Nurse Aide Training

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The course will prepare students for a career as a certified nursing assistant. In the Nurse Assistant Training Program, students learn about basic nursing care, emergency procedures, communication, and how to work effectively as a member of the health care team.

In order to participate in clinical experience and to qualify for the Nurse Assistant examination, students must do the following: obtain a passing grade; possess and present a valid, government-issued photo ID and original Social Security card (cannot be laminated); have a negative TB test and have a clear background check.

Students must successfully complete a minimum of 44 hours of classroom, 20 hours of hand-on lab instruction and a minimum of 16 hours of clinical training to be eligible to take the state exam. A passing score on both state exams are required for state certification.

Part One: Theory 44 hours

In this component of our Nurse Assistant Training, NA class students will learn these aspects of patient care:

Fundamentals: introductory concepts including roles and responsibilities; legal issues; ethics; patient communications; anatomy and physiology
Safety: controlling infection; preventing injuries; responding to emergencies
Providing care: vital signs; positioning/transferring; restorative care; environmental comfort and rest; cleanliness/grooming; meals/fluids; elimination; admissions/transfers/discharges
Special care situations: specific illnesses; dementia/cognitive changes; end of life care; home care
Transitioning from student to employee

Part Two: Lab 20 hours

This component builds upon the theory portion of the NA classes through skills practice. Skills that are performed include personal care (bathing, feeding and grooming), positioning the patient, transferring the patient, and taking vital signs such as blood pressure.

Part Three: Clinical 16 hours

Upon successful completion of the theory and lab portion of this course students begin the clinical training component of the program, working directly with residents of a long-term care facility under the supervision of a registered nurse.

Course Content

Section 1A: Communication and Interpersonal Skills

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Topic 1A.1: Identify Types of Verbal and Nonverbal Communication

Topic 1A.2: Identify Communication Barriers

Topic 1A.3: Identify Techniques for Overcoming Communication Barriers

Topic 1A.4: Identify Considerations Associated with Diversity as It Relates to Resident Care

Topic 1A.5: Define Guidelines for Quality Documentation

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Topic 1A.A: Respond to Nonverbal Communication

Topic 1A.B: Demonstrate Professional Techniques in Communicating With Residents and Team Members

Topic 1A.C: Demonstrate Empathy for Resident Concerns

Topic 1A.D: Document Relevant Information

Section 1B: Infection Control

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Topic 1B.1: Identify the Chain of Infection

Topic 1B.2: Identify Standard Precautions

Topic 1B.3: Identify Transmission-Based Precautions: Contact, Droplet, Airborne, and Multi-Route

Topic 1B.4: Identify Appropriate Personal Protective Equipment Based on Transmission-Based Precautions and the Sequence for Donning and Doffing: Gloves, Gowns, Goggles/Face Shields, Masks, Respirators (Minimum N95), and Shoe Coverings

Topic 1B.5: Identify Proper Hand Hygiene Technique

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Topic 1B.A: Perform Proper Handwashing

Topic 1B.B: Properly Don and Doff Personal Protective Equipment: Gloves, Gowns, Goggles/Face Shields, and Masks

Topic 1B.C: Demonstrate Proper Emptying of a Urinary Drainage Bag

Topic 1B.D: Demonstrate Safe Handling of Food: Preparation Process and Storage

Topic 1B.E: Demonstrate Proper Handling and Disposal of Soiled Linen

Topic 1B.F: Demonstrate Proper Handling and Disposal of Biohazard Material

Section 1C: Safety and Emergency Procedures

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Topic 1C.1: Identify Safety Techniques Used in Responding to Accidental Exposure to Blood, Bodily Fluids, and Chemicals

Topic 1C.2: Identify Principles of Ergonomics and Body Mechanics

Topic 1C.3: Identify Behaviors of a Resident After Experiencing Traumatic Situations

Topic 1C.4: Identify Characteristics of a Safe Versus Unsafe Environment

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Topic 1C.A: Demonstrate Heimlich Maneuver Technique

Topic 1C.B: Use Proper Body Mechanics

Topic 1C.C: Evaluate an Environment to Identify Unsafe Conditions

Topic 1C.D: Locate a Posted Safety and Emergency Evacuation Plan

Section 1D: Promoting Residents’ Independence

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Topic 1D.1: Identify Strategies to Promote Residents’ Rights to Make Personal Choices to Accommodate Their Needs

Topic 1D.2: Identify Ways to Assist in Resolving Grievances and Disputes

Topic 1D.3: Identify the Nurse Aide’s Role in Helping Residents Access and Participate in Resident Groups, Family Groups, and Other Activities

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Topic 1D.A: Demonstrate Compliance with a Care Plan

Section 1E: Respecting Residents’ Rights

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Topic 1E.1: Identify Strategies to Maintain the Care and Security of Residents’ Personal Possessions

Topic 1E.2: Identify Ways to Promote Residents’ Rights to Be Free from Abuse, Mistreatment, and Neglect and the Need to Report Such Treatment

Topic 1E.3: Identify Strategies to Avoid the Need for Restraints in Accordance with Current Professional Standards

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Topic 1E.A: Demonstrate Care of the Resident Environment: Quality of Life, Health and Safety, and OBRA

