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Title: Guidelines for the training of nurse aides
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Permanent Link: http://ufdc.ufl.edu/UF00082730/00002
 Material Information
Title: Guidelines for the training of nurse aides
Physical Description: Serial
Language: English
Creator: Florida. Division of Vocational, Technical, and Adult Education.
Publisher: The Division,
Place of Publication: Tallahassee,
Publication Date: 1970
 Record Information
Bibliographic ID: UF00082730
Volume ID: VID00002
Source Institution: University of Florida
Holding Location: University of Florida
Rights Management: All rights reserved by the source institution and holding location.

Table of Contents
    Front Cover
        Front Cover
    Title Page
        Page i
        Page ii
    Table of Contents
        Page iii
        Page iv
    Main
        Page 1
        Page 2
        Page 3
        Page 4
        Page 5
        Page 6
        Page 7
        Page 8
        Page 9
        Page 10
    Appendix A: Suggested agreement for nurse aide education experiences in a hospital or nursing home
        Page 11
        Page 12
        Page 13
        Page 14
    Appendix B: Suggested reading materials
        Page 15
        Page 16
        Page 17
        Page 18
    Appendix C: Suggested equipment list for nurse aide program
        Page 19
        Page 20
        Page 21
        Page 22
        Page 23
        Page 24
Full Text



-t


GUIDELINES
for the
TRAINING OF
NURSE AIDES


DIVISION OF VOCATIONAL,
TECHNICAL, AND ADULT EDUCATION
CARL W. ,PROEHL, DIRECTOR
TECHNICAL and HEALTH
OCCUPATIONS EDUCATION
THOMAS W. STRICKLAND, ADMINISTRATOR


//1


I








F'~ &)q'r














TABLE OF CONTENTS


General Statement . . . . . . . . . . . . .

Determination of Need . . . . . . . . . . . .

Definition: Nurse's Aide . . . ... . . . . ..

Qualifications of Trainees . . . . . . . . . .

Suggested Selection and Screening . . . . . . . . .

Standards for Retention in Course.. . . . . . . . .

Class Size . . . . . . . . . . . . . .

Facilities Needed . . . . . . . . . . . . .

Criteria for the Use of Nursing Homes and Hospital for Experience .

Evaluation of Program and Need . . . . . . . . .

Instructor Qualifications . . . . . . . . . . .

Notice of Completion . . . . . . . . . . .

Course Description

I. Time Allotment . . . . . . . . . . . .

II. Program Objectives . . . . . . . . . . .

III. Content . . . . . . . . . . . . .

Suggested List of Tasks to be Taught . . . . . .

A Suggested List of Curriculum Topics . . . . . .

IV. Teaching Methods and Materials . . . . . . . .


0






Zv~.


. 5



. 5

. 6

. 8

. 9












TABLE OF CONTENTS Continued


Appendices

A. Suggested Agreement Clinical Experience . . . . . 13

B. Suggested Reading Materials . . . . . . . . .. 17

C. Suggested Equipment List .................... 21












GUIDELINES FOR THE EDUCATION OF NURSE AIDES


GENERAL STATEMENT

The important contribution of the nurse aide in the care of patients is to
render service in the performance of selected tasks. The tasks, as suggested
in this publication, are taught to prepare the aide to function under the
immediate supervision of a registered professional nurse.

Because job requirements for the nurse aide vary in employing agencies, the
tasks which are taught in the program provide basic pre-service preparation
only. If additional tasks are required, they should be taught by the employ-
ing agencies in in-service education. Employing agencies must recognize
their responsibilities for providing orientation and in-service education to
prepare the worker in terms of their expectations.

The program is based on the belief that the nurse aide should be prepared to
perform certain well-defined tasks for selected patients. The term "selected
patient" is intended to mean that the registered professional nurse shall
render the judgment necessary to select the patients according to their state
of dependency or independency. Hence, the registered nurse will select those
patients who are independent of the need for skills rendered by the registered
professional nurse. This selection must be performed by the registered nurse
after a careful evaluation of the patient's needs and the nursing care plans.

