Section 395.300  Basic Nursing Assistant Training Program

 

The Basic Nursing Assistant Training Program shall include, at a minimum, the following:

 

a)         Module I – Introduction to Health Care Systems

 

1)         Functions of health care facilities.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        differentiate between the hospital, long term care facility, and home health aide programs as to their basic purposes and what each expects of the nursing assistant;

 

B)        define the functions of the nursing assistant and be aware of the ethical implications and the legal limitations; and

 

C)        develop a beginning understanding and appreciation of the responsibility of the nursing assistant as a member of the health care team.

 

2)         Home Health Agencies and the health care professions.

            Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        discuss the purpose and organization of a home health agency;

 

B)        identify the members of the home health care team and their respective tasks; and

 

C)        apply learned basic nursing procedures to the home setting making appropriate modifications.

 

3)         Philosophy of patient care.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        understand the uniqueness and reward of caring for the geriatric patient;

 

B)        demonstrate an awareness of the ethics involved in the position; and

 

C)        develop an understanding of the patient-family relationship.

 

4)         The role of the multidisciplinary health care team.

            Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

A)        define the role of the nursing assistant in the long-term care facility;

 

B)        identify and discuss roles of the multidisciplinary team and the integration of services for the total care of the patient; and

 

C)        identify the "chain of command" in the organizational structure of a long-term care facility.

 

5)         Personal qualities of the nursing assistant.  Objectives:  Upon completion of this unit of instruction, the student will meet expectations of facilities by being able to:  

 

A)        meet standards of appearance and general behavior;

 

B)        be aware of the importance of punctuality and confidentiality; and

 

C)        demonstrate an awareness of the empathy and compassion, particularly to the elderly.

 

6)         Duties of the nurse assistant.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        develop an understanding of nursing assistant duties;

 

B)        develop an understanding of the why's of patient care, such as infection control, safety, and residents' rights; and

 

C)        define the functions of the nursing assistant and be aware of legal implications.

 

7)         Medical terminology.  Objectives:  Upon completion of this unit of instruction, the student will meet expectations of facilities by being able to:  

 

A)        develop an awareness of the very basic abbreviations and symbols utilized in medical terminology; and

 

B)        meet the written standards for charting on the medical record.

 

8)         Recording.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        demonstrate an awareness of the principles of accurate observation and recording; and

 

B)        discuss the various forms utilized in the medical record system.

 

b)         Module II -- Introduction to the patient.

 

1)         Resident Rights.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        provide privacy and maintenance of confidentiality;

 

B)        assist residents to make personal choices to accommodate their individual needs; and

 

C)        maintain reasonable care of the personal possessions of residents.

 

2)         Communication and interpersonal relationships with patients, families and others.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        develop an awareness of appropriate communication between staff/patients, staff/families, families/patient, staff/staff;

 

B)        develop communication techniques; and

 

C)        demonstrate the ability to understand verbal and nonverbal communication.

 

3)         Psychological needs of patient and family.  Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

A)        develop an awareness of sensitivity to the patient's need for feelings of self-worth;

 

B)        demonstrate the ability to listen; and

 

C)        understand the necessity to develop and maintain harmony between patient and and family.

 

4)         Normal growth and development.  Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

A)        list and describe various priorities of need of residents;

 

B)        describe the continuum of life cycle; and

 

C)        develop an awareness of normalcy and deviations.

 

c)         Module III – Your working environment.

 

1)         Cleanliness in the health care setting and patient homes.

 

            Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        define the principles of medical asepsis;

 

B)        demonstrate an awareness of the importance of cleanliness in health care institutions; and

 

C)        demonstrate the ability to modify medical asepsis technique for the home setting.

 

2)         Principles of handwashing.  Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

A)        discuss the need for handwashing before and after each task and before and after direct patient contact;

 

B)        demonstrate that an understanding of a good handwashing technique will prevent the spread of disease; and

 

C)        demonstrate the ability to wash hands using the learned technique.

