Nurse Aide/Home Health Aide 2 Nurse Aide for Health Care Organizations I
Health Science Technology III Vocational Nursing NURA 1301 or NURA 1401 (or NURA 1001 CEU)
(HST3VNTP) 1210154T OR OR Vocational Nursing Career Preparation III
Prerequisite for both HSTII-TP and HST2CPTP:
Biology; Chemistry suggested Home Health Aide AND HOMH 1101 or HOMH 1201 (or HOMH 1005 State certification as a Certified Nurse Assistant CEU) (CNA)
Course Outcomes – Nurse Aide Health Care Organizations
Preparation for entry level nursing assistants to achieve a level of knowledge, skills, and abilities essential
to provide basic care to residents of long-term care facilities. Topics include resident's rights,
communication, safety, observation, reporting and assisting residents in maintaining basic comfort and
safety. Emphasis on effective interaction with members of the health care team.
The student will provide basic care to residents in a long-term care facility; communicate and interact
effectively with residents and their families based on sensitivity to the psychosocial needs; and assist
residents in attaining and maintaining basic comfort and safety. The student will protect, support, and
promote the rights of the residents; provide safety and preventive measures in the care of residents;
demonstrate skills in observing and reporting; and function effectively as a member of the health care
Expected Competencies Check if
“Yes” (The enhanced course must include the following competencies.)
The student can:
1. State the intent of OBRA.
Describe the OBRA requirements for nurse aide training and placement on the 2. Texas Registry.
3. Discuss who can work as a nurse aide in a nursing facility.
4. Discuss the benefits of this course to residents, nurse aides and LTC facilities.
5. State the purpose of the LTC facility.
6. Describe the types of residents in LTC facilities.
7. Discuss common needs we all share.
8. Explain residents right to privacy of person and condition.
9. Describe a common belief or feeling about aging and discuss whether it is true.
10. State the qualities of an effective nurse aide.
“Yes” (The enhanced course must include the following competencies.) List the responsibilities of the nurse aide to the residents, the facility and other 11. staff. Expected Competencies
12. Discuss the role of the nurse aide in relation to the health care team. Discuss examples of how a nurse aide's relationship with a resident would be 13. appropriate or inappropriate.
Discuss whether or not it is appropriate for a nurse aide to accept a gift from a 14. resident/client.
15. Discuss the importance of safety in the long term care facility. Describe physical changes associated with aging that increase the risk of 16. accidents.
Recognize safety hazards and describe how to maintain environment 17. safety in the long term care facility.
18. Describe the procedure to follow for reporting incidents and accidents.
19. Describe how to lock out unsafe or broken equipment. Describe where the Material Safety Data Sheets (MSDS) are located and 20. how they are used in your facility.
Demonstrate proper use and response to resident's call signal following 21. facility policy.
Demonstrate correct identification of residents prior to giving care following 22. facility policy.
23. Describe precautions to follow in the use of heat and cold applications.
24. State safety precautions to take when oxygen is in use.
25. Identify measures to prevent fires.
In your facility, locate the emergency fire and disaster plans, emergency 26. exits, alarm system and fire extinguishers.
Describe the role of the nurse aide in one natural disaster inherent to the 27. area.
28. Describe the requirements of:
A. The Safe Medical Device Act of 1991;
B. The Texas Concealed Handgun Law;
29. State the general procedure to follow in an emergency in your facility.
30. Describe and/or demonstrate laboratory skill in emergency measures for: A. Fainting and syncope;
B. Falls and suspected fractures; C. Seizures; D. Application of cold packs to strains and bruises; E. Vomiting and aspiration;
F. Clearing the obstructed airway (Heimlich Maneuver).
“Yes” (The enhanced course must include the following competencies.) A. Microorganisms;
Expected Competencies B. Pathogens;
D. Medical asepsis;
E. Infection control.
Discuss why infection control is important to both residents and the health 32. care team.
33. Describe how infections are spread.
34. Define and discuss examples of "cross-contaminations," "clean" and "dirty." Identify general measurements that should be followed by the nurse aide to 35. reduce the spread of infection.
36. Describe the importance of handwashing.
37. State the times handwashing should be done.
38. Demonstrate the proper procedure for handwashing.
Describe how to select the correct personal protective equipment for the 39. task that you are performing.
40. Demonstrate proper application and removal of gloves, gown and mask. Recognize the biohazard emblem and describe the proper procedure for 41. handling biohazardous waste in your facility.
42. State when Standard Precautions are to be used.
43. Define blood and body fluids.
44. Describe the rules for Standard Precautions.
45. Demonstrate the use of Standard Precautions in the care of all residents.
46. State when transmission-based Precautions are to be used. State the 3 types of transmission-based Precautions recommended by the 47. CDC.