An assessment of the ability of the nurse aide to perform the tasks must also
be made.

A planned nursing care situation implies that the registered professional
nurse has made the foregoing judgments and determined if there are tasks that
the nurse aide can safely perform.


DETERMINATION OF NEED

Demonstrated need for such workers is determined through survey of local
health agencies.












DEFINITION: NURSE'S AIDE


A nurse's aide is a "task-trained" person who has been taught, through a
short-term course, to perform tasks which involve personal care services
for patients. The nurse's aide is neither a professional nurse nor a
licensed practical nurse, nor should her activities be such as to con-
stitute the practice of nursing, as defined in Chapter 464, Florida Statutes,
and in the Rules and Regulations of the Florida State Board of Nursing.

The nurse's aide is an auxiliary worker in nursing service who may be
employed to assist nurses in hospitals, nursing homes and such other
situations where registered professional nurse judgments are made relative
to the needs of the patient and prior to the assignment of such tasks.

In certain employment situations, the nurse's aide may be designated by
such other titles as: ward attendant, orderly or nursing assistant.


QUALIFICATIONS OF TRAINEES

1. Ability to read, write and speak English at the eighth grade level.

2. Health Certificate from local Health Department or other record
indicating good health.


SUGGESTED SELECTION AND SCREENING

1. Screening for educational level by the educational institution
sponsoring the program.

2. Screening for aptitude by Florida State Employment Service (minimum
score of 75 on general intelligence factor of GATB series used by the
Florida State Employment Service).

3. Evidence of good health.

4. Final screening for acceptance into education by school personnel.


STANDARDS FOR RETENTION IN COURSE

Students should be informed that failure to perform satisfactorily in either
class or clinical area is cause for dismissal, and that the judgment of the
school is final.












CLASS SIZE

Enrollment in the course should be limited to a maximum of fifteen students
per teacher to insure effective instruction and supervision in the clinical
area. It is suggested that students be placed in only one institution for
experience unless there is continuous supervision by an instructor or by a
member of the registered nurse staff who is assigned and available to give
assistance with supervision under the direction of the instructor.


FACILITIES NEEDED

1. Classroom with space for demonstration and laboratory practice, with
handwashing facilities.

2. Clinical facility in a hospital and/or nursing home for supervised
practice.

3. Clinical facilities should have an adequate number of nursing personnel
and provide nursing care to patients.

4. Office facility for instructor,


CRITERIA FOR THE USE OF NURSING HOMES AND HOSPITAL FOR EXPERIENCE

1. Licensure by the State Board of Health.

2. Accreditation by the National Association of Accreditation of Nursing
Homes, Inc. for Nursing Home experience; or accreditation by the Joint
Commission on Accreditation of Hospitals is recommended.

3. Registered nurse on duty in charge of nursing service when students are
having clinical experience.

4. Nurses on the staff currently licensed in Florida.

5. Appropriate job descriptions for all nursing personnel.

6. Adequate equipment and facilities available in the clinical facility to
meet the objectives of the program.

7. Signed agreement with the participating agency. (See Appendix for
suggested agreement form.)












EVALUATION OF PROGRAM AND NEED

The appropriate agency or agencies should conduct regular and periodic
assessments of the program as well as determine the need for continuation
of the program.


INSTRUCTOR QUALIFICATIONS

1. Registered nurse, currently licensed in Florida.

2. Recent experience in nursing patients.

3. Experience in and/or orientation to the nursing home or hospital before
teaching the course.

4. Some preparation for teaching is desirable.

5. Valid vocational education teaching certificate.


NOTICE OF COMPLETION

The school shall provide the aide with a Certificate of Completion. If no
school Certificate is available, a suggested form might be:

This certifies that has had hours of
(name)
nurse aide instruction and practice in performing certain selected

tasks to assist the nurse in giving patient care.


This (Nurse Aide) course was offered by the County

Board of Public Instruction and approved by the Florida Department

of Education.


Date of signature
(Signature and Title)

It is suggested that no graduation exercise, ensignia, school pin or cap
be provided for the graduates of this program.












