Medical Science II/CNA
Student Handbook
2 Table of Content
Program Philosophy 3
Program Objectives 3
Standard Occupational Description: Nurse Aide, Nursing Assistant 3
SKILLS, KNOWLEDGE, ABILITIES AND TASKS 3
Course Requirements 4 Immunizations required 5 Student Requirements 5 Dismissal Policy 6 HOSA 7 Projected Cost 8 Grading Policy 9 Clinical Component 9 Code of Conduct 9 Course Objectives 10 Student Contract 12 Communications 12
Program Philosophy
The Nurse Aide (NA) Training Program at Bollman Technical Education Center (BTEC) is designed to provide the entry level Nurse Aide student with the fundamental nursing skills essential for providing patient care services under the direction and supervision of a Nurse and basic knowledge of disease to prepare for college.
BTECs mission: Building career pathways and post-secondary options by providing relevant and current technical education programs.
Program Objectives
The BTEC Nurse Aide Training Program will provide supervised classroom, lab and clinical experiences consistent with standards of practice upheld by the Colorado Board of Nursing and are inclusive of the knowledge and skills required under the Omnibus Budget Reconciliation Act, and Federal Regulation 483.152(b). The courses also meet the Health Sciences standard for the board of education.
The central objective of the BTEC Nurse Aide Training Program is to prepare individuals to successfully complete the state approved Nurse Aide Competency Evaluation Program, and to prepare the students for the rigger of college.
Standard Occupational Description: Nurse Aide, Nursing Assistant
The Nurse Aide performs any combination of following duties in care of patients in hospital, nursing home or other medical facility, or private home under direction of the licensed nursing staff. The Nurse Aide will assist the nursing staff in the care of chronically ill of any age, and may assist the nursing staff assist in providing medical care and or personal care to the chronically ill of any age, in a private home setting.
General duties include:
Answers signal lights, bells, or intercom system to determine patients' needs. Bathes, dresses, and undresses patients.
Prepares, serves and collects food trays and feeds patients requiring help. Transports patients, using a wheelchair or wheeled cart, or assists patients to walk. Turns and repositions bedfast patients, alone or with assistance, to prevent bedsores. Changes bed linens, runs errands, directs visitors, and answers telephone.
Takes and records temperature, blood pressure, pulse and respiration rates, and food and fluid intake and output, as directed.
Dusts and cleans patients' rooms.
SKILLS, KNOWLEDGE, ABILITIES AND TASKS (Technical and Functional Expertise)
1. Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. 2. Talking to others to convey information effectively.
3. Teaching others how to do something.
4. Adjusting actions in relation to others' actions. 5. Managing one's own time and the time of others.
4 6. Actively looking for ways to help people.
7. Monitoring/Assessing performance of self, other individuals, or organizations to make improvements or take corrective action.
8. Being aware of others' reactions and understanding why they react as they do. 9. Understanding written sentences and paragraphs in work related documents. 10. Communicating effectively verbally and in writing as needed.
Course Requirements
Medical Science II - must be a student in Adams District 12 Pathophysiology
Credits: 2 ½ Total
1-Fine/Practical Arts-Semester (semesters 1 & 2) 1-Science: Pathophysiology (semesters 1 & 2) 1/2-P.E. (Semester 2)
½ -elective for over 60 hour of volunteer (optional)
½ - elective for working over 240 hour in a semester (optional)
National and state statistics indicate that among all occupations, the demand for those in health careers is the fastest growing. The Medical Science II program provides students with general workplace skills and specific health industry knowledge that can assist them in attaining
employment in a variety of entry-level positions within health care settings, and/or continue their education at the post-secondary level. The Medical Science II program is designed for the
mature, responsible student wishing to investigate health related careers. Students interested in registering for this program should have a serious interest and long-term goal of employment in the medical field. A strong commitment to the program is necessary to be successful in this class. Students can expect rigorous course work that will challenge them to become critical thinkers and have opportunities for character building, with an emphasis on developing leadership and professionalism. The core of the curriculum is focused upon medical terminology,
Pathophysiology, career exploration, safety practices, ethics and human relations. Students enrolled in the second semester will start to develop the basic skills a health care worker would need for an entry level position. Students are required to participate in the skills lab and attend all clinical hours. Students enrolled in this course will also receive CPR/First Aid training. Students who successfully complete both semesters will be eligible to sit for the Nurse Aide certification exam. After graduation, the Medical Science II students may find options for post-secondary study leading to Associate of Applied Science and/or Bachelor degrees.
