Utah Curriculum for Nursing Assistant Training
Programs
Corresponding pages from
Hartman’s Nursing
Assistant Care: The Basics, 3rd Edition
by
Hartman Publishing, Inc. (formerly
The Nursing
Assistant's Handbook
)
ORIENTATION
Objectives:
1. Explain the purpose of health care organizations such
as long-term care, home health agency and acute care
Ch 1, pp 1-3
2. Identify members of the health care team in terms of
their roles and responsibilities
Ch 1, pp 5-7
3. List the basic responsibilities of the health care
assistant
Ch 1, pp 3-4, 8-17
4. Identify professional requirements related to
certification/registration requirements
Ch 10, pp 231-232
5. Identify scope of practice Ch 1, pp 7-8
6. Identify beginning procedure actions Ch 6, pp 117-118
COMMUNICATION
Objectives:
1. Describe verbal, non-verbal and body language as
forms of communication
Ch 2, pp 20-29
2. Identify the senses used when observing Ch 2, p 22
3. Discuss how and when to report observations Ch 2, pp 20-21; we have observing and reporting
lists throughout the textbook. In Chapter 4, our
anatomy & physiology and common diseases
chapter, these lists exist for every body system,
beginning on page 74.
4. Identify the importance of documentation Ch 1, pp 17-18; Ch 2, pp 20-21
INFECTION CONTROL
Objectives:
- Explain the relationship between microorganisms and
infections
Ch 2, pp 43-44
- List how microorganisms are spread Ch 2, pp 43-44
- Explain the body's defenses against infection Ch 2, pp 43-44
- Explain Standard(Universal) Precautions Ch 2, pp 43-53
- Recognize sterile and unsterile supplies Ch 2, p 50
- Explain the principles of disinfection Ch 2, pp 50-52
- Explain personal and environmental hygiene Ch 2, pp 43-53
- Explain OSHA Ch 2, p 33
1
BASIC SAFETY
Objectives:
- Identify four safety measures that should be used for
patient care
Ch 2, pp 29-34
- List five fire prevention rules health care assistants
should follow
Ch 2, pp 33-35
- Identify potential hazards that may occur in any setting
and the role of the Health Care Assistant in correcting
the potential hazards
Ch 2, pp 29-34
- Describe the step-by-step procedure a health care
assistant should follow if a fire occurs
Ch 2, pp 33-35
- Describe symptoms of a foreign body airway
obstruction
Ch 2, pp 36-37
- Differentiate between life threatening and non-life
threatening emergencies
Ch 2, pp 35-43
HUMAN NEEDS
Objectives:
- List basic physical needs Ch 4, pp 73-103
- List basic emotional needs Ch 3, pp 56-65
- Identify behavior that results when basic needs are not
met
Ch 2, pp 25-29; Ch 3, pp 66-67; Ch 5, pp 111-114
- Recognize age appropriate physical and behavioral
changes in regards to the patient's sexuality
Ch 3, p 57
- Explain the role of a health care assistant in regard to a
patient's sexuality
Ch 3, p 57
- Recognize, understand and respect a pateint's need for
spirituality in whatever form it may be expressed
Ch 3, pp 59-60
- Explain the role of the health care assistant in helping
to meet the patient's basic needs
Ch 3, pp 56-61
BODY MECHANICS
Objectives:
- Describe principles of body mechanics Ch 2, pp 30-31
- Describe how to protect oneself from injury before and
during moving a patient
Ch 2, pp 30-31; Ch 6, pp 147-158
- Describe the principles of positioning Ch 6, pp 147-158
- Explain the importance of preventing the complications
of immobility
Ch 3, p 61; Ch 6, pp 118-121; Ch 9, p 215
- Describe the patient's need for rest and sleep Ch 7, pp 191-195
- Explain how a Health Care Assistant can help a patient
meet their activity needs
Ch 3, p 61; Ch 9, p 215
2
- Describe how a Health Care Assistant can assist a
patient experiencing pain
Ch 7, pp 175-177
ENVIRONMENT
Objectives:
