Hutchinson Community College

On-the-job Training

• Communication - Demonstrate how professional attitude and behavior enhances communication among CNA, resident, resident's family and staff.
• Communication - Explain how the Nurse Aide promotes independence and residents' rights
• Resident Care - Explain how the Nurse Aide promotes independence and residents' rights
• Resident Care - Demonstrate effective hand washing techniques following ail rules of asepsis, including hand washing when entering and leaving the residents room.
• Resident Care - Recognize safety precautions to avoid resident injuries.
• Resident Care - Describe and demonstrate disaster and/or fire escape plans.
• Resident Care - Demonstrate practices that reduce the transfer of Infection in residents living area, bathroom and disposal of soiled articles and cleaning equipment after resident use.
• Resident Care - Demonstrate the correct use of disposable gloves when In with body fluids, blood, urine, vomitus and saliva.
• Resident Care - Demonstrate correct feeding techniques, Identifying safety measures, encouraging independence and how to promote fluid Intake.
• Resident Care - Assist or provide a bath using shower, tub, sponge or bed bath while providing: 1. Privacy, 2. Safety, 3. Correct water temperature, 4. Comfort Environment
• Resident Care - Encourage independence with appropriate choices with dressing and undressing
• Resident Care - Assist residents with urination and bowel elimination needs providing for safety and privacy while using the toilet commode, bedpan or urinal
• Resident Care - Demonstrate accurate perineal cleansing to prevent genitourinary infections
• Resident Care - Demonstrate safe transfers, using the gate belt and/or mechanical lift from: 1. Bed to chair, 2. Chair to toilet/commode
• Resident Care - Identify important body mechanics for personal and resident safety
• Resident Care - Demonstrate: 1. Log roll to side of bed, 2. Turn, reposition, 3. Assist resident to sitting position
• Resident Care - Assist with ambulation so that the resident feels safe and utilizes assistive devices when needed
• Resident Care - Simulate the Heimlich maneuver technique
• Resident Care - 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
• Resident Care - Describe and demonstrate skin care, demonstrate when, what and to whom observations need to be reported
• Resident Care - Demonstrate accurate measurement and recording of weight and height measurement and recording of vital signs: 1. Temperature, 2. Pulse, 3. Respirations, 4. Blood pressure
• Restorative Care
• Resident Rights
• Documentation
• Infection Control
• Safety
• Certified Nurse Aide Competencies
  • Know responsibilities of nurse aide in health care delivery system.
  • Identify delivery settings.
  • Name health care profession responsible for actions of the nurse aide.
  • Demonstrate professional attitude and behavior which enhances communication between the trainee and the resident, resident's family members, and staff.
  • Describe appropriate confidentiality.
  • Demonstrate good work ethics, including attendance and positive attitude.
  • Demonstrate responsiblllty for resident rights by offering choices, promoting Independence, and the client's right to be free from abuse, neglect, or exploitation.
  • Define abuse, neglect, and exploitation; describe proper reporting and consequences of abuse, neglect, and exploitation.
  • Practice safety precautions to avoid Injury when having contact with patients. Describe disaster and/or fire escape plans.
  • Describe oxygen usage and storage.
  • Demonstrate practices that reduce the transfer of infection in resident's living area, bathroom, disposal of soiled articles, and cleaning equipment after resident use (standard precautions).
  • Demonstrate effective hand washing techniques following all rules of asepsis, including washing hands when entering and leaving the resident's room.
  • Use disposable gloves when in contact with body fluids (blood, urine, vomitus, excrement, saliva).
  • Demonstrate proper disposal of gloves.
  • Practice safety precautions to avoid Injury to patient with medical concerns.
  • Demonstrate proper catheter care and discuss safety issues involved In wearing a catheter.
  • Describe/demonstrate colostomy care.
  • Demonstrate safe transfer, using the gait belt and/or mechanical Iift from bed to chair and from chair to toilet/commode.
  • Demonstrate the following procedures: logroll to side of bed, turn, reposition, up to sitting position.
  • Assist with ambulation, utilizing assistive devices when needed.
  • Simulate the abdominal thrust (Heimlich maneuver) technique.
  • Demonstrate proper body alignment and positioning in bed and chair using devices and pillows as necessary.
  • Demonstrate methods for bed, chair, and wheelchalr to prevent pressure areas.
  • Make sure equipment is safe and clean and pathway Is clear before transferring.
  • Be aware of signs or complaints or dizziness.
  • Demonstrate knowledge of resident safely measures such as Wanderguard system.
  • Provide for the safety and comfort or patients in their dally needs.
  • Demonstrate techniques of making an occupied and unoccupied bed using measures to provide for resident's comfort, prevent the transfer of microorganisms while handling linen, and prevent skin irritations/pressure ulcers.
  • Provide for safety and privacy while using the toilet, commode, bedpan, or urinal.
  • Observe skin, recognizing need for and providing skin care
  • Demonstrate feeding techniques, guarding for safety and encouraging independence of resident
  • Demonstrate knowledge of the importance of fluid intake.
  • Describe swallowing strategies
  • Assist patients with personal care
  • Assist and/or provide oral care to include care of the mouth, gums, teeth, or dentures.
  • Assist and/or dress/undress, allowing for appropriate personal choices while encouraging independence
  • Assist with urination and bowel elimination needs, meeting the resident's needs and providing for safety and privacy, while using the toilet, commode, bedpan, or urinal.
  • Demonstrate appropriate care for incontinent resident, including toileting, perineal care, what and when to report.
  • Assist and/or provide grooming assistance for resident including oral care-mouth, gums, teeth, or dentures; nail soaking, cleaning, filing; hair brushing/combing; beard care/shaving; selecting appropriate dress for resident's choice and activities.
  • Describe and demonstrate skin care.
  • Demonstrate accurate measurement and recording.
  • Measure height and weight.
  • Add cubic centimeters.
  • Record vital signs, including temperature, pulse, respiration, and blood pressure.
  • Report to supervisor any change in resident's measurements.
  • Obtain accurate input and output.
  • Work with patients with special needs.
  • Describe or demonstrate communication technique with cognitively impaired resident.
  • Describe/demonstrate maintenance and evaluation of sensory devices such as eye glasses, hearing aids.
  • Describe how to work with residents who have special needs such as fall, elopement, skin risks, and combativeness.
  • Describe/demonstrate the care of resident after death
• Certified Med Aide Competencies
  • Outline the roles and responsibilities of the medication aide.
  • Communicate with and supervise patient to promote therapeutic relations.
  • Manage skin and wound care within allowed scope of skills.
  • Correctly identify, prepare, and administer drug therapies within the allowed scope of skills
  • List forms in which medication is available.
  • Use common medical abbreviations and names appropriately.
  • Locate resources for drug information.
  • Determine how much of a drug to administer.
  • Use concepts of pharmacodynamlcs, common mathematics, weights, and measure to figure amounts of medication to administer.
  • Identify how a drug is likely to affect various systems of the human body.
  • Assess patients' needs regarding medication and their effects.
  • Discuss how patients may respond to drugs administered.
  • List the five rights to drug administration.
  • Document medications administered.