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Course Information
Health Careers Education
Long Term Care/Home Health Care Aide
This course is a combination of the LTC and HHC career majors. See course development guides of individual courses for competencies.
Lara Skaggs
Nursing assistants make valuable contributions in providing health care. Nursing assistants are trained to care for people who are ill or need help in caring for themselves. The care given is always under the guidance and supervision of licensed health care providers such as nurses or physicians. The competencies needed to successfully complete the objectives for this course are identified from the skill standards produced by the Oklahoma Department of Career and Technology Education's Testing Division for the Health Certification Project of the Oklahoma State Department of Health using the DACUM process. Students may exit from the course after obtaining Long Term Care aide certification.

Module 1 - Introduction to Long Term Care Nursing Assisting

1. Identify different levels of care for long-term care residents.

2. Identify different facilities that offer long-term care.

3. Compare acute and chronic illness.

4. Identify departments and describe their function in the long-term care facility

5. Evaluate the cost of long-term care and who pays for these expenses

Module 2 - Role of the Nursing Assistant in Long Term Care

1. Identify the members of the nursing team and requirements for education and training

2. Explain how the line of authority affects the role of the nursing assistant.

3. Differentiate state and federal regulations (OBRA) affecting nurse assistants.

4. Explain the role, responsibilities and limitations of nurse assistants working within the scope of practice.

5. Discuss the requirements for maintaining nurse aide certifications.

Module 3 - Consumer Rights, Ethical & Legal Issues Affecting the Nursing Assistant

1. Identify key items in the Resident's Bill of Rights.

2. Identify ethical and legal situations and allegations in health care specific to Nurse Assistants

3. Identify the legal responsibilities of a nursing assistant with regard to resident's rights as defined in OBRA

4. Recognize and describing types, signs and symptoms of abuse.

5. Provide care, respect and security

6. Implement mandated standards for Health Insurance Portability and Accountability Act (HIPAA).

7. Discuss regulatory and legal process when faced with allegations of abuse.

8. Follow facility policies and procedures for reporting and documentation

Module 4 -Safety in LTC

1. Demonstrate safe use of LTC facility chemicals

2. Identify ways to promote a safe environment for the resident in regard to preventing falls

3. Ensure correct identification of residents and staff.

4. Check equipment for proper function and safety.

5. Identify unclean and unsafe conditions.

6. Report and take appropriate action concerning unsafe/unclean conditions.

7. Demonstrate application of ordered restraints.

8. Demonstrate proper safety procedures for an immobilized resident

9. Apply principles of body mechanics and ergonomics

10. Identify environmental hazards

11. Provide patient with information on safety

12. Reinforce patient's education on safety precautions, including patient's use of protective equipment to avoid injury

13. Evaluate the environment to recognize safe and unsafe working conditions.

14. Demonstrate methods of fire prevention in the healthcare setting.

15. Use proper safety techniques to prevent accidents and to maintain a safe work environment.

16. Explain an evacuation plan for a healthcare setting.

17. Execute an emergency plan in response to a natural disaster or other emergency.

Module 5 - Communication in Long Term Care

1. Identify records and files common to the healthcare setting.

2. Execute data management using electronic healthcare records.

3. Interpret information from electronic medical documents.

4. Discuss the content and diverse uses of health information.

5. Demonstrate techniques for communicating with residents and families.

6. Respond appropriately to resident and family behaviors.

7. Utilize techniques that facilitate communication special populations.

8. Demonstrate techniques for communicating with interdisciplinary team members.

9. Demonstrate appropriate behavior management techniques.

10. Recognize the need for setting boundaries and limits between caregiver and resident.

11. Follow facility policy and procedure for reporting and documentation.

12. Review techniques for the measurement of vital signs and documentation, including pain as the fifth vital sign.

13. Recognize document and report changes in behavior, environment and physical well-being.

14. Explain when an incident report is required.

Module 6 - Meeting Basic Human Needs for Residents in LTC

1. Identify techniques to encourage resident independence dignity and self-esteem.
2. Using techniques that promote resident independence in:
1. Provide choices (meals, clothing)
2. Scheduling adult daily living activities (ADLs)
3. Distinguish between types of psychosocial needs:
1. Emotional
2. Mental Health
3. Spiritual
4. Cultural
4. Respond appropriately to the psychosocial needs of the resident and family.
5. Identify and report symptoms of depression.
6. Demonstrate techniques for responding to psychosocial needs of diverse populations.
7. Identify factors that affect relaxation/sleep
8. Identify action that can promote relaxation/sleep

Module 7 - Normal and Abnormal Body Structure and Function

1. Define terms related to normal and abnormal body structure and function for residents/patients in LTC/HH.
2. Describe common health problems.
3. Distinguish between signs and symptoms.
4. Describe four modes of therapy.

Module 8 - Infection Control

1. Apply infection control procedures including standard precautions and handwashing techniques.
2. Compare different methods of controlling the growth of microorganisms
3. Apply personal safety procedures based on Occupational Safety and Health Administration (OHSA) and Center for Disease Control Prevention (CDC) regulations.
4. Apply proper use of personal protective equipment (PPE).
5. Use infection control techniques when collecting specimens.
6. Demonstrate isolation techniques.
7. Define terms related to infection control.
8. Identify isolation precautions for common microorganisms.