Topic 1E.B: Demonstrate How to Report to the Nurse When a Resident Requests an Adaptation to the Care Plan

Section 2: Basic Nursing Skills

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Topic 2.1: Identify Abnormal Changes in Body Functions and the Importance of Reporting Changes to a Supervisor

Topic 2.2: Identify Principles for End-of-Life Care

Topic 2.3: Differentiate Between Normal and Abnormal Ranges of Vital Signs

Topic 2.4: Identify Methods for Caring for the Resident’s Environment to Meet Resident-Care Needs

Topic 2.5: Identify Signs of Effective or Improved Circulation

Topic 2.6: Identify Principles of Practice for Catheter Care

Topic 2.7: Identify Techniques for Fall Prevention and Response to a Fall

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Topic 2.A: Accurately Measure, Record, and Report Electronic Blood Pressure, Pulse, Respirations, Temperature, Height, and Weight

Topic 2.B: Demonstrate Correct Positioning Techniques in Bed and Chair

Topic 2.C: Demonstrate Catheter Care for a Male and Female Resident

Topic 2.D: Demonstrate Perineal Care for a Male and Female Resident

Topic 2.E: Demonstrate Use of a Bedpan

Topic 2.F: Accurately Measure, Record, and Report Urine Output

Topic 2.G: Apply a Knee-High Anti-Embolic Stocking to One Leg

Topic 2.H: Demonstrate Lower-Extremity and Foot Care

Topic 2.I: Demonstrate Use of a Mechanical Lift

Topic 2.J: Demonstrate How to Respond to a Fall

Section 3: Personal Care Skills

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Topic 3.1: Identify Proper Positioning Techniques

Topic 3.2: Identify Proper Turning Techniques

Topic 3.3: Identify Proper Feeding Techniques

Topic 3.4: Identify Techniques for Dressing Residents

Topic 3.5: Identify Residents’ Personal Care and Hygiene Needs, Including Bathing

Topic 3.6: Identify Transfer Techniques for a Resident

Topic 3.7: Define Conditions That Place Residents at Risk for Impaired Skin Integrity

Topic 3.8: Identify Health Conditions That May Influence Dietary Intake

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Topic 3.A: Demonstrate Proper Positioning Techniques

Topic 3.B: Demonstrate Proper Turning Techniques

Topic 3.C: Demonstrate Toileting on a Commode

Topic 3.D: Perform Oral Care

Topic 3.E: Perform Skin Care

Topic 3.F: Demonstrate Supportive Feeding and Hydration

Topic 3.G: Demonstrate Hair Care and Grooming

Topic 3.H: Demonstrate Safe Shaving Techniques and Grooming

Topic 3.I: Perform Nail Care and Grooming

Topic 3.J: Demonstrate Dressing an Impaired Resident or a Resident with an Affected Side

Topic 3.K: Perform Denture Care

Topic 3.L: Perform a Modified Bed Bath: Face, One Hand, One Arm, and Underarm

Topic 3.M: Accurately Measure, Record, and Report Food and Fluid Intake

Section 4: Mental Health and Social Service Needs

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Topic 4.1: Identify Appropriate Nurse Aide Behavior Modifications in Response to Resident Behavior

Topic 4.2: Identify Developmental Changes Associated with the Aging Process

Topic 4.3: Identify Methods to Support Resident Independence and Dignity

Topic 4.4: Identify Sources of Emotional Support for Residents, Including Family Support

Topic 4.5: Define Care Techniques That Meet the Needs of Cognitively or Uniquely Impaired Residents, Including Dementia, Alzheimer’s Disease, and Other Cognitive Conditions

Topic 4.6: Identify Methods for Responding to Resident Behavior

Topic 4.7: Identify Resources for Residents or Patients with Alcohol or Substance-Use Concerns

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Topic 4.A: Demonstrate Methods of Reducing the Effects of Cognitive Impairment, Including Methods Listed in the Care Plan

Topic 4.B: Demonstrate Developmentally Appropriate Interactions

Section 5: Care of Cognitively Impaired Residents

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Topic 5A.1: Identify Challenges in Communicating with Cognitively or Uniquely Impaired Residents

Topic 5A.2: Identify Ways to Understand the Behavior of Cognitively Impaired Residents

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Topic 5A.A: Demonstrate Appropriate Responses to the Behavior of Cognitively Impaired Residents

Section 6: Basic Restorative Services

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Topic 6.1: Identify Appropriate Use of Assistive Devices

Topic 6.2: Identify Use of Assistive Devices, Including Prosthetic and Orthotic Devices, for Transferring, Ambulation, Eating, and Dressing

Topic 6.3: Identify Appropriate Bowel and Bladder Training

Topic 6.4: Define Range-of-Motion Terms: Abduction/Adduction, Flexion/Extension, and Pronation/Supination

Topic 6.5: Identify Strategies to Train Residents in Self-Care According to Their Abilities

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Topic 6.A: Demonstrate Range of Motion to the Shoulder, Hip, and Knee

Topic 6.B: Demonstrate Use of a Gait Belt During Ambulation and Transfers

Topic 6.C: Demonstrate Appropriate Use of a Cane, Walker, and Wheelchair

Topic 6.D: Follow the Resident’s Care Plan for Transfers, Including a Two-Person Assist

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