Physical Therapist Assistant, A.A.S.

The Physical Therapist Assistant, AAS degree program is granted by Metropolitan Community College, but coordinated at JCCC.

The physical therapist assistant, under the supervision of a licensed physical therapist, performs direct patient care. The therapist uses physical agents such as heat, light, sound, water, cold, massage, exercise and rehabilitation techniques as prescribed by a physician. The Commission on Accreditation in Physical Therapy Education accredits the program.

The JCCC physical therapist assistant program is offered to Johnson County residents in cooperation with MCC-Penn Valley Community College. The support courses are held at JCCC. All the clinical courses are held at MCC-Penn Valley and affiliated clinical agencies. You must be accepted as a student at JCCC and accepted into the program at MCC-Penn Valley. Consult with a JCCC counselor for more information.

Program courses and credit hours are subject to change because of requirement changes at the degree-granting institution. Contact MCC-Penn Valley Community College at 816-604-4241 for an application packet, which includes deadlines, program prerequisites and admission requirements. Visit http://mcckc.edu.

Note: Johnson County Community College students should seek specific counsel from the MCC program personnel for the appropriate course plan and numbers.

Johnson County Community College students should refer to Cooperative Program Information.

Degree granted by Metropolitan Community College

Associate of Applied Science Degree

General Education Requirements-must be taken at JCCC

ENGL 121Composition I*3
SPD 121Public Speaking3
PSYC 130Introduction to Psychology3

American Institutions

Select one of the following:3
U.S. History to 1877
U.S. History Since 1877
Political Science
American National Government
State and Local Government

Prerequisite Courses-must be taken at JCCC

CHEM 122Principles of Chemistry*5
HC 130Medical Terminology for Healthcare Professions3

Specific Program Requirements-must be taken at JCCC

Option 1
BIOL 144
  & BIOL 145
Human Anatomy and Physiology*
   and Human Anatomy and Physiology Dissection*
6
OR
Option 2
BIOL 140
  & BIOL 225
Human Anatomy
   and Human Physiology*
8

Specific Program Requirements-taken at MCC-Penn Valley

COLL 100First Year Seminar1
POLS 153The Missouri Constitution1
PTHA 151Introduction to Physical Therapy2
EMS 100Basic Emergency Patient Care1
PTHA 152Physical Therapy Fundamentals I4
PTHA 153Kinesiology4
PTHA 154Applied Neurology2
PTHA 155Rehabilitation4
PTHA 158Therapeutic Exercise4
PTHA 159Orthopedic Pathology2
PTHA 160Medical Diseases2
PTHA 161Physical Therapy Fundamentals II4
PTHA 162Clinical Experience I2
PTHA 164Pediatrics and Gerontology2
PTHA 170Clinical Experience II2
PTHA 171Clinical Seminar2
PTHA 172Clinical Experience II12

Total Program Hours: 77-79

Courses

AVHO 102   Certified Nurse Aide (CNA)* (5 Hours)

Prerequisites: ENGL 121 with a grade of "C" or higher or a Compass reading test score of 64 or higher or an ACT Reading score of 19 or higher. All test scores must be current within the past two years

This course provides classroom and clinical instruction for the primary care of clients in long-term and acute- care facilities. Students learn skills for daily hygiene, bedside care, vital sign measurement, positioning and safe transfer of clients. The class prepares and schedules the student to take the Kansas CNA examination. 45 contact hrs. For additional information go to the jccc.edu web page: click on classes; click on credit class search; click the semester; course prefix is AVHO Health Occupations. Click on CRN number for information. For more information, go to http://www.jccc.edu/nursing/nurse-aide/. Enrollment in this course requires a professional liability fee of $16.00. This fee is required once per calendar year based on enrollment in selected courses, and is due prior to the start of classes. Students will be notified via their JCCC student email account if they are required to pay a $16 fee.

AVHO 103   Certified Nurse Aide Refresher Course (CNA-R)* (1 Hour)

Prerequisites: Kansas CNA Certification

This 21-hour CNA refresher course provides classroom and laboratory experience to update the inactive CNA. The student will discuss the nurse aide's responsibility in the current health care system and the importance of resident rights. The student will demonstrate safety measures, infection control procedures, personal care skills, measurement of vital signs and transfers, positioning and turning. 21 contact hours. For additional information go to the jccc.edu web page: click on classes; click on credit class search; click the semester; course prefix is AVHO Health Occupations. Click on CRN number for information. For more information, go to http://www.jccc.edu/nursing/nurse-aide/index.html . This course is not federal aid eligible.

AVHO 104   Certified Medication Aide (CMA)* (4 Hours)

Prerequisites: Appropriate Compass reading test score, and proof of Kansas CNA certification or having completed the state CNA examination and awaiting results. If CNA examination results are not satisfactory, the student must withdraw from the CMA course. Documentation of current TB skin test - negative results within the last year. Current CPR for Health Care Providers and Social Security card

This course includes the development of knowledge related to many commonly prescribed medications. Students will learn the classification, side effects and techniques of administration, including preparation and accurate distribution of medications. Safe administration of oral medications is discussed and demonstrated. Students will be scheduled to take the Kansas CMA examination. 80 contact hrs. For additional information go to the jccc.edu web page: click on classes; click on credit class search; click the semester; course prefix is AVHO Health Occupations. Click on CRN number for information. For more information, go to http://www.jccc.edu/nursing/nurse-aide/index.html . Enrollment in this course requires that you be current in payment of a professional liability fee of $16.00. This fee is required once per calendar year based on enrollment in selected courses and must be in place prior to the start of classes. Students will be notified via their JCCC student email account if they are required to pay a $16 fee. This course is not federal aid eligible.

