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Unit 1
Introduction
Purpose for
completing CNA
course
• Gain the knowledge and
skills required to care for
people who live in adult
care facilities.
• Be eligible to take the
state test for certification.
07/15/13 2
CNA Education
Requirements
• Federal Nursing Home
Reform Act (OBRA 87)
– Requires all states to
maintain education and
competency testing
standards for workers
who provide care for
persons living in long
term care facilities.
07/15/13 3
Person Centered
Care
• Is used to provide care
to persons living in.
long term care facilities.
• The resident should be
the focus of all care and
decision making.
07/15/13 4
07/15/13 5
Who are You?
During PART I
• Nurse Aide Trainee I
After completion of PART I
• Paid Nutrition Assistant
• Nurse Aide Trainee II
After Successful
completion of course
and state exam
• C.N.A.
07/15/13 6
YOU…
• Are an important part of
the team
• Are depended upon by
your patients/residents
• Are depended upon by
your co-workers
• Are an important
individual with attributes
that only belong to you
07/15/13 7
Roles &
Responsibilities of
CNAs
• Bedside nursing care
• Care of the resident’s
unit
• Food Service
• Record keeping &
messenger duties
• Meeting the resident’s
needs
07/15/13 8
The Nursing
Assistant
• Know your scope of
practice
• Know your limitations
• Know the laws
• Know your job
description
• Know your
patient/resident
07/15/13 9
As a C.N.A…
• Responsible for own acts in
providing competent basic care
• Perform only duties for which
you’ve received training
• Maintain a safe & clean
environment
• Responsible for helping to
safeguard resident’s
belongings.
• Report any changes to
supervisor
07/15/13 10
Your
Responsibilities
• Provide care
• Work as team member
• Work within scope of
practice
• Advise RN of changes
in resident’s functioning
or health
• Attitude
07/15/13 11
What should I do?
• Know your job
• Know your scope of
practice
• Know facility’s policies and
procedures
• Maintain professionalism
• Provide quality care
• Report situations that are
not up to standards.
07/15/13 12
Goals
• Provide quality care
• Focus on the individual
• Team work
• Coordination of care
• Communication
• Cooperation
• Promote & maintain Health
• Provide a satisfying social
environment
• Provide a safe environment
07/15/13 13
A New Job!
• Punctuality
• Professionalism
• Honesty
• Accountability
• Teamwork
• Dependability
• Professional Growth
07/15/13 14
A Good Employee
• Speech and Language
• Courtesies
• Personal Matters
• Meals and Breaks
• Job Safety
• Planning your work
• Managing stress
• Harassment
07/15/13 15
Stress
• Affects all of us
– Physically
– Emotionally
– Spiritually
– Socially
• Can lead to burn out
• Can be managed
07/15/13 16
On the Job
• Don’t Gossip
• Professional
appearance
• Confidentiality
• Knowledge and skill
• Attitude!!!
07/15/13 17
Attitude
The longer I live, the more I realize the impact of
attitude on life. Attitude, to me, is more
important than facts. It is more important than
the past, the education, the money, than
circumstances, than failure, than successes,
than what other people think or say or do. It is
more important than appearance, giftedness or
skill. It will make or break a company... a
church... a home. The remarkable thing is we
have a choice everyday regarding the attitude
we will embrace for that day. We cannot change
our past... we cannot change the fact that
people will act in a certain way. We cannot
change the inevitable. The only thing we can do
is play on the one string we have, and that is
our attitude. I am convinced that life is 10%
what happens to me and 90% of how I react to
it. And so it is with you... we are in charge of our
Attitudes.”
By Charles Swindoll

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Unit 1

  • 2. Purpose for completing CNA course • Gain the knowledge and skills required to care for people who live in adult care facilities. • Be eligible to take the state test for certification. 07/15/13 2
  • 3. CNA Education Requirements • Federal Nursing Home Reform Act (OBRA 87) – Requires all states to maintain education and competency testing standards for workers who provide care for persons living in long term care facilities. 07/15/13 3
  • 4. Person Centered Care • Is used to provide care to persons living in. long term care facilities. • The resident should be the focus of all care and decision making. 07/15/13 4
  • 5. 07/15/13 5 Who are You? During PART I • Nurse Aide Trainee I After completion of PART I • Paid Nutrition Assistant • Nurse Aide Trainee II After Successful completion of course and state exam • C.N.A.