 

3)         Principles of disinfection.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        List the methods of disinfection;

 

B)        demonstrate an awareness of handling disinfected articles; and

 

C)        differentiate between "clean" and "dirty."

 

4)         Principles of sterilization.  Objectives:  Upon completion of this unit of instruction,  the student will be able to:

 

A)        explain the relationship between microorganisms and infection control;

 

B)        list the conditions necessary for microorganism growth; and

 

C)        develop an awareness of the process of killing all bacteria.

 

5)         Techniques of disinfection.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        discuss the various methods of disinfecting;

 

B)        develop an awareness of relevant time necessary for disinfection; and

 

C)        list articles that can be safely disinfected.

 

6)         Maintaining equipment and supplies.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        develop an understanding of the proper usage of equipment used in the personal/nursing care of residents;

 

B)        demonstrate proper usage, cleaning and storing of equipment; and

 

C)        develop an awareness of the reporting system relevant to proper maintenance of equipment.

 

d)         Module IV – Safety.

 

1)         Body mechanics.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        discuss techniques of proper body mechanics;

 

B)        demonstrate good body mechanics for the benefit of the patient and nursing assistant; and

 

C)        relate use of body mechanics to basic musculo-skeletal anatomy.

 

2)         Fire safety.  Objectives: Upon completion of this unit of instruction, the student will be able to:

 

A)        identify potential fire hazards;

 

B)        identify and apply facility's procedures for safety, fire and disaster; and

 

C)        state his/her role in facility's fire and disaster plan.

 

3)         Disaster.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        identify designated supervisory personnel in the event of disaster;

 

B)        develop an understanding of the disaster manual; and

 

C)        state his/her role in facility's safety, fire and disaster plan.

 

4)         Heimlich maneuver.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        list signs of choking; and

 

B)        demonstrate the Heimlich maneuver.

 

e)         Module V – The patient's unit.  Bedmaking procedures (unoccupied and occupied).  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

1)         identify the patient's need for a clean and comfortable environment;

 

2)         identify the purpose of the procedure for making the unoccupied and occupied bed; and

 

3)         demonstrate proper bedmaking procedure.

 

f)          Module VI -- Lifting, moving and transporting patients.

 

1)         In bed.  Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

A)        describe briefly the musculo-skeletal system;

 

B)        realize needs for motion in joints and muscle activity; and

 

C)        maintain correct body alignment.

 

2)         Ambulatory.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        safely ambulate patients;

 

B)        demonstrate proper body mechanics; and

 

C)        develop an awareness of the physical ability of each patient.

 

3)         Wheelchair.  Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

A)        apply safety principles involved in transporting patient in wheelchair;

 

B)        demonstrate proper body mechanics; and

 

C)        provide for privacy when transferring the patient from bed to wheelchair.

 

4)         Stretcher.  Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

A)        identify and apply rules for safety for patient transfer;

 

B)        demonstrate good body mechanics; and

 

C)        provide for privacy when transferring the patient from bed to stretcher.

 

g)         Module VII – Basic Anatomy.

 

1)         Contents:

 

A)        Anatomy of the Skeletal System;

 

B)        Anatomy of the Circulatory System;

 

C)        Anatomy of the Digestive System;

 

D)        Anatomy of the Respiratory System;

 

E)         Anatomy of the Urinary System;

 

F)         Anatomy of the Muscular System; and

 

G)        Functioning of the human body as related to the disease process.

 

2)         Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        develop an understanding of human anatomy and its relationship to normal function;

 

B)        identify and discuss simple disease processes; and

 

C)        explain how body systems work together.

 

h)         Module VIII – Personal care of the patient.

 

1)         Contents:

 

A)        Oral hygiene;

 

B)        Bathing procedures;

 

C)        Care of the back feet and skin; and

 

D)        Observing and reporting.