COURSE DESCRIPTION


I. Time Allotment

A total of 180 hours (maximum) is recommended,

1. Classroom (including laboratory practice) approximately 80 hours..

2. Clinical learning experience approximately 100 hours. Slight
modifications of time may be needed to meet local situation.

II. Program Objectives

This course of instruction is designed to help the student in the
following ways:

A. To understand the nature of the nurse aide role and its necessary
limitations.

B. To gain beginning manual skills in performing selected tasks
usually assigned to the nurse aide.

C. To gain increasing skill in performing these tasks safely, eco-
nomically and effectively.

D. To know how to contribute to the comfort of the patient,

E. To understand the legal implications in the performance of nurse
aide work.

F. To develop beginning abilities in observing and reporting factors
related to the patient and his environment.

III. Content

The nurse aide is a task-trained worker; the course content is directed
toward the learning of certain selected tasks which the aide carries
out with selected patients. Because the nurse aide is an assistant to
the nurse rather than an assistant nurse, the course should be designed,
taught and learned within this frame of reference.

A list of tasks does not constitute the course curriculum. In fact, it
can hold less meaning for the learner if treated as just a list to be
learned. To make the course meaningful, the tasks should be organized











into a purposeful sequence or pattern. This pattern should be designed
according to sound educational concepts if the learner is to gain maximum
benefits. Some of these concepts are:

1. Learning is transferable. What is learned in one situation can be
transferred to another situation and used to help understand and
clarify it.

2. Learning takes place faster when moving from the known to the
unknown, from the simple to the more complex in an orderly, logical
way.

3. Learning takes place faster if the learner "sees" something familiar
in a new experience: Each experience serves as a background for
future experiences.

4. Learnings do not occur singly. Knowledge is always accompanied by
the learner's frame of mind. Attitudes develop toward what is being
learned.

5. When a learner sees his chartered course as geared to his goals and
needs, he perseveres.


SUGGESTED LIST OF TASKS TO BE TAUGHT

A. Patient's Immediate Environment

1. Making an occupied and unoccupied bed.

2. Neatness, order and convenience in patient's unit.

3. Light, ventilation, temperature and noise control,

B. Personal Hygiene

1. Oral hygiene.

2. Back care.

3. Bath and skin care.














C. Elimination

1. Give and remove bedpan.

2. Give and remove a urinal.

3. Assist patient to the toilet.

4. Administer enamata.

D. Nutrition

1. Prepare patient for meals.

2. Set up a food tray.

3. Serve and remove food tray.

4. Feeding patients.

5. Pass fresh drinking water.

6. Serve extra nourishment.

E. Comfort and Safety Measures

1. Bed patient

a. Move and turn patient.

b. Position patient for alignment.

c. Move patient from stretcher to bed and vice versa.

d. Place patient on back rest.

2. Ambulatory patient

a. Assist patient into wheelchair or armchair.

b. Assist patient to walk with or without devices.












3. Additional tasks

a. Use a bed cradle for linen support.

b. Use foot boards, side rails, gatch and Hi-Low beds.

c. Use call system.

d. Fill hot water bottles and ice caps.

F. Other tasks

1. Escort and errand services.

2. Taking temperature, pulse and respiration.

3. Weigh patient.

4. Taking blood pressure.

5. Practice good housekeeping habits in maintaining safe,
clean overall environment.

6. Keep service rooms in order.

7. Care and storage of linens.

8. Clean and store articles and equipment.

9. Care of flowers.


A SUGGESTED LIST OF TOPICS WHICH MIGHT BE USED

IN A CURRICULUM DESIGN

A. Overview of the course.

B. Who is the nurse aide? What role does she play in the care of
the sick?

C. What qualities should the nurse aide possess?












D. Who is the patient? What kind of help does he need? How does
his age make a difference in the way he is helped; how does his
condition make a difference?