AVHO 106   Home Health Aide (HHA)* (1 Hour)

Prerequisites: Proof of Kansas CNA certification and appropriate Compass reading test score. Current CPR for Health Care Providers card and Social Security Card

This course provides the student with information necessary for nutritional meal planning, task modification, emotional support and personal service to clients and families needing health care assistance at home. Students will be scheduled to take the Kansas HHA certification examination. 21 contact hrs. For additional information go to the jccc.net web page: click on classes; click on credit class search; click the semester; course prefix is AVHO Health Occupations. Click on CRN number for information. For more information, go to http://www.jccc.edu/nursing/nurse-aide/index.html . This course is not federal aid eligible.

AVHO 108   Certified Medication Aide Update (CMA-U)* (1 Hour)

Prerequisites: Proof of Kansas CMA certification and Proof of Kansas CNA Certification

This course meets the continuing education requirements for licensed Certified Medication Aides. The course includes review of commonly used drugs and their interactions with foods and other drugs. Also included are discussions of legal implications and regulations related to administration and record keeping, biological effects of medications on the elderly and a review of basic safety principles. 15 contact hours. For additional information go to the jccc.edu web page: click on classes; click on credit class search; click the semester; course prefix is AVHO Health Occupations. Click on CRN number for information. For more information, go to http://www.jccc.edu/nursing/nurse-aide/index.html . This course is not federal aid eligible.

AVHO 115   IV Therapy for LPNs* (3 Hours)

Prerequisites: Proof of Kansas LPN licensure. Present evidence of Personal Liability insurance at the time of application for admission to the program and maintain it throughout the clinical practicum. Maintenance of current CPR certification for the duration of the course. Evidence of negative TB test or chest X-ray within the past year. JCCC Student Professional Liability Insurance

This course provides review of basic physiology of the circulatory system and instruction in principles of site selection for veins appropriate for I.V. therapy. This course meets the Kansas requirements for LPNs seeking certification in I.V. Therapy. 48 contact hrs. For additional information go to the jccc.edu web page: click on classes; click on credit class search; click the semester; course prefix is AVHO Health Occupations. Click on CRN number for information. The credit reflected in this course is for transcript reporting, recording and transfer only. For more information, go to http://www.jccc.edu/nursing/practicalnurse/iv-therapy.html . Enrollment in this course requires that you be current in payment of a professional liability fee of $16.00. This fee is required once per calendar year based on enrollment in selected courses and must be in place prior to the start of classes. Students will be notified via their JCCC student email account if they are required to pay a $16 fee. This course is not federal aid eligible.

AVHO 102

  • Title: Certified Nurse Aide (CNA)*
  • Number: AVHO 102
  • Effective Term: Fall 2014
  • Credit Hours: 5
  • Contact Hours: 96
  • Lecture Hours: 48
  • Lab Hours: 23
  • Other Hours: 25

Requirements:

Prerequisites: ENGL 121 with a grade of "C" or higher or a Compass reading test score of 64 or higher or an ACT Reading score of 19 or higher. All test scores must be current within the past two years

Description:

This course provides classroom and clinical instruction for the primary care of clients in long-term and acute- care facilities. Students learn skills for daily hygiene, bedside care, vital sign measurement, positioning and safe transfer of clients. The class prepares and schedules the student to take the Kansas CNA examination. 45 contact hrs. For additional information go to the jccc.edu web page: click on classes; click on credit class search; click the semester; course prefix is AVHO Health Occupations. Click on CRN number for information. For more information, go to http://www.jccc.edu/nursing/nurse-aide/. Enrollment in this course requires a professional liability fee of $16.00. This fee is required once per calendar year based on enrollment in selected courses, and is due prior to the start of classes. Students will be notified via their JCCC student email account if they are required to pay a $16 fee.

Course Fees:

None

Supplies:

Refer to the instructor's course syllabus for details about any supplies that may be required.

Objectives

  1. Describe the basic interpersonal skills needed to interact successfully with clients and other health care workers in the health care facility.
  2. Demonstrate successfully the ability to perform entry level nursing skills required of a nursing assistant.
  3. Successfully complete the Kansas certification exam for the nursing aide.

Content Outline and Competencies:

Part I

    1. Introduction
       A. State purposes for completing the CNA Course 
       B. Identify the federal requirements related to CNA education. 
       C. Discuss the concept of person-centered care. 
    2. Residents of an Adult Care Home 
       A. Recognize the purpose for learning about the aging process and social attitudes toward
the aged. 
       B. List some of the stereotypes about aging which are prevalent in our society. 
       C. State facts concerning aging and the elderly. 
       D. Discuss Maslow’s Hierarchy of needs and how it relates to the role
and functions of the CNA. 
       E. Identify Psychosocial losses associated with aging. 
       F. Identify physical losses associated with aging. 
       G. Describe aspects of independent living @ risk for loss when an individual resides in a LTC facility. 
       H. Discuss what is meant by confidentiality. 
       I. Identify legal rights of residents which will be stated in Residents’ Rights. 
       J. State the CNA