Students are required to participate in Health Occupations Students of America (HOSA). HOSA is an integral part of the curriculum and membership allows for the student to build leadership skills, participate in community service projects, and network with other members throughout Colorado and the United States. There will be several after school events and meetings for HOSA.
Class Format:
Semester One: This class is a two-hour block and will include classroom work, labs, field trips, and guest speakers.
Semester Two: This class is offered in a three-hour block and will include clinical experiences working with patients in a hospital, nursing home and/or internship site settings. Academic credit is awarded on successful completion of the course (Sem. 2) Requirements to enter the Medical Science II program:
All students registering for this class will be asked to complete an application which includes a recommendation form to be completed by a teacher, counselor and an essay to be completed by the student.
Prerequisites:
1. High School senior in District 12
2. Successful completion of Anatomy and Physiology or equivalent 3. Reading ability to be 9th grade level or higher
4. Excellent attendance
5. Teacher recommendation. ( Science or Math instructor only) 6. Counselor recommendation
Immunizations required: The following vaccinations must be current prior to 1st day of school, these can be printed from Infinite Campus except the PPD:
MMR (Measles, mumps, rubella)
TD (tetanus)
Hepatitis B (3-shot series)
PPD (tuberculin) test that is current for the academic school year. (note some of the volunteer sites required the PPD and students may bring in these copies)
Student Requirements:
Students will be evaluated in several areas to determine their readiness for second semester. 1. Students will need to be in attendance at least 90% of the time as the NA program requires
excellent attendance as mandated by the board of nursing.
2. Students will have an average of 3 on the 21st century workplace evaluations.
3. Students will have a combined grade in Medical Science and Pathophysiology of 75% or a 2.
4. Student will have turned in by the first week of school the following documents:
Immunization records to include MMR (2 shots) & HBV (3 shots) Turned in by September 4th
TB test within the last year Turned in by September 4th Background check done by:
https://secure2.americandatabank.com/medPrepEX/package.asp
5. Students will turn in and have verified all volunteer hours. By Nov 12, 2014
6. Clinical facilities require a criminal background check on each student prior to allowing them to participate in clinical experiences at their facilities. It is the student’s
responsibility to obtain this background check prior to September 4, 2014. The fee charged by the agency conducting the background check is also the responsibility of the student.
7. Students must have a 75% (2) or higher in the first semester, and must have the team (Medical Science II & Science instructors) recommendation to continue in this class second semester when the NA program begins.
8. Business attire is required for presentations and off-site locations. Business attire for any HOSA event is Navy blue or Black blazer with pants or skirt (skirts must be at least knee length) with a white blouse or button down shirt and black or navy blue shoes. Uniforms will be worn in class starting second semester. Uniforms are required for clinical and internship experiences.
9. Students are required to have the following items for clinical and internship experiences: 1. Wristwatch with second hand
2. BTEC uniform
3. White or Black tennis shoes (inexpensive canvas, washable for class) 4. White or all Black socks
6 6. Students should not have visible tattoos, wear excessive jewelry, or flashy
fashions during any community activity and clinical experience. 7. JEWELRY:
One, small "stud" type earring per ear. Earrings must fit flat against the ear lobe. Rings are discouraged, may wear one ring, must be smooth and without a stone. Hair:
Shorter than collar length. Clean and neat.
Facial hair is discouraged; beards must be short and well groomed.
Nails: Clean and short. Nails must not extend beyond the ends of the fingertips.
Prohibited:
Bracelets Necklaces
Visible body piercing. (i.e. tattoos, facial piercing or tongue piercing) Except one post in each ear. (no bars or gage holes)
Artificial nails Cell phones
Students are required to complete 50 hours of service learning work in a health care setting in the community. Students should begin accruing these hours in the SUMMER prior to the start of school. The 50 hours must be completed prior to November 12 , of the current school year. (Students accruing 60 hours or more in this time period will be eligible to receive an additional ½ elective credit.)
Class Fee: $50.00.
o Fees are applied to HOSA dues, lab supplies. o Uniforms about $25
o Background check if under 18 $18 if over 18 $59 Due as soon as possible. Dismissal Policy
During the first semester of Med Prep, all students are required to complete ethics evaluations. Based on these evaluations and teacher recommendation, it may be decided amongst the parties that a student is not eligible to complete the patient care/clinical part of the course. The student is evaluated on the following criteria:
Attendance: Present daily. Punctuality: In class on time.
Productivity: Assignments completed and turned in on time, class participation, work area neat and clean, follows directions, flexibility.
Organization: Uses organizer or planner, management of time, stress, and work habits. · Teamwork: Supports classmates, engages in cooperative learning, and maintains a positive attitude.