1. Environment

2. Personal Hygiene

3. Elimination

4. Nutrition

5. Comfort and Safety

6. Special needs

E. What observations'should the nurse aide make? To whom does he
report?

F. How can the nurse aide help promote good working relationships
with other members of the nursing team?

G. Job satisfaction is important to each person. How can a nurse
aide experience job satisfaction?

H. What responsibilities for good hospital housekeeping can the
nurse aide carry?

The above topics may be arranged in any suitable order. It should
be noted that the entire list of tasks can be divided up under these
various topics and be taught accordingly. In this way, "the task"
related to the patient, and/or the nursing team and hospital house-
keeping. When the topics have been arranged and the tasks placed
accordingly, the instructor should allot the amount of time to be
used for each topic.

IV. Teaching Methods and Materials

Of necessity, there will be considerable lecture and discussion.
Time should be allowed for questions and answers. Demonstrating
will be a much used method; student involvement in practice with
close supervision will be another method frequently used. Discussion
of problems encountered in the work-practice situation should be
another method.












All types of visual aids can be employed; they should be used to help
clarify for the student what the teacher has put into words. This
student needs simple, uncluttered visual assistance to help him learn
faster. Many such visual aids are teacher-made rather than commercial.

The student should be provided with a copy of the topics to be covered,
tasks to be included under each topic, and any other such hand-out
material as would help him feel acquainted with the course from day to
day.


Notebook Each student should have a regular three-ring notebook.
All hand-outs should be punched ready for use in the notebook.

Textbook Students may or may not be required to have individual texts.
(A teacher decision)


-10-



























APPENDIX A

SUGGESTED AGREEMENT

FOR

NURSE AIDE EDUCATION EXPERIENCES

IN A HOSPITAL OR NURSING HOME























GUIDELINES FOR THE EDUCATION
OF NURSE AIDES

JANUARY 1970














SUGGESTED AGREEMENT


FOR

NURSE AIDE EDUCATION EXPERIENCES

IN A HOSPITAL OR NURSING HOME


(To be appropriately modified if program is conducted under provisions
of Manpower Development and Training Act.)


The Board of Public Instruction of
is conducting a nurse aide education program
for the citizens of County.


Florida
weeks in length,


The cooperating hospitals) and/or nursing home agrees to permit the use
of their facilities for trainee experience under the supervision of a
registered nurse instructor employed to teach the course.

The experience in the hospital and/or nursing home shall consist of
approximately hours scheduled during the course by the instructor
and in cooperation with the nursing personnel in charge. The instructor
shall select assignments in accordance with the functions taught in the
course.


The maximum number of trainees in a single class will be fifteen.
number of classes trained will be determined by the local need.


The


The undersigned approves the cooperative plan of education as outlined
herein for nurse aides between the Board of Public Instruc-
tion and the _, at Florida.


Administrator of Hospital


Date


Director of Vocational Education


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Chairman of School Board or



























APPENDIX B

SUGGESTED READING MATERIALS






























GUIDELINES FOR THE EDUCATION
OF NURSE AIDES

JANUARY 1970













SUGGESTED READING MATERIALS


Abdullah, Mary C. Nurse Aide Study Manual, Philadelphia: W. B.
Saunders, 1965.

American Red Cross. First Aid Textbook, 1946.

Caldwell, Ester. Health Assistant, New York: Delmar Publishers, Inc.,
1969.

Cherescavich, Gertrude. A Textbook for Nursing Assistants, St. Louis:
C. V. Mosby Company, 1968.

French, Ruth M. The Dynamics of Health Care, New York: McGraw-Hill
Company, 1968.

Frenay, Sister Mary Agnes Clare. Understanding Medical Terminology,
St. Louis: The Cathloic Hospital Association, 1965.

Milliken, Mary Elizabeth. Understanding Human Behavior, New York:
Delmar Publishers, Inc., 1969.

Moynihan, Paul and Jane and Giles A. Daeger. You and Your Job Series -
A, B, C, D, E and Guide for Instructor, Chicago: J. G. Ferguson
Publishing Company, 1968.

Reese, Dorothy. How to be a Nurse's Aide in a Nursing Home, Washington,
D. C.: American Nursing Home Association, 1967.

