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NURA 1001 and NURA 1060: Nurse Aide for Healthcare and Clinical Course Syllabus
INSTRUCTOR INFORMATION Instructors: Jackie McDonald, MSN, RN, Program Director Email: [email protected] Office: HSC251 Vivian Harper, RN Email: [email protected] Trisha Herrick, LVN Email: [email protected] Liela Letourneau, RN Email: [email protected] Elizabeth Peters, LVN Email: [email protected] Office: LH200, Longview Hendrix Building Email Policy: Instructors and students should use KC email for email correspondence. Emails will be checked and replied to during normal business hours (8am-5pm, Monday-Friday) and once on Saturday, except in case of emergency.
COURSE INFORMATION
Course Description This course teaches knowledge, skills, and abilities essential to provide basic patient care to residents in long-term care facilities. Topics include resident rights, communication, safety, observation, reporting, basic comfort, and safety. Emphasis on effective interaction with members of health care team. Successful completion entitles one to test for registration as a certified Nursing Assistant for the state of Texas. Contact Hours: 112 Student must also complete NURA 1060 (clinical component) to be eligible for certification examination.
Mission Statement: This program's instructors believe in the dignity, worth, and rights of all people. As nurses, we further believe that it is the nursing role to promote communities and the
society they form by helping people throughout their lives. To efficiently fulfill their helping role, nurses need informed assistants to provide nursing-related activities. This program offers information necessary for nurse assistants to provide nursing- related activities in a compassionate, competent, caring manner. Nurse's assistants will learn information in a variety of classroom and clinical instructional settings. Once learned, these nursing-related activities will allow the nurse assistant to work with nurses in their role of helping people throughout their life span, during periods of health or illness. . The focus of the Kilgore College Nurse Assistant Program is Geriatrics in the Long-Term Care setting. Student Learning Outcomes Upon successful completion of this course, students will: 1. Be able to discuss basic care of residents in a long-term care facility and perform
tasks according to the Texas Curriculum of Nursing Assistants in Long Term Care.
2. Be able to communicate and interact effectively with residents and their families based on sensitivity to the psychosocial needs.
3. Be able to discuss the rights of the residents.
4. Be able to provide safety and preventive measures in the care of residents.
5. Be able to demonstrate skills in observing and reporting.
6. Be able to assist residents in attaining and maintaining maximum functional independence.
7. Be able to function effectively as a member of the health care team. Course Outline and General Schedule
Day Lecture Chapter Procedural Guidelines Assignment
1
Chapter 1: The Nursing Assistant in Long-Term Care
Workbook: Chapter 1
Texas requirements for nurse aide training and placement on
the Texas Registry
History of the nurse aide Professional Boundaries
Social Media
Day Lecture Chapter Procedural Guidelines Assignment
2
Chapter 2: Foundations of Resident Care
Procedure 1: Fainting and Falls Workbook: Chapter 2
Safe Medical Device Act of 1991
Procedure 2: Seizures Abbreviation Exam
Texas Concealed Handgun Law Procedure 3: Obstructed Airway Define: (a) Microorganisms, (b)
Pathogens, (c) Infections, (d) Medical asepsis, (e) Infection
Procedure 4: Personal Protective Equipment
Scabies Procedure 5: Body Mechanics for Nurse Aides
Interact Stop and Watch Procedure 6: Hand Washing Procedure 7: Isolation Precautions Procedure 8: Communication and
Interpersonal Skills
3
Chapter 3: Understanding Residents
Procedure 38: Postmortem Care Workbook: Chapter 3
HHSC Hotline Discuss how the nurse should respond to other residents’
questions about a dying resident.
Exam 1- Chapters 1-3
4-6
Chapter 4: Body Systems and Related Conditions
Workbook: Chapter 4
Chapter 5: Confusion, Dementia, and Alzheimer's
Disease
Workbook, Chapter 5
Role play behavioral interventions
7-10
Chapter 6: Personal Care Skills Procedure 18: Tub or Shower Bath
Workbook, Chapter 6
Body mechanics and alignment Procedure 19: Complete Bed Bath Elevate head of bed to 45
degree angle Procedure 20: Perineal Care /
Incontinent Care Female
Procedure 21: Perineal Care / Incontinent Care Male
Procedure 23: Brushing the Teeth Procedure 24: Denture Care Procedure 25: Special Mouth Care Procedure 26: Hair Care
Day Lecture Chapter Procedural Guidelines Assignment
7-10
Procedure 27: Shampooing the Hair
Procedure 28: Shaving the Resident
Procedure 29: Fingernail Care Procedure 30: Foot Care Procedure 31: Dressing and
Undressing the Resident
Procedure 32: Applying Knee High Elastic Stockings
Procedure 33: Bedpan Procedure 34: Urinal Procedure 39: Assisting Resident
to Transfer to Chair or Wheelchair
Procedure 40: Ambulation and Ambulation Aids
Procedure 41: Passive Range of Motion Exercises
Procedure 42: Positioning Residents
Procedure 43: Turning Resident on Side Toward You
Procedure 44: Moving Resident in Bed
Procedure 45: Assisting Resident to Sit up on Side of Bed
Exam 2- Chapters 4-6 Chapter 7: Basic Nursing Skills Procedure 11: Making the
Unoccupied Bed Workbook, Chapter 7
11-12
Alternatives to use of side rails Procedure 12: Making the Occupied Bed
Restraint application Procedure 13: Intake and Output Pacemakers Procedure 14: Temperature
Procedure 15: Manual Pulse and Respiration
Procedure 16: Blood Pressure Procedure 17: Height and Weight Procedure 22: Catheter Care Procedure 35: Indwelling Catheter
Care
Day Lecture Chapter Procedural Guidelines Assignment
11-12
Procedure 36: Urine Specimen Collection
