student not being able to progress regardless of the academic average.

1. Identify characteristics of bipolar behavior.
2. Identify characteristics of psychotic behavior.
3. Distinguish between hallucinations and delusions.
4. Observe/identify the therapeutic techniques used in the nursing care of psychiatric patients.
5. Observe/identify nursing management of the patient with dementia.
6. Identify precautions used with the suicidal patient.
7. Identify resources available for the patient with a chemical dependency.
8. Identify the current trend of care of the psychiatric clients.
9. Identify mental health community resources available to the client and family.
10. Observe HIPPA guidelines in the care of the psychiatric client.
11. Utilize observational, assessment and communication skills.
12. Assist with crisis intervention as indicated.
13. Observe appropriate safety measures related to the therapeutic milieu in daily nursing care.
14. Identify mental health community resources available to the client and family.
15. Maintain a professional attitude and appropriate interventions at all times.
16. Be familiar with DMI/DSM.
17. Participate in group activities as permitted.

MPN 3010 - Clinical III for CMA

Upon completion of the nursing of children clinical rotation, the student under the supervision of the clinical instructor will be able to accomplish the following objectives. The student must receive a satisfactory clinical rotation evaluation for progression. An unsatisfactory clinical rotation evaluation will result in the student not being able to progress regardless of the academic average.

1. Safely and effectively apply scientific principles of nursing to the care of the pediatric patient.
2. Obtain and record vital signs following facility protocol according to the patient’s growth and development.
3. Observe safety measures appropriate for growth and development.
4. Assist in assessment of nutritional status and dietary needs specific to the developmental stage.
5. Demonstrate the ability to perform treatments/procedures specific to pediatric patients, including but not limited to:
   • Specimen collection
   • Height/weight and plot on growth chart
   • Administration of medications
   • Intake and Output
   • Feedings
   • Play Therapy
6. Utilize drug information sources to identify correct pediatric dosage, dosage forms, expected local and systemic actions of drugs, and drug side effects.
7. Incorporate developmental and age appropriate play therapy into daily care regimen.
8. Observe and document child/parent interactions.
9. Adapt patient teaching to meet the developmental stage and needs of the child and caregivers.

CLINICAL/LAB/SIMULATION COMPETENCIES:

Upon completion of this course, the student under the supervision of the instructor will be able to accomplish the following objectives. The student must receive a satisfactory evaluation during med-cart rotation for progression. An unsatisfactory evaluation will result in the student not being able to progress regardless of the academic average.

1. Utilize drug information sources and be able to identify the generic/trade names, dosage forms of pharmaceutical preparations, the expected local and systemic actions of the drugs special considerations and, side effects/ interactions. Suggested activity: student will complete a drug card on each drug administered.
2. Administer medications per the “Rights” of administration.
3. Document accurately the administration of medications given, including controlled substances, according to the procedure of the facility and program guidelines.
4. Safely calculates and/or converts dosages according to prescribed standards.
5. Evaluate the effectiveness of drugs administered and utilize pain scale when indicated.
6. Implements appropriate safety measures.
7. Selects and demonstrates appropriate use of equipment/supplies for administration of medications.
8. Demonstrate ability to interpret and transcribe the drug order accurately.
9. Demonstrate correct use of the medication administration record, controlled substance record or other records required for the safe administration of medications.
10. Apply critical thinking to the principles of administration of medications.
11. Demonstrate effective use of the time management skills with administration of medications.
12. Assess patients for conditions and factors that are likely to influence drug effects, including age, weight, health status, and lifestyle.
13. Obtain a medication history about the patient’s use of prescription, over-the-counter (OTC), and social drugs as well as herbal and dietary supplements.
14. Identify nondrug interventions to prevent or decrease the need for drug therapy.
15. Observe patients for therapeutic and adverse responses to drug therapy.
16. Teach patients and family members how to use prescription and OTC drugs safely and effectively.
17. When indicated, teach patients about the potential effects of herbal and dietary supplements.
18. For patients who use herbal and dietary supplements, provide-or assist them in obtaining-reliable information.
19. Apply evidence-based data about patients and therapeutic drugs in all steps of the nursing process.
20. Student will demonstrate proper hand washing technique prior to medication preparation and before and after patient contact.
21. Student will demonstrate proper handling of medication to prevent contamination.
22. Student will look up the action and side effects of a new drug prior to administration.
23. Student will calculate correct drug dosage.
24. Student will identify the patient correctly (according to facility policy).
25. Student will administer the correct drug, correct dosage, via correct route, at the correct time.
26. Student will identify correct landmarks and use correct technique in administering medication.
27. Student will demonstrate accurate and timely documentation according to facility policy.
28. Assess level of consciousness and respiratory status before and after administering opioids.
29. Teach patients about safe, effective use of opioid analgesics.
30. Teach patients interventions to prevent or decrease adverse effects of aspirin, other NSAIDs, and acetaminophen.
31. Teach patients guidelines for rational, safe use of antianxiety and sedative-hypnotic drugs.
32. Teach the patient about safe, effective use of adrenergic drugs.
33. Teach patients about safe, effective use of antiadrenergic drugs.
34. Assist patients or caregivers in learning how to manage diabetes care, including administration of medication agents used to manage diabetes mellitus.
35. Collaborate with nurse diabetes educators, dietitians, pharmacists, and others in teaching self-care activities to patients with diabetes.
36. Assess and monitor patients’ conditions in relation to diabetes mellitus and their compliance with prescribed management strategies.
37. Teach parents about recommended immunizations and record keeping.
38. Assist patients/caregivers in preventing or managing symptoms associated with chemotherapy regimens

CLINICAL/LAB/SIMULATION COMPETENCIES:

Upon completion of the Medical-Surgical clinical rotation, the student under the supervision of the clinical instructor will be able to accomplish the following objectives. The student must receive a satisfactory clinical rotation evaluation for progression. An unsatisfactory clinical rotation evaluation will result in the student not being able to progress regardless of the academic average.

1. Accept the role of the beginning Practical Nurse by:
   • Demonstrating knowledge of legal and ethical responsibility and limitations when administering patient care
   • Demonstrating confidences by initiating patient care and by performing tasks with minimal supervision.
   • Consulting clinical instructor regarding learning needs.
   • Utilizes constructive criticism to improve clinical performances.
   • Demonstrate successful time management skills in delivering patient care.
2. Utilizes appropriate verbal and nonverbal skills while participating in the communication process with patients and colleagues by:
   • Identifying barriers to communication and adapt to changing needs of the patient.
   • Recording information obtained from a head to toe assessment on the patient’s chart legibly and concisely.
   • Relating pertinent information to colleagues and discussing appropriate nursing action.
   • Establish therapeutic nurse/client relationship.
   • Respond to culturally specific requests/needs according to facility policy.
   • Demonstrates professional, empathetic and therapeutic communication skills in all learning situations.
   • Demonstrate effective and appropriate interactive/communication skills with other members of the healthcare team, as well as the patient and family.
3. Utilize the nursing process in providing care for individuals by:
   • Performing a head to toe assessment.
   • Developing a nursing care plan with the client, family and interdisciplinary healthcare team members, including assessment, short and long term goals, nursing interventions, implementation, and evaluation.
   • Applies the nursing process as a basis for clinical decision-making in classroom activities and in clinical experiences.
   • Constructs and implements safe, effective, patient-centered nursing care using nursing knowledge, information technologies and research evidence.
   • Assists with the admission of a patient: obtaining and recording data on appropriate forms.
   • Taking client history using a structured assessment tool.
   • Applies the nursing process to patient learning needs.
   • Assists the Registered Nurse (RN) in formulating nursing diagnosis.
4. Demonstrate a personal/professional attitude by:
   • Participating in clinical experience by attending, reporting promptly, and staying the entire assigned time.
   • Utilizing appropriate hygienic measures to present a professional appearance.
   • Demonstrating a desire to learn by actively interacting with colleagues.
   • Observe HIPPA guidelines at all times.
   • Applies principles of collaboration and advocacy to safely provide and manage patient care.
   • Emulates professional behavior in all clinical settings.
   • Demonstrate knowledge of the leadership role and personal attributes of the PN.
   • Consider appropriate delegation of duties to non-licensed personnel.
   • Applies ethical and legal principles and professional standards to nursing practice.
5. Demonstrate scientific principles when caring for individuals in various states of the life cycle by: Utilizing principles of microbiology and anatomy to contrast between normal body function and disease process.
6. Plan and perform nursing care on assigned clients recognizing physical, psychosocial, multicultural diversity, and developmental needs.
   • Utilizing basic concepts of nutrition to assist patients to comply with and understand their dietary regime.
   • Utilizing principles of normal growth and development to appropriately care for individuals in various states of the life cycle.
   • Complete an assessment on a geriatric client’s cognitive processes (memory, communication, orientation, problem solving).
   • Assist with activities of daily living (ADL’s) of the geriatric client.
   • Use observational, assessment, and communication skills with the geriatric client.
   • Incorporate patient teaching and reinforcement as needs indicate.
   • Assist with a complete physiological assessment on a geriatric client’s common clinical problems including:
     • Impaired Mobility
     • Alteration in Elimination
     • Risk for Impaired Skin Integrity
     • Risk for Fall or Injury
     • Sleep Pattern Disturbances
     • Altered Nutritional Status
7. Demonstrate ability to:
   • Identify conflicts between the nursing plan of care and the plan of interdisciplinary health team members.
   • Participate in discussing the plan of care with interdisciplinary healthcare team members.
   • Implement the plan of care taking into consideration ethical and legal parameters including scope of education with the client and interdisciplinary healthcare team.
   • Assist in discharge planning for assigned clients.
   • Identify health related learning needs.
   • Displays organizational skills by planning and completing patient care in a reasonable time.
   • Implement a teaching plan for clients with common health problems and well- defined learning needs.
   • Implement nursing measures, psychosocial concepts, and assists with diagnostic studies as indicated in the care of patients with health alterations.
   • Document and report care and treatments given and other pertinent observations accurately and completely according to facility policy and clinical procedure.
8. Assist in promoting a safe effective care environment conducive to optimal health and dignity.
   • Implement plans of care to meet basic needs including circulation, activity, elimination, comfort, pain management, rest and sleep.
   • Implement nursing interventions to promote health and rehabilitation.
   • Applies sound nursing judgment to nursing situations using standards of care, critical thinking, clinical reasoning, and evidence-based practice.
   • Applies a range of knowledge to promote health and well-being and prevent complications in adults experiencing illness and disease.
   • Initiate basic emergency interventions as needed.
   • Initiate basic nursing interventions to foster client’s social well-being and effective coping mechanisms.
   • Demonstrating appropriate care and teaching to meet patient’s safety needs.
   • Utilize basic therapeutic communication.
   • Assist interdisciplinary healthcare team members with exams and procedures.
   • Observe and communicate Patient’s Bill of Rights.
   • Report unsafe practices.
   • Utilize current technology to enhance client care.
9. Integrate previous nursing knowledge and skills in the prevention and treatment of diseases, including but not limited to:
   • Anatomy and Physiology
   • Nutrition/Diet Therapy
   • Pharmacology
   • Nursing Fundamentals
   • Mental Health

MPN 3020 - Advanced Professional Vocational Relations for CMA

1. Identify the proper definition of leadership and management and concepts of each.
2. Identify and be able to discuss the different common leadership styles.
3. Identify major leadership functions within the health care team which includes but not limited to:
   • Staff nurse
   • Charge nurse
   • Medication nurse
   • Treatment nurse
   • Supervisor
4. Identify necessary components to provide safe and effective nursing care including:
   • Time management
   • Prioritization
   • Delegation
   • Client care assignments
   • Continuity of care
   • Performance improvement
   • Continuing education
   • Information security
5. Identifies through evaluation an understanding of the scope of practice as outlined in the Rules and Regulations of the Tennessee Board of Nursing (http://share.tn.gov/sos/rules/1000/1000.htm).
6. Identifies through evaluation an understanding of the Code of Ethics for practical nurses.
7. Identifies and demonstrates the skills of critical thinking, clinical reasoning, and clinical judgement.
8. Identifies other professional responsibilities in regard to client needs and proper management of care:
   • Client rights
   • Legal issues
   • Advocacy
   • Informed consent
   • Licensure: multi-state compact
   • Malpractice
   • Advanced directives
   • Confidentiality
   • Abuse
     • Mandatory reporting
     • Patient abuse/neglect
     • Physical/verbal abuse: Abuse Registry
   • Current issues and trends in nursing
9. Identifies components necessary to be an effective team leader:
   • Effective communication
   • Conflict resolution
   • Accountability
   • Team building/collaboration
10. Discuss chemical dependency among nursing professionals
11. Recognize behaviors displayed by impaired nursing professionals.
12. Identify and discuss resources available to impaired nursing professionals.
13. Discuss Practical Nurse’s responsibility in reporting an impaired nursing professional.
14. Discuss peer assistance programs and is knowledgeable of the Tennessee Peer Assistance Program (TN PAP).
15. Discuss impact of guilt by association on licensure.
16. Identify, practice, and complete basic skills necessary for employability.
    • Interviewing
    • Resumes
    • Resignations
    • Employees rights and responsibilities
    • Evaluation process of employee