- Explain how a Health Care Assistant can make a
patient's environment comfortable and safe
Ch 7, pp 190-191
- Explain how a Health Care Assistant can maintain a
clean environment
Ch 2, pp 50-51; Ch 7, pp 190-191
- Explain proper positioning/answering of call lights and
alternative monitoring devices
Ch 7, p 190; Included as a step in every
procedure
- Describe general furniture/equipment and its proper
use
Ch 2, pp 50-51; Ch 7, pp 190-191
- Explain the general guidelines to remember in making
a bed
Ch 7, pp 192-195
VITAL SIGNS
Objectives:
- List factors which can affect vital signs Ch 7, pp 164-179
- State normal ranges for vital signs Ch 7, pp 164-179
- Describe when vital signs should be measured Ch 7, pp 164-179
HYGIENE & GROOMING
Objectives:
- Explain the importance of cleanliness and skin care Ch 6, pp 118-121
- Describe the general rules related to bathing patients
and the observations to make
Ch 6, pp 121-130
- Identify the safety precautions for patients taking tub
baths or showers
Ch 6. pp 128-130
- Identify the purposes of perineal care Ch 6, pp 124-125
- Explain the importance of oral hygiene and list the
observations to report
Ch 6, pp 138-143
- Identify the purposes of a back massage Ch 6, pp 125-126
- Explain the importance of hair care and shaving Ch 6, pp 126-128, 133-135
- Explain the importance of nail and foot care Ch 6, pp 130-132
DIGESTION AND NUTRITION
Objectives:
- Explain basic anatomy and physiology of digestive
system
Ch 4, pp 91-94
- Identify common disorders of digestive system Ch 4, pp 91-94
- Define a well balanced diet Ch 8, pp 197-200
- Name the four food groups in the food pyramid and
list foods included in each group
Ch 8, pp 197-200
3
- Describe principles of safe food storage Not Included
- Describe common therapeutic diets and the purpose of
each
Ch 8, pp 201-203
- Describe preventative measures for aspiration Ch 8, pp 211-212
ELIMINATION
Objectives:
- Identify basic structures and functions of the urinary
system
Ch 4, pp 89-91
- Define terminology related to elimination Ch 6, pp 143-147; Ch 9, pp 225-226
- Demonstrate ability to perform skills outlined Ch 6, pp 143-147; Ch 9, pp 225-226
BODY FUNCTIONS
Objectives:
- Describe the structure and function of cells, tissues,
organs, and systems
Ch 4, pp 73-103
- Explain how body systems work together Ch 4, pp 73-103
- Know which changes in appearance or body function
should be reported to the nurse/supervisor
Ch 2, pp 20-21; we have observing and reporting
lists throughout the textbook. In Chapter 4, our
anatomy & physiology and common diseases
chapter, these lists exist for every body system,
beginning on page 74.
CANCER
Objectives:
- Describe what cancer is Ch 4, pp 101-103
- Discuss how to care for patients who are experiencing
side effects of cancer and its treatments
Ch 4, pp 101-103
DEATH & DYING
Objectives:
- Identify needs of the dying patient Ch 3, pp 67-71
- List and define the 5 stages of Kubler-Ross's grieving
process
Ch 3, pp 67-68
- Describe death with dignity Ch 3, pp 69-70
- Identify physical care of the dying patient Ch 3, pp 67-71
- Perform post mortem care Ch 3, p 71
CERTIFICATION
Objectives:
- Describe the process for certification as a CNA Ch 10, pp 231-232
- Explain the difference between certification and
registration
4
SKILLS CHECKLIST
1. Application of Restraints
Procedure for application of restraint not
included; restraint alternatives discussed in
Ch 7, pp 179-182
2. Communication Skill
Reporting Ch 2, pp 20-21; we have observing and reporting
lists throughout the textbook. In Chapter 4, our
anatomy & physiology and common diseases
chapter, these lists exist for every body system,
beginning on page 74.