Procedure 37: Stool Specimen Collection
13
Chapter 8: Nutrition and Hydration
Procedure 9: Assisting with Meals
Workbook, Chapter 8
Procedure 10: Feeding the Dependent Resident
14
Chapter 9: Rehabilitation and Restorative Care
Workbook, Chapter 9
The Minimum Data Set (MDS)
Reimbursement
Exam 3- Chapters 7-9 Chapter 10: Caring for Yourself Workbook, Chapter 10
Completing an application Application Creating a resume Resume
Comprehensive Final Exam 15-22
Clinical Days- M-Th x 8 days ADL sheets
23 Skills Exams - Certificates
EDUCATIONAL MATERIALS AND RESOURCES
Textbook Information: Title: Hartman’s Nursing Assistant Care: The Basics Author: Jetta Fuzy Edition: 5th Edition, © 2019 by Hartman Publishing, Inc. ISBN: 978-1-60423-100-5 Title: Workbook: Hartman’s Nursing Assistant Care: The Basics Author: Hartman Publishing, Inc. Edition: 5th Edition, © 2019 by Hartman Publishing, Inc. ISBN: 978-1-60425-101-2 Supplemental Materials: • Nurse Assistant Course Syllabus • Texas Nurse Aide Candidate Handbook, 2018 edition • Procedural Guidelines
Additional Supplies: • Gait belt/transfer belt
• Stethoscope • Sphygmomanometer • White uniform, any professional white nursing uniform • Royal blue apron, available Scrubs Galore N More at 815 N. 4th St. in
Longview • Watch with second hand • White closed toe shoes with nonslip soles
EVALUATION/GRADING PROCEDURES Grade Calculation
Grade Category Grade Category Description Abbreviation Exam Medical abbreviation exam given during second class
meeting. A minimum score of 75% is required. Workbook assignments
An average of 80% is required for each workbook lesson assigned.
Chapter/Unit Exams
An average of 80% is required for each chapter or unit exam assigned. Each exam must be passed with a minimum score of 75%.
Final Exam The final exam is comprehensive and covers material from the entire course. A minimum score of 80% is required.
Skills Clinical skills will be demonstrated and checked off on a TDHS Skills Checklist and will be rated: Satisfactory (S) or Unsatisfactory (U). The TDHS requires that students satisfactorily complete all skills. Students who cannot do this cannot complete the program. A student’s class average has no bearing on clinical performance.
Grade Scale Letter Grade Definition
S
Satisfactory- Minimum of 75% on the abbreviation exam, 80% on the final exam, an average of 80% on all other assignments, and
satisfactory performance of clinical skills.
U
Unsatisfactory- Failure to attain minimum assignment scores, poor performance on clinical skills, failure to maintain required
attendance, failure to adhere to classroom and clinical policies.
EVALUATION OF INSTRUCTOR Each semester students will be given an opportunity to evaluate the instructor and the course. Approved evaluation forms are provided by the Office of Institutional Research, which is also responsible for their analysis
CAMPUS & CLASSROOM POLICIES
Disclaimer As instructor, I reserve the right to amend and/or modify this syllabus as necessary to promote the best education possible within prevailing conditions affecting this course. CLASSROOM POLICIES
Facilities: Classroom: LH 112 and Lab LH 302
Professional Conduct: 1. Conduct in classroom:
a. Food or uncapped drinks are not permitted in the classrooms. Exceptions would be hard candy, mints, gum.
b. Students should conduct themselves in a quiet, orderly manner in the hallways and on break in consideration of other students in class.
c. Raise your hand if you have a question. The instructor will acknowledge your hand up during an appropriate pause in the lecture/lab.
d. Please be courteous to your classmates and instructor. Do not interrupt or talk to each other during class/lecture.
e. Use the restroom during your breaks given in class.
f. Do not put your head down or fall asleep in the class
g. Do not do homework during class
h. Breaks are assigned at the discretion of the instructor
CLINICAL POLICIES
Facilities: Clinical Sites: Autumn Leaves- Henderson Buckner Westminster Place- Longview
Professional Conduct: 1. Students are expected to treat patients with kindness, courtesy, and respect.
When contact with the patient is initiated, students will introduce themselves and try to initiate rapport. When providing care, the student should keep the door closed and make sure that patient privacy and modesty is properly respected.
2. Professional behavior is not limited to contact with patients. It is reflected in the student’s attitude and in communication with facility staff, family members, and other students.
3. Smoking, eating, drinking, or chewing gum is permitted only in designated areas as specified by the clinical facility. Many clinical affiliates enforce a smoke free campus.
4. Students will not leave assigned area at any time without permission.
5. Students will not remain at the clinical facility after scheduled clinical hours.
6. When not actively engaged in nurse aide work or other duties, students should remain in their assigned area and not congregate in offices, halls, or other rooms.
7. Telephone calls and visitors: Kilgore College, Longview (903) 753-2642. Students are not to use the telephones in the offices at the Longview Center. Only EMERGENCY calls will be taken at the Longview Center or in clinical areas. No Personal Calls Allowed. Tell your family, day care personnel, etc. not to call except in an emergency (notify person taking the call that this is an .emergency or urgent.) In the event that someone must reach you in a clinical area, he or she must page the Nursing Assistant Instructor and she will relay the message to you. Students are not to use the facility or patient phones at any time
8. Cell phones and personal electronic devices of any kind are STRICTLY prohibited from use in patient care areas due to concern of the potential for breach of HIPAA regulations. CELL PHONES MAY NOT BE CARRIED BY STUDENTS IN THE CLINICAL SETTING.