48. Describe the guidelines and rules for transmission-based Precautions.
49. Discuss how to "isolate" the pathogen without isolating the resident.
50. Describe 2 blood-borne pathogens.
Describe the precautions to follow to prevent exposure to blood-borne 51. pathogens.
52. Describe what TB is and how it is spread.
Describe the Isolation Precaution used for TB during the communicable 53. stage.
54. Describe drug resistant organisms and how they are spread.
55. Describe the Precautions used for drug resistant organisms in your facility.
56. Describe what head lice are and how they are spread.
State the signs and symptoms of head lice that you would report to the 57. charge nurse.
“Yes” (The enhanced course must include the following competencies.)
58. Describe the infection control measures for head lice.
Expected Competencies 59. Describe what scabies is and how it is transmitted.
State the signs and symptoms of scabies that you would report to the 60. charge nurse.
61. Describe the infection control measures for scabies. Discuss the effects of aging and institutionalization on resident rights and 62. independence.
63. Describe the rights of residents in nursing facilities.
Describe an example of a behavior that promotes resident rights, and one 64. that violates resident rights.
65. Demonstrate respect for the rights of residents in your facility.
66. Define and describe one example of each term:
A. Abuse or "harming a resident."
B. Neglect or "failing to provide care to a resident" C. Misappropriate or "stealing from a resident"
Discuss how you would act to avoid abuse, neglect and misappropriate of 67. resident property.
68. List 3 signs that might indicate that a resident has been abused. Describe the responsibility of the nurse aide for reporting suspected abuse, 69. neglect or misappropriation of resident property.
70. Locate the TDHS Hotline number posted in your facility.
71. Define verbal and nonverbal communication.
72. State two ways to send messages.
73. State two ways to receive messages.
74. Imagine a day or a lifetime without communication.
Describe a situation where you wasted much time and effort because of a 75. miscommunication.
76. Describe how to communicate with residents' families and friends.
77. Describe how to answer the telephone in a long term care facility. Describe how to communicate with your peers and report to your 78. supervisors.
79. State two age-related changes that may affect communication.
80. State one style of communication and identify the goal associated with it. Give an example of how you plan to use one style of communication to 81. reach a specific goal.
Discuss or role-play a situation in which the verbal and nonverbal message 82. is different. Describe how this made you feel.
Discuss how you plan to individualize your communications by observing, 83. evaluating and adjusting. Try out your plan with classmates or friends.
84. Demonstrate skill in communicating with residents:
“Yes” (The enhanced course must include the following competencies.) A. Starting a conversation;
B. Talking and listening; Expected Competencies C. Encouraging residents to express feelings/concerns; D. Avoiding barriers to communication;
E. Ending a conversation.
85. Demonstrate skills in communicating with residents who have: A. Vision loss;
B. Hearing loss; C. Problems with speech;
D. Problems with understanding.
86. Demonstrate skills in promoting effective interpersonal relationship.
87. Describe how to prevent physical illness.
88. Describe three ways to prevent work related injury.
89. Describe how to manage your time and organize your work routine.
90. Discuss ways to protect yourself legally.
91. Describe ways to stay emotionally healthy.
Describe personal and vocational adjustments that the nurse aide must 92. make.
State the benefits of using good body mechanics and alignment to the 93. nurse aide, and to the resident.
94. Demonstrate proper body mechanics in moving and lifting. Demonstrate skill in positioning and supporting residents in good body 95. alignment in bed, chair and wheelchair.
96. Demonstrate ability to elevate head of bed to a 45º angle.
97. State the standard beginning and closing steps.
Demonstrate skill in performing the standard beginning and closing steps 98. of the Procedural Guidelines.
State the guidelines and precautions for all of the moving and lifting
99. procedures. Stress the significance of following precautions and to ensure
safety of resident while moving or lifting.
100. Demonstrate skill in:
A. Turning resident on side toward you;
B. Moving resident in bed; C. Assisting resident to sit up on side of bed;
D. Assisting resident to transfer to chair or wheelchair. Demonstrate skill in assisting resident with ambulation using a gait belt, 101. cane, walker.
Discuss why the resident's personal belongings may be so important to the 102. resident.
103. Demonstrate respect for the resident's room, privacy and belongings.
“Yes” (The enhanced course must include the following competencies.) Discuss and/or demonstrate skill in maintaining a safe and comfortable
Expected Competencies 104. environment for the resident while respecting the resident's personal
Demonstrate skill in the proper use and care of equipment and supplies in 105. resident's room.