MPN 3030 - Pediatric Nursing for CMA

1. Describe the various developmental stages and their supportive theories.
   • Erickson
   • Freud
   • Piaget
2. Discuss the basic principles of growth and development, in relation to both physical and psychosocial changes, across the span of childhood.
3. Demonstrate an understanding of basic principles of progression in regards to motor skills, language development, and sensory development.
4. Identify basic concepts of health promotion in the areas of nutrition and safety.
5. Identify recommended immunization schedules and techniques for administration based upon age.
6. Identify safety principles in administration of medications to pediatric patients.
7. Discuss how nursing care must be altered for the hospitalized child in relation to age and developmental stage.
   • Possible reactions
     • Anxiety & Fear
     • Separation Anxiety
     • Protest
       • Despair
       • Detachment
     • Loss of Control
     • Regression
   • Factors affecting child’s response to hospitalization
     • Developmental Levels
       • Infants
       • Toddlers
       • Preschoolers
       • School-age
       • Adolescents
     • Previous experiences
     • Reactions of parents/ siblings
   • Nurse’s Role
     • Maximize family functioning
     • Promote self (family) care
     • Admission status
       • General
       • Emergent
       •  Pediatric intensive care unit (ICU
       • Outpatient/special procedures
       • Rehabilitation
     • Consents
       • Informed
         • Parental
         • Guardianships
       • Exceptions to parental consent
         • Mature minor
         • Emancipated minor
       • Assent (of the child)
     • Confidential & Legal -Ethical Issues
       • HIPAA
       • Mandatory reporting
         • Abuse &Neglect
         • Criminal acts
         • Injuries by weapons
         • Threats to self
         • Certain infectious diseases and sexual trauma
     • Maintaining Safety During Hospitalization
       • Atraumatic Care
       • Use of Restraints
         • Soft limb
         • Elbow
         • Mummy
         • Jacket (vest)
       • Transporting
     • Basic Care
       • General hygiene
       • Nutritional care
       • Play therapy
     • Preparing child & family for discharge
       • Follow-up appointments/ Referrals
       • Diet
       • Activity &/or return to school
       • Medications
       • Additional treatments
8. Identify basic principles and techniques for physical assessment for pediatric patients.
   • Admission Data
     • Labs
     • Vital Signs
     • Height/Weight
     • Intravenous Access
     • Nutritional Assessment-age appropriate
     • Allergies
     • Activity Level
     • Family Involvement
     • Elimination
       • Diapering/voiding
     • Special needs (wheelchair, crib, etc.)
     • Focused Assessment
       • Reason for hospitalization/chief complaint
9. Recognizes the holistic concept of care of critically ill, dying children, and the family.
10. Define Munchausen’s syndrome by proxy.
11. Identify common diseases and/or disorders of childhood in relation to body systems and describes etiology, signs/symptoms, treatment, and nursing interventions unique to the pediatric patient.
    • Conditions related to inadequate nutrition
      • Iron Deficiency Anemia
      • Protein malnutrition (Kwashiorkor)
      • Rickets
      • Scurvy
      • Pellagra
      • Failure to Thrive
    • Neurological Disorders
      • Meningitis
      • Seizures
        • Epilepsy
        • Febrile seizures
        • Cerebral Palsy
        • Head Injuries
        • Reye’s Syndrome
        • Encephalitis
        • Hydrocephalus
    • Sensory Disorder
      • Blindness
      • Deafness
      • Eye Disorders
        • Myopia
        • Hyperopia
        • Astigmatism
        • Strabismus
        • Amblyopia
        • Conjunctivitis
        • Retinoblastoma
        • Stye
      • Ear Disorders
        • Otitis Externa
        • Otitis Media
        • Barotrauma
      • Respiratory Disorders
        • Nasopharyngitis, Coryza, Cold and Rhinitis
        • Tonsillitis/adenoiditis
        • Croup
          • Congential laryngeal stridor
          • Spasmodic laryngitis
          • Laryngotracheobronchitis
          • Pneumonias
          • Bronchitis/ Bronchiolitis
          • Epiglottitis
          • Asthma
          • Streptococcal infection
          • Cystic Fibrosis
      • Cardiovascular Disorders
        • Congential Heart Defects
          • Atrial Septal Defect
          • Ventricular Septal Defect
          • Patent Ductus Arteriosus (PDA)
          • Coarctation of the Aorta
          • Tetralogy of Fallot
          • Hypoplastic Left Heart Syndrome
          • Transposition of the Great Vessels
        • Acquired Heart Diseases
          • Congestive Heart Failure
          • Rheumatic Fever/ Carditis
          • Hypertension/Hyperlipidema
          • Kawasaki Disease
      • Endocrine Disorders
        • Tay-Sachs Disease
        • Hypothyroidism/ Hyperthyroidism
        • Diabetes Insipidus
        • Diabetes Mellitus
          • Type 1
          • Type 2
      • Gastrointestinal Disorders
        • Infecitous/Epidemic Diarrhea
        • Constipation
        • Colic
        • Vomiting & Regurgitation
        • Intussusception
        • Esophageal Atresia (Tracheoesophageal Fistula)
        • Imperforate Anus
        • Pyloric Stenosis
        • Congenital Aganglionic Megacolon or Hirschsprung’s Disease
        • Types of Hernias
        • Celiac Disease
        • Helminths
          • Enterobiaisis (Pinworms)
          • Ascariasis (Roundworms)
        • Appendicitis
      • Urinary/ Renal Disorders
        • Phimosis/ Hypospadias/ Epispadias
        • Exstrophy of the bladder
        • Obstructive uropathy
        • Nephrotic Syndrome
        • Glomerulonephritis
        • Urinary tract infections
        • Wilm’s Tumor
      • Reproductive Disorders
        • Orchipexy
        • Hydrocele
        • Cryptorchidism
        • Testicular torsion
        • Dysmenorrhea
        • Sexually Transmitted Infections (STIs)
        • Adolescent Pregnancy
      • Musculoskeletal Disorders
        • Fractures
        • Soft Tissue Injuries
        • Duchene Muscular Dystrophy
        • Legg-Calve-Perthes Disease
        • Juvenile Idiopathic Arthritis (Juvenile Rheumatoid Arthritis)
        • Ewing’s Sarcoma
        • Spinal Defects/Deformities
          • Scoliosis
          • Lordosis
          • Kyphosis
        • Osteomyelitis
        • Integumentary Disorders
          • Infantile Eczema (Atopic Dermatitis)
          • Congenital Lestions
            • Strawberry Nevus
            • Port-wine Nevus
          • Miliaria
          • Dermatitis/ Intertrigo
          • Lice
            • Pediculosis capitis
            • Pediculosis corporis
            • Pediculosis pubis
          • Scabies
          • Ringworm
            • Tinea pedis
            • Tinea corporis
            • Tinea cruris
            • Tinea capitis
            • Acne Vulgaris
            • Lyme Disease
        • Hematologic/Lymphatic Disorders
          • Sickle Cell Disease
          • Thalassemias
          • Idiopathic Thrombocytopenia Purpura (ITP)
          • Leukemia
          • Hemophillia
          • Lymphadenopathy
          • Hodgkin’s Disease
          • Infectious Mononucleosis
          • Rocky Mountain Spotted Fever
12. Identify common communicable diseases of childhood and describes etiology, signs/symptoms, treatment, and nursing interventions.
    • Rubella
    • Rubeola
    • Roseola
    • Parotitis
    • Varicella
    • Variola
    • Pertussis
    • Diphtheria
    • Poliomyelitis
    • Hepatitis A, B, C
    • Rotavirus
    • Fifth disease (erythema infectiosum)
    • Haemophilus influenza
    • Respiratory Syncytial Virus (RSV)
    • Pneumococcal infections
    • Staphylococcal infections
    • Meningococcal infections
    • Sepsis
    • Impetigo
13. Identify common mental health issues related to childhood and describes etiology, signs/symptoms, treatment, and nursing interventions.
    • Eating Disorders
      • Obesity
      • Anorexia Nervosa
      • Bulimia Nervosa
    • Substance Abuse
    • Suicide
    • Down’s Syndrome
    • Autism/ Asperger Syndrome
    • Obsessive-Compulsive Disorder (OCD)
    • Attention-Deficit Hyperactivity Disorder (ADHD)
    • Oppositional Defiant Disorder (ODD)
14. Identify common pediatric emergencies and describes signs/symptoms, treatment, and nursing interventions.
    • Sudden Infant Death Syndrome (SIDS)
    • Accidents
    • Drowning/ Near Drowning
    • Poisoning
      • Plants
      • Drugs
        • Acetaminophen
        • Salicylate
        • Other
      • Lead
      • Carbon Monoxide
    • Foreign Body Ingestion
    • Burns
    • Smoke Inhalation Injury
    • Frostbite/Chilblain
    • Disaster/Bioterrorism
15. Identify professional responsibilities of the Practical Nurse related to pediatric patients, including but not limited to:
    • Legal/Ethical issues
    • Child abuse/neglect
    • Guardianship
    • Community resources