9. Breaks: Clinical: Assigned by the Instructor. Fifteen (15) minute break begins when you leave the unit and ends at your return. Students may not leave assigned unit without permission from the instructor. Students may not return to their car during the 15-minute break.
10. Online activity in the clinical setting is strictly prohibited. Personal computers and/or tablets are not allowed in the clinical setting.
11. Employment- If the student is employed, he or she must remain in the class or assigned area until dismissed by the Instructor before going to work. The
uniform, apron, and name pin of Kilgore College shall be worn only while participating in student program.
12. Gifts- Students will not accept gifts or money from patients or family members. Students should not give gifts or money to patients or family members.
Routine Duties: 1. Students are assigned to clinical work areas and rotations by the Program
Director, Clinical Coordinator, or Clinical Instructor.
2. Students will be responsible for:
a. Providing baths to assigned patients, if it is the patient’s scheduled bath day.
b. Performing ADL (activities of daily living) care for assigned patients.
c. Assisting facility staff with passing of meals during clinical hours.
d. Keeping assigned areas neat and clean.
e. Providing for privacy for the patient during care.
f. Maintaining professional attitude.
3. Students ABSOLUTELY MUST NOT leave assigned areas for break, lunch, or at the end of the day until all work assigned to the student has been completed or the student is relieved. Immediately upon return from break or lunch the student will report to the licensed nurse or Clinical Instructor in charge of the assigned area.
Dress Code (Classroom and Clinical): White uniform and royal blue apron, college name badge, white shoes. Clean, neatly ironed white uniform is required. If a dress is utilized, the length of the uniform must be at least two (2) inches below the knee. Male students must wear white tunic (scrubs), white slacks, white socks, and white shoes. The designated royal blue apron for students must be worn over the uniform while on the units or giving patient care. Aprons are purchased at the bookstore or Scrubs Galore ‘N’ More 815 North 4th Street 903-757-3600. Clean, white shoes with non-slip soles (at least 75% of shoe must be white) and white shoelaces and white ankle socks. Shoes should be a standard duty shoe- no open toes or sandals. No crocs or similar shoes with holes. Back of shoe should cover back of heel. Hem of pants may not touch floor. Kilgore College name badges must be worn on the left upper apron.
Good grooming includes daily bath with the use of an antiperspirant or deodorant. Perspiration and odor increase with physical activity, nervousness, and excitement. Good oral hygiene includes regular tooth brushing and use of mouthwash. An
unclean mouth is offensive and serious diseases may originate with infections of the mouth and teeth. Many people have fragrance sensitivities, so cologne and aftershave is not allowed on clinical days.
Jewelry may consist of one small post earring in each ear and a plain wedding band. No facial jewelry may be worn.
Fingernails must be clean, trimmed to the end of your finger, and have rounded edges. Artificial nails and colored nail polish will not be permitted.
The hair (men and women) must be kept clean, neat, and off the collar and professional in appearance. No long, dangling, or loose ponytails, no hairpieces allowed. Hair that falls forward around the face must be secured behind ears with pins or barrettes or headband. Male students: facial hair shall be shaved clean daily. Bears and moustaches are allowed if kept neatly trimmed.
A watch with second hand and pen with black ink are required. No digital watches allowed. A small pocket sized notebook is helpful for recording assignments and clinical observations.
The student will be sent home if his or her appearance or hygiene is not acceptable. The student will be marked absent for the entire clinical day.
Attendance Kilgore College expects punctuality and regular class attendance. An absence is defined as a student's not being in class for any reason. Students who are absent may miss important instruction, discussion, assignments and deadlines. Students are expected to communicate with instructors regarding their absences. Some workforce programs may have specific attendance requirements due to applicable external requirements and/or competencies; therefore, students in workforce programs should check with their instructor regarding the specific number of absences allowed. Students may be dropped for non attendance per Federal Financial Aid requirements.
Program/Course Specific Attendance Policy For this course, in order to meet state and federal guidelines, Students must be on time for all class and clinical assignments. Being absent or late for class will result in dismissal from the program.
Policy on Make Up and Late Work: For missed work or exams due to an absence because of a Kilgore College event, arrangements with the instructor need to be made beforehand, before the assignment due date or exam date, and need to be accompanied by an official Kilgore College communication designating the student’s required participation in the activity.
Communication Policy Per Kilgore College Policy, your instructor will email you only through your official college email. Students are also encouraged to use this email for college business, and it should be regularly checked. Emails will be answered within 24 hours during the week and will be checked once on the weekend. Grades and feedback will be available in a timely fashion: no more than 7 days for regular assignments and 14 days for larger work.
Statement on Civility in the Classroom Students are expected to assist in maintaining an environment that is conducive to learning. Inappropriate or distractive behavior is prohibited in order to assure that everyone has an opportunity to gain from time spent in the course. Should a disruptive incident occur, the faculty member in charge may remove the student. Students have the right to appeal through the student complaint process, described below.
Additional Criteria for Dismissal: The Director may dismiss a student who has shown evidence of any of the following behavior while in the classroom or clinical areas:
• Major incidents of unsafe performance in clinical area as determined by the instructor, nursing staff, and written clinical evaluations. For example, leaving a resident unattended in the shower or bath, refusing to follow instructor direction, transferring a patient without proper assistance.
• Breach of confidentiality, unethical discussion of patient diagnosis and care, defamation of physicians, nurses, or staff, (including the use of abusive, profane language).
• Chemical impairment rendering nurse aide unable to perform activities as directed.
