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CNA Dual Enrollment
Welcome CNA Dual Enrollment Students:
The faculty at Northshore Technical Community College hope this finds you all well and responsibly exercising good hand and respiratory hygiene practices and social distancing. In an effort to keep the learning process on track and make your certification testing successful NTCC is offering you the ability to continue this program online.
Instructor Contact:
Your instructor has or will be reaching out to each student to explain where they are in the program and the expectations required to complete the program successfully.
Your instructor can be contacted via the email address below:
- kathleendennis@northshorecollege.edu
- lizbethcaminita@northshorecollege.edu
- reginaarchote@northshorecollege.edu
- staceytrosclair@northshorecollege.edu
- stacywinters@northshorecollege.edu
Classroom & Lab Hours
For all students who are still in need of didactic (Classroom/Lab hours) training: (Chapters):
- Your instructor will inform you where to start this week and how to submit completed work, so that your participation and ongoing education is recorded as proof of continued learning. We cannot emphasize enough, to review and practice your “4yourcna.com” skills often, inclusive of all “indirect care”.
For students in need of clinical hours:
- The clinical hours will be set up in a 3 week (15 hours /week) simulation training program to ensure you reach your highest and safest potential. You will need to click on the “WEEK” (1, 2, or 3) you are attending and complete all work and send to your instructor as outlined in the “WEEK” tab.
Program Completion
Your success is up to you and your ability to work hard to accomplish and complete this program on time. Your instructor will be available to help you through this process, so reach out as needed.
Thank you!
ALL NTCC CNA DUAL ENROLLMENT INSTRUCTORS
Week 1 Clinical Hours for Nursing Assistants
March 30, 2020 – April 3, 2020 Total of 15 hours
Directions: Please watch the 4yourcna video that assigned for each day. After watching the video complete the assignment. Please email your instructor each completed assignment by their due dates and time.
3/30/20:
Watch the following 4yourcna video—https://youtu.be/pOQO6TpabP8
(Care Plan) Role of CNA and RN. After watching the video, complete the assignment below. Please email the answers to your instructor by: Due date 03/31/2020 by 0700.
Questions:
- The CNA is must change the Patient’s plan of care as needed. (True/False)
- The patient is on complete bedrest: but needs to use urinate. The CNA may assist patient onto the bedside commode. (True/False)
- The CNA must follow the care plan exactly. (True/False)
Discussion question: Did you learn anything new from watching this video? If yes what did you learn? If no what did you already know?
3/31/2020
Watch the following videos from 4yourCNA 1) Opening Skills and 2) Closing skills.
Complete assignment below, email your answers. Due date 04/01/20 by 0700.
Questions:
- What is the first thing you do before entering the patient’s room. _______________
- When should you wash your hands?
- Write the steps to your opening of a skill. ___________
- When your skill is complete what item should be within patient’s reach prior to CNA exiting room? ______________
Watch 4yourCNA video—Handwashing, after watching video complete one of the assignments below. Email your assignment: Due date 04/01/20 by 0900.
- Video—Make a video of yourself demonstrating hand washing
- Power Point Presentation of the steps for handwashing/Word Document explaining the steps to handwashing.
Watch 4yourcna video –Vital signs. There are 3 Vital sign videos. After watching videos, complete one of the following. Email assignments: Due date 04/01/20 by 0900
- Video—Make video taking the radial pulse and the respirations of a patient. You must demonstrate proper skills, providing patient results for pulse and respiration.
- Powerpoint/Word documents providing the proper technique for taking Vital signs
04/01/20
Watch 4youca videos—1) Turning patient. 2) Occupied bed and 3) Partial bath: After watching videos Complete assignment: Due date 04/02/20 by 12pm
- Video- Make a video doing each skill above. Tur patient on their Right side. Make an occupied bed. Describe he order in which a patient in given a bath.
- Powerpoint/Word document providing the proper technique o complete each task.
04/02/20
Watch 4yourcna videos—1) Hand and Nail care, 2) Foot Care. https://yot.be/2v_PMdYPGIs After watching videos, complete one of the following assignments. Due date 04/03/20 by 12pm
- Video-Make a video providing either Hand and Nail Care or Foot Care
- Power Point /Word document describing proper technique for either Hand and nail care or Foot care.
04/03/20
Watch 4yourcna video-Feeding a resident in a chair. After watching the video, complete the following assignment. Due Date: 04/04/20 at 1500
- Video- Make a video on one of the following tasks. Vital Signs, Occupied bed making, Hand and Nail Care or Feeding the patient. Your video must include the opening, closing and all necessary steps required to complete your skill.
- Power Point/Word Select one of the flowing tasks. Vital Signs, Occupied bed making, Hand and Nail Care or Feeing the patient. Describe the opening, closing and the proper technique for completing the skill you selected
Clinical Home Study Week 2
To be completed by April 10, 2020 for 15 hrs of clinical credit. Watch the video on 4 YourCNA for each skill and complete the questions that follow.
