WORK PROCESSES SCHEDULE
HEALTH SUPPORT SPECIALIST
CERTIFIED NURSE AIDE
O*NET-SOC CODE: 31-1011.00 RAPIDS CODE: 1086AA (Hybrid)
Description: The Health Support Specialist allows adult care facilities to assist new and current employees through a career ladder to become a Universal Worker. Provide care to elders living in a household/adult care residential facility. The primary role is to protect, sustain and nurture the elders by providing assistance with activities of daily living and meeting other needs as required. The core goal of the work of the Health Support Specialist will be to provide assistance, which promotes a high quality of life and a positive elder hood. The responsibilities of the Health Support Specialist include care of the elder and the elder’s environment including cooking, laundry and housekeeping. The Health Support Specialist is a member of a self-managed work team and is responsible for coordinating aspects of the teams work.
Description: Certified Nurse Aide apprentices will have a combination of classroom and clinical instruction on basic patient care. Skills learned include daily personal hygiene, activities of daily living (ADL’S), bed baths, accurate recording of vital signs, correct patient positioning and transfer of patients. Complete an accurate compliance to HIPPA guidelines, including rights and social service needs of residents and their families.
APPROXIMATE HOURS
1. Communication
a. Demonstrate how professional attitude and behavior enhances communication among CNA, resident, resident’s family and staff.
1 – 2
b. Explain how the Nurse Aide promotes independence and residents rights.
1 – 2
2. Resident Care
a. Explain the Nurse Aid’s responsibilities in health care delivery and identify who is responsible for actions of the nurse aide.
20 – 40
b. Demonstrate effective hand washing techniques following all rules of asepsis, including hand washing when entering and leaving the residents room.
20 – 40
c. Recognize safety precautions to avoid resident injuries.
40 – 80
d. Describe and demonstrate disaster and/or fire escape plans.
40 – 80
e. Demonstrate practices that reduce the transfer of infection in residents living area, bathroom and disposal of soiled articles and cleaning equipment after resident use.
20 – 40
f. Demonstrate the correct use of disposable gloves when in with body fluids, blood, urine, vomitus and saliva.
20 – 40
g. Demonstrate correct feeding techniques, identifying safety measures, encouraging independence and how to promote fluid intake.
40 – 80
h. Assist or provide a bath using shower, tub, sponge or bed bath while providing:
4 – 8
1. Privacy
2. Safety
3. Correct water temperature
4. Comfortable environment
i. Encourage independence with appropriate choices with dressing and undressing.
20 – 40
j. Assist residents with urination and bowel elimination needs providing for safety and privacy while using the toilet commode, bedpan or urinal.
20 – 40
k. Demonstrate accurate perineal cleansing to prevent genitourinary infections.
20 – 40
l. Demonstrate safe transfers, using the gate belt and/or mechanical lift from:
20 – 40
1. Bed to chair
2. Chair to toilet/commode
m. Identify important body mechanics for personal and resident safety.
20 – 40
n. Demonstrate:
20 – 40
1. Log roll to side of bed
2. Turn, reposition
3. Assist resident to sitting position
o. Assist with ambulation so that the resident feels safe and utilizes assistive devices when needed.
20 – 40
p. Simulate the Heimlich maneuver technique
20 – 40
q. Assist and/or provide grooming assistance for resident including oral care/mouth, gums, teeth or dentures, nail soaking and cleaning, filing, hair brushing or combing, beard care or shaving. Assist residents dress per resident’s choice and activity.
20 – 40
r. Describe and demonstrate skin care, demonstrate when, what and to whom observations need to be reported.
20 – 40
s. Demonstrate accurate measurement and recording of weight and height measurement and recording of vital signs:
20 – 40
1. Temperature
2. Pulse
3. Respirations
4. Blood pressure
3. Restorative Care
20 – 40
a. Explain the Nurse Aide’s responsibility in restorative care
b. Explain how to follow the residents care plan
c. Demonstrate safety techniques involved with restorative care
d. Understanding and reporting of early signs and symptoms of complications
e. Demonstrate safe transfer methods
4. Resident Rights
4 – 8
a. understand and describe the rights of residents in an Adult Care facility
5. Documentation
10 – 20
a. Explain documentation and Nurse Aide responsibilities
b. Understand legal aspects of documentation
c. Understand and know appropriate Medical Terminology
6. Infection Control
20 – 40
a. Demonstrate correct hand washing technique
b. Understand medical asepsis
c. Demonstrate isolation precautions
d. Understand blood borne pathogen standards
7. Safety
20 – 40
a. Describe a safe environment
b. Describe accident risk factors
c. Understand how to prevent falls
d. Understand how to prevent burns
e. Understand how to prevent poisoning
f. Understand how to prevent suffocation
g. Explain and demonstrate how to prevent equipment accidents
h. Demonstrate wheel chair safety
i. Explain how to properly handle hazardous substances
j. Explain the correct handling of a fire extinguisher
TOTAL HOURS
500 – 1000
RELATED INSTRUCTION OUTLINE
APPROXIMATE HOURS
Classroom training includes:
1. Medical Ethics
5
2. Objectives
1
3. Job Description
2
4. Resident Relations
5
5. Public Relations
2
6. Concept of Caring
6
7. Aseptic Techniques
2
8. Safety precautions
2
a. fire
b. disaster
9. Body Systems
65
a. musculoskeletal
b. respiratory
c. circulatory
d. digestive
e. urinary
f. skin, hair, nails
g. endocrine
h. reproductive
i. nervous
j. special senses, eyes, ears, and tongue
TOTAL HOURS
90
RELATED INSTRUCTION OUTLINE
MEDICAL TERMINOLOGY
O*NET-SOC CODE: 31-1011.00 RAPIDS CODE: 1086AA
APPROXIMATE HOURS
a. Know and understand formation of medical words.
8
b. Define prefixes and suffixes, root words, and combining forms.
8
c. Name the different areas of medicine and its specialties.
2
d. Use anatomical and directional terms appropriately.
5
e. Identify all body systems.
4
f. Understand basic anatomy and physiology.
8
g. Use medical words and abbreviations.
2
h. Understand and use conversion tables.
2
i. Use correct pronunciation of terms.
2
j. Read and write medical terminology.
3
k. Be exposed to Spanish translations.
2
TOTAL HOURS
45
RELATED INSTRUCTION OUTLINE
CPR/FIRST AID/AED
O*NET-SOC CODE: 31-1011.00 RAPIDS CODE: 1086AA
Description: This course is designed to prepare individuals to respond to injuries and sudden illnesses that may arise in everyday life. This is a first aid and cardiopulmonary resuscitation training program. It is offered to give individuals the knowledge and skills necessary to prevent, recognize,and provide basic care for injuries and sudden illnesses until medical personnel arrive and take over. Apprentices will focus on the basic knowledge of CPR/First Aid/AED lecture and skills and then will demonstrate the skills that they learned.
APPROXIMATE HOURS
1. Demonstrate the correct procedures in adult CPR.
2
2. Demonstrate the correct procedures in child CPR.
1
3. Demonstrate the correct procedures in infant CPR.
1
4. Demonstrate the correct procedure of using an AED device.
1
5. Identify signs and symptoms of a heart attack, heat/cold related injuries, broken bones and other first aid related topics.
2
6. Recognize when to use rescue breathing as opposed to cardiopulmonary resuscitation.
2
7. Name and demonstrate the basic steps of how to respond in an emergency.
1
8. Legal aspects involved in giving CPR and first aid.
1
9. Identify ways of preventing disease transmission.
1
10. Demonstrate the correct procedure in rescue breathing for the adult, child, and infant.
2
11. Identify situations in which prioritizing care is necessary.
1
TOTAL HOURS
15
RELATED INSTRUCTION OUTLINE
DEMENTIA CARE
O*NET-SOC CODE: 31-1011.00 RAPIDS CODE: 1086AA
APPROXIMATE HOURS
1. Normal Aging
2
a. Aging in America (Facts vs. Stereotypes and Myths)
b. General Principles of aging
i. Things that contribute to how people age
ii. Age-Associated changes
c. Memory and Aging
2. Overview of Alzheimer’s disease and other Dementing illnesses
3
a. Defining Dementia and Delirium
b. Conditions that cause Dementia and Delirium
c. Alzheimer’s Disease
d. Description
e. Statistics
f. Diagnosis and Risk Factors
g. Suggested Stages-Global Deterioration Scale
3. Effective communication techniques with the person with memory.
3
a. Defining communication
b. Barriers to normal communication
c. Sensory changes and communication
d. Tips for communication effectively with the person with AD
4. Common Behaviors and Challenges Associated with Alzheimer’s disease
2
a. Identification of common Behaviors and Challenges
b. Common Triggers to Unwanted Behaviors
c. Suggested Approaches to behaviors
5. Personal Care Issues
2
a. Identification of Personal Care Issues
b. Suggested Approaches to Avoid, Defuse, Cope with difficulties in providing care.
6. Developing a Meaningful Activities Program for the Memory Impaired Older Adult
2
a. The components of a meaningful activities program
b. Categories and types of activities
c. Examples of activities that work well
7. Family Caregiver Issues
2
a. Issues families face when dealing with AD
b. Family caregiver Options and Coping Strategies
c. Common Issues for family and Professional Caregivers
d. Positive Aspects of Aging
TOTAL HOURS
16
RELATED INSTRUCTION OUTLINE
CULTURE CHANGE (SAMPLE)
O*NET-SOC CODE: 31-1011.00 RAPIDS CODE: 1086AA
Goal: To improve the well being of elders and those who care for them by transforming the communities in which they live and work. By the end of the 10-week program apprentices will understand the three plagues of nursing home care and the antidotes to eliminate them.
APPROXIMATE HOURS
Session 1:
2
The three plagues of loneliness, helplessness and boredom account for the bulk of suffering among our elders.
Session 2:
2
An Elder-centered community commits to creating a Human Habitat where life revolves around close and continuing contact with plants, animals and children. It is these relationships that provide the young and old alike with pathway to alike worth living.
Session 3:
1.5
Loving companionship is the antidote to loneliness; Elders deserve easy access to human and animal companionship.
Session 4:
1.5
An Elder-centered community creates opportunity to give as well as receive care. This is the antidote to helplessness.
Session 5:
2
An Elder-centered community imbues daily life with variety and spontaneity by creating an environment in which unexpected an unpredictable interactions and happenings can take place. This is the antidote to boredom.
Session 6:
2
Meaningless activity corrodes the human spirit. The opportunity to do things that we find meaningful is essential to human health.
Session 7:
2
Medical treatment should be the servant of genuine human caring, never its master.
Session 8:
2
An Elder-centered community honors its Elders by de-emphasizing top-down bureaucratic authority and seeking instead to place the maximum possible decision-making authority into the hands of the Elders or into the hands of those closest to them.
Session 9:
2
Creating an Elder-centered community is a never-ending process. Human growth must never be separated from human life.
Session 10:
2.5
Wise leadership is the lifeblood of any struggle against the three plagues. For it, there can be no substitute.
Session 11:
2.5
The magic wand. This part of the Eden Alternative training creates a paradigm shift from the institutional model to person centered care (culture change) and implementation of the previous principles.
TOTAL HOURS
22