Young, C. Gand, J. D. Barger. Learning Medical Terminology Step by Step,
St. Louis: C. V. Mosby Company, 1967.


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APPENDIX C

SUGGESTED EQUIPMENT LIST

FOR

NURSE AIDE PROGRAM


GUIDELINES FOR THE EDUCATION
OF NURSE AIDES


JANUARY 1970













SUGGESTED EQUIPMENT LIST

FOR

NURSE AIDE PROGRAM


This list:is suggested for use for a class of fifteen students. Modifi-
cation in numbers of items may be made if student enrollment warrants.

Unit costs will vary with supplier suggested cost is approximate.

Approx. App
Quantity Item Unit Cost Total

2 Bed with mattress $200.00 $400

2 Bedside stand 56.00 112

2 Overbed table 69.00 138

2 Straight chair (bedside) 28.00 56

2 Footstool 8.00 16

2 Bath basin (plastic) 2.50 5

6 Pillows, feather 2.50 15

2 Emesis basin (plastic) .80 1

2 Tooth cup (plastic) .50 1

2 Soap dish (plastic) .50 1

2 Water pitcher and glass 1.10 2

1 set Side rails (to fit beds purchased) 60.00 60

1 Bed cradle 9.00 9

1 Urinal 2.00 2

1 Stretcher (space permitting) 110.00 110


rox.
Cost

.00

.00

.00

.00

.00

.00

.00

.60

.00

.00

.20

.00

1.00

:.00

).00


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Quantity

1

2

2

1 pair

1

1

1

1

2

1

1

2

2

1

2

1

1

2

2

1

1


Approx.
Item Unit Cost

Wheelchair, folding $ 60.00

Graduated pitcher 5.00

Bath thermometer 2.00

Crutches 3.50

Commode chair 30.00

Sphigmomanometer, aneroid 36.00

Sphigmomanometer, murcurial 36.00

Stethescope, double ear piece (teaching) 9.00

Stethescope, single ear piece 6.00

Enema can with tubing 5.00

Forcep, utility 2.50

Rectal tubes (2 sizes) 1.00

Food tray with dishes and silverware 5.00

Linen hamper with bag 22.00

Bed screens or overhead track with curtains 12.50

Nail scissors 2.00

Nail clippers 2.00

Hot water bottles 2.50

Ice cap 1.25

Ice collar 2.00

Forceps holder 6.50


-22-


Approx.
Total Cost

$ 60.00

10.00

4.00

3.50

30.00

36.00

36.00

9.00

12.00

5.00

2.50

2.00

10.00

22.00

25.00

2.00

2.00

5.00

2.50

2.00

6.50














Quantity

1 doz

3

8

4

2

4

12

12

6

6

6

6

6

1

1

1


Approx.
Item Unit Cost

Thermometers, oral $ 6.30/doz

Thermometer, rectal .50

Sheets, muslin 2.00

Draw sheets 1.50

Blanket, cotton thermal 5.50

Spread, cotton 3.50

Wash cloths 1.50/do2

Bath towels 4.00/do2

Face towels 2.25/doz

Bath blankets 3.50

Pillow cases .50

Patient gowns (student use) 3.00

Seersucker robes (student use) 3.00

Overhead projector 90.00

Aduio-visual screen 70.00

Technicolor Super 8mm Film loop projector 100.00

Transparencies, film loops, Trainex, etc.
as indicated by instructor approximately

$1098.70


-23-


Approx.
Total Cost

$ 6.30

1.50

16.00

6.00

11.00

14.00

1.50

4.00

1.13

21.00

3.00

18.00

18.00

90.00

70.00

100.00


200.00

$1798.35












Disposable Items

Backrub lotion

Paper bags

Paper cups

Incontinent pads

Toilet tissue

Applicators, cotton tipped


Enamata materials

Drinking straws

Denture cups

Paper towels

Soap bars

Tongue Depressors


Classroom Equipment

Tablet arm chairs

Chalkboard

Sink with running hot and cold water

Storage cabinets with locks for supplies

Bookcase


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