MPN 3040 - Pharmacology II for CMA

1. Differentiate between pharmacology and drug therapy.
2. Select authoritative sources of drug information.
3. Discuss major drug laws and standards.
4. Describe the main categories of controlled substances in relation to therapeutic use and potential for abuse.
5. Identify nursing responsibilities in handling controlled substances correctly.
6. Discuss the role of the Food and Drug Administration.
7. Analyze the potential impact of drug costs on drug therapy regimens.
8. Describe the main pathways and mechanisms by which drugs cross biologic membranes and move through the body.
9. Identify and develop basic knowledge of general pharmacokinetics for each body system and/or classification of drugs.
   • Describe the principles of absorption, distribution, metabolism, and excretion of drugs in the body.
   • Discuss the clinical usefulness of measuring serum drug levels.
   • Describe major characteristics of the receptor theory of drug action.
   • List drug-related and patient-related variables that affect drug actions.
10. Differentiate between agonist drugs and antagonist drugs.
11. Discuss mechanisms and potential effects of drug-drug interactions.
12. Identify signs and symptoms that may occur with adverse drug effects on major body systems.
13. Discuss general management of drug overdose and toxicity.
    • Discuss selected drug antidotes.
    • Discuss interventions to increase therapeutic effects and decrease adverse effects of drug therapy.
14. Describe major considerations in drug therapy for children, adults, and patients with impaired renal or hepatic function or critical illness.
15. Discuss application of the nursing process in home care settings.
16. Identify and have basic knowledge of common drug classifications, drug actions, side effects, nursing considerations, client education, and precautions with administration.
    • Drugs Affecting the Central Nervous System (CNS)
      • Discuss signs and symptoms of CNS depression and CNS stimulation.
      • Discuss general types and characteristics of CNS depressant drugs.
      • Describe specific antidotes for overdoses of central nervous system (CNS) depressant drugs and the circumstances indicating their use.
      • List characteristics of benzodiazepine antianxiety and hypnotic drugs in terms of mechanism of action, indications for use, nursing process implications, and potential for abuse and dependence.
      • Describe strategies for preventing, recognizing, or treating benzodiazepine withdrawal reactions.
      • Contrast characteristics of selected non-benzodiazepines and benzodiazepines.
      • Discuss the use of flumazenil and other treatment measures for overdose of benzodiazepines.
      • Discuss characteristics of phenothiazines and related antipsychotics.
      • Compare characteristics of “atypical” antipsychotic drugs with those of “typical” phenothiazines and related antipsychotic drugs.
      • State interventions to decrease adverse effects of antipsychotic drugs.
      • State interventions to promote compliance with outpatient use of antipsychotic drugs.
      • Discuss characteristics of antidepressants in terms of mechanism of action, indications for use, adverse effects, principles of therapy, and nursing process implications.
      • Compare and contrast the different categories of antidepressants: selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs), mixed serotonin-norepinephrine reuptake inhibitors (SNRIs), monoamine oxidase (MAO) inhibitors, and other atypical antidepressants.
      • Discuss selected characteristics of atypical antidepressants.
      • Describe the use of lithium in bipolar disorder.
      • Describe the use of atypical antipsychotics in the manic phase of bipolar disorder.
      • Discuss interventions to increase safety of lithium therapy.
      • Describe the nursing role in preventing, recognizing, and treating overdoses of antidepressant drugs and lithium.
      • Analyze important factors in using antidepressant drugs and lithium in special populations.
      • Describe general characteristics of central nervous system (CNS) stimulants.
      • Discuss reasons for decreased use of amphetamines for therapeutic purposes.
      • Discuss the rationale for treating attention deficit-hyperactivity disorder with CNS stimulants.
      • Identify effects and sources of caffeine.
      • Identify nursing interventions to prevent, recognize, and treat stimulant overdose.
    • Drugs Affecting the Peripheral Nervous System (PNS).
      • State names and general characteristics of drugs affecting the autonomic nervous system.
      • Identify effects produced by stimulation of alpha- and beta-adrenergic receptors.
      • List characteristics of adrenergic drugs in terms of effects on body tissues, indications for use, adverse effects, nursing process implications, principles of therapy, and observation of patient responses.
      • Discuss use of epinephrine to treat anaphylactic shock, acute bronchospasm, and cardiac arrest.
      • Identify patients at risk for the adverse effects associated with adrenergic drugs.
      • List commonly used over-the-counter preparations and herbal preparations that contain adrenergic drugs.
      • Discuss principles of therapy and nursing process for using adrenergic drugs in special populations.
      • Describe signs and symptoms of toxicity due to noncatecholamine adrenergic drugs.
      • Discuss treatment of overdose with noncatecholamine adrenergic drugs.
      • List characteristics of antiadrenergic drugs in terms of effects on body tissues, indications for use, nursing process implications, principles of therapy, and observation of patient response.
      • Discuss alpha1-adrenergic blocking drugs and alpha2-adrenergic agonists in terms of indications for use, adverse effects, and other selected characteristics.
      • Compare and contrast beta-adrenergic blocking drugs in terms of cardioselectivity, indications for use, adverse effects, and other selected characteristics.
      • Discuss principles of therapy and nursing process for using antiadrenergic drugs in special populations.
      • Describe effects and indications for use of selected cholinergic drugs.
      • Discuss drug therapy for myasthenia gravis.
      • Discuss the use of cholinergic drug therapy for paralytic ileus and urinary retention.
      • Discuss drug therapy for Alzheimer’s disease.
      • Describe major nursing care needs of patients receiving cholinergic drugs.
      • Describe signs, symptoms, and treatment of overdose with cholinergic drugs.
      • Discuss atropine and pralidoxime as antidotes for cholinergic drugs.
      • Discuss principles of therapy for using cholinergic drugs in special populations.
      • List characteristics of anticholinergic drugs in terms of effects on body tissues, indications for use, nursing process implications, observation of patient response, and teaching patients.
      • Discuss atropine as the prototype of anticholinergic drugs.
      • Discuss clinical disorders or symptoms for which anticholinergic drugs are used.
      • Describe the mechanism by which atropine relieves bradycardia.
      • Review anticholinergic effects of antipsychotics, tricyclic antidepressants, and antihistamines.
      • Discuss principles of therapy and nursing process for using anticholinergic drugs in special populations.
      • Describe the signs and symptoms of atropine or anticholinergic drug overdose and its treatment.
    • Drugs used to fight infection
      • Outline common and potentially serious adverse effects of antimicrobial drugs.
      • Identify patients at increased risk for adverse drug reactions to antimicrobial drugs.
      • Discuss ways to increase benefits and decrease hazards of antimicrobial drug therapy.
      • Discuss ways to minimize emergence of drug-resistant microorganisms.
      • State appropriate nursing implications for a patient receiving an antimicrobial drug.
      • Discuss important elements of using antimicrobial drugs in children, older adults, patients with renal or hepatic impairment, and patients with critical illness.
      • Describe general characteristics of beta-lactam antibiotics.
      • Discuss penicillins in relation to effectiveness, safety, spectrum of antibacterial activity, mechanism of action, indications for use, administration, observation of patient response, and teaching of patients.
      • Differentiate among extended-spectrum penicillins.
      • Describe characteristics of beta-lactamase inhibitor drugs.
      • Discuss similarities and differences between cephalosporins and penicillins.
      • Differentiate cephalosporins in relation to antibacterial spectrum, indications for use, and adverse effects.
      • Describe major characteristics of carbapenem and monobactam drugs.
      • Identify characteristics of aminoglycosides and fluoroquinolones in relation to effectiveness, safety, spectrum of antimicrobial activity, indications for use, administration, and observation of patient responses.
      • Recognize factors influencing selection and dosage of aminoglycosides and fluoroquinolones.
      • Discuss the importance of measuring serum drug levels during aminoglycoside therapy.
      • Describe measures to decrease nephrotoxicity and ototoxicity with aminoglycosides.
      • Describe characteristics, uses, adverse effects, and nursing process implications of fluoroquinolones.
      • Discuss major characteristics and clinical uses of tetracyclines.
      • Recognize doxycycline as the tetracycline of choice in renal failure.
      • Discuss characteristics, clinical uses, adverse effects, and nursing implications of selected sulfonamides.
      • Recognize trimethoprim-sulfamethoxazole as a combination drug that is commonly used for urinary tract and systemic infections.
      • Describe the use of urinary antiseptics in the treatment of urinary tract infections.
      • Identify characteristics and specific uses of macrolide and ketolide antibacterials.
      • Compare and contrast macrolides and ketolides with other commonly used antibacterial drugs.
      • Discuss characteristics and clinical indications for using chloramphenicol, clindamycin, daptomycin, linezolid, metronidazole, quinupristin- dalfopristin, rifaximin, spectinomycin, and vancomycin.
      • Discuss the roles of metronidazole and oral vancomycin in the treatment of pseudomembranous colitis.
      • List characteristics, uses, effects, and nursing implications of using primary antitubercular drugs.
      • Describe the rationale for multiple-drug therapy in treatment of tuberculosis.
      • Discuss ways to increase adherence to antitubercular drug therapy regimens.
      • Describe factors affecting drug therapy in multidrug-resistant (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB).
      • Discuss difficulties in developing and using antiviral drugs.
      • Differentiate types of antiviral drugs used for various viral infections.
      • Describe selected antiviral drugs in terms of indications for use, adverse effects, and nursing process implications.
      • Discuss the rationale for using combinations of drugs in treating human immunodeficiency virus (HIV) infection.
      • Describe commonly used antifungal drugs in terms of indications for use, adverse effects, and nursing process implications.
      • Differentiate between adverse effects associated with systemic and topical antifungal drugs.
    • Drugs used to manage pain
      • List characteristics of opioid analgesics in terms of mechanism of action, indications for use, and major adverse effects.
      • Describe morphine as the prototype of opioid analgesics.
      • Explain why higher doses of opioid analgesics are needed when the drugs are given orally.
      • Contrast the use of opioid analgesics in opioid-naive and opioid-tolerant patients.
      • Describe characteristics and treatment of opioid toxicity.
      • Discuss principles of therapy for using opioid analgesics in special populations.
      • Discuss non-opioid drugs used in pain management.
      • Discuss aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) in terms of mechanism of action, indications for use, contraindications to use, nursing process, and principles of therapy.
      • Compare and contrast aspirin, other NSAIDs, and acetaminophen in terms of indications for use and adverse effects.
      • Differentiate among antiplatelet, analgesic, and anti-inflammatory doses of aspirin.
      • Differentiate between nonselective NSAIDs and the cyclooxygenase-2 inhibitor, celecoxib.
      • Identify factors influencing the use of aspirin, NSAIDs, and acetaminophen in special populations.
      • Discuss recognition and management of acetaminophen toxicity.
      • Discuss the use of NSAIDs and antigout drugs.
      • Discuss the use of NSAIDs, triptans, and ergot antimigraine drugs.
    • Drugs Affecting the Neuromuscular System.
      • Discuss major factors that influence choice of an antiseizure drug for a patient with a seizure disorder.
      • Recognize characteristics and effects of commonly used antiseizure drugs.
      • Differentiate between older and more recent antiseizure drugs.
      • Compare advantages and disadvantages between monotherapy and combination drug therapy for seizure disorders.
      • Apply the nursing process with patients receiving antiseizure drugs.
      • Discuss the use of antiseizure drugs in special populations.
      • Differentiate the types of commonly used antiparkinson drugs.
      • Discuss therapeutic and adverse effects of dopaminergic and anticholinergic drugs.
      • Discuss the use of antiparkinson drugs in selected populations.
      • Discuss common symptoms and disorders for which skeletal muscle relaxants are used.
      • Differentiate uses and effects of selected skeletal muscle relaxants.
    • Drugs Affecting the Respiratory System
      • Identify general categories of drugs used to treat respiratory disorders.
      • Discuss the uses and effects of bronchodilating drugs, including adrenergics, anticholinergics, and xanthines.
      • Differentiate between short-acting and long-acting inhaled beta2- adrenergic agonists in terms of uses and nursing process implications.
      • Discuss the uses of anti-inflammatory drugs, including corticosteroids, leukotriene modifiers, and mast cell stabilizers.
      • Discuss reasons for using inhaled drugs when possible.
      • Differentiate between “quick relief” and long-term control of asthma symptoms.
      • Discuss the use of antiasthmatic drugs in special populations.
      • Delineate effects of histamine on selected body tissues.
      • Discuss allergic rhinitis, allergic contact dermatitis, and drug allergies as conditions for which antihistamines are commonly used.
      • Identify the effects of histamine that are blocked by histamine1 (H1) receptor antagonist drugs.
      • Differentiate first- and second-generation antihistamines.
      • Describe antihistamines in terms of indications for use, adverse effects, and nursing process implications.
      • Discuss the use of antihistamines in special populations.
      • Review decongestant and adverse effects of adrenergic drugs.
      • Describe general characteristics and effects of antitussive agents.
      • Discuss the advantages and disadvantages of using combination products to treat the common cold.
      • Evaluate over-the-counter allergy, cold, cough, and sinus remedies for personal or patients’ use.
    • Drugs Affecting the Cardiovascular System
      • Discuss atherosclerosis as the basic disorder causing many cardiovascular disorders for which drug therapy is required.
      • Differentiate the types of drugs used to treat heart failure (HF).
      • Identify the role of digoxin in the management of heart failure (HF) and atrial fibrillation.
      • List characteristics of digoxin in terms of effects on myocardial contractility and cardiac conduction, indications for use, principles of therapy, and nursing process implications.
      • Differentiate digitalizing and maintenance doses of digoxin.
      • Explain the roles of potassium chloride, lidocaine, atropine, and digoxin immune fab in the management of digoxin toxicity.
      • Discuss the roles of sodium channel, beta-adrenergic, potassium channel, and calcium channel blockers along with two unclassified drugs in the management of dysrhythmias.
      • Describe the nursing process implications and actions related to caring for patients using selected antidysrhythmic drugs.
      • Describe principles of therapy to include nonpharmacologic and pharmacologic measures to manage tachydysrhythmias.
      • Describe general characteristics and types of antianginal drugs.
      • Discuss nitrate antianginals in terms of indications for use, routes of administration, adverse effects, nursing process implications, and drug tolerance.
      • Differentiate between short-acting and long-acting dosage forms of nitrate antianginal drugs.
      • Use the nursing process in the care of individuals on antianginal and adjunctive therapy for treatment of myocardial ischemia.
      • Describe therapeutic and adverse effects of vasopressor drugs used in the management of hypotension and shock.
      • Review the effects of alpha-adrenergic blockers, beta-adrenergic blockers, calcium channel blockers, and diuretics in hypertension.
      • Discuss angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers in terms of mechanisms of action, indications for use, adverse effects, and nursing process implications.
      • Describe the rationale for using combination drugs in the management of hypertension.
      • Discuss interventions to increase therapeutic effects and minimize adverse effects of antihypertensive drugs.
      • Discuss the use of antihypertensive drugs in special populations.
      • List characteristics of diuretics in terms of mechanism of action, indications for use, principles of therapy, and nursing process implications.
      • Discuss major adverse effects of thiazide, loop, and potassium-sparing diuretics.
      • Identify patients at risk for developing adverse reactions to diuretic administration.
      • Recognize commonly used potassium-losing and potassium-sparing diuretics.
      • Discuss the rationale for using combination products containing a potassium-losing and a potassium-sparing diuretic.
      • Discuss the rationale for concomitant use of a loop diuretic and a thiazide or related diuretic.
      • Discuss important elements of diuretic therapy in special populations.
      • Compare and contrast heparin and warfarin in terms of indications for use, onset and duration of action, route of administration, blood tests used to monitor effects, and nursing process implications.
      • Discuss antiplatelet agents in terms of indications for use and effects on blood coagulation.
      • Describe thrombolytic agents in terms of indications and contraindications for use, routes of administration, and major adverse effects.
      • Describe systemic hemostatic agents for treating overdoses of anticoagulant and thrombolytic drugs.
      • Use the nursing process in the care of patients on anticoagulant, antiplatelet, and thrombolytic agents.
      • Describe dyslipidemic drugs in terms of mechanism of action, indications for use, major adverse effects, and nursing process implications.
    • Drugs Affecting the Endocrine System
      • Compare steroid and protein hormones in relation to site of action and pharmacokinetics.
      • Differentiate between physiologic and pharmacologic doses of hormonal drugs.
      • Identify clinical uses of selected hormones.
      • Recognize the limitations of hypothalamic and pituitary hormones as therapeutic agents.
      • Identify major nursing considerations in the care of patients receiving specific hypothalamic and pituitary hormones.
      • Review physiologic effects of endogenous corticosteroids.
      • Discuss clinical indications for use of exogenous corticosteroids.
      • Differentiate between physiologic and pharmacologic doses of corticosteroids.
      • Differentiate between short-term and long-term corticosteroid therapy.
      • Recognize at least 10 adverse effects of long-term corticosteroid therapy.
      • Examine the potential benefits for administering corticosteroids topically when possible rather than systemically.
      • Analyze the use other drugs and interventions to decrease the need for corticosteroids.
      • Discuss the use of corticosteroids in selected populations and conditions.
      • Apply the nursing process with a patient receiving long-term systemic corticosteroid therapy, including teaching needs.
      • Describe characteristics, uses, and effects of thyroid drugs.
      • Identify characteristics, uses, and effects of antithyroid drugs.
      • Evaluate the influence of thyroid and antithyroid drugs on the metabolism of other drugs.
      • Evaluate the use of calcium and vitamin D supplements, calcitonin, and bisphosphonate drugs in the treatment of osteoporosis.
      • Describe major effects of endogenous insulin on body tissues.
      • Discuss characteristics and uses of the various types of insulins and insulin analogs.
      • Differentiate types of oral agents used to manage diabetes mellitus in terms of mechanisms of action, indications for use, adverse effects, and nursing process implications.
      • State reasons for combinations of insulin and oral agents or different types of oral agents.
      • List the three common types of insulins, stating their onset, peak, and duration of action; and the four common groups of oral anti-diabetic agents, identifying examples of each group.
      • Outline the benefits and risks of postmenopausal hormone replacement therapy.
      • Recognize adverse effects associated with estrogens, progestins, and hormonal contraceptives.
      • Apply nursing process with patients taking estrogens, progestins, and hormonal contraceptives.
      • Discuss uses and effects of exogenous androgens and anabolic steroids.
      • Identify potential consequences of abusing androgens and anabolic steroids.
    • Drugs Affecting the Gastrointestinal System
      • Identify general categories of drugs used to treat gastrointestinal disorders.
      • Discuss the effects of non-gastrointestinal drugs on gastrointestinal functioning.
      • Describe adverse effects associated with overdoses of vitamins.
      • Discuss the rationale for administering vitamin K to newborns.
      • Describe treatment of sodium, potassium, magnesium, and chloride imbalances.
      • Describe treatment of iron deficiency anemia.
      • Discuss the chelating agents used to remove excessive copper, iron, and lead from body tissues.
      • Assist patients with effective use of approved weight-loss drugs, when indicated.
      • Differentiate the types of drugs used to treat peptic ulcers and acid reflux disorders.
      • Discuss the advantages and disadvantages of proton pump inhibitors.
      • Differentiate between prescription and over-the-counter uses of histamine2 receptor blocking agents.
      • Discuss significant drug-drug interactions with cimetidine.
      • Describe characteristics, uses, and effects of selected antacids.
      • Discuss the rationale for using combination antacid products.
      • Differentiate the major types of laxatives according to effects on the gastrointestinal tract.
      • Differentiate the consequences of occasional laxative use from those of chronic laxative use.
      • Discuss rational choices of laxatives for selected patient populations or purposes.
      • Discuss possible reasons for and hazards of overuse and abuse of laxatives.
      • Describe types of diarrhea in which antidiarrheal drug therapy may be indicated.
      • Differentiate the major types of antidiarrheal drugs.
      • Discuss characteristics, effects, and nursing process implications of commonly used antidiarrheal agents.
      • Differentiate the major types of antiemetic drugs.
      • Discuss characteristics, effects, and nursing process implications of selected antiemetic drugs.
    • Drugs Affecting the Hematopoietic and Immune Systems
      • Discuss common characteristics of immunizations.
      • Discuss the importance of immunizations in promoting health and preventing disease.
      • Identify authoritative sources for immunization information.
      • Discuss ways to promote immunization of all age groups.
      • Discuss the use of hematopoietic agents in the treatment of anemia.
      • Discuss the use of filgrastim and sargramostim in neutropenia and bone marrow transplantation.
      • Describe the adverse effects and nursing process implications of administering filgrastim and sargramostim.
      • Discuss interferons in terms of clinical uses, adverse effects, and nursing process implications.
      • Discuss characteristics and uses of major immunosuppressant drugs in autoimmune disorders and organ transplantation.
      • Identify adverse effects of immunosuppressant drugs.
      • Discuss nursing interventions to decrease adverse effects of immunosuppressant drugs.
      • Describe major types of antineoplastic drugs in terms of mechanism of action, indications for use, administration, and nursing process implications.
      • Discuss the rationales for using antineoplastic drugs in combination with each other, with surgical treatment, and with radiation therapy.
    • Drugs Used in Ophthalmic Conditions
      • Discuss selected drugs in relation to their use in ocular disorders.
      • Use correct techniques to administer ophthalmic medications.
      • Assess for ocular effects of systemic drugs and systemic effects of ophthalmic drugs.
    • Drugs Used in Dermatologic Conditions
      • Review characteristics of skin structures that influence drug therapy of dermatologic disorders.
      • Discuss antimicrobial, anti-inflammatory, and selected miscellaneous drugs in relation to their use in dermatologic disorders.
      • Use correct techniques to administer dermatologic medications.