· Appearance: Professional dress when applicable (guest speakers, presentations, field trips, HOSA events, clinical, or as instructed otherwise), maintains Adams 12 District dress code policy.
· Character: Honesty, trustworthy, integrity, dependable, reliable, responsible.
· Communication: Positive verbal and non-verbal communication, active listening posture. · Cooperation: Follows the rules, maintains appropriate relationships with others.
rights of others
In regards to dismissal from the NA program, Adams 12 Five Star Schools policies will be enforced.
Infractions such as:
cheating
stealing
use of tobacco, drugs or alcohol
carrying a weapon
abuse of a classmate or client
performing services for which the student has not been trained and found proficient in by the instructor
foul or inappropriate language
poor attendance
poor performance
cellphone/electronic violations
The above infractions will not be tolerated. If occurring during the clinical day, the student will be asked to leave immediately and return to BTEC for disciplinary action. Students and their parents will be counseled, and a recommendation will be made on dismissal from the program. Depending on the type of infraction, students may either be dismissed from the entire class or from the clinical portion of the course. Students being dismissed in either scenario will not be a completer of the program and their name will not be sent to the State Board of Nursing as a completer, nor will they be eligible to sit for the Nurse Aide certification examination.
If a student is dismissed from clinical and/or the Medical Science II class, all fees that have been charged and/or have been collected will not be refunded to the student.
HOSA
http://www.hosa.org/ http://www.hosa.cccs.edu
Health Occupations Students of America (HOSA) is a national vocational student organization endorsed by the U.S. Department of Education and the Health Occupations
Education Division of the ACTE. HOSA's two-fold mission is to promote career opportunities in the health care industry and to enhance the delivery of quality health care to all people. HOSA's goal is to encourage all health occupations instructors and students to join and be actively involved in the HOE-HOSA Partnership. HOSA provides a unique program of leadership development, motivation, and recognition exclusively for secondary, postsecondary, adult, and collegiate students enrolled in health occupations education programs.
HOSA is 100% health care! Membership in HOSA is restricted to health occupations students. Since its inception in 1976, HOSA has grown steadily reaching 87,800 students through forty-five (45) affiliated state associations and 2,600 chapters in the 2006-07 membership years. HOSA is not a club to which a few students in school join. Rather, HOSA is a powerful
instructional tool that works best when it is integrated into the HOE curriculum and classroom. HOE instructors are committed to the development of the total person. Those who join the HOE- HOSA Partnership recognize the importance of providing students with training far beyond the basic technical skills needed for entry into the health care field. The rapidly changing health care
8 system needs dedicated workers who, in addition to their technical skills, are people-oriented and capable of playing a leadership or followership role as a member of a health care team.
HOSA's mission is especially critical when considering the acute shortage of qualified workers for the health care industry. It is essential that the HOE-HOSA Partnership maintain its momentum and encourage all HOE instructors to integrate HOSA into their curriculum and classrooms. We will be doing fundraisers to raise money to go to the different HOSA events. Purpose
The purpose of HOSA is to advance the education and welfare of its members in the following ways:
by assisting local chapters in the growth and development of HOSA;
by furthering the development of respect for education in health-related careers in order to contribute to occupational competence;
by providing opportunities for well-informed career choices among the health occupations;
by developing the leadership abilities of its members through a professional student organization program of motivation, awareness, competition and recognition;
by developing an understanding of current health care issues and an awareness of environmental concerns;
by developing character, promoting responsible citizenship and fostering patriotism; and
By encouraging mental and physical health through participation in beneficial social activities.
Mission "To enhance the delivery of compassionate, quality health care by providing opportunities for knowledge, skill and leadership development of all health occupations students; therefore, helping the students to meet the needs of the health care community." Projected Cost
Below is a list of up-coming events during the 2012-2013 school year where there may be a cost associated with the event. The actual cost will be given prior to each scheduled event as the price of air fare and hotels is variable. The prices listed below are based upon costs incurred during the 2013-2014 school years.
Event Due Date Projected costs
BTEC Tuition Before the First Day of School
$50.00 Make checks to BTEC
must be turned in before school starts.
SERI Fieldtrip TBA $25.00 Make checks to BTEC
Fall Leadership Conference HOSA (not required)
October 2, 2014 $65.00 (conference registration fee). Money for dinner and novelties extra. Make checks to
BTEC
Spring Leadership Conference HOSA (not required)
Dec first payment
Jan second half of payment
$200 (conference registration fee, 2 nights in hotel, and two meals included). Will need to bring or buy snacks and other meals. Make checks to BTEC
Society (if selected) nomination form. There will be an induction ceremony in April. Nurse Aide Testing May 3, 2015 $123.00 Either a money order
or a cashier’s check must be made out to Pearson VUE
National Leadership
Conference HOSA. For those that qualified at the State Conference.