- Ambulated the resident with a gait belt
- Give 3 guidelines on how to apply a gait belt
- For a resident with one weak side and one strong side which side would the CNA stand?
- How and where does the CNA hold the gait belt and where should she stand when assisting the resident to walk?
- Video yourself and a person in your home completing this skill verbalizing all steps. Use a belt of any kind in place of gait belt
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Assist resident needing a bedpan- What type of bed pan is needed if resident has a hip fracture? Where is the handle facing when placed under the resident?
- List 5 unusual stool observations and 5 unusual urine observations that you would report to the nurse
- List 3 ways you can promote normal elimination
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Change linens in an occupied bed- Give a Guideline for each of the following when performing this skill:
- How to prevent injury to the worker
- How to promote safety for the resident
- How to ensure infection control
- How to promote skin integrity
- Give a Guideline for each of the following when performing this skill:
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Change resident’s position to side lying- How often should a resident’s position be changed in the bed? In the wheelchair?
- List 3 early signs of skin breakdown
- List 4 ways you can do to help prevent a resident from getting skin breakdown.
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Dress a resident with a weak arm- When dressing a resident with one weak side, the NA should always begin with which side?
- How do you protect the resident’s rights with this skill. Give at least 3
- When removing clothing with a resident that has a weaker side, which side is done first.?
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Empty contents from resident’s urinary drainage bag- List 5 infection control precautions when completing this skill
- How do you read the cylinder and record the output?
- Where do you leave the urinary bag?
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Feed a resident a snack- List 3 signs that would indicate a resident may be aspirating
- How would you encourage a resident to consume more nutrition?
- Video yourself feeding a person in your home a snack verbalizing all steps
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Measure and record a resident’s pulse- Where is the most common site used to take a pulse?
- What is the normal range of a pulse?
- What are the terms for a pulse above normal and below normal?
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Measure and record a resident’s respiration’s- What is the normal range for respiration’s?
- What 2 actions would you take if a resident’s respiration’s were above normal?
- What is in the NA ’s scope of practice when a resident is on oxygen?
- If a resident is on continuous oxygen what would you avoid when providing personal care?
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Catheter care- Explain the steps needed in providing catheter care on a female. Begin after you have introduced yourself, provided privacy and washed hands
- Explain the steps needed in providing catheter care on a male. Begin after as above.
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Denture care- List 3 ways to protect dentures from damage
- How do you provide oral care on an unconscious resident?
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Mouth Care- List 7 signs and symptoms you would report to the nurse
- Demonstrate via video brushing teeth on a person in your home. Verbalize all steps
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Perineal Care- List at least 5 ways to protect the resident’s rights during this skill
- How would you avoid bringing pathogens to the meatus?
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Hand and nail care- Demonstrate via video how to perform this skill. Verbalize all steps. If you do not have an orange wood stick or file use another alternative
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Partial bed bath- List 10 observations that you would report to the nurse
- List the general rule of order of body areas that you would use when bathing someone
- How often should a resident receive a full bath?
- List the body parts that are included in a partial bed bath( not a pro metric partial bed bath)
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ROM of the elbow and wrist. Left side- What 2 movements are performed with this skill( give medical terminology)
- Explain the difference between: AROM, AAROM, and PROM
- What legal document is needed before performing ROM on a resident?
- Demonstrate via video on someone in your home explaining all steps
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ROM to hip, knee, and ankle. Right side- What areas of the body does a NA generally not perform ROM?
- Demonstrate via video on someone in your home explaining all steps.
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ROM Shoulder. Right side- List 3 goals of rehabilitation
- Explain the complications immobility can lead to on the musculoskeletal and integumentary systems
- Demonstrate via video on a family member explaining all steps
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Provide foot care. Left side- Demonstrate via video on a family member explaining all steps
- Where is lotion never applied?
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Transfer a resident to a wheelchair using a pivot technique- How should a NA transfer a resident with a weaker side?
- State proper body mechanic use when transferring a resident
- Video yourself transferring someone in your home from chair to chair using pivot technique verbalizing all steps.
Clinical Home Study week 3
To be completed by April 18, 2020 for 15 hours of clinical credit. Watch the video on 4 Your CNA for each skill and complete the questions or directions that follow.
- Transfer Resident from bed to chair and Ambulate the resident with a gait belt: Care plan: Resident is deaf. She is in the skilled facility for rehab. Resident is doing well in therapy but cannot understand your verbal directions.
- What are you going to do so that the resident understands what is happening? List the steps of what you will do before getting the resident up out of bed to ambulate:
- What does the resident need to have on before getting up?
- What are 3 things you have to be sure of when you finish ambulating the resident?
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Making an occupied bed: Care plan: Resident is on bed rest. Resident is incontinent of bowel and bladder. Resident can understand and communicate.- List all the items you need to make an occupied bed.
- What are you going to do if you realize the resident has a soiled/dirty brief on before you start to put clean linen on the bed?
- What is 1 very important thing that must be maintained for the resident at all times during this skill?