MPN 3050 - Medical and Surgical Nursing II for CMA

1. Safely and effectively apply scientific principles of nursing to the care of the adult medical-surgical patient.
2. Recognize the grieving process:
   • Trauma
   • Terminal illness
   • Complications of perioperative care
3. Identify the PN’s role in providing care to the acutely ill patient.
4. Recognize pathophysiological changes related to disease processes in the care of the adult patient.
   • Identify signs and symptoms of diseases related to each body system.
   • Identify diagnostic studies in relation to each body system.
   • Identify treatment modalities as related to diseases.
   • Identify nursing measures as indicated in the following disorders:
     • Fluid and Electrolyte Balance Disorders
       • Differentiate among the following fluid compartments: intracellular, extracellular, interstitial, and intravascular.
       • Discuss at least four major nursing responsibilities associated with laboratory tests ordered by a clinician.
       • In the clinical laboratory, demonstrate a client and family teaching session, emphasizing the importance of fluid and electrolyte balance and the types of care that may be needed for the client.
       • Identify at least four possible causes of the two major types of fluid imbalances (fluid volume excess and fluid volume deficit), including at least two nursing considerations for each cause.
       • State at least two nursing considerations for each: dependent edema, sacral edema, pitting and non-pitting edema, and pulmonary edema.
       • State the normal serum levels for the following electrolytes: sodium, potassium, calcium, magnesium, chloride, and phosphorus.
       • Identify at least four causes of each type of electrolyte imbalance.
       • Discuss the major symptoms associated with each type of electrolyte imbalance, stating at least three nursing considerations related to each condition.
       • Differentiate among the four major types of acid-base imbalances: respiratory acidosis, respiratory alkalosis, metabolic acidosis, and metabolic alkalosis.
       • Identify at least four nursing considerations related to the data collection, assessment, monitoring, and care of a client with acidosis and a client with alkalosis.
     • Neurological Disorders
       • List physiological changes that occur in the nervous system with aging.
       • Discuss the Glasgow coma scale.
       • Identify the significant subjective and objective data related to the nervous system that should be obtained for a patient during assessment.
       • Explain the importance of prevention in problems of the nervous system, and give several examples of prevention.
       • Differentiate between normal and common abnormal findings of a physical assessment of the nervous system.
       • List common laboratory and diagnostic examinations for evaluation of neurological disorders.
       • Differentiate among the following diagnostic tests: computed tomography (CT), positron emission tomography (PET), magnetic resonance imaging (MRI), cerebral angiography, cerebral arteriography, myelography, brain scan, electroencephalography, and videotelemetry.
       • Discuss the nursing care involved for a client before and after a lumbar puncture (LP).
       • Compare and contrast migraine and cluster headaches, including nursing considerations for each condition.
       • List four classifications of seizures, their characteristics, clinical signs, aura, and postictal period.
       • Identify the main characteristics of at least three types of partial seizures and at least six types of general seizures.
       • Discuss the causes, signs and symptoms, and nursing implications for the following disorders involving nerves: trigeminal neuralgia, Bell’s palsy, and herpes zoster.
       • Discuss various neurological disturbances in motor function and sensory/perceptual function.
       • Compare paraplegia with quadriplegia, including a discussion of at least four differences in nursing care for each condition.
       • Give examples of six degenerative neurological diseases and explain the etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, and nursing interventions for each.
       • Describe at least five signs and symptoms, therapies, and at least five nursing considerations for each of the following degenerative disorders: multiple sclerosis, Parkinson’s disease, myasthenia gravis, Huntington’s disease, and amyotrophic lateral sclerosis.
       • Discuss the causes, signs and symptoms, therapies, and at least five nursing considerations for each of the following inflammatory disorders: brain abscess, meningitis, encephalitis, Guillain-Barré syndrome, post-polio syndrome, and acute transverse myelitis.
       • Discuss the etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, and nursing interventions for intracranial tumors, craniocerebral trauma, and spinal trauma.
       • List five signs and symptoms of increased intracranial pressure and why they occur, as well as nursing interventions that decrease intracranial pressure.
       • Explain the nursing care required for clients with concussion, brain laceration and contusion, skull fractures, and hematoma.
       • Identify at least three pre- and postoperative nursing considerations for a client undergoing craniotomy.
       • Discuss the etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, and nursing interventions for a stroke patient.
       • Explain the mechanism of injury to the brain that occurs with a stroke and traumatic brain injury.
       • Discuss patient teaching and home care planning for the patient with stroke, multiple sclerosis (MS), Parkinson’s disease, and myasthenia gravis.
     • Sensory Disorders
       • Describe two changes in the sensory system that occurs as a result of the normal aging process.
       • Describe the purpose, significance of results, and nursing responsibilities related to diagnostic studies of the visual and auditory systems.
       • Describe age-related changes in the visual and auditory systems and differences in assessment findings.
       • State at least ten nursing considerations for the care of the client with: a visual deficit, including pre- and postoperative nursing considerations; a hearing deficit.
       • Define radial keratotomy, photorefractive keratectomy (PRK), and laser-assisted in situ keratomileusis (LASIK).
       • Define the following refractive errors: myopia, hyperopia, astigmatism, and presbyopia.
       • Describe the following: inflammatory and infectious eye disorders (conjunctivitis, blepharitis, hordeolum, chalazion, trachoma, and keratitis); structural disorders (ectropion, entropion, and ptosis).
       • Differentiate chronic open-angle glaucoma, acute closed-angle glaucoma, and secondary glaucoma, identifying at least three nursing considerations for each disorder.
       • Explain the causes and treatments for cataracts.
       • Identify at least two nursing considerations for each of the following types of eye traumas: hematoma, foreign bodies, hyphema, chemical burns, corneal abrasions, and detached retina.
       • Describe inflammatory conditions of the lid, conjunctiva, and cornea with etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis.
       • Compare the nature of cataracts, diabetic retinopathy, retinal detachment, glaucoma, and macular degeneration, and the etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis.
       • Discuss corneal injuries including etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis.
       • List tips for communicating with hearing- and sight-impaired people.
       • Give patient instructions regarding care of the eye and ear in accordance with written protocol.
       • Compare and contrast conductive hearing loss, sensorineural hearing loss, central hearing loss, and functional hearing loss.
       • Discuss noninfectious disorders of the ear, including etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis.
       • Discuss the causes and at least two nursing interventions for each of the following disorders of the external ear: impacted earwax, furuncles, foreign objects, external otitis, fungal infections, and punctured tympanic membrane; and disorders of the middle ear: otitis media, serous otitis media, acute purulent otitis media, and chronic otitis media.
       • Describe the appropriate care of the hearing aid.
       • Describe the care of a client who is to undergo a tympanoplasty and myringotomy with insertion of tympanostomy tubes.
       • Identify communication resources for people with visual and/or hearing impairment.
       • Describe home health considerations for people with eye or ear disorders, surgery, or visual and hearing impairments.
       • Describe the various surgeries of the ear, including the nursing interventions, patient teaching, and prognosis.
       • Discuss at least three nursing considerations for a client with Meniere’s disease.
       • Identify at least two nursing considerations for clients with a tactile, gustatory, or olfactory disorder.
     • Respiratory Disorders
       • Differentiate the following Respiratory disorders: Acute asthma, streptococcal throat infectious, influenza, laryngitis, bronchitis, pneumonia, pleurisy, histoplasmosis, tuberculosis, and emphysema.
       • Describe nursing interventions to assist patients with retained pulmonary secretions.
       • Identify signs and symptoms that indicate a patient is experiencing hypoxia.
       • Identify strategies the nurse can teach patients to decrease the risk of infection.
       • Differentiate between tuberculosis infection and tuberculosis.
       • Discuss medications commonly prescribed for the patient with tuberculosis.
       • Discuss the principle of low-flow oxygen required for patients with emphysema.
       • Compare/contrast nursing assessment and interventions for the patient with chronic obstructive pulmonary disease (COPD) and the patient with pneumonia.
       • Discuss nursing interventions for the patient with a laryngectomy.
       • Identify possible nursing diagnoses for the patient with altered respiratory function.
       • Identify nursing interventions relevant to psychosocial concerns of the patient with altered respiratory functions.
       • Discuss risk factors associated with pulmonary emboli.
     • Cardiovascular or Peripheral Vascular Disorders
       • Discuss the location, size, and position of the heart.
       • Identify the chambers of the heart.
       • List the functions of the chambers of the heart.
       • Identify the valves of the heart and their locations.
       • Discuss the electrical conduction system that causes the cardiac muscle fibers to contract.
       • Explain what produces the two main heart sounds.
       • Trace the path of blood through the coronary circulation.
       • Discuss risk factors in coronary artery disease (CAD), differentiating factors which can be modified and those that cannot.
       • Describe diagnostic tests used to evaluate cardiovascular function.
       • Describe five cardiac dysrhythmias.
       • Compare etiology/pathophysiology, signs and systems, medical management, and nursing interventions for patients with angina pectoris, and myocardial infarction, or heart failure.
       • Specify patient teaching for patients with cardiac dysrhythmias, angina pectoris, myocardial infarction, heart failure, and valvular heart disease.
       • Discuss the signs and symptoms of pulmonary edema.
       • Discuss medical management and nursing interventions for the patient with pulmonary edema.
       • Identify risk factors associated with peripheral vascular system.
       • Describe the effects of aging on the peripheral vascular system.
       • Compare and contrast signs and symptoms associated with arterial and venous disorder.
       • Discuss nursing interventions for arterial and venous disorders.
       • Compare essential (primary) hypertension and secondary hypertension.
       • Discuss the importance of patient education for hypertension.
       • Discuss appropriate patient education for thrombophlebitis.
     • Endocrine Disorders
       • Discuss the etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis for patients with acromegaly, gigantism, dwarfism, diabetes insipidus, syndrome of inappropriate antidiuretic hormone (SIADH), hyperthyroidism, hypothyroidism, goiter, thyroid cancer, hyperparathyroidism, hypoparathyroidism, Cushing’s syndrome, and Addison’s disease.
       • Name the common laboratory tests and radiology procedures performed to evaluate functioning of the pituitary, thyroid, parathyroid, and adrenal glands, and pancreas.
       • Explain how to test for Chvostek’s sign, Trousseau’s sign, and carpopedal spasms.
       • Differentiate the four major tests used to test blood glucose levels.
       • Describe the difference between gigantism and acromegaly, and SIADH and diabetes insipidus.
       • Compare and contrast Graves’ disease, cretinism, and myxedema, including at least three nursing considerations for each.
       • List two significant complications that may occur after thyroidectomy.
       • Identify at least five pre- and postoperative nursing considerations for a client who needs a thyroidectomy.
       • Explain the differences between hyperparathyroidism and hypoparathyroidism.
       • Describe the three major adrenal gland disorders: Cushing’s syndrome, primary aldosteronism, and Addison’s disease.
       • Describe the etiology/pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis for patient with diabetes mellitus.
       • Explain the interrelationship of nutrition, exercise, and medication in the control of diabetes mellitus.
       • Discuss the various insulin types and their characteristics.
       • Differentiate between the signs and symptoms of hyperglycemia and hypoglycemia.
       • List five nursing interventions that foster self-care in the activities of daily living of the patient with diabetes mellitus.
       • Discuss the acute and long-term complications of diabetes mellitus.
       • Differentiate among the following type: type 1 and type 2 diabetes mellitus, gestational diabetes, and impaired glucose homeostasis.
       • Compare and contrast hypoglycemia, hyperglycemia, diabetic ketoacidosis (DKA), and nonketotic hyperosmolar state, including causes, signs and symptoms, treatment, and nursing considerations.
       • Identify two examples of macrovascular and microvascular complications of diabetes.
       • Prepare a diabetic client teaching plan that addresses at least ten topics for discussion.
       • Demonstrate the use of a blood glucose monitor in the skills laboratory
     • Gastrointestinal Disorders
       • Describe common diagnostic tests performed on clients with gastrointestinal disorders.
       • Describe nursing measures after liver biopsy.
       • Explain nursing management of clients undergoing diagnostic testing for a gastrointestinal disorder.