 

2)         Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        identify basic human needs (physical, emotional, social and religious) of the patient;

 

B)        demonstrate the ability to recognize basic human needs in patient behavior;

 

C)        demonstrate proper medical asepsis technique;

 

D)        demonstrate methods to detect incipient or manifest decubitis ulcers;

 

E)         demonstrate measures to prevent decubitis ulcers, such as proper positioning and turning;

 

F)         identify the patient's need for a clean environment; and

 

G)        observe and report care given.

 

i)          Module IX – Nutrition.

 

1)         Diets and therapeutic diets.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        describe briefly the use of basic nutrients and fluids by the body;

 

B)        list the basic four groups and name daily requirements of each; and

 

C)        identify modified diets and understand the reasons for modification.

 

2)         Feeding techniques.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        describe briefly the anatomy of digestion;

 

B)        develop an awareness of the patient's eating limitations; and

 

C)        serve and assist patient with feeding.

 

3)         Nourishments.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        develop an understanding of intermittent nourishments and dietary supplements;

 

B)        demonstrate the ability to properly distribute nourishments; and

 

C)        accurately report and record diet and fluid intake.

 

j)          Module X – Fluid balance.

 

1)         Measuring fluid intake and output.  Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

A)        describe briefly the anatomy of elimination;

 

B)        demonstrate the ability to measure intake and output; and

 

C)        accurately report and record intake and output.

 

2)         Forcing and restricting fluids.  Objectives:  Upon completion of this unit of instruction, the student will be able to: 

 

A)        identify problems associated with bowel and bladder management;

 

B)        develop an understanding of fluid balance in the body; and

 

C)        accurately report and record patient's fluid intake.

 

3)         Specimen collection.  Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

A)        describe briefly the anatomy related to body discharge and elimination;

 

B)        demonstrate how to collect stool, urine, and other specimens; and

 

C)        accurately report and record urinary, fecal, and other output.

 

k)         Module XI – Observing and recording vital signs.

 

1)         Contents:

 

A)        Taking the temperature;

 

B)        Taking pulse;

 

C)        Taking respirations;

 

D)        Taking blood pressure;

 

E)         Recording vital signs; and

 

F)         Measuring height and weight.

 

2)         Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        state the meaning and importance of temperature, pulse, respirations, and blood pressure;

 

B)        demonstrate how to properly measure temperature, pulse, respirations, and blood pressure;

 

C)        accurately report and record temperature, pulse, respirations, and blood pressure; and

 

D)        Demonstrate how to accurately measure and record height and weight.

 

l)          Module XII – Supportive care.

 

1)         Heat applications.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        describe the various methods of heat application;

 

B)        demonstrate the use of safety measures involved in applying hot applications; and

 

C)        report and record treatment given.

 

2)         Cold applications.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        describe the various methods of cold application;

 

B)        demonstrate the use and safety measures involved in applying cold applications; and

 

C)        report and record treatment given.

 

3)         Enemas.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        describe briefly the anatomy of elimination;

 

B)        demonstrate how to administer an enema; and

 

C)        accurately report and record the procedures and results.

 

4)         The vaginal douche - external and internal.  Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

A)        describe briefly the anatomy of the reproductive system;

 

B)        demonstrate the procedure of administering an external and internal douche; and

 

C)        accurately report and record the procedure.

 

5)         Catheters and tubing.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        develop a basic understanding of the use of catheters and tubing;

 

B)        discuss the use of specific catheters and tubing; and

 

C)        develop an understanding of the maintenance and storage of catheters and tubing.

 

m)        Module XIII – Fundamentals of Rehabilitation Nursing.

 

1)         Philosophy of rehabilitation nursing.  Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

A)        discuss the intrinsic worth of affected persons;

 

B)        develop a beginning understanding of the fundamentals of rehabilitation; and

 

C)        identify methods of treating the whole patient for restoration of function.