106. Demonstrate skill in correct handling of clean and dirty linen.
107. Demonstrate skill in bedmaking (occupied and unoccupied). Discuss how difficult it would be to depend on someone else to perform 108. your personal hygiene, and what would make it less difficult. Describe the important role of the nurse aide in assisting residents with 109. personal care on a daily basis.
Discuss how the nurse aide can use bath time to identify and meet the 110. residents' needs.
Discuss how the nurse aide can protect resident's rights while assisting 111. with personal care.
112. Demonstrate skill in safely assisting resident into and out of tub or shower.
113. Discuss ways to promote privacy while assisting a resident with toileting.
114. Describe the importance of perineal care/incontinent care. Demonstrate skill in giving perineal care/incontinent care to males and 115. females.
116. State changes in the skin, hair and nails associated with aging.
117. Identify common sites of skin breakdown.
Describe and/or demonstrate skill in observing, recognizing and reporting 118. early signs of pressure areas and skin breakdown.
Describe and/or demonstrate skill in giving skin care for the prevention of 119. pressure ulcers.
120. Define "friction" and "shearing" and describe measures for prevention.
121. State normal daily fluid requirements.
122. Describe how good nutrition affects the skin.
123. Describe the skin changes you would report to charge nurse.
124. Describe the care of resident with skin redness or breakdown.
125. Demonstrate skill in giving a back rub.
126. Demonstrate skill in assisting with oral care:
A. Brushing the teeth;
B. Denture care;
C. Special mouth care.
Identify one precaution that should be followed when assisting with oral 127. care.
128. Demonstrate skill in assisting residents with:
“Yes” (The enhanced course must include the following competencies.) A. Hair care;
Expected Competencies B. Shaving the resident; 129. C. Hand, foot, and nail care;
D. Dressing and undressing the resident.
130. Read and describe the policy for hand, foot and nail care in your facility. Identify one precaution that should be followed when cutting resident's 131. toenails.
Discuss ways to promote residents' independence and participation in 132. personal grooming.
133. Explain why promoting independence is important to self esteem.
134. Describe the tasks required in performing A.M. and P.M. care.
135. Define the six groups of foods in the food pyramid.
136. Select a well-balanced diet for one day using the food pyramid as a guide.
137. List two changes associated with aging that affect eating and drinking.
138. Discuss the importance of eating to residents.
Discuss one way a nurse aide could assist residents with each of the 139. common eating problems.
140. Demonstrate skill in assisting residents with meals.
Discuss the importance of the nurse aide in assisting residents with 141. therapeutic diets and diet supplements.
Practice spoon feeding and being fed by a classmate and think about how 142. the resident feels.
143. Demonstrate skill in feeding the dependent resident.
144. Describe and/or demonstrate skill in syringe feeding a resident.
145. State the range of normal fluid intake and output.
Describe one observation you could make to recognize insufficient fluid 146. intake, and fluid retention.
Discuss or demonstrate measures the nurse aide could use to increase 147. fluid intake.
Describe and/or demonstrate skill in serving fresh water to residents using 148. good infection control practices.
Describe and/or demonstrate skill in measuring and recording I & O, using 149. the fluid containers in your facility.
150. Discuss the nurse aide's responsibilities when fluids are restricted.
151. Describe the changes in urinary function associated with aging. Describe and/or demonstrate skill in the care of indwelling urinary 152. catheters.
State observations about urinary elimination that should be reported to the 153. charge nurse.
154. Describe the changes in bowel function associated with aging.
155. Discuss measures to help prevent constipation.
“Yes” (The enhanced course must include the following competencies.)
156. Discuss ways to identify fecal impaction.
Expected Competencies State observations about bowel elimination that should be reported to the 157. charge nurse.
Discuss the important role of the nurse aide in regular and prompt toileting 158. of residents.
Discuss the important role of the nurse aide in the bowel and/or bladder 159. retraining program in your facility.
Describe collecting routine or clean-catch urine specimens and routine 160. stool specimens.
161. Define physical restraints and list 2 types of restraints.
162. Discuss how you would feel if you were restrained in your chair. Discuss the meaning and importance of using restraints only as a last 163. resort.
State 2 advantages to the staff and 2 advantages to the resident of not 164. using restraints.
State 3 general measures you could use to help avoid the need for 165. restraints.
166. Discuss the important role of the nurse aide in avoiding restraints.
167. State when a nurse aide can apply restraints.
168. Demonstrate laboratory skill in applying mitt or vest restraint. Describe the care that must be given to a restrained resident every ? hour 169. and every 2 hours.