       • Discuss assessment findings and treatment of eating disorders, esophageal disorders, and gastric disorders.
       • Describe the nursing management of a client with a nasogastric or gastrointestinal tube or gastrostomy.
       • Identify strategies for relieving upper gastrointestinal discomfort.
       • Discuss the nursing management of clients undergoing gastric surgery.
       • List factors that contribute to constipation and diarrhea and describe nursing management for clients with these problems.
       • Explain the symptoms of irritable bowel syndrome.
       • Contrast Crohn’s disease and ulcerative colitis.
       • Describe the features of appendicitis and peritonitis.
       • Describe nursing management for a client with acute abdominal inflammatory disorders.
       • Describe the nurse’s role as related to care measures for the client with intestinal obstruction.
       • Differentiate between diverticulosis and diverticulitis.
       • Identify factors that contribute to the formation of an abdominal hernia.
       • Discuss nursing management for a client requiring surgical repair of a hernia.
       • Describe warning signs of colorectal cancer.
       • List common problems that accompany anorectal disorders.
       • Explain possible causes of jaundice.
       • List common findings manifested by clients with cirrhosis.
       • Discuss common complications of cirrhosis.
       • Identify the modes of transmission of viral hepatitis.
       • Discuss nursing management for clients with a medically or surgically treated liver disorder.
       • Identify factors that contribute to, signs and symptoms of, and medical treatments for cholecystitis.
       • Name techniques for gallbladder removal.
       • Summarize the nursing management of clients undergoing medical or surgical treatment of a gallbladder disorder.
       • Describe the treatment and nursing management of pancreatitis.
       • Describe the treatment of pancreatic carcinoma.
       • Explain the nursing management of clients undergoing pancreatic surgery.
       • Differentiate between ileostomy and colostomy.
       • Discuss preoperative nursing care of a client undergoing ostomy surgery.
       • List complications associated with ostomy surgery.
       • Discuss postoperative nursing management of a client with an ileostomy.
       • Describe the components used to apply and collect stool from an intestinal ostomy.
       • Cite reasons for changing an ostomy appliance.
       • Explain how stool is released from a continent ileostomy.
       • Describe the two-part procedure needed to create an ileoanal reservoir.
       • Discuss various types of colostomies.
       • Explain ways that clients with descending or sigmoid colostomies may regulate bowel elimination.
     • Urinary/Renal Disorders
       • Discuss the purpose and nursing responsibilities related to the common diagnostic tests and procedures performed on the urine, kidneys, ureters, and bladder.
       • Discuss the prevention of and observation for side effects of diuretic therapy.
       • Discuss the treatment and nursing care for urinary incontinence.
       • Describe the treatment and care of acute and chronic glomerulonephritis patient.
       • Identify methods of preventing complications and renal damage in the patient with an infection of the urinary tract.
       • Discuss treatment and nursing interventions for the patient with urinary calculi and methods of preventing their formation.
       • Discuss treatment and care for patients with acute and chronic renal failure.
       • Explain the purpose of dialysis and differentiate between peritoneal dialysis and hemodialysis.
       • Differentiate preoperative and postoperative nursing interventions for patients with the following methods of urinary diversion: cutaneous ureterostomy and ileal conduit.
       • Discuss nursing interventions for diagnostic studies of the urinary system.
       • Identify the nursing responsibilities related to dressings, drains, and urinary drainage tubes after surgery on the urinary tract.
     • Reproductive Disorders
       • Discuss the impact of illness on the patient’s sexuality.
       • Describe nursing interventions for patients with menstrual disturbances.
       • Discuss nursing interventions for the patient undergoing diagnostic studies related to the reproductive system.
       • Discuss the importance of the Papanicolaou (Pap) smear test in early detection of cervical cancer.
       • Describe the treatment and care of the patient with pelvic inflammatory disease (PID), endometriosis, and ovarian cancer.
       • Identify the clinical manifestations of a vaginal fistula.
       • Describe the preoperative and postoperative nursing interventions for the patient requiring major surgery of the female reproductive system.
       • Describe the common problems with cystocele, rectocele, and the related medical management and nursing interventions.
       • Discuss surgical approaches for cancer of the breast.
       • Discuss nursing interventions for the patient who has had a modified radical mastectomy, including discharge instruction.
       • Describe nursing interventions for the patient with prostatitis.
       • Distinguish between hydrocele and varicocele.
       • Discuss the importance of monthly testicular self-examination beginning at 15 years of age in males.
       • Discuss patient education related to prevention of sexually transmitted diseases
     • Musculoskeletal Disorders
       • Discuss the diagnostic procedures pertinent to musculoskeletal function.
       • Compare methods of assessing circulation, nerve damage, and infection in a patient who has a traumatic insult to the musculoskeletal system.
       • Identify at least four major components of nursing care necessary to protect the client from the hazards of immobilization.
       • Compare the medical regimens for patients suffering from gouty arthritis, rheumatoid arthritis, and osteoarthritis.
       • Describe the nursing interventions appropriate for degenerative joint disease (osteoarthritis and ankylosing spondylitis).
       • List at least four healthy lifestyle measures people can practice to reduce the risk of developing osteoporosis.
       • Describe the surgical intervention for arthritis of the hip and knee.
       • Describe the nursing interventions for the patient undergoing a total hip or knee replacement.
       • Discuss nursing interventions appropriate for a patient with a fractured hip after open reduction with internal fixation (ORIF) and bipolar hip prosthesis (hemiarthroplasty).
       • Discuss at least six important areas of nursing care for the client who has had an amputation and now has a limb prosthesis.
       • Describe the phenomenon of phantom pain.
       • State at least three nursing considerations for clients with temporomandibular joint (TMJ), muscular dystrophy, and osteoporosis.
       • Differentiate between skin traction and skeletal traction, including indications and nursing considerations for each type of traction.
       • List at least two types of skin and skeletal traction.
       • Discuss at least three nursing measures for care of clients with the following treatments: external fixation, ORIF, and arthroplasty.
       • Identify at least nine complications of fractures or bone surgery.
       • Explain the difference between primary and metastatic bone tumors.
       • Discuss the physiology of fracture healing (hematoma, granulation tissue, and callus formation).
       • Describe the signs and symptoms of compartment syndrome.
       • List nursing interventions appropriate for a fat embolism.
       • List four nursing interventions appropriate for bone cancer.
     • Integumentary Disorders
       • Identify at least eight types of skin lesions, providing an example of each type.
       • State at least four possible nursing diagnoses for a client with a chronic skin disorder.
       • Relate at least three nursing interventions for the care of a client with pruritus.
       • Discuss the following conditions, including at least two nursing considerations for each condition: acute and chronic skin conditions (urticaria, vitiligo, dermatitis, eczema, and psoriasis); infections (warts, condylomata acuminata, impetigo, and folliculitis); parasitic infestations (scabies, lice, bedbugs); and sebaceous gland disorders (sebaceous cysts, seborrhea, seborrheic dermatitis, and dandruff).
       • Describe at least four types of dressings, four types of topical medications, and the processes of debridement and skin grafting that may be used when treating burns.
       • State the pathophysiology involved in a burn injury.
       • Discuss the stages of burn care with appropriate nursing interventions.
       • Identify the methods used to classify the extent of a burn injury.
       • Identify at least five complications that occur during burn recovery.
       • Discuss at least four nursing considerations during the rehabilitative stage of burn healing.
       • Identify three common nonmalignant and malignant skin lesions.
       • Discuss at least four interventions that can be used to prevent skin cancer.
     • Hematologic/Lymphatic Disorders
       • List the common diagnostic tests for evaluation of blood and lymph disorders, and discuss the significance of the results.
       • Apply the nursing process to care of the patient with disorders of the hematological and lymphatic systems.
       • Compare and contrast the different types of anemia in terms of pathophysiology, assessment, medical management, and nursing interventions.
       • Compare and contrast the disorders of coagulation (thrombocytopenia, hemophilia, disseminated intravascular coagulopathy (DIC)) in terms of pathophysiology, assessment, and nursing interventions.
       • Discuss medical management of patients with hemophilia and disseminated intravascular coagulopathy (DIC).
       • List six signs and symptoms associated with hypovolemic shock.
       • Discuss the important aspects that should be presented in patient teaching and home care planning for the patient with pernicious anemia.
       • Discuss the prognosis for patients with acute and chronic leukemia.
       • Discuss the nursing intervention and the patient teaching for the patient with multiple myeloma.
       • Discuss the primary goal of nursing interventions for the patient with lymphedema.
       • Differentiate between Hodgkin’s disease and non-Hodgkin’s lymphomas and related medical management and nursing interventions.
     • Cancer
       • Discuss the risk factors for the development of and the warning signs.
       • Discuss development, preventions and detection of cancer.
       • Define the terminology used to describe cellular changes, characteristics of malignant cells, and types of malignancies.
       • Describe the pathophysiology of cancer, including the characteristics of malignant cells and the nature of metastasis.
       • Describe the major categories of chemotherapeutic agents.
       • Describe the process of metastasis.
       • Describe reasons for delay in seeking medical care when diagnosis of cancer is suspected.
       • List common diagnostic test used to identify the presence of cancer.
       • Define the systems of tumor classification: grading and staging.
       • Discuss general guidelines for the use of pain relief measures of the patient with advanced cancer.
       • Describe nursing interventions for the individual undergoing surgery, radiation therapy, chemotherapy, bone marrow or peripheral stem cell transplantation.
     • Immune Disorders
       • Differentiate between natural and acquired immunity.
       • Describe mechanisms of immune response.
       • Compare and contrast humoral and cell-mediated immunity.
       • Explain the concepts of immunocompetency, immunodeficiency, and autoimmunity.
       • Discuss factors that influence the development of hypersensitivity.
       • Identify the clinical manifestations of anaphylaxis.
       • Outline the immediate aggressive treatment of systemic anaphylactic reaction.
       • Discuss selection of blood donors, typing and cross- matching, storage, and administration in the prevention of transfusion reaction.
       • Discuss the causation of autoimmune disorders; explain plasmapheresis in the treatment of autoimmune diseases.
       • Explain an immunodeficiency disease.
     • Human Immunodeficiency Virus (HIV)/ Autoimmune Deficiency Syndrome (AIDS)
       • Describe the agent that causes HIV.
       • Describe definition of AIDS given by the Centers for Disease Control and Prevention.
       • Explain the difference between HIV infection, HIV Disease, and AIDS.
       • Describe the progression of HIV infection.
       • Discuss how HIV is and is not transmitted.
       • Discuss the pathophysiology of HIV disease.
       • Discuss the laboratory and diagnostic tests related to HIV disease.
       • Describe patients who are at risk for HIV infection.
       • Discuss the nurse’s role in assisting the HIV-infected patient with coping, grieving, reducing anxiety, and minimizing social isolation.
       • Identify signs and symptoms that may be indicative of HIV disease.
       • Identify opportunistic infections associated with advanced HIV and/or AIDS.
       • Discuss treatments and nursing care for the patient with AIDS.
     • Care of the Surgical Patient
       • Identify the purposes of surgery.
       • Distinguish among elective, urgent, and emergency surgery.
       • Describe the pre-admission process.
       • Discuss laboratory, diagnostic tests and procedures required during perioperative phase.
       • Discuss factors which influence an individual’s surgical outcome.
       • Discuss considerations for the older surgical patient during the perioperative phases.
       • Discuss the emotional impact of surgery.
       • Describe the care of the client during the pre-operative surgical phase including:
       • Describe the care of the client during the intra-operative surgical phase.
       • Describe the care of the client during the immediate post- operative surgical phase.
       • Describe the care of the client during the later post- operative surgical phase.
       • Discuss the use of pain medication and their effects related to anesthesia.
       • Discuss the nurse’s role in informed consent.
       • Identify medications that are frequently used pre- and post- operatively.
       • Discuss how the client’s daily medications impact surgery.
       • Discuss the complications of anesthesia.
       • Discuss safety as it relates to the surgical patient during the perioperative phases.
       • Discuss the nursing process in care of the postoperative patient.
       • Discuss postoperative discharge criteria.
       • Identify and discuss common complications during the perioperative phases.
       • Describe the stages of the healing process and complications related to the surgical incision.