• Stealing money, food, or any other item from a classmate, resident, or other .person.
• Academic dishonesty
• Possession of a weapon.
• Uncontrolled, violent behavior requiring intervention.
• Insolence or insubordination toward school policies or staffing affiliating agencies.
• Intentional damage to school, clinical, or private property.
• Failure or inability to safely perform nursing related activities according to commonly accepted education and nursing standards
• Abuse, threatening to abuse others, profanity, or persistent disruptive behavior in class.
• Sexual Harassment
o Sexual Harassment is an exploitative abuse of power which violates college policy; sanctions will be taken against persons found guilty of engaging in such behavior, which is specifically prohibited by both federal law (Title VII, Civil Rights Act of 1964), State Law (Texas Commission on Human Rights Act and Title IX of the Educational Amendment of 1972) and the Texas Penal Code (Section 39.02).
• Failure to practice ethical care. Examples, leaving clinical area without instructor knowledge from instructor, failure to report an incident or resident injury to appropriate nursing personnel and instructor; misuse of resident personal property.
READMISSION • A student who is dismissed for absenteeism or inadequate grades will be eligible
for re-entrance to another scheduled program. • The TDHS requires that a student be present for the complete program in order
to meet their requirements. Therefore a student needs to be present all scheduled days. If not, student will be dropped from the program.
• Any student dismissed for any reasons listed under the section "Additional Criteria for Dismissal" is not eligible for re-entrance
Student Grievance/Student Complaints Kilgore College is committed to resolving student concerns or complaints in the most expeditious and informal manner possible. For situations that cannot be resolved in an informal manner, students have the right to submit a written complaint. For more information or to file a formal complaint, visit Complaint Form.
Academic Honesty Statement Academic dishonesty is a violation of the Kilgore College Student Rights, Responsibilities and Code of Conduct Policy (available at https://www.kilgore.edu/about/human-resources/policy-and-procedures#stu-rights-policy2). Sanctions for violating the Code of Conduct are outlined in the policy.
Withdrawal Policy Student-Initiated Drop is an official action whereby a student informs the Office of Admission and Registrar that the student will cease attending a class in which he or she is enrolled while remaining in at least one other course. After the Financial Aid
Attendance Verification Deadline, a student must follow the course withdrawal process and complete the official Course Withdrawal Request Form. Withdrawing from the college is an official action whereby a student informs the Counseling Center and the Office of Admissions and Registrar that the student will cease attending all classes in which he or she enrolled. The full procedure for withdrawal is available in the student catalog (http://catalog.kilgore.edu/content.php?catoid=2&navoid=45#course-and-enrollment-withdrawal).
Kilgore College Campus Carry Policy (effective August 1, 2017) We respect the right and privacy of those who are duly licensed to carry concealed weapons in this class. License holders are expected to behave responsibly and keep a handgun secure and concealed. Open carry is not allowed. More information is available at Concealed Carry. ADA Statement Kilgore College is committed to making reasonable accommodations to assist individuals with disabilities in reaching their academic potential. If you choose to request accommodations for a documented disability which may impact your performance, attendance, or grades in this course, you must first register with the Office of Disability Services. Please note that classroom accommodations cannot be provided prior to your instructor’s receipt of an accommodation letter from the Office of Disability Services. For more information about accommodations, please contact the Disability Services office on the second floor of the Devall Student Center: (903) 983-8206
Alternative Operations During Campus Closure/Emergency In the event of an emergency and/or campus closure due to a natural disaster or health crisis, Kilgore College may alter its regular operations. To minimize the disruption of teaching and learning, the College may continue to deliver instruction via one or more of the following modes: online learning, remote learning with video conferencing using its Learning Management System Blackboard, email messaging, and/or other means of communication with students. The College may also implement an adjusted class schedule. Students are responsible for monitoring the Kilgore College website (www.kilgore.edu), their Kilgore College email account, and Blackboard for information related to each of their courses and to Kilgore College.
An adjusted delivery mode or class schedule does not entitle students to either a full or partial refund of their tuition and fees for the semester. In the event that students are not able to complete all of the requirements of a course by the end of the term/semester, Kilgore College will make reasonable provisions for students to complete the course requirements within a designated amount of time.
DUTY TO REPORT DISQUALIFYING HISTORY Nurse Assistant Program
As part of the admission requirements for the Nurse Assistant Program, students consent to an initial criminal history screening as required by the Kilgore College Health Science Programs Criminal Background Check Policy. As is further stipulated by the same policy, students are bound by the duty to report to the Nurse Assistant Program Director any disqualifying history that occurs subsequent to admission to the program. Upon reporting a disqualifying history subsequent to the initial criminal history screening, students will not be allowed to continue in the Nurse Assistant Program and will be required to withdraw from all NURA courses. If it is discovered that a student has failed to comply with the duty to report a disqualifying history after admission to the program, he/she will not be allowed to continue in the program and will be required to withdraw from all NURA courses.