State the normal temperature and the range to be reported for oral,
170. axillary, and rectal temperatures, and demonstrate skill in reporting such data.
State the normal rate and the range reported for pulse and respiration, and 171. demonstrate skill in reporting irregular pulse and respiratory rates.
172. State the normal blood pressure and the range to be reported. Describe the importance of accurate measurement and reporting of TPR 173. and BP.
174. Demonstrate skill in taking and recording blood pressure.
175. Demonstrate skill in taking and recording height and weight. Explain the importance of recognizing and reporting changes in resident's 176. condition.
Give two examples of how good observations and reporting by the nurse 177. aide can lead to better care of residents.
Discuss observations that you would report immediately to the charge 178. nurse and observations that you would report at the end of your shift. Demonstrate skill in reporting and recording the care you give and/or 179. observations you make.
Review and discuss what you would observe for and report to the charge 180. nurse.
“Yes” (The enhanced course must include the following competencies.) Describe the role of the nurse aide in admission, transfer and discharge of 181. residents. Expected Competencies Discuss ways the nurse aide can help a new resident adjust to changes in 182. surroundings.
183. Discuss signs of depression and when to report changed behavior.
184. Discuss ways residents cope with death.
State signs of approaching death, including loss of senses and body 185. functions.
Describe how you will manage your own feelings about death and how you 186. can get support for yourself.
Describe and/or demonstrate the role of the nurse aide in giving physical 187. and emotional support to the dying resident.
Discuss how the nurse should respond to other resident's questions about 188. a dying resident.
189. Discuss and/or demonstrate the procedure for postmortem care.
190. Define restoration.
191. Discuss how restoration can improve self-esteem and the quality of life.
192. Discuss the importance of the nurse aide in restorative care.
193. Identify three guidelines for restorative care.
194. Describe how a problem in one area of your life has affected another area.
195. Discuss one way you can apply restoration in each area of ADLs. Describe how the nurse aide could "encourage resident's participation" in a 196. procedure.
Discuss how "replacing the call signal and needed items within resident's 197. reach" can be a restorative measure.
198. Discuss how your observations relate to restorative measures. Describe and/or demonstrate skill in applying general restorative measures 199. in the care of all residents.
200. State 3 types of specific restorative programs.
Describe or demonstrate the role of the nurse aide in specific restorative 201. programs.
Discuss and/or demonstrate skill in assisting residents with adaptive or 202. assistive devices.
203. State the precautions and rules for ROM.
204. Demonstrate skill in performing ROM exercises.
State the 5 basic human needs, and describe these needs as they relate 205. to residents.
Describe an example of an appropriate and inappropriate sexual behavior 206. of residents and how you would respond.
State a specific religious activity or cultural practice and describe how the 207. nurse aide could assist a resident to participate in the activity.
“Yes” (The enhanced course must include the following competencies.)
208. Describe the major losses/changes associated with aging.
Expected Competencies 209. Discuss how you might respond to these losses/changes.
Discuss the interactive effects of losses and changes on basic human 210. needs.
211. Describe the developmental tasks of older adults.
212. Describe 2 normal psychological responses to losses/changes.
213. Describe 2 normal defense mechanisms and give an example.
Describe and/or demonstrate skill in assisting residents with psychosocial 214. needs.
Describe how an unmet need might cause someone to behave in a certain 215. way.
Describe the unmet basic human needs that are most likely to cause 216. behavioral problems.
217. State the steps of behavior management.
Discuss how the nurse aide functions with the health care team for 218. behavior management.
Describe 1 step for increasing appropriate behavior and 1 step for reducing 219. inappropriate behavior.
220. Give 2 examples of a verbal and nonverbal reinforcer.
Describe and/or demonstrate skill in assisting residents with specific 221. behavior problems
222. Define cognitive impairment, dementia and Alzheimer's disease.
223. State the major difference between acute and chronic dementia.
224. Describe the effects of Alzheimer's disease.
225. Describe the behavioral responses to cognitive impairment.
Discuss the special needs of cognitively impaired residents (i.e as in early, 226. middle and late stages of Alzheimer's Disease).
Discuss importance of using verbal and non-verbal communication in 227. working with cognitively impaired residents. Discuss pitfalls to avoid.
Describe and/or demonstrate skill in assisting cognitively impaired 228. residents.
Textbook, Hardware/Software, and Tool Recommendations:
Course Outcomes – Home Health Aide
A course in basic client care skills utilized in the home setting. Topics include infection control, safety,
basic nutrition and home management. Emphasis on meeting client's basic physical and psychological
needs as related to developmental stage. Development of skills related to promotion of communication
and activities of daily living.