MTX 0001 - Worker Characteristic

1. Attendance
   1. Attends class as scheduled.
   2. Arrives/leaves on time (no tardies).
   3. Notifies instructor prior to or day of being absent.
2. Character
   1. Displays loyalty, honesty, trustworthiness.
   2. Displays dependability and reliability.
   3. Displays initiative, self-discipline and self-responsibility.
   4. Displays self-discipline and performs what is asked of them.
3. Teamwork
   1. Respects the rights of others.
   2. Maintains appropriate confidentiality.
   3. As a team worker that is cooperative, mannerly, and appropriately assertive.
   4. Displays a customer service attitude.
   5. Seeks opportunities for continuous learning from others.
4. Appearance
   1. Demonstrates appropriate dress indicative of trade.
   2. Demonstrates professional grooming and hygiene.
   3. Presents oneself professionally each day.
5. Attitude
   1. Displays a positive and professional attitude.
   2. Displays self-confidence.
   3. Displays high expectations of success in trade.
6. Productivity
   1. Follows safety practices.
   2. Maintains a neat and clean work area.
   3. Follows directions and procedures.
   4. Completes assignments in keeping with deadlines.
7. Organization Skills
   1. Prioritizes and manages class time.
   2. Demonstrates flexibility in handling change.
8. Communications
   1. Displays appropriate nonverbal skills (eye contact, body language).
   2. Displays appropriate listening skills.
   3. Uses appropriate language on a professional level.
9. Cooperation
   1. Displays leadership skills.
   2. Appropriately handles criticism, conflicts and complaints.
   3. Demonstrates problem-solving capabilities.
   4. Maintains appropriate relationships with instructors and peers.
   5. Follows requests of instructor.
10. Respect
    1. Engages with cultural and racial diversity in a professional manner.
    2. Refrains from engaging in harassment of any kind.
    3. Encourages others to avoid harassment.

MTX 0005 - TN Law and Regulations

1. Understand and Demonstrate knowledge of the TN Laws and Regulations.

• Demonstrate understanding and knowledge of the TN Laws and Regulations for massage therapy.
• Demonstrate understanding and knowledge of the regulations regarding CEs.
• Demonstrate understanding and knowledge of what determines sexual misconduct.
• Demonstrate understanding and knowledge of where to go to report to a peer assistance program like TNPap.
• Demonstrate understanding and knowledge of how to maneuver around the TN State Massage Therapy Licensure Board website.
• Demonstrate understanding and knowledge of the licensure and renewal of license procedures.
• Demonstrate understanding and knowledge of the establishment licensure procedures.
• Demonstrate understanding and knowledge of the massage therapy scope of practice.
• Demonstrate understanding and knowledge of the violations laws/rules/policies and disciplinary actions.
• Demonstrate understanding and knowledge of where to find changes to the statutes, rules and regulations, or board policies.

MTX 1010 - Anatomy and Physiology

1. Define and demonstrate knowledge of anatomy and physiology. (CSLO 1; PSLO 2, 3, 5)

• Define anatomy and physiology.
• Define the structural organization of the body.
• Define life processes.
• Define homeostasis; describe its generalized process and relationship to health and disease.
• Demonstrate anatomical terms on themselves and/or classmates.
• Define directional terms, anatomical planes, and body cavities.
• Describe selected medical imaging techniques.

1. Define and explain the human body at the chemical level, cellular level, and tissue level, as well as bone tissue and muscle tissue. (CSLO 2; PSLO 2, 3, 5)
   1. Chemical Level:

• Define atoms, molecules, and elements.
• Recognize different types of chemical bonds.
• Explain basic chemical reactions and the concept of pH.
• List organic and inorganic compounds.
• Explain the actions of enzymes.
• Explain the structures of DNA and RNA.

1. Cellular Level:

• List the components of a generalized cell.
• Describe the function of each component.
• Describe the movement of substances into and out of cells.
• Explain protein synthesis.
• Describe the phases of cell division
• Describe common homeostatic imbalances.
• Recognize common medical terminology.

1. Tissue Level:

• Define the four tissue types
• List and describe the general features of the two types of epithelial tissue and their locations.
• List and describe the general features of connective tissue and their locations.
• List and describe the types of membranes.
• Recognize terminology related to muscular and nervous systems.
• Describe tissue repair.
• Describe common homeostatic imbalances.
• Recognize common medical terminology.

1. Bone Tissue:

• Discuss the functions of bone
• Identify parts of a long bone
• Describe the histology of compact and spongy bone
• Describe both types of bone formation
• Describe types of fractures
• Explain the process of fracture repair
• Explain the process of bone growth
• Describe the effects of exercise and aging on bone (mass) tissue
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. Muscle Tissue:

• List the types and functions of muscle tissue and fascia
• List and explain the structure of a neuromuscular junction and a motor unit
• Describe principal events of the sliding filament theory
• Identify the five arrangements of muscle fascicles
• Describe the sequence of muscle metabolism associated with prolonged muscular activity
• Explain the types of skeletal muscle fibers
• List and describe the different types of muscle contractions
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. Skeletal Structures
   1. Define and describe the axial and appendicular skeleton. (CSLO 3; PSLO 2, 3, 5)
   2. Axial Skeleton:

• Classify most bones into one of six categories.
• Define bone surface markings.
• Differentiate bones of the axial skeleton from the appendicular skeleton.
• Identify, describe, locate, and palpate the bones of the skull (differentiate cranial from facial bones).
• Identify, describe, and locate the sutures, paranasal sinuses, bones of the orbit, and nasal septum.
• Identify, locate, and palpate the bones of the vertebral column and discuss normal and abnormal curvatures of the spine.
• Identify, locate, and palpate the bones of the thorax.
• List, identify, locate, and palpate bony landmarks of the axial skeleton.
• Describe common homeostatic imbalances.
• Recognize common medical terminology.

1. Appendicular Skeleton:

• Identify, Describe, and palpate the bones of the appendicular skeleton.
• List, identify, locate, and palpate the bony landmarks of the appendicular skeleton.
• List the bones that make up the pectoral and pelvic girdles.
• Differentiate bones of the appendicular skeleton from those of the axial skeleton.
• Define bone surface markings.
• Describe common homeostatic imbalances.
• Recognize common medical terminology.

1. Describe and classify all articulations within the human body. (CSLO 4; PSLO 2, 5)

• Classify joints into structural and functional categories.
• List and describe the structure of a typical diarthrotic joint and the six types.
• List and define movements of diarthrotic joints.
• Describe rotator cuff and knee injuries.
• List and describe the structures of the shoulder, hip, elbow, knee, wrist, and ankle.
• List and explain the factors affecting ROM.
• Differentiate between a sprain and a strain.
• Describe common homeostatic imbalances.
• Recognize common medical terminology.

Body Systems:

1. Muscular System

• Describe and identify the muscular System. (CSLO 5; PSLO 2, 3, 5)
• Describe and palpate the origin and insertion, the actions, innervations, and common muscular injuries associated with the following muscles:
• Muscles of mastication
• Muscles that move the neck
• Muscles of the vertebral column
• Muscles of the abdominal wall and breathing
• Muscles of the pectoral girdle
• Muscles that move the humerous
• Muscles that move the forearm, wrist, hand, and fingers
• Muscles that move the femur
• Muscles that move the leg, ankle, foot, and toes
• Recognize common medical terminology.