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Move resident to a side lying position: Care plan: Resident has a pressure ulcer on coccyx/ tailbone area. She is currently lying on her right side and has been there for 1 hour. It is 2pm.- What is the latest time she should have her position changed.
- What side should she be placed on when your turn her?
- What items will you use to keep her comfortable? Where will you place these items? Why?
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Assist a resident with using a bedpan: Care plan: Resident is able to communicate. Resident is able to assist by following directions.- What are the supplies you will need for this skill?
- Make a video of you doing this with a doll or someone in your home that is willing to help you. You may use a small bowl to simulate the bedpan.
- What will you do to keep the bedpan from spilling when you remove it?
- What is 1 very important thing you will give the resident to do right before you finish putting your supplies away?
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Dressing a resident: Care plan: Resident has dementia. She is able to understand you. She can follow simple directions and make some choices. She has a closet full of clothes. Her left side is weak.- Before you actually dress her, what will you do to make the process of completing the skill easier for both the resident and you?
- Which side will you start with, when dressing the resident?
- Which side would you start with if you had to undress her?
- Does it matter if her clothes match? (After all she is demented.) Why or why not?
- Does it matter if you dress her in a sweatshirt and sweatpants if it is summertime 90 degrees outside? Why or why not?
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Radial Pulse and Respirations: Care plan: Resident is alert and oriented.- Video yourself taking the radial pulse and respirations on a family member.
- What is the normal range of pulse for an adult?
- What is the normal range of respirations for an adult?
- Is a pulse of 40 reportable, if so who do you report it to?
- Is a respiration of 10 reportable, if so who do you report it to?
- What amount of time do you take a pulse in? A respiration?
- What special trick do you use to count respiration on a resident so that the resident does not change their breathing pattern?
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Feeding a resident: Care plan: Feed a resident (family member) a snack with a drink.- What is the number 1 important this you must have a resident do before starting to feed them? Why?
- Video yourself feeding a family member; verbalize yourself as you are doing the skill.
- Is it okay to take a call on your cell phone while doing this skill? (I mean really, you do have 2 hands 1 for the spoon and 1 for the phone)
- Should you talk to the resident while you are feeding them? Give 2 examples of topics you could talk about with a resident.
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Denture care: Care Plan: Resident is alert and oriented but needs assistance of having CNA perform their denture care because resident has an injured hand.- List the supplies needed to perform this skill.
- List the steps for this skill.
- What do you have to do to protect the dentures from breaking?
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Catheter care and emptying a urinary drainage bag. Care plan: Resident has a Foley catheter and the bag needs to be emptied.- List the supplies needed to perform catheter care.
- List the supplies needed to perform emptying the drainage bag.
- List the steps to perform catheter care.
- List the steps to perform emptying the drainage bag.
- How are you going to promote privacy for the resident?
- How are you going to maintain infection control for both yourself and the resident?
- What do you have to do after you empty the drainage bag right before you are completely done? Hint: you need a pen
- If you have 20 ounces of urine how many ml is it?
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Providing Oral care. Care Plan: Resident is able to cooperate and can follow directions.- Watch the video.
- What supplies do you need to perform this skill?
- Watch the video
- Explain in your own words why oral care performed by a CNA is important for a resident.
- What are 5 complications for a resident that does not receive oral care regularly? **What position should an unconscious resident be in to receive oral care?
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Nail Care and Foot care. Care plan: Provide Nail care to one hand; Provide Foot care to one foot for a family member. **If you don’t have the exact supplies you may improvise**- Watch the video.
- Video yourself performing this skill.
- Is it in your scope of practice to cut the nails of a Diabetic?
- What observations seen during foot care would you report to the nurse as abnormal? Give 3 examples.
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Peri Care of a female. Care plan: Provide peri care for an alert female.- Watch the video.
- Explain the reason for the number of washcloths used.
- What is important to do to maintain dignity for the resident?
- Imagine yourself as the resident having this skill done for you. *Describe how you might feel.* * What will you do as a CNA to make sure that you remember how it would make you feel?*
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Partial bed bath with a back rub. Care plan: Provide partial bed bath with a back rub for an alert female.- Watch the video.
- Explain the reason for the number of washcloths used.
- What is important to do to maintain dignity for the resident?
- Imagine yourself as the resident having this skill done for you. *Describe how you might feel.* * What will you do as a CNA to make sure that you remember how it would make you feel?*
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Range of Motion for 1- Shoulder, 2-Hip and Knee, 3-Ankle and Foot. Care plan: Perform ROM in the order listed above.- Watch each video.
- Video yourself performing these skills on a family member.
- What questions do you need to ask the resident as you are performining these skills?
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1 page essay assignment- Describe the experiences you had in the Nursing Facility if you were able to attend any amount of clinical, in person, before we went online due to COVID-19.
- Did you enjoy it?
- What did you learn?
- Did it make you feel any certain way? Explain.
- Was it different than you imagined?
Thank you for your attention to this module. Ms. Caminita RN
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