First Payment
March 28, 2015 $400.00 (first installment to cover conference registration fee, hotel for 5 days, and air fare). Make checks to BTEC
National Leadership
Conference HOSA Second Payment
May 2, 2015 $800.00-$1000.00 (balance of conference costs). Spending and meal money for 5 ½ days. Make checks to BTEC
Pinning Ceremony Tentative May 9 , 2015 Free
Grading Policy
Medical Sciences II has chosen to use the 0-4 point scale for grading. 4= Above proficient
3= Proficient
2= Working toward proficiency 1= Needs improvement
0= Not demonstrated
Medical Science II/CNA: 20% of the overall grade is for 21st century work evaluations, 80% of the overall grade is for summative assessments and major projects. Any student may retest for a higher grade once all missing assignments and/or an alternative review assignment has been turned in.
Student must receive a C to move on to second semester and have all paper work and volunteer hours in. Students must receive a C to pass second semester and sit for the board exam.
Clinical Component
Students will be graded on the 21st century work evaluation and on the SKILLS,
KNOWLEDGE; ABILITIES AND TASKS listed starting on page 3. We are required to have each student in clinicals for 36 hours. There will be two 8-hour days of clinical experience and the rest of the clinical hours will be conducted during regular BTEC school hours. We will be going to three different sites and each site has different types of patients. This broad range of patient care will allow the students to experience the various types of the health care
requirements for each patient population. Students are expected to make their own travel arrangements in order to get to the clinical sites.
Code of Conduct Be prepared every day:
This means you have: ALL assignments completed, the correct notebook, textbook, #2 pencil(s), black pen(s), as well as any other required materials.
10 Classroom/Clinical dress code is in effect at all times:
This includes wearing the proper name tag, following Adams 12 dress code first semester, and being in uniform second semester. The clinical site dress code is in effect at all times during the clinical experience.
Hats and ball caps are prohibited. T-shirts with advertisements for alcohol or tobacco, with profanity, and for profession sports teams are prohibited.
Clothing must be clean and in good repair without rips, tears or holes. Strenuous exercise is required, clothing should fit to maintain modesty and avoid potential embarrassment of the individual or classmates. Flip-flops are discouraged.
Be courteous at all times.
Inappropriate behaviors will NOT be tolerated and are grounds for immediate dismissal from class.
Treat everyone with kindness and respect. This is essential. Appointments should be scheduled during non-class time.
This means: meetings, doctor's visits, as well as conference time with the instructor. There are NO EXCUSED ABSENCES.
During the clinical experience:
Have instructor permission before you do anything in the clinical area. Course Objectives
1. Communicate effectively in a truthful and respectful manner with members of the health team, patients/residents, families and peers.
2. Demonstrate a willingness to act as a responsible, accountable, and co-operative member of the health care team.
3. Demonstrate behavior that supports and protects a patient/resident's rights, in accordance the Resident Bill of Rights.
4. Provide care which demonstrates an understanding of the aging process.
5. Demonstrate care measures specific to cognitively impaired older adults, including reality orientation.
6. Demonstrate measures for patient safety including the proper use and application of restraints.
7. Demonstrate knowledge and ability to feed patients with diminished appetites and/or difficulty eating.
8. Demonstrate ability to correctly record caloric intake.
9. Demonstrate ability to provide adequate fluid intake for older adults. 10. Demonstrate ability to correctly record fluid intake and output.
11. Demonstrate correct techniques for making an unoccupied and occupied bed.
12. Demonstrate correct procedure for bathing and/or showering patient/residents safely. 13. Provide for patient/resident privacy during all procedures.
14. Demonstrate ability to give adequate mouth care as required by patient/resident needs, including proper handling, cleaning and insertion of dentures.
15. Provide personal care with attention to overall grooming details such as hair care, nail care, shaving, foot care, make- up, etc. Demonstrate appropriate recording and reporting of delivery of personal care.
16. Demonstrate ability to dress and undress paralyzed and totally dependent patients/residents. 17. Observe the patient/resident's skin for possible pressure areas, using measures to stop or
prevent further pressure and aid circulation to the affected areas. Demonstrate appropriate recording and reporting of observations and prevention measures to the licensed nurse.
18. Demonstrate proper hand washing and appropriate aseptic technique.
19. Demonstrate basic procedures related to Standard Precautions and Blood borne Pathogens Standard.
20. Demonstrate optimal skin and perineal care by keeping patients/residents clean and dry. 21. Demonstrate proper positioning of patient/resident on bedpan or urinal.