  • 6. 07/15/13 6 YOU… • Are an important part of the team • Are depended upon by your patients/residents • Are depended upon by your co-workers • Are an important individual with attributes that only belong to you
  • 7. 07/15/13 7 Roles & Responsibilities of CNAs • Bedside nursing care • Care of the resident’s unit • Food Service • Record keeping & messenger duties • Meeting the resident’s needs
  • 8. 07/15/13 8 The Nursing Assistant • Know your scope of practice • Know your limitations • Know the laws • Know your job description • Know your patient/resident
  • 9. 07/15/13 9 As a C.N.A… • Responsible for own acts in providing competent basic care • Perform only duties for which you’ve received training • Maintain a safe & clean environment • Responsible for helping to safeguard resident’s belongings. • Report any changes to supervisor
  • 10. 07/15/13 10 Your Responsibilities • Provide care • Work as team member • Work within scope of practice • Advise RN of changes in resident’s functioning or health • Attitude
  • 11. 07/15/13 11 What should I do? • Know your job • Know your scope of practice • Know facility’s policies and procedures • Maintain professionalism • Provide quality care • Report situations that are not up to standards.
  • 12. 07/15/13 12 Goals • Provide quality care • Focus on the individual • Team work • Coordination of care • Communication • Cooperation • Promote & maintain Health • Provide a satisfying social environment • Provide a safe environment
  • 13. 07/15/13 13 A New Job! • Punctuality • Professionalism • Honesty • Accountability • Teamwork • Dependability • Professional Growth
  • 14. 07/15/13 14 A Good Employee • Speech and Language • Courtesies • Personal Matters • Meals and Breaks • Job Safety • Planning your work • Managing stress • Harassment
  • 15. 07/15/13 15 Stress • Affects all of us – Physically – Emotionally – Spiritually – Socially • Can lead to burn out • Can be managed
  • 16. 07/15/13 16 On the Job • Don’t Gossip • Professional appearance • Confidentiality • Knowledge and skill • Attitude!!!
  • 17. 07/15/13 17 Attitude The longer I live, the more I realize the impact of attitude on life. Attitude, to me, is more important than facts. It is more important than the past, the education, the money, than circumstances, than failure, than successes, than what other people think or say or do. It is more important than appearance, giftedness or skill. It will make or break a company... a church... a home. The remarkable thing is we have a choice everyday regarding the attitude we will embrace for that day. We cannot change our past... we cannot change the fact that people will act in a certain way. We cannot change the inevitable. The only thing we can do is play on the one string we have, and that is our attitude. I am convinced that life is 10% what happens to me and 90% of how I react to it. And so it is with you... we are in charge of our Attitudes.” By Charles Swindoll

Editor's Notes

  1. The Allied Health Department at Pratt Community College would like to welcome you to the Certified Nurse Aide Course.
  2. This class follows the 90 hour Kansas Certified Nurse Aide Curriculum guidelines provided by Kansas Department of Health and Environment known at KDHE. This course will utilize Mosby’s Textbook for Nursing Assistants (7 th ed.). The textbook has a CD enclosed to view the skills necessary to provide care to residents who live in adult care facilities. During this course you will cover the information and skills needed to care for people in adult care facilities. Upon successful completion of the course, supervised lab, and clinical, you will be eligible to take the state test for certification. The state test will be scheduled at Pratt Community College on the date listed under the syllabus and course information tab. If you desire to test at another location, contact the Allied Health office and your instructor as soon as possible. KDHE allows accommodations for students . (Specific instructions regarding instructions is located under the Syllabus and Course Information tab.) Contact the Allied Health office and your instructor as soon as possible to make these arrangements to have the best advantage of successful completion of this course. Good Luck.
  3. The KDHE 90 hour certified nurse aide curriculum focuses on the geriatric (elderly) population in an adult living in a long term care facility. They can be referred to as residents.