1. Identify the general location of the following muscles:

• Muscles of facial expression
• Extrinsic eye muscles
• Digastric muscle/anterior neck
• Muscles of the tongue
• Recognize common medical terminology.
• Define, compare, and locate the three types of levers.
• Describe skeletal muscle as a functional unit or organ containing all of the following components: skeletal muscle, connective tissue, nervous and vascular tissue
• Describe common homeostatic imbalances.
• Recognize common medical terminology

1. Describe and identify the nervous System, to include the spinal cord and spinal nerves, the brain and the cranial nerves, special senses, as well as the sensory, motor and integrative systems of the human body. (CSLO 6; PSLO 2, 3, 5)
2. Nervous Tissue:

• Describe the types of neuroglia
• Describe the structure of a typical neuron
• Differentiate gray matter from white matter
• Describe the phase of action potential and signal transmission at synapses
• Describe damage to and repair of peripheral neurons
• Describe the classes and function of neurotransmitters
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. Spinal Cord and Spinal Nerves

• Describe the spinal cord and its protective coverings
• Identify sensory and motor tracts in the cord
• Describe a reflex arc
• Describe four different types of somatic reflexes
• Describe the components, connective tissue covering, and branches of spinal nerve
• Describe the major branches of the cervical, brachial, lumbar, and sacral plexuses
• State the significance of dermatomes
• Describe the outcome of common peripheral nerve dysfunction
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. The Brain and Cranial Nerves

• Describe and identify the principal parts of the brain and protective coverings
• Identify and describe the structure and functions of the brain stem, cerebellum, diencephalon, and cerebrum
• List the 12 cranial nerves and describe their functions
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. The Special Senses

• Briefly describe the sense of smell
• Briefly describe the sense of taste
• Describe the anatomy of the eye and its accessory structures
• Briefly describe the physiology of vision
• Describe the anatomy of the ear
• Briefly describe the physiology of hearing
• Briefly describe the physiology of equilibrium
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. The Sensory, Motor, and Integrative Systems

• List and classify the sensory modalities
• Classify sensory receptors according to location and type of stimulus
• Identify and describe somatic sensations
• Discuss the general components of somatic sensory and motor pathways
• Describe the organization of the sensory and motor cortex
• Discuss learning and memory
• Discuss wakefulness and sleep
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. Describe and identify the autonomic nervous. (CSLO 7; PSLO 2, 3, 5)

• Describe the anatomy of autonomic motor pathways
• Compare and contrast the somatic nervous system and the autonomic nervous system
• Describe the anatomical components of the sympathetic and parasympathetic divisions
• Identify the neurotransmitters and receptors of the ANS
• Describe, compare, and contrast the responses of most organs of the body to sympathetic and parasympathetic activity
• Describe common homeostatic imbalances
• Recognize common medical terminology

Cardiovascular System

1. Describe and identify the cardiovascular system. (CSLO 8; PSLO 2, 3, 5)
2. The Blood:

• Describe the relationship of blood to interstitial fluid and lymph
• Briefly describe the general functions of blood
• List the physical characteristics of blood
• Describe the components of blood
• Describe the formation of blood cells
• Describe the morphology and function of erythrocytes, leukocytes, and thrombocytes
• Describe the three mechanisms that contribute to hemostasis
• Explain the ABO and Rh blood groups
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. The Heart:

• Describe the flow of blood through the heart and systemic and pulmonary circulation
• Describe the structure of the heart and pericardium
• Describe the coronary circulation
• Describe the cardiac conduction system
• Briefly describe the cardiac cycle and electrocardiogram
• Describe normal heart sounds during a cardiac cycle
• Briefly describe cardiac output and the regulation of the heart rate
• Explain the benefits of regular exercise for the heart
• Describe the structural function of the forearm ovale and ductus arteriosus in the heart
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. Blood Vessels and Hemodynamics
   1. Describe the structure and function of arteries, veins, and capillaries

• Briefly describe concepts of blood distribution and capillary exchange
• Briefly describe the factors that regulate velocity and volume of blood flow
• Explain how blood pressure is regulated
• Define shock and describe the four types of shock
• Demonstrate the pulse and blood pressure of a classmate
• Describe pulmonary and systemic circulation
• Describe the location and direction of flow of all major blood vessels
• Discuss fetal circulatory and associated structures
• Describe the hepatic portal circulation
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. All Other Body Systems
   1. Describe and identify the integumentary System. (CSLO 9; PSLO 2, 3, 5)

• List and describe the layers of the skin and components.
• Describe the accessory structures of the skin.
• List and describe the functions of the skin.
• Explain how epidermal and deep wounds heal.
• Describe the effects of aging on the integumentary system.
• Describe common homeostatic imbalances.
• Recognize common medical terminology.

1. Describe and identify the endocrine system. (CSLO 10; PSLO 2, 3, 5)

• Classify major groups of hormones according to chemistry
• Briefly describe the mechanisms of hormonal actions
• Describe the location, histology, and major functions of each endocrine gland, its hormones, and its target tissues
• Describe how the body responds to stress
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. Describe and identify the lymphatic system. (CSLO 11; PSLO 2, 3, 5)

• Describe the formation of lymph
• Identify and describe lymphatic vessels
• Name the major lymphatic vessels and describe the direction of lymphatic flow
• Describe the structure and function of bone marrow, thymus gland, lymph nodes, spleen, and lymphatic nodules
• Describe the mechanisms of nonspecific resistance to disease
• Describe the mechanisms of specific resistance
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. Describe and identify the respiratory system. (CSLO 12; PSLO 2, 3, 5)

• Describe the functions and structures of the respiratory system
• Describe pulmonary ventilation
• Describe external and internal respiration
• Briefly describe how respiratory rates are controlled
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. Describe and identify the digestive system. (CSLO 13; PSLO 2, 3, 5)

• List the structures of the digestive system
• List the accessory structures of the digestive system
• Briefly describe the six basic processes of the digestive system
• Describe the tissue layers of the GI tract
• Describe the peritoneum and its associated structures
• Describe the structure and functions of the stomach, small intestine, and large intestine
• Describe the structure and function of the accessory glands
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. Describe and identify the urinary system. (CSLO 14; PSLO 2, 3, 5)

• List, identify, and describe the functions of the urinary system
• List, identify, and describe the structures of the urinary system
• Describe common homeostatic imbalances
• Recognize common medical terminology

1. Describe and identify the reproductive system. (CSLO 15; PSLO 2, 3, 5)

• Describe the gross anatomy of the structures of the male reproductive system and their functions
• Describe the gross anatomy of the structures of the female reproductive system and their functions
• Know the basic or principal signs and symptoms of sexually transmitted diseases

MTX 1020 - Kinesiology

1. Understand and describe kinesiology of the body. (CSLO 7; PSLO 2, 3, 4, 5, 6, 7)

• Identify the general actions of the following muscles:
• Muscles of head, neck and those used for facial expression
• Muscles of the shoulder and arm
• Muscles of the forearm and hand
• Muscles of the spine and thorax
• Muscles of the pelvis and thigh
• Muscles of the leg, ankle and foot
• Recognize common medical terminology.
• Define, compare, and locate the three types of levers.
• Describe skeletal muscle as a functional unit or organ containing all of the following components: skeletal muscle, connective tissue, nervous and vascular tissue
• Describe common homeostatic imbalances.
• Recognize common medical terminology

MTX 1030 - Myofascial Massage

1. Understand the muscle and fascial connections, and how the fascia can be gently manipulated so that the structures encased in it can move more freely for restored movement.

• Define what myofascial work is.
• Explain the difference between fascia and myofascial.
• Explain the difference between myofascial release and massage.
• Explain and experience what myofascial massage feels like.
• Explain how to loosen tight fascia.
• Explain and show what myofascial work (myofascial release) can treat.
• Demonstrate the ability to perform myofascial work on different areas of the body to include: back, arms, legs, and chest.

MTX 1040 - CPR/First Aid

1. Demonstrate knowledge of and the ability to do CPR. (PSLO 2, 5)

• Perform CPR to receive credentials

MTX 1050 - SOAP Charting

1. Identify and explain effects of massage therapy and demonstrate proper performance of a massage therapy session with proper documentation. (CSLO 21; PSLO 2, 5)

• List, explain, and define three major categories of physiologic effects: mechanical, metabolic, and reflex.
• List and describe procedures that stimulate and sedate.
• Identify specific physiologic effects upon the following: integument, skeletal, muscular, nervous, cardiovascular, lymphatic, digestive, respiratory, and urinary.
• Define and explain localized effects (localized treatments)
• Define and explain general and derivative effects
• Identify indications and contraindications for the application of massage methods
• Demonstrate massage therapy session given with use of gathered information regarding needs of client, and those parts of therapy that can be used supported by information gathered.
• Create SOAP notes giving information that was gathered during interview, and during the massage therapy session with its results.

MTX 1060 - Special Populations

1. Understand and demonstrate the ability to work with all different ages of clients and levels of health.

• Demonstrate appropriate interview skills for a geriatric patient.
• Demonstrate appropriate accommodations for geriatric massage.
• Demonstrate appropriate interview skills for infant massage.
• Demonstrate appropriate knowledge of techniques that can be used with infants and enough understanding of why each is used to be able to teach the infants parents.
• Demonstrate appropriate interview skills for pre- or post-natal massage.
• Demonstrate appropriate accommodations that need to be made for pre- and post-natal massages.
• Demonstrate appropriate interview skills for pediatric massage.
• Demonstrate appropriate accommodations that may be needed for working with pediatric patients.

MTX 1070 - Ethics

1. Understand and explain Ethics and Professionalism with in their context of our profession, and the impact history of massage has had on the profession. (CSLO 16; PSLO 2, 5)

• Define and explain behavior of professionals.      
• Explain and define professional ethics of massage therapy.
• Recognize professional/clinical conditions that might present ethical dilemmas.
• Recognize professional behavior that would be considered unethical by a majority of    ”reasonable” professionals.
• Discuss professional behavior in relationship to the ethical considerations and potential therapeutic outcome.
• Recognize and explain how a massage therapist’s behavior might enhance and/or compromise the physical, mental, and/or emotional health of a client.
• Identify, explain, and understand the emotional/legal implications of establishing a personal/intimate/sexual relationship with a client.
• Discuss ethical behavior within multidisciplinary settings.
• Define dual and multiple roles, therapeutic boundaries, transference and counter‐ transference, and power differential and provide examples of how these elements influence professional behavior and ethical practice.
• Discuss and recognize important people in the history of massage therapy and their contributions to building massage therapy as a career.
• Discuss and recognize HIPAA laws and violations, as well as what to do if HIPAA is breached.

MTX 1080 - Medical Terminology

1. Define part of medical terms commonly used for massage therapy. (PSLO 1)

• Understand and properly use specific meanings of prefixes and suffixes for medical terms.
• Understand and properly use specific meanings of root medical words.

MTX 1090 - Swedish Massage

1. Demonstrate and describe each of the primary massage methods based on mechanical force application with appropriate variations in depth of pressure, drag, direction, speed and duration while keeping the client’s safety in mind at all times. (CSLO 20; PSLO 2, 5, 7)

• Demonstrate the ability to appropriately and safely drape the clients body
• Touch (near touch, passive resting)
• Glide/stroking (digital, palmar, and knuckle)
• Kneading (superficial kneading/fulling) (deep kneading: digital, palmar, skin rolling, wringing, chucking, fist and petrissage)
• Friction (static, stripping, cross‐fiber)
• Joint movements (passive, assistive, resistive, and joint stretching)
• Percussion (tapping, hacking, splatting, beating, cupping, slapping, and clapping)
• Vibration (shaking, digital, deep, lateral, knuckle, and superficial)
• Stretching - Swedish gymnastics (passive and active stretching of muscle and connective tissue to achieve normal resting length.)

MTX 1095 - Relaxation Clinicals

1. Demonstrate the ability to interview a client, perform a massage based upon client needs, and record the findings in a suitable manner for massage therapy. (CSLO 22; PSLO 1, 2, 3, 4, 5, 6, 7, 8)

• Create a SOAP note from client interview that meets all regulations.
• Perform a massage based on the interview information.
• Complete the SOAP note based on the outcome information from the performed massage.

MTX 2010 - Pathology

1. Understand and describe pathological conditions and pharmacological considerations necessary to perform safe massage sessions. (CLSO 5; PSLO 1, 2, 3, 4, 5, 6, 7)

• Describe disease awareness and infection control
• Identify dermatological pathologies conditions significant for massage therapy
• Identify musculoskeletal and nervous conditions of significance for massage therapy
• Identify endocrine, cardiovascular and lymphatic pathologies of significance for massage therapy
• Identify respiratory, gastrointestinal and urinary pathologies of significance for massage therapy
• Identify reproductive conditions, STDs and cancer pathologies of significance for massage therapy
• Use knowledge of pathologies to guide performance of rejection of work based on potential contraindications

MTX 2015 - HIV/AIDS

1. Demonstrate your knowledge of HIV/AIDS and how it should be handled in a clinical or non-clinical massage setting. (PSLO 1, 2, 4, 7)
   • Create a massage plan of care for a person who is HIV positive.
   • Create a massage plan of care for a person who has an active case of AIDS.
   • Perform a massage on a person who through simulation “has HIV/AIDS” with appropriate precautions and considerations.

MTX 2020 - Seated Massage

1. Demonstrate the ability to interview a client for seated massage and then perform he seated massage based on the clients’ information. (CSLO 8; PSLO 1, 2, 4, 5, 7)

• Create a SOAP note from the client interview with seated massage in mind.
• Demonstrate understanding of the knowledge of the history of seated massage, indications and contraindications for seated massage.
• Perform a seated massage based on the interview information.
• Complete the SOAP note based on the outcome information from the performed massage.
• Demonstrate the ability to perform a Western style seated massage.
• Demonstrate the ability to perform an Eastern style seated massage.