22. Demonstrate the proper procedure for specimen collection.
23. Demonstrate ability to assist in continuance of patient/resident's bladder and/or bowel training program.
24. Demonstrate proper technique for care of a urinary catheter.
25. Demonstrate correct technique for emptying, measuring and recording urinary catheter drainage.
26. Demonstrate proper administration of an enema. Demonstrate appropriate recording and reporting of results.
27. Demonstrate correct measurement of patient/resident height and weight using standard and electronic scales.
28. Demonstrate ability to correctly measure vital signs (TPR) using manual and electronic devices. Demonstrate appropriate recording and reporting of vital signs measurements. 29. Demonstrate proper positioning of patients/residents in and out of bed.
30. Demonstrate ability to turn patients/residents on a prescribed schedule, using accepted techniques.
31. Demonstrate ambulation of patient/resident using a gait belt, cane, walker or other assistive devices.
32. Demonstrate first aid for choking and other emergency conditions.
33. Recognize and describe the signs of approaching death versus the absolute signs of death. 34. Demonstrate the procedure for post-mortem care.
35. Discuss the major signs and symptoms of illness common to older adults.
36. Describe basic care measures for care of older adults with visual, hearing and physical impairments/disabilities.
37. Discuss the basic care of prosthetic devices (example: eye glasses, braces, artificial limbs, artificial eye, etc.)
38. Demonstrate utilization of proper body mechanics while providing care for
patients/residents, and while assisting other members of the health care team in performance of care.
39. Demonstrate ability to perform Range of Motion exercises.
40. Demonstrate proper techniques for the application of heat and cold.
41. Demonstrate the proper techniques for the application of a simple non sterile dressing, and elastic bandages.
42. Demonstrate the proper technique for TED hose.
43. Demonstrate the proper techniques for assisting with coughing and deep breathing. 44. For each body system the students will explain the basic A&P, the common signs and
symptoms of disease in that system. The diagnostic test used, the most common disease, and the effects of aging on that system.
45. Explain some basic concepts about how we get disease and how to prevent diseases. 46. Integrations of math and English.
12 The individual student MUST: Demonstrate profession attitude. Demonstrate knowledge of the Role of the Nurse Aide. Demonstrate the ability to speak and understand English when receiving or giving directions.
Student Contract
1. I have been given a copy of the Objectives of this course and the instructor has gone over them with me.
2. I understand that in order to pass this course I must be able to meet these objectives.
3. I have been given a copy of the Instructor Expectations and my instructor has gone over them with me.
4. I understand that in order to pass this course I must be able to meet these Objectives and Expectations.
5. I understand that absences and tardiness seriously interfere with my progress in this course and with the progress of the entire group. I understand that although an occasional absence or tardiness may be unavoidable, it does not excuse me from meeting the objectives covered in my absence and that I cannot expect the instructor to give me individual attention to catch up. 6. I understand that If I must be absent from class or clinical I must call and notify my instructor
prior to the time I am to be present. Failure to do so may be cause for dismissal from the course.
7. I will not engage in disruptive behavior in either the classroom or the clinical area, and I understand that such behavior will be grounds for dismissal from the course.
8. I understand that I must demonstrate proficiency in performing all skills. I understand that I will not be able to progress to the clinical component unless I have satisfactorily completed all written assignments and skills.
9. I understand that a failure to pass any part of the class results in a grade of unsatisfactory, and I must leave the class upon notification of an unsatisfactory grade.
10. I understand that dishonest actions such as lying, cheating or stealing will be grounds for dismissal from this course.
11. I understand that I am forbidden to use or possess alcohol and/or illegal drugs at any time during the class/clinical day or anywhere on the premises of BTEC or any healthcare facility being used for Nurse Aide instruction. I also understand that I am not to be present if there are drugs and/or alcohol in my system. (Violators will be subject to immediate dismissal from the course/school)
12. I understand that I am a guest in this facility and all other facilities used for Nurse Aide instruction and that I will follow facility policies and procedures. I understand that should the facility decide my behavior is unacceptable, I will not be eligible to complete this course.
Communication
For day to day class schedule log in as student or parent at http://adams12.edmodo.com/
14
Please remove this page and return completed
Student and Parent Acknowledgement
I
(Students name)
have received a copy of the BTEC Nurse aide student handbook and have read and understand its content.
I parent of
(Parents name) (Student name)
have read and understand the BTEC nurse aide student handbook.
Student Signature Date