Verbal Ch 2, pp 20-21
Written /Charting Ch 1, pp 17-18
Admission of Patient Ch 7, pp 160-162
Discharge of Patient Ch 7, pp 163-164
Transfer of Patient(I.e. another room, another facilty) Ch 7, pp 162-163
3. Infection Control
Hand Washing Ch 2, pp 45-47
Gloving - Putting On/Removing PPE(Gown, Mask,
Goggles)
Ch 2, pp 47-50
Standard Universal Precautions Ch 2, pp 44-55
Isolation Ch 2, pp 51-53
Safe Handling of Waste & Linens Ch 2, pp 50-51
Maintain Sterile Field Ch 2, pp 43-53
4. Safety
Proper Body Mechanics Ch 2, pp 30-31
Care of Patient After Falls Ch 2, pp 31-32
Care of Choking Patient Ch 2, pp 36-37
Controlling Bleeding Ch 2, p 39
First Aid - (Fainting, Seizures, Shock) Ch 2, pp 29-34
CPR Handout in instructor's guide
5. Body Mechanics
Assist Patient Into/Out of Bed Ch 6, pp 154-159
Assist Patient Onto/Off of the Toilet Ch 6, pp 146-147
One Person Assist/Pivot Transfer Ch 6, pp 154-159
Two Person Assist Not Included
Total Body Lift Not Included
Use of a Transfer/Safety/Gait Belt Ch 9, pp 215-218
Use of a Mechanical Lift Ch 6, pp 157-159
Assisting to Transfer a Hemiplegic Patient Ch 4, p 80
5
Assisting to Transfer a Total Hip Patient Ch 4, p 77
Lifting with use of a Lift Sheet Ch 6, pp 120-121
Log Rolling Ch 6, pp 152-153
A. Positioning
Prone Ch 6, p 148
Semi-Prone/Sims Ch 6, p 148
Supine Ch 6, pp 147-148
Lateral Ch 6, p 148
Semi-Fowler's Not Included
High-Fowler's Ch 6, p 148
In a Wheel Chair Ch 6, pp 154-157
In a Geri-Chair(if permitted by facility) Ch 6, p 155
With Foot Board and/or Bed Cradle Ch 6, pp 120-121
Trendelenberg Not Included
Reverse Trendelenberg Not Included
Ambulating Ch 9, pp 215-218
Ambulating a Blind Patient Ch 9, p 216
B. Assisting the Patient in the Use of:
Cane Ch 9, pp 215-218
Crutches Ch 9, pp 215-218
Walker Ch 9, pp 215-218
C. Range of Motion
Active Ch 9, pp 221-225
Passive Ch 9, pp 221-225
Pressure Sore Prevention Ch 6, pp 118-121
D. Use of: Prosthetic Devices
Braces Ch 9, pp 220-221
Orthotics Ch 9, pp 220-221; Ch 2, p 25; Ch 6, pp 121, 142-
143
6. Environment
Bed Making Ch 7, pp 192-195
Occupied: Complete/Foundation Change/Surgical Ch 7, pp 192-194
Linen Handling Ch 2, pp 50-51
Call Light Position Ch 7, p 190; Included as a step in every
procedure
7. Vital Signs/ Height & Weight
Oral Temperature Ch 7, pp 166-168
Rectal Temperature Ch 7, pp 168-169
Tympanic Temperature Ch 7, p 169
Axillary Temperature Ch 7, pp 170-171
Radial Pulse Ch 7, p 171
Apical Pulse Not Included
Carotid Pulse Not Included
6
Respiration Ch 7, pp 171-172
Blood Pressure By Pulse Obliteration Ch 7, pp 173-175
Weight Ch 7, pp 177-178
Height Ch 7, pp 177-179
8. Hygiene/Grooming
Completed Bed Bath Ch 6, pp 122-125
Partial Bed Bath Ch 6, p 122
Shower Chair/Cart Ch 6. pp 128-130
Tub Ch 6, pp 121-130
Skin Care Ch 6, pp 118-121
Back Rub/Massage Ch 6, pp 125-126
Peri-Care Ch 6, pp 124-125
Toileting Ch 6, pp 143-147
Hair Care/Shampoo Ch 6, pp 126-128, 133
Mouth Care Ch 6, pp 138-143
Dentures Ch 6, pp 142-143
Natural Teeth Ch 6, pp 138-142
Unconscious Patient Ch 6, pp 140-141