MTX 2030 - Hydrotherapy

1. Understandandperform hydrotherapyforbothhotandcoldtechniques.(CSLO7;PSLO2,5)
   • Demonstrate the ability to use warm hydrotherapy in all forms safely for the therapist and theclientandin thecorrect instances.
   • Demonstrate the ability to use hydrotherapy in a therapeutic setting, with how long to use it and how often for what circumstances.
   • Demonstrate the ability to use cold hydrotherapy in all forms safely for the therapist and the clientandin thecorrect instances.

MTX 2040 - Business Information

1. Demonstrate the basic understanding of running your own business, taking care of your own taxes, and making sure that you keep up with all necessary documentation.
   • Demonstrate the knowledge of what goes into a business card and create a business card.
   • Demonstrate the knowledge of what goes into a business brochure and create a business brochure.
   • Demonstrate the knowledge of what goes into a resume and create a personal resume.
   • Demonstrate the knowledge of what goes into a Business Plan and create a business plan.
   • Demonstrate understanding of self-employment taxes for a business.
   • Demonstrate understanding of the differences in being a self-proprietor, a limited liability corporation, an S-Corporation, or any other corporation.
   • Demonstrate the knowledge of what goes into marketing a self-proprietor business and what the marketing rules are regarding advertising in any format.
   • Build a model of your ideal massage space.

MTX 2050 - Self-Care

1. Demonstrate having the knowledge for how, when and where self-care can and should be done for massage therapists. (PSLO 1, 5)

• Understand the need for a therapist to perform self-care.
• Understand the frequency of self-care depending on each individual’s life situation.
• Perform self-care techniques and perform them for each area of the body, to include the head, neck, shoulders, arms, back, hips, legs, and feet.

MTX 2060 - Medical Massage

1. Perform a medical massage for a specific issue and specific outcomes. (CSLO 7; PSLO 2,4,5,7)

• Use given medical information to create a plan for a 20-minute medical massage.
• Understand and demonstrate the contraindications or indications of the medications for the massage.
• Understand and demonstrate the contraindications or indications of the blood counts for the massage.
• Understand and demonstrate the contraindications or indications of the surgeries for the massage.
• Perform bolstering for the client that meets the requirements for the issues given.
• Use a lotion or oil for the massage and be able to give a reason why for your choice.
• Understand and demonstrate how to work around hospital equipment.
• Perform a medical massage with a specific issue and specific outcomes.

MTX 2070 - Rehabilitation Massage

1. Perform a rehabilitative massage for a specific issue and specific outcomes. (CSLO 7; PSLO 2,4,5,7)

• Use given information to create a plan for a 30-60 minute rehabilitative massage.
• Understand and demonstrate the contraindications or indications of the medications for the massage.
• Understand and demonstrate your knowledge of the contraindications or indications depending on the type of rehabilitation that is presented to you.
• Understand and demonstrate the contraindications or indications of the surgeries for the massage if the client has been through surgery.
• Perform bolstering for the client that meets the requirements for the issues given.
• Use a lotion or oil for the massage and be able to give a reason why for your choice.
• Understand and demonstrate how to work around hospital equipment.
• Have a basic understanding of orthopedic rehabilitation massage for joint replacements.
• Perform a medical massage with a specific issue and specific outcomes.

MTX 2075 - Massage of the Medically Frail

1. Perform a medical massage for a specific issue and specific outcomes. (CSLO 7; PSLO 2,4,5,7)

• Use given medical information to create a plan for a 20 minute medical massage.
• Understand and demonstrate the contraindications or indications of the medications for the massage.
• Understand and demonstrate the contraindications or indications of the blood counts for the massage.
• Understand and demonstrate palliative care and what that means for massage therapy.
• Understand and demonstrate what the difference in palliative massage is in regards to pressures allowed, as well as what types of strokes are appropriate depending on the persons’ issues.
• Understand and demonstrate the contraindications or indications of the major surgeries for the massage.
• Perform bolstering for the client that meets the requirements for the issues given.
• Use a lotion or oil for the massage and be able to give a reason why for your choice.
• Understand and demonstrate how to work around hospital equipment.
• Perform a medical massage with a specific issue and specific outcomes.

MTX 2080 - Therapeutic Communication

1. Demonstrate appropriate communication skills with health care professionals and patients/clients in any situation.

• Demonstrate how to appropriately communicate with other massage therapists through the written word, and in person speaking to them.
• Demonstrate how to appropriately communicate with other healthcare providers, such as a doctor, nurses, physical therapist, occupational therapist, dentist, mid-wife, chiropractor, or any other health professional through the written word, or in person, speaking to them.
• Demonstrate the appropriate handling of confidential client information.
• Demonstrate the ability to keep records of their communications with any other health care provider.

MTX 2090 - Therapeutic Massage

1. Perform a professional pregnancy, geriatric, infant, and a sports maintenance massage routine. (CSLO 4; PSLO 1, 2, 3, 4, 5, 6, 7, 8)

• Describe the difference between normal and high-risk pregnancy
• Identify the issues of special needs client comfort
• Properly examine a pregnant, geriatric or other special needs client for precautions and contraindications
• Demonstrate a healthy safe pregnancy or other special needs massage
• Appraise and create treatment techniques for pregnant women, older people or medially frail clients
• Describe differences between infant and adolescent massage
• List benefits for infant massage
• List infant cues indicating readiness for massage and intolerance for massage
• Describe the differences and medical needs for patients that are medically frail.
• Demonstrate massages modified to the needs of the special population community.
• Define physical changes in geriatric clients.
• Describe guidelines for clients with cancer, HIV or other common medical conditions.
• Demonstrate the ability to plan a massage for any given situation that is not a relaxation massage, including indications for massage and contraindications for massage.

MTX 2095 - Deep Tissue

1. Understand and perform a deep tissue massage and be able to communicate clearly what the guidelines are for indicating a deep tissue massage or the contraindications for not being able to perform a deep tissue massage. (CSLO  ; PSLO   )

• Demonstrate appropriate deep tissue massage.
• Demonstrate the use of techniques for trigger points.
• Demonstrate the use of deep tissue techniques without leaving the client in discomfort.
• Demonstrate the knowledge of when deep tissue massage is not appropriate.
• Demonstrate the ability to educate a client on the differences between deep tissue and deep pressure.

MTX 2099 - Therapeutic Clinic

1. Demonstrate the ability to interview a client, perform a massage based upon client needs, and record the findings in a suitable manner for therapeutic massage therapy in a clinical setting. (CSLO 5; PSLO 1, 2, 3, 4, 5, 6, 7, 8)

• Create a SOAP note from client interview that meets all regulations.
• Perform a massage based on the interview information.
• Perform appropriate and safe draping of the client at all times during the massage.
• Complete the SOAP note based on the outcome information from the performed massage.

ODT 0001 - Worker Characteristics

A. Attendance

1. Attends class as scheduled.

2. Arrives/leaves on time (no tardies).

3. Notifies instructor prior to or day of being absent.

B. Character

1. Displays loyalty, honesty, trustworthiness.

2. Displays dependability and reliability.

3. Displays initiative, self-discipline and self-responsibility.

4. Displays self-discipline and performs what is asked of them.

C. Teamwork

1. Respects the rights of others.

2. Maintains appropriate confidentiality.

3. Is a team worker that is cooperative, mannerly, and appropriately assertive?

4. Displays a customer service attitude.

5. Seeks opportunities for continuous learning from others.

D. Appearance

1. Demonstrates appropriate dress indicative of trade.

2. Demonstrates professional grooming and hygiene.

3. Presents oneself professionally each day.

E. Attitude

1. Displays a positive and professional attitude.

2. Displays self-confidence.

3. Displays high expectations of success in trade.

F. Productivity

1. Follows safety practices.

2. Maintains a neat and clean work area.

3. Follows directions and procedures.

4. Completes assignments in keeping with deadlines.

G. Organization Skills

1. Prioritizes and manages class time.

2. Demonstrates flexibility in handling change.

A. Communications

1. Displays appropriate nonverbal skills (eye contact, body language).

2. Displays appropriate listening skills.

3. Uses appropriate language on a professional level.

B. Cooperation 1. Displays leadership skills.

2. Appropriately handles criticism, conflicts and complaints.

3. Demonstrates problem-solving capabilities.

4. Maintains appropriate relationships with instructors and peers.

5. Follows requests of instructor.

C. Respect

1. Engages with cultural and racial diversity in a professional manner.

2. Refrains from engaging in harassment of any kind.

3. Encourages others to avoid harassment.

ODT 0002 - Worker Characteristics

1. Attends class as scheduled.

2. Arrives/leaves on time (no tardies).

3. Notifies instructor prior to or day of being absent.

I. Character

1. Displays loyalty, honesty, trustworthiness.

2. Displays dependability and reliability.

3. Displays initiative, self-discipline and self-responsibility.

4. Displays self-discipline and performs what is asked of them.

J. Teamwork

1. Respects the rights of others.

2. Maintains appropriate confidentiality.

3. Is a team worker that is cooperative, mannerly, and appropriately assertive?

4. Displays a customer service attitude.

5. Seeks opportunities for continuous learning from others.

K. Appearance

1. Demonstrates appropriate dress indicative of trade.

2. Demonstrates professional grooming and hygiene.

3. Presents oneself professionally each day.

L. Attitude

1. Displays a positive and professional attitude.

2. Displays self-confidence.

3. Displays high expectations of success in trade.

M. Productivity

1. Follows safety practices.

2. Maintains a neat and clean work area.

3. Follows directions and procedures.

4. Completes assignments in keeping with deadlines.

N. Organization Skills

1. Prioritizes and manages class time.

2. Demonstrates flexibility in handling change.

O. Communications

1. Displays appropriate nonverbal skills (eye contact, body language).

2. Displays appropriate listening skills.

3. Uses appropriate language on a professional level.

P. Cooperation

1. Displays leadership skills.

2. Appropriately handles criticism, conflicts and complaints.

3. Demonstrates problem-solving capabilities.

4. Maintains appropriate relationships with instructors and peers.

5. Follows requests of instructor.

Q. Respect

1. Engages with cultural and racial diversity in a professional manner.

2. Refrains from engaging in harassment of any kind.

3. Encourages others to avoid harassment.

ODT 0003 - Worker Characteristics

1. Attends class as scheduled.

2. Arrives/leaves on time (no tardies).

3. Notifies instructor prior to or day of being absent.

P. Character

1. Displays loyalty, honesty, trustworthiness.

2. Displays dependability and reliability.

3. Displays initiative, self-discipline and self-responsibility.

4. Displays self-discipline and performs what is asked of them.

Q. Teamwork

1. Respects the rights of others.

2. Maintains appropriate confidentiality.

3. Is a team worker that is cooperative, mannerly, and appropriately assertive?

4. Displays a customer service attitude.

5. Seeks opportunities for continuous learning from others.

R. Appearance

1. Demonstrates appropriate dress indicative of trade.

2. Demonstrates professional grooming and hygiene.

3. Presents oneself professionally each day.

S. Attitude

1. Displays a positive and professional attitude.

2. Displays self-confidence.

3. Displays high expectations of success in trade.

T. Productivity

1. Follows safety practices. 

2. Maintains a neat and clean work area.

3. Follows directions and procedures.

4. Completes assignments in keeping with deadlines.

U. Organization Skills

1. Prioritizes and manages class time.

2. Demonstrates flexibility in handling change.

G. Communications

1. Displays appropriate nonverbal skills (eye contact, body language).

2. Displays appropriate listening skills.

3. Uses appropriate language on a professional level.

H. Cooperation

1. Displays leadership skills.

2. Appropriately handles criticism, conflicts and complaints.

3. Demonstrates problem-solving capabilities.

4. Maintains appropriate relationships with instructors and peers.

5. Follows requests of instructor.

I. Respect

1. Engages with cultural and racial diversity in a professional manner.

2. Refrains from engaging in harassment of any kind.

3. Encourages others to avoid harassment.

ODT 1010 - Orientation

ODT 1020 - Safety

2. Personal protective equipment

3. First aid kits

4. Eye wash

5. Fires

6. Power tools

7. Electrical

8. Jump starting

9. Hybrid vehicles

10. CNG

11. Lockout/tagout

12. Walking and work surfaces

13. Avoiding injury in the workplace

14. Bloodborne pathogens

15. Respirators/air quality

16. Operating vehicles

17. Lifts and jacks

18. Welding

19. Solvents

20. Floor drains

21. Oils and similar fluids

22. Absorbents and spills

23. Antifreeze

24. Batteries

25. Refrigerant

26. Tires

27. Asbestos