Module 9 - LTC/HH Resident/Patient Mobility, Positioning and Transfer

1. Discuss items found in the typical patient unit
2. Operate basic equipment found in the typical patient unit
3. Discuss ways to control the patient's environment
4. Using the principles of good body alignment, resident/patient positioning and supportive devices
5. Demonstrate safe techniques for transferring, moving, lifting residents/patients with and without assistive devices
6. Adjust a hospital bed
7. Ambulate resident/patient with/without assistive devices
8. Operate a wheelchair safely
9. Perform assive/active range of motion exercises
10. Follow a resident/patient's exercise plan.
11. Demonstrate the ability to
1. Prepare a patient unit
2. Place the bed in prone position
3. Place the bed in Fowler's position
4. Place the bed in Trendelenberg position
5. Make an occupied bed
6. Make an unoccupied bed

Module 10 - Basic Nursing Skills

1. Make unoccupied and occupied bed.
2. Recognize the need for proper maintenance of supportive and preventive devices.
3. Provide assistance with ADLs:
* Assist with a bedpan, facture pan, bedside commode and urinal.
* Administer a sitz bath
* Administer a back rub
* Assist resident/patient with hand washing
* Provide full or partial bath in shower, tub, chair or bed
* Perform shampoo in sink, tub, bed or shower.
* Provide skin care
* Provide oral hygiene and denture care
* Provide perineal care
* Provide foot care appropriate to disease process
* Assist patient with dressing/undressing
* Provide nail care
* Shave patient
* Provide resident's/patient's hair care
* Assist resident/patient with applying and removing TED/support stockings
4. Provide assistance with elimination:
* Provide toileting assistance utilizing incontinence products and bedside commode.
* Provide catheter care and maintenance
* Provide ostomy care
* Provide bladder and bowel retraining
5. Provide assistance with nutrition and hydration:
* Recognize the importance of proper nutrition and hydration
* Demonstrate proper use of feeding devices and techniques:

Compensatory swallowing
Thickening agents
Purchase groceries within resident's/patient's dietary restrictions

* Use sanitary practices to prepare and store meals
* Use sanitary practices to wash and clean dishes, utensils, kitchen/dining area
* Calculate intake and output
* Document intake and output on appropriate form
5. Data Gathering
* Measure and record vital signs
* Identify and report pain.
* Obtain a stool specimen
* Obtain a urine specimen
* Measure weight, height, and length
* Inspect skin for continuity and abnormalities

Module 11 - Care for the Patient with Dementia/Alzheimer's

1. Identify the types and causes of cognitive impairment
2. Demonstrating techniques for promoting independence with ADLs for patients with Alzheimer's/dementia
3. Demonstrating techniques for communicating effectively with Alzheimer's/dementia residents/patients
4. Demonstrating techniques for managing behaviors associated with Alzheimer's/dementia
5. Identifying measures to promote the safety of residents/patients with Alzheimer's/dementia

Module 12 -Death and Dying

1. Identify differences in the way people handle the death and dying process.
2. Identify the signs of approaching death.
3. Identify the spiritual preparations for death practiced in various religious denominations.
4. Demonstrate the procedure for post-mortem care.
5. Select descriptions of the hospice philosophy and method of care.
6. Identify responsibilities of the NA for supportive care.
7. Identify and respond to the needs of the resident/patient and his/her family during illness and stages of dying.
8. Provide post mortem care.

Module 13 - Supervised Clinical Experience in

After completion of this clinical, you will qualify to sit for the certification exams for Nursing Assistant. You will have opportunities to apply knowledge of basic nursing principles and skills in delivery of patient care in the nursing home setting. Guidelines for the beginning long-term care aide student entering the clinical area are included. The student utilizes the knowledge acquired in the classroom to provide patient care in a long-term care facility.

Clinical Objectives

This clinical experience meets the requirements for the State of Oklahoma Department of Health.

The student will demonstrate skills and knowledge learned in classroom and laboratory when in supervised clinical experience.

1. Fulfill the preparatory requirements to attend the clinical site as described in the Student Handbook, and the health care clinical facility information.

2. Apply knowledge from the long-term care nursing assistant course and successfully complete the skills checklist.

3. Demonstrate beginning ability to perform nursing aid skills.

4. Provide care for the geriatric patient

Apply procedures to protect and promote patient's rights.

Identify basic medical conditions and psychosocial needs.

Identify common signs, symptoms and treatment of disease and disorders.

Establish effective communication with patients, members of the family, and health care team.

Provide care based on the basic needs of the patient.

Demonstrate infection control and safety measures as evidenced by the completion of module exam, performance skill exam and clinical evaluation with 100% accuracy.

Appropriately respond to emergencies.

Perform transfer and ambulation skills.

Measure and record vital signs, and height and weight.

Provide patient care and comfort measures.

Report abnormal findings.

Support rehabilitation plans.

Provide principles of nutrition by providing and recording nutritional needs.

Report diet modification needs.

Provide hydration need and record intake and output.

Perform special care procedures for patients exhibiting symptoms of impending death

Perform special care procedures for patients according to OBRA.

Role of the Nursing Assistant in Home Health Care

The student will identify and determine appropriate responses that define the scope and practice of a nurse assistant in the home health environment.

Special Skills for the Home Health Aide

This course will build on the skills for the Long Term Care aide (LTC) Aide. Additional skills specific for the Home Health Aide will be introduced and demonstrated.

Communication in Home Health Care

The student will communicate effectively with clients, families and co-workers.

Safety in Home Health Care

In this course, the student will learn to provide for client safety in the home environment.

Meeting Basic Human Needs for Clients in Home Health Care

The student will promote client independence and demonstrate psychosocial care skills.
Career Majors That Sequence This Course
Career Cluster Pathway Career Major
Health Science Therapeutic Services Direct Care Aide