 

2)         Principles of rehabilitation nursing.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        demonstrate an understanding of the concepts of rehabilitation nursing;

 

B)        identify the four cardinal principles of rehabilitation nursing; and

 

C)        develop an awareness of the treatment process of rehabilitation as well as the legal implications.

 

3)         Concepts of activities of daily living.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        describe and discuss the use of adaptive tools for the disabled person;

 

B)        develop an awareness of sensitivity to the patient's need for feelings of self-esteem; and

 

C)        motivate the patient to work toward independence and self-care.

 

n)         Module XIV – Patient care planning.

 

1)         Contents:

 

A)        Patient admission;

 

B)        Patient transfer; and

 

C)        Patient discharge.

 

2)         Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        be aware of the emotional implications of admission, transfer, and discharge;

 

B)        demonstrate the procedures for admission, transfer, and discharge; and

 

C)        observe, report, and record accurately.

 

o)         Module XV – The patient in isolation.

 

1)         Isolation techniques.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        discuss communicable diseases and the nature of isolation techniques;

 

B)        differentiate between "clean" and "dirty"; and

 

C)        discuss the difference between regular and reverse isolation procedures.

 

2)         Physiological aspects of isolation.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        demonstrate isolation precautions and procedures;

 

B)        demonstrate isolation procedures including handwashing, masking, gowning, food and elimination precautions; and

 

C)        accurately report and record isolation procedures.

 

3)         Psychological aspects of isolation.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

A)        be aware and empathetic to the patient's fear and loneliness;

 

B)        identify untoward behavior of the isolated patient; and

 

C)        accurately observe and record patient's emotional reaction to the isolation process.

 

4)         Isolation in the home.  Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

A)        apply learned isolation techniques making necessary modifications for home care;

 

B)        communicate effectively with the patient and family relevant to the isolation process; and

 

C)        accurately observe, report, and record the isolation techniques.

 

p)         Module XVI – Care of the terminally ill patient.

 

1)         Contents:

 

A)        Psychological needs of the patient; and

 

B)        Psychological needs of the family.

 

2)         Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

A)        identify and describe the rights of the dying patient and his/her family;

 

B)        discuss attitudes and feelings about death and dying;

 

C)        describe the physical and psychological changes in the patient as death approaches; and

 

D)        discuss the grieving process of the patient and family.

 

q)         Module XVII – Care of the body (postmortem care).  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

1)         develop an awareness for respect for the body after death occurs;

 

2)         develop an understanding for good body alignment after death; and

 

3)         demonstrate nursing care after death.

 

r)          Module XVIII – Aging and Dementia.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

1)         Identify the differences between the normal aging process and cognitive dysfunction disease processes;

 

2)         Define dementia and pseudo-dementia:

 

A)        Reversible; and

 

B)        Non-reversible;

 

3)         List the common terminology used to describe different types of dementia:

 

A)        Alzheimer's disease (AD);

 

B)        Senile Dementia of the Alzheimer's Type (SDAT);

 

C)        Multi Infarct Dementia (MID); and

 

D)        Organic Brain Syndrome (OBS);

 

4)         Discuss how dementias are currently diagnosed.

 

s)         Module XIX – Alzheimer's Disease and Related Disorders (RD).

            Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

1)         Identify the potential health, social and economic impacts of AD and RD:

 

A)        Society;

 

B)        Family; and

 

C)        Individual.

 

2)         List the primary signs, symptoms and associated features of AD and RD.

 

3)         Discuss memory loss, sensory impairments, perceptual dysfunction, and cognitive and physical changes normally associated with AD and RD.

 

t)          Module XX – Communications.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

1)         Identify the elements of verbal/nonverbal communication between staff/resident;

 

2)         Discuss the expected language and communication changes in AD and RD residents;

 

3)         Identify effective techniques for enhancing communications; and

 

4)         Discuss the importance of touch and companionship to the AD and RD resident.

 

u)         Module XXI – Care and Treatment Modalities.  Objective:  Upon completion of this unit of instruction, the student will be able to:

 

1)         Discuss the inter-disciplinary nature of treatment in the care of AD and RD residents;

 

2)         Identify the importance of observation and ways to monitor the behavior and safety of the AD and RD resident;

 

3)         Identify the importance of:  consistency in approach; focusing on ability; task breakdown techniques; clueing and distraction techniques;

 

4)         Discuss the difference in approaching activities of daily living (ADL), such as dressing, bathing, grooming, oral hygiene, bowel, bladder, and skin care;

 

5)         List the physical changes and their effects on the AD resident.

 

v)         Module XXII – Behavior Issues and Management Techniques.  Objectives:   Upon completion of this unit of instruction, the student will be able to:   

 

1)         Discuss the common mood and behavioral disturbances of residents with a progressive dementing disorder:

 

A)        Agitation;

 

B)        Anxiety;

 

C)        Catastrophic Reactions;

 

D)        Clinging;

 

E)         Combativeness;

 

F)         Delusions/hallucinations;

 

G)        Inappropriate sexual behaviors;

 

H)        Rummaging/hoarding;

 

I)          Sleep disturbance;

 

J)         Sundowning (increasing intensity of symptoms during evening hours);

 

K)        Suspiciousness; and

 

L)         Wandering/pacing.

 

2)         Identify specific techniques or approaches used to support residents ability:

 

A)        Behavior;

 

B)        Cause;

 

C)        Staff intervention/response; and

 

D)        Environment.

 

w)        Module XXIII – Activities.  Objectives:  Upon completion of this unit of instruction, the student will be able to:

 

1)         Identify appropriate activities based on the individuals mood and behavioral needs:

 

A)        Individual;

 

B)        Small group; and

 

C)        Large group.

 

2)         Discuss the importance, significance and types of familiar tasks to support normalization.

 

x)         Module XXIV – Nutrition and Dietary Factors.  Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

1)         Identify cognitive and physiological changes of AD and RD residents that affect nutrition and feeding patterns;

 

2)         Discuss potential feeding problems, complications, and eating behaviors; and

 

3)         List approaches for maintaining good nutrition and enhancing mealtime.

 

y)         Module XXV – Family Role and Community Resources. Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

1)         Define family, significant other, and the sandwich generation (individuals caring for both their children and their elderly parents);

 

2)         Identify role changes and role reversal;

 

3)         Discuss the extent of family caregiving prior to Nursing Home placement;

 

4)         Discuss the impact of chronic stress on family systems;

 

5)         Discuss the impact of caring for the AD and RD family member or resident on the primary caregiver;

 

6)         Identify interventions appropriate for assisting family caregivers to cope with their stress;

 

7)         Identify the different community resources available and their role in the care and treatment of AD and RD residents both inside and outside the facility setting; and

 

8)         Discuss how local chapter of the Alzheimer's Disease and Related Disorders Association (ADRDA) can assist the resident, the family caregiver and the facility.

 

z)         Module XXVI – Staff Support.  Objectives:  Upon completion of this unit of instruction, the student will be able to:  

 

1)         Identify stress factors involved in caring for persons with irreversible cognitive decline;

 

2)         Identify coping mechanisms used by the individual resident to compensate for irreversible cognitive decline; and

 

3)         Identify coping mechanisms that are used during the death, dying and bereavement process by the family and facility staff.

 

aa)       Module XXVII – Cardiopulmonary Resuscitation.  Objective:  Upon completion of this unit of instruction, the student will be able to initiate basic cardiopulmonary resuscitation.  After the training, certification in the provision of basic life support by an American Heart Association or American Red Cross certified training program may be offered as an option for this unit, but such certification is not a pre-requisite for the student's satisfactory completion of this unit of instruction.

 

(Source:  Amended at 17 Ill. Reg. 2984, effective February 22, 1993)