PCT 1010 - Nursing Assistant

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

1. Discuss the Healthcare Environment
   1. Describe types of healthcare facilities
   2. Describe client levels of care
   3. List reasons for changes in healthcare delivery
   4. Discuss the multi-skilled worker
2. Identify the roles of the health team and the nursing team
   1. Discuss licensure and certificate levels
   2. Discuss the role of the multi-skilled worker
   3. Discuss the role of the PCT / assistive personnel
   4. Discuss the nursing process
      1. Recognizing abnormal changes in body functions
      2. Recognizing the importance of reporting such changes to a supervisor
3. Discuss practices for para professional healthcare employment
   1. Discuss agencies that employ multi-skilled workers
   2. List marketing strategies
   3. List ways to look for a job
   4. Prepare a resume and cover letter
   5. Discuss the interview process
   6. Discuss personal hygiene
   7. Discuss professional conduct
   8. Discuss work ethics
4. Discuss Client Rights and Legal Issues
   1. List ways to provide privacy and maintain confidentiality
   2. Discuss promoting client right to make personal choices to accommodate their needs.
   3. Discuss resolving grievances and disputes
   4. Discuss providing assistance in getting to and participating in client / family groups and other activities.
   5. List ways to maintain care and security of client’s personal possessions.
   6. Discuss promotion of the client’s right to be free from abuse mistreatment, neglect, and the need to report instances to appropriate staff.
   7. Identify professional standards regarding restraint usage.
   8. Define abuse, neglect, and malpractice.
   9. Define assault and battery.
5. Discuss communication and interpersonal skills
   1. Describe rules for effective communication with the healthcare team and client.
   2. Discuss communication with sensory impaired clients
   3. Discuss ways to communicate with cognitively impaired resident
6. Discuss mental health, social service, and holistic client needs
   1. List Maslow’s hierarchy of needs
   2. List developmental tasks associated with the aging process
   3. Discuss modification of assistant behavior in response to client behavior
   4. Discuss responding to client behavior
   5. Discuss allowing client’s to make personal choices, providing and reinforcing behavior consistent with the client’s dignity
   6. Discuss the client’s family as a source of emotional support
   7. Discuss cultural diversity
   8. Discuss human sexuality
7. Discuss caring for client’s when death is imminent
   1. List stages of dying
   2. List signs of dying
   3. Define hospice
   4. Discuss postmortem care
   5. Discuss the needs of terminal clients and family
8. Discuss mental health problems including but not limited to anxiety disorders, psychotic disorders, affective disorders, organic / inorganic disorders.
   1. Define panic disorder, phobic disorders, and obsessive-compulsive disorders
   2. Define schizophrenia
   3. Define bipolar disorder
   4. Define and discuss depression
   5. Define and discuss dementia
   6. Define and discuss delirium
   7. Discuss common defense mechanisms
   8. Discuss care of the cognitively impaired including techniques for addressing the needs and behaviors of individuals with dementia (AD and others)
   9. Discuss understanding the behavior of the cognitively impaired client
   10. Identify appropriate responses to the behavioral or cognitive impaired residents and methods to reduce effects of cognitive impairments
9. Discuss safety / emergency procedures and issues
   1. Discuss SDS hazardous substances
   2. Discuss fire safety
   3. Identify infection control measures
   4. Discuss body mechanics
   5. Discuss workplace violence
   6. Discuss foreign body airway obstruction
   7. Discuss caring for resident environment
10. Discuss nutritional needs of clients
    1. Explain the purpose of ChooseMyPlate.gov
    2. Describe importance and sources of proteins, carbohydrates, and fats
    3. Describe function and sources for vitamins and minerals
    4. List and discuss special diets
    5. Discuss enteral nutrition
11. Discuss basic restorative services
    1. Discuss training the resident in self-care according to the resident’s abilities
    2. Discuss the use of an assistive device when transferring, ambulation, feeding and dressing
    3. Discuss promotion of resident’s independence
    4. Discuss bowel / bladder retraining
    5. Discuss orthotics and prosthetic

Lab Competencies:     The student must successfully perform a return demonstration of                                        skills, receiving a satisfactory evaluation for progression.

Suggested Competencies:

1. Measuring / recording vital signs
2. Determining / recording height and weight
3. Transferring, position, and turning clients in bed and chair
4. Performing range of motion exercises
5. Obtaining accurate intake and output
6. Bathing / skin care
7. Mouth care
8. Dressing
9. Toileting
10. Assist with eating and hydration
11. Proper feeding techniques
12. Perineal care
13. Catheter care
14. Bed making
15. Nail care
16. Hair care
17. Back rub
18. Hand washing
19. Removal of foreign body airway obstruction
20. Assist with ambulating per cane, walker, and crutches
21. Don gown, gloves, and mask
22. Prepare an enema