Shave - Electric Ch 6, pp 134-135
AM Care Ch 6, p 117
HS Care Ch 6, p 117
Nail Care/Foot Care Ch 6, pp 130-132
Dressing/Undressing Patient Ch 6, pp 135-138
9. Nutrition
Demonstrate the Abdominal Thrust Ch 2, pp 36-37
Assist Patient with Meals Ch 8, pp 207-210
Measure and Record Food and Fluid Intake Ch 7, pp 182-183
Feed the Patient Ch 8, pp 207-210
10. Elimination
Bathroom Privileges with Assist Ch 6, pp 143-147
A. Catheter Care
Ch 7, pp 186-188
Positioning Bag and Tubing Ch 7, pp 186-188
Peri-Care Ch 6, pp 124-125
Emptying Bag Handout in instructor's guide
Replacing External Male Catheter Ch 7, pp 186-188
Change Bag to Leg Bag or Other Drainage Bag Not Included
Documentation of Output Ch 7, pp 182-183
Decontamination Procedure Ch 6, pp 124-125
Bedpan/Urinal Ch 6, pp 143-145
Bedside Commode Ch 6, pp 146-147
Incontinent Care Ch 6, pp 124-125, 143-147
B. Specimen Collection
Simple Urinalysis Ch 7, pp 184-185
7
Simple Stool Ch 7, pp 185-186
Clean Catch/Mid Stream Ch 7, pp 184-185
Sterile Specimen Ch 2, p 53
C. Enemas
Preparation For Positioning Handout in instructor's guide
Post Enema Care Handout in instructor's guide
Recording of Results Handout in instructor's guide
Enema Administration(if permitted by facility)
Handout in instructor's guide
D. Ostomy Care
Colostomy Ch 4, p 93
Ileostomy Ch 4, p 93
Emptying Ch 4, pp 93-94
Observation and Reporting Ch 4, pp 93-94
Appliance Application(if permitted by facility) Not Included
11. Body Systems
Observe For Changes and/or
Breakdown/Integumentary System
Ch 4, pp 73-74; Ch 6, pp 118-121
A. Musculoskeletal
Warm Compresses Handout in instructor's guide
Warm Soak Handout in instructor's guide
K-Pad Handout in instructor's guide
Ice Bag/Commercial Cold Pack Handout in instructor's guide
Casts/Dressings/Elastic Bandages Ch 7, pp 195-196
Observation and Reporting Ch 4, pp 75-78
B. Neurological System/Mental Illness
Observe For Changes Ch 5, pp 104-116
C. Endocrine System
Urine Testing Ch 7, pp 184-185
Finger Stick Blood Glucose Test Ch 4, p 97
Diabetic Skin Care Ch 4, p 97
Observe for Changes Ch 4, pp 94-97
D. Sensory System
Care of Glasses/Contacts Ch 2, p 26
Care of Hearing Aids Ch 2, pp 25-26
Observe for Changes Ch 4, pp 83-84
E. Cardiovascular System
Application of Antiembolism Stockings Ch 6, pp 137-138
F. Respiratory System
Oxygen Monitoring Ch 7, pp 188-190
Applies Nasal Cannula Not Included
Applies Oxygen Mask Not Included
Maintains Humidifier Bottle Not Included
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Able to Check Oxygen Flow Rate Not Included
Skin Care Ch 7, pp 188-190
Observation for Changes Ch 7, pp 188-190
G. Digestive System
Feeding Patient with Swallowing Difficulties Ch 8, pp 210-212
Bowel Care Ch 4, pp 91-94
Observe for Changes Ch 4, pp 91-94
H. Urinary System
Care of Foley Catheter Ch 7, pp 186-188
Observe for Changes Ch 4, pp 89-91
I. Reproductive System
Observe for Changes Ch 4, pp 97-99
12. Death and Dying
Post Mortem Care Ch 3, p 71
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