KILGORE COLLEGE HEALTH SCIENCE PROGRAMS DRUG SCREEN POLICY
Applicability This Policy applies to all accepted applicants and currently enrolled students in an educational program in any Kilgore College Health Science Program. These students will be required to undergo and pass drug screen testing. Rationale Safety and Well Being of Patients. Health care providers are entrusted with the health, safety and welfare of patients; have access to drugs or controlled substances; and operate in settings that require the exercise of good judgment and ethical behavior. Accreditation Standards. Competency extends beyond technical skills to an individual’s substance abuse history. Clinical facilities are increasingly interpreting standards by accreditation agencies, such as Joint Commission of Accreditation of Healthcare Organizations (JCAHO) to require drug screening for security purposes on individuals who provide services within the facility and especially those who supervise care and render treatment including controlled substances. To facilitate this requirement, educational institutions have agreed to conduct drug screening for students who participate in programs of facilities having such requirements. Contractual Obligations. The Health Science Departments and Kilgore College are obligated to meet the contractual requirements contained in affiliation agreements between Kilgore College and various healthcare facilities. Licensure Issues. Many healthcare licensing agencies require individuals to pass a drug screening panel as a condition of licensure, certification or employment. Therefore, it is to the benefit of all to identify and resolve these issues, prior to a commitment of resources by the College or the student. Liability Issues. Both institutions of higher education and healthcare facilities are mindful of those factors that may adversely affect the security or safety of the clinical environment and thus increase their liability exposure. As a result, schools and healthcare facilities have appropriately sought to enhance their scrutiny of professional and non-professional students involved in patient care activities. Testing Requirements All accepted applicants to any Kilgore College Health Science Program must consent to, allow to be conducted and have results from an initial drug test submitted to the Kilgore College Health Science Program prior to enrollment. In addition, enrolled students may be required by an affiliated healthcare facility to submit to a drug screen before participating in a clinical program at the institution. Further, a drug screen may be required if the student is cited for “unsafe clinical practice” as defined by Kilgore College policy. A citation for “unsafe clinical practice” can be issued at any time during a student’s participation.
Drug Screening Kilgore College will select a company that follows the guidelines established by the Substance Abuse and Mental Health Services Administration (SAMHSA) to collect and test the specimens. Kilgore College will not accept drug screening results from any company other than the one designated by the College. The student will pay the cost of the drug screening at the time of testing. The accepted applicant will be responsible for contacting the designated vendor within the designated time frame, paying for expenses of the drug screen, and for insuring that results of the drug screen will be forwarded directly to the College from the vendor. Drug screening results should be sent to the applicable Program Director. For enrolled students required by a healthcare facility to submit to a drug screening test prior to a clinical experience, the College will inform the student in advance if the clinical experience will require a drug screen test. The student will be responsible for contacting the designated vendor, paying for expenses of the drug screen if required, and for insuring that results of the drug screen is forwarded directly to the healthcare facility. Failure to either request a drug screen or have the results sent in a timely manner may result in the student’s not being allowed to start a specific clinical experience or program. Students who refuse to submit to the required drug screen or who do not pass the drug screen may be dismissed from the program. Failure to cooperate or refusal to take part in any drug test stemming from a citation for “unsafe clinical practice” will result in the student losing the opportunity to remain in the applicable program. Falsification of application materials, including tampering with drug specimens or test results, is grounds for denial to or suspension from the Kilgore College Health Science Program or clinical experience. Test Results If the test is positive for an eligible substance, the student has the right to review the information reported by the designated vendor for accuracy and completeness and to request that the designated vendor verify that the results of the drug screen provided are correct. If a student produces such verification, and in the opinion of the testing facility, a medication legally prescribed to the student accounts for the positive test result, no retest shall be required, and the student shall be treated as if he or she had provided a negative test sample. If the medications do not account for the positive result, in the sole and conclusive opinion of the testing facility, the student shall be denied admittance to or subject to suspension from the Kilgore College Health Science Program or clinical experience. The student will be required to withdraw passing from all courses. Appeal Process A student testing positive will have an opportunity to request, in writing, a second test, using the second specimen bottle originally obtained, within seventy-two hours from notification of the initial test results. If the results of the retest are negative, the student
will remain eligible to participate in the Kilgore College Health Science Program or clinical experience, subject to any contractual limitations or requirements.
KILGORE COLLEGE HEALTH SCIENCE PROGRAMS CRIMINAL BACKGROUND CHECK
1. Applicability
A. All applicants accepted to any Kilgore College Health Science Program (“the Program”) will be required to submit to and satisfactorily complete a criminal background check (“CBC”) from an approved vendor at their own expense as a condition to matriculate into the Program. Students who refuse to submit to a CBC may be denied admission or dismissed from the Program. Currently enrolled students in the Program may be required to submit to and satisfactorily complete an additional CBC at their own expense prior to participating in clinical or practical experiences.
B. Students enrolled in the Program shall self-disclose to the Director of the appropriate Program criminal history record information NO later than five (5) business days following the charge of any crime. Failure to disclose information that is subsequently found on a background check may result in dismissal from the Program. Criminal activity, including an arrest, that occurs while a student is enrolled in the Program may result in disciplinary action, including dismissal, and will be addressed according the academic policies of Kilgore College.
C. Background check reports will be kept in a confidential file located in the office
of the applicable Program Director, not in the student’s academic file. Access to these reports is not bound by the Family Educational Rights and Privacy Act (FERPA) requirements. The information contained in this file is NOT subject to release to other College officials and affiliated clinical agencies and may only be accessed by the Directors.
D. A student who has a break in his/her enrollment is required to complete a new
background check. A break in enrollment is defined as non-enrollment of at least one semester. An officially approved leave of absence is also considered a break in enrollment.
2. Rationale
A. Health care providers are entrusted with the health, safety and welfare of patients; have access to drugs or controlled substances; operate in settings that require the exercise of god judgment and ethical behavior.
B. Competency extends beyond technical skills to an individual’s substance abuse history. Clinical facilities are increasingly interpreting standards by accreditation agencies, such as Joint Commission of Accreditation of Healthcare Organizations (JCAHO) to require CBC for security purposes on individuals who
provide services within the facility and especially those who supervise care and render treatment including controlled substances. To facilitate this requirement, educational institutions have agreed to conduct a CBC for students who participate in programs of facilities having such requirements.
C. The Health Science Departments and Kilgore College are obligated to meet the
contractual requirements contained in affiliation agreements between Kilgore College and various healthcare facilities.
D. Many healthcare licensing agencies require individuals to pass a CBC as a
condition of licensure, certification or employment. Therefore, it is to the benefit of all to identify and resolve these issues, prior to a commitment of resources by the College or the student.
E. Both institutions of higher education and healthcare facilities are mindful of
those factors that may adversely affect the security or safety of the clinical environment and thus increase their liability exposure. As a result, schools and healthcare facilities have appropriately sought to enhance their scrutiny of professional and non-professional students involved in patient care activities.
3. CBC
A. The CBC will cover at least the seven (7) years preceding the date of the respective student’s application. Further, the CBC will cover cities and counties in Texas and Louisiana, as well as any state where the applicant has resided in the seven (7) years preceding the date of application. The student must consent to the initial criminal history screening in writing and must agree in writing to be bound by the duty to self-report disqualifying history that occurs subsequent to admission to the program.
B. Kilgore College will designate a company to conduct the CBC. Results from any company other than the one designated by the College will not be accepted. The applicant will be responsible for timely contacting the designated company and comply with its instructions for obtaining a background check. Additionally, each student or applicant must complete the required release so that the College will receive a copy of results of the CBC directly from the approved company. Students and accepted applicants are responsible for paying any and all fees charged by the designated company for the CBC service and for providing a copy of the results directly to the College. For the College, results should be sent to the appropriate Program Director.
C. For enrolled students required by a healthcare facility to submit to a CBC prior
to a clinical experience, the College will inform the student in advance if the clinical experience will require a CBC. If an additional CBC is required by the affiliated facility, the student will be responsible for contacting the designated vendor, paying for expenses of the CBC if required, and for insuring that the
results of the CBC are forwarded directly to the College. D. Falsification of application materials, including tampering with criminal history
screening results, is grounds for denial to admittance to the Kilgore College Health Science Program.
4. Test Results
A. If the CBC screen contains a disqualifying history, the prospective student will be immediately notified. The applicant or student will have five (5) business day from the date notification is provided, to contact the vendor to verify that that the background information provided is correct. The applicant or student will have seven (7) business days from the date of notification to request review by the Director and submit additional information (such as court documents and police records) at the student’s expense or to present other evidence that the adverse finding of a disqualifying history is in error. Any evidence that the student wishes to be considered must be included. In cases other than obvious error in the CBC, the applicable Director shall not make a determination whether the student should be excluded from admission or dismissal from enrollment as a student in the Program, pending review as provided in Subparagraph (C), below.
B. In the event of a report of an adverse finding, the College will inform the student or applicant of his/her rights and how to contact the designated vendor to challenge the accuracy of the report.
C. Any report of a positive criminal history, other than a minor traffic offense, will
be referred to the licensing or certifying body governing the applicable discipline. If the board or certifying body approves, in writing, the student for either licensure or certification OR approves continuation of a course of study leading to licensure or certification, the student will be eligible for admission or re-admission in the Program.
D. An “adverse finding” or “positive criminal history” means a finding of a
conviction, guilty plea, and plea of nolo contendre or a probated sentence for any felony or misdemeanor, other than a minor traffic offense.
DUTY TO REPORT DISQUALIFYING HISTORY Nursing Assistant Program
As part of the admission requirements for the Nurse Assistant Program, I consented to an initial criminal history screening as required by the Kilgore College Health Science Programs Criminal Background Check Policy. As is further stipulated by the same policy, I agree to be bound by the duty to report to the Nurse Assistant Program Director any possible disqualifying history that occurs subsequent to my initial background screening and/or admission to the program within five business days of the charge of any crime. I understand that after confirmation of a disqualifying history subsequent to the initial criminal history screening has occurred, I will not be allowed to continue in the Nurse Assistant Program and will be required to withdraw from the course. If it is discovered that I fail to comply with the duty to report a disqualifying history after admission to the program, I will not be allowed to continue in the program and will be required to withdraw from the course. I, the undersigned, understand my duty to report a disqualifying history after admission to the program. Further, I understand the consequences of attaining a disqualifying history while in the program and also the consequences of failing to report a disqualifying history. ___________________________________________ ____________________ Signature Date I received a copy of the Kilgore College Health Science Programs Criminal Background Check and Drug Screen Policies. _______ Initials Confirming receipt of copies
Nursing Assistant Program
Student Information Sheet for Clinical Instructor Files
Date: Student Name: Social Security Number (for HHSC employability check):
Address: Place of Employment/School:
Cell Phone:
Email (personal): In Case of Emergency Notify:
Emergency Contact’s Phone:
Allergies:
Other Applicable Information:
Texas State Competency Testing for Certification The Nursing Home Reform Act, adopted by Congress as part of the Omnibus Budget Reconciliation Act of 1987 (OBRA ’87), was designed to improve the quality of care in long-term health care facilities and to define training and evaluation standards for nurse aides who work in such facilities. Each state is responsible for following the terms of this federal law. The Texas Health and Human Services Commission (HHSC) has contracted with Prometric, a nationally recognized leading provider of assessment services to regulatory agencies and national associations. Prometric will develop, score and report the results of the Nurse Aide Examination required for certification and placement on the Texas Nurse Aide Registry. The nurse aide certification examination is an evaluation of nurse aide-related knowledge, skills, and abilities. The examination is made up of both a Written (or Oral) Examination and a Skills Evaluation. The purpose of the examination is to test that you understand and can safely perform the job of an entry-level nurse aide. Information about the examination can be found on the Prometric website: https://www.prometric.com/nurseaide/tx The candidate information bulletin can be found here: https://www.prometric.com/sites/default/files/2020-09/TXCNA%20CIB%20-%20090120.pdf
Kilgore College Nurse Assistant Disclaimer
1. I understand that the completion of the Kilgore College Nurse Aide class will not assure my passing the nurse aide certification examination and I agree that Kilgore College will not be liable in the event of my failure.
2. I understand that nursing is a hazardous profession and that I may be exposed to communicable diseases during the course of this class. I agree that Kilgore College will not be liable in the event I am exposed to a contagious disease.
3. I understand each student is responsible for carrying his or her own medical insurance and treatment for any disease contracted will be the student’s responsibility.
4. I understand that attendance and passing my exams are necessary for remaining in the Nurse Aide class. If I fail an exam or miss class, I will be dropped from the Nurse Aide class.
Confidentiality I understand that personal information concerning a resident’s condition may NEVER be discussed either inside or outside the facility and may NEVER be released without proper authorization. I further understand that release of confidential information either about a resident or the facility is not only a breach of ethics, but nay also involve legal proceedings and dismissal from the program. ______________________________________ ____________________________ Signature of Student Date
Kilgore College Nurse Assistant Class
Policy for Electronic Devices and Social Networking Sites (i.e. Facebook, Twitter, Instagram)
Students in the Nurse Assistant Class at Kilgore College are expected to maintain professional standards expected of a member of the nursing care team. This includes not only preserving patient confidentiality {HIPPA) from the clinical sites, but also confidentiality for the nurse assistant class, faculty, staff, and classmates. . The following guidelines are to be followed. Failure to do so may result in disciplinary action, reporting student to the police and/or dismissal from the program:
• Do not "friend" your instructors-they have been advised against this • Do not post photos from clinical sites, especially not of patients • Do not post pictures of yourself in the Kilgore College clinical uniform or at any
clinical site • Do not post any written references to your clinical rotation, facility, patient, or
their room numbers • Do not post photos of other students, faculty or staff without their permission • Do not post threats or derogatory remarks about anyone associated with the
nurse assistant class which includes classmates, faculty, staff or administration • Do not use cell phones in the classroom/ lab or en route to or from classroom/lab
unless on break -if discovered they will be taken up for the remain der of the class
• Cell phones are forbidden at the clinical sites- if discovered on the student the instructor may dismiss the student from clinical (the students will lose their clinical hours for the day/evening)
• Students must obtain permission from instructor to utilize tablets or laptops in class-
• discovered abuse of this privilege will result in student being banned from future use of the electronic device
My signature acknowledges that I am aware of the policies for electronic devices and social networking and the resultant disciplinary action if the policy is broken. ___________________________________________ _______________________ Student Signature Date
OBRA nurse aide training regulations include:
1. The facility must assure that nurse aides complete an approved Nurse Aide Training and Competency Evaluation Program (NATCEP) and be placed on the Nurse Aide Registry within 4 months of their date of hire by the facility.
a. The first 16 hours of training must be completed prior to any direct contact with a resident.
b. After the first 16 hours, nurse aides can perform only those skills for which they have been trained and found to be proficient by the instructor.
2. An approved Nurse Aide Training Program must be at least 100 clock hours in
length (including 60 classroom and 40 clinical training hours). The nurse aide must pass the training program to be eligible to take the state test.
3. The state test (CEP) includes: a. A written or oral exam. b. A skills test consisting of 5 randomly selected skills.
4. The nurse aide must pass the skills and written test before being placed on the
registry. The nurse aide has 3 opportunities to pass each test and must meet competency within two years of his or her training completion date.
Texas State CNA Registry Requirements
• Each individual listed on the registry must keep the department informed of his or
her current address and telephone number.
• Nurse aide certification expires 24 months after being entered into the registry. Nurse aides must submit verification of paid employment prior to the expiration date to continue certification.
• Nurse aides renewing certification after September 1, 2013 must complete 24 hours of in-service education every two years.
• HHSC does not recertify nurse aides that are listed on the Employee Misconduct Registry (EMR) or have been convicted of a criminal offense listed in Texas Health and Safety Code, §250.006.
• A finding of abuse, neglect or misappropriation of resident property may be entered into the registry. If a finding is entered, the nurse aide will not be employable as a nurse aide in LTC facilities.
• See Appendix D: Texas Administrative Code, Title 40, Part I, Section 94.10and Section 94.11.
Safe Medical Devices Act of 1990 (SMDA) Texas Nurse Aide Curriculum calls it Safe Medical Devices Act of 1991- it requires that the Food and Drug Administration (FDA) be notified of any death or serious injury caused by any type of medical device The Safe Medical Devices Act of 1990 requires user facilities (e.g. hospitals, nursing homes) to report suspected medical device-related deaths to both the FDA and the manufacturers. Medical device-related serious injuries must be reported to the manufacturer. However, if the medical device manufacturer is unknown, the serious injury is reported by the facility to the FDA. Laboratory personnel should familiarize themselves with their institution's procedures for reporting adverse events to the FDA. Medical devices that are included in this reporting requirement (if they may have caused serious injury to a patient or patient death) are laboratory instruments, reagents, or devices used during phlebotomy procedures. If it appears that a device has caused injury, it is important that the device and packaging be saved and any serial or lot numbers noted. An incident report should be completed within 24 hours. The incident report must then be handled by the institution's Risk Management Department, who will file the necessary reports.
Ombudsman Program
Residents Do You Have a Problem? Texas Department on Aging’s Office of the State Long-Term Care Ombudsman The Texas Department on Aging's Office of the State Long-Term Care Ombudsman Program is concerned about the quality of life for all residents of long-term care facilities. Your local area agency on aging has staff and specially trained volunteers available to help you. If you should have a problem, we encourage you to discuss your concerns with the nursing home staff. If you need assistance, we will work with you, the staff, or the appropriate agency to resolve your complaint. This service is available to any resident, family, friend, or staff member on behalf of a resident. Texas Department of Aging, Austin State Ombudsman: 1-800-252-2412 Texas Department of Human Services, Austin Nursing Home Complaint: 1-800-458-9858 Adult Protective Services: 1-800-252-5400
Bed Position Angles
THE TEXAS CONCEALED HANDGUN LAW Prohibits carrying a concealed weapon in a hospital, nursing home or other health care facility. GC §411.204. NOTICE REQUIRED ON CERTAIN PREMISES. (a) A business that has a permit or license issued under Chapter 25, 28, 32, 69, or 74, Alcoholic Beverage Code, and that derives 51 percent or more of its income from the sale of alcoholic beverages for on-premises consumption as determined by the Texas Alcoholic Beverage Commission under Section 104.06, Alcoholic Beverage Code, shall prominently display at each entrance to the business premises a sign that complies with the requirements of Subsection (c). (b) A hospital licensed under Chapter 241, Health and Safety Code, or a nursing home licensed under Chapter 242, Health and Safety Code, shall prominently display at each entrance to the hospital or nursing home, as appropriate, a sign that complies with the requirements of Subsection (c) other than the requirement that the sign include on its face the number “51”. (c) The sign required under Subsections (a) and (b) must give notice in both English and Spanish that it is unlawful for a person licensed under this subchapter to carry a handgun on the premises. The sign must appear in contrasting colors with block letters at least one inch in height and must include on its face the number “51” printed in solid red at least five inches in height. The sign shall be displayed in a conspicuous manner clearly visible to the public. (d) A business that has a permit or license issued under the Alcoholic Beverage Code and that is not required to display a sign under this section may be required to display a sign under Section 11.041 or 61.11, Alcoholic Beverage Code. (e) This section does not apply to a business that has a food and beverage certificate issued under the Alcoholic Beverage Code. --- Last amended by Acts 1999, 76th Leg., Ch. 62, Sec. 9.16(a), eff. Sept. 1, 1999; Acts 1999, 76th Leg., Ch. 523, Sec. 1, eff. June 18, 1999.
Legal Issues Graduation from a state-approved basic nurse aide training course with state certification does not qualify the CNA to do the following
1. Give medication 2. Change dressings 3. Insert, remove, or irrigate catheters 4. Give tube feedings, turn feeding tubes off or on, or silence alarms 5. Do fingersticks or draw blood 6. Give enemas or remove impactions 7. Suction 8. Tracheostomy care 9. Insert or remove NG tubes 10. Remove stitches 11. Turn oxygen off/on or adjust rate of flow 12. Apply ointment to broken skin
Do not perform any tasks that are not in your syllabus unless you get formal documented training and facility policy says you may perform the task. What you can say if the nurse asks you to do something you are not trained to do: “I do not feel comfortable doing that, but I would be glad to help you another way.”
I verify that a Kilgore College Nurse Aide instructor provided me with a copy of the above information regarding the requirement of 24 hours of in-service education every two years to renew active status on the Nurse Aide Registry (NAR). _________________________________________ __________________________ Student Signature Date
Date: _____________________________
To: Whom it May Concern
From: _____________________________ Instructor Nurse Assistant Course
Subject: 16 Hour Verification
Student Name: _____________________________________
The above named student has completed the 16 hours of classroom instruction and designated activities which are required by OBRA prior to direct patient care. The student must continue to be enrolled in a Nurse Aide Training Course and complete training in order to proceed with resident contact. Student scheduled to graduate on _______________________________________.
__________________________________ Instructor-Nurse Assistant Course
KILGORE COLLEGE NURSE ASSISTANT PROGRAM
STATEMENT OF UNDERSTANDING OF CLINICAL POLICIES Your education should be a rewarding experience leading to a satisfying and challenging career. Specific policies have been developed to foster your educational growth and workplace preparedness. These are meant to help you make responsible decisions. If at any time you feel uncertain about program expectations, contact the Program Director or Instructor for clarification. By signing below, you are verifying the following: 1. I understand all information regarding a patient or former patient is confidential and is to
be used only for educational purposes in non-patient instructional settings. 2. I understand that I am a guest in the affiliate clinical sites, and I will conduct myself
accordingly. All known rules and regulations will be followed. When in doubt, I will contact my Clinical Instructor, Clinical Coordinator, or Program Director for clarification.
3. I understand that although students assigned at the various clinical affiliates may have
different experiences, all students are expected to meet the same clinical requirements. 4. I understand that placement of students at clinical affiliate site is a privilege. Preference
of assigned clinical sites is not accepted since it is not possible to grant all requests due to limited availability of space.
5. I understand that I may not function independently as a Nurse Assistant. The Clinical
Instructor will determine appropriate supervision consistent with accrediting guidelines. 6. I have reviewed the Kilgore College Nurse Assistant Syllabus, and I agree to abide
by the statements above and published herein. I understand that failure to meet any program expectation may result in negative consequences related the privilege of clinical assignment, and/or program enrollment status.
Student Signature: ______________________________________ Date: _______________________
I, __________________________________________ (printed name), received copies
of my Nurse Aide Performance Record and my certificate of completion of the Nurse
Assistant course.
___________________________________________ ______________________
Student Signature Date