  4. You are an important part of the healthcare team. Each person who is a member of this team has important tasks and responsibilities to make a positive difference for persons being served. The KDHE Certified Nurse Aide Curriculum Guidelines are taught in two parts. Part I will take at least 20 hours of class time to cover the first 12 units and 20 hours of supervised laboratory time in the skills lab to practice the skills required to complete the NATCEP Task Checklist. During part I the student title is Trainee Level I. A Nurse Aide Trainee I, may not be employed by a facility to give direct resident care. All direct care must be provided during class with direct supervision of the clinical instructor. Once Part I and the task checklist are successfully completed, the student is classified as a Nurse Aide Training II. You will be awarded a certificate of completion of Paid Nutrition Assistant (PNA) Training. Those students who successfully complete Part I and the Task Checklist may seek employment as PNAs if they choose, whether or not they complete the rest of the course. Part II consists of 25 hours of class to complete units 13-25. Nurse Aide Trainee IIs must wear a badge while in an adult care facility. Nurse Aide Trainee II are eligible to provide direct individual care to resident in adult care facilities under the direction of a llicensed nurse and can work as a paid nutrition assistant if they choose. CNA’s are eligible for employment for 24 months following the date the certificate is issued. CNA’s must be employed at least 8 hours in a 24-month period to extend the eligibility period otherwise they will become inactive.
  5. I don’t want to EVER hear someone say that they are “just a CNA” This is a challenging course and not just everyone can do it. Some may not make it. However, if you work hard, listen in class, and learn how to take care of patients in the clinical setting, you will succeed. CNA’s are important to the functions of the nursing home and to the lives of the residents. Often the residents think much more of the CNAs than any other staff. (Hand out attitude phrase).
  6. Dress/undress, Bathe, Turn & reposition Toileting assistance.---Make beds, maintain safe, sanitary environment, laundry care.---Assist in setting up trays, feed residents, deliver water.---Record I & O, Record vital signs, assist in admission, transfer, & discharge as needed.---Offer emotional support, listen carefully, report resident concerns to the nurse, promote resident rights and independence.
  7. NEVER go outside your scope of practice. CNAs are ALWAYS supervised by a licensed nurse (LPN or RN). You must have demonstrated competency to perform tasks included in this curriculum.
  8. Knowing your job involves also knowing what you can and cannot do. Performing outside your scope of practice is dangerous and often illegal. You should know the policies and procedures of your facility. Maintaining professionalism is important to the quality with which you give care. Lets talk about professional behaviors verses non-professional behaviors at work. (have students write 5 professional and 5 non-professional ways to act while at work). It is our obligation as healthcare workers to report all situations that are substandard. Failure to do so can result in many negative consequences. (discuss)
  9. The goals of the team are governed by the quality of care given to the residents/patients. It is important to acknowledge that each is a person who has needs, expectations, rights, and hopes for the future. Teamwork is a term used frequently which requires working together, communicating with other team members, and cooperation between departments.
  10. Being on time allows you to prepare for you day as a care giver. If you are late, your work does not start until you arrive. That means there will be times when you have to omit or hurry through your tasks. Trying to hurry an elderly person simply does not work. It makes them anxious or upset. Professionalism is very important when working in a health care facility. We are working with people, not machines. These people deserve your best. Part of being professional includes be honest and accountable for your actions. Teamwork is essential to working in the healthcare field. It takes all staff being willing to help one another and being dependable to do so. If I had the choice of working with someone who was undependable, I would rather do it alone because then I know what I have to get done and that I am the only one doing it. Healthcare is an ever evolving profession. If you have the desire to learn more and grow professionally, healthcare is a great place to do that.
  11. Gossip rips people and companies apart. Do not become a part of it. Professional appearance is important. You wouldn’t want someone who was dirty, had a bad odor, greasy hair, dirty hands, etc taking care of you or your family. The residents don’t either. SMOKERS… when you go out to smoke, made sure you take a breath mint and wash your hands before returning to perform care for the patient. CONFIDENTIALITY: Means keeping the resident’s personal information private. Do not discuss personal resident information with another resident, relatives or friends of the resident, representatives of the news media, fellow workers, except when in conference or in planning resident care…don’t discuss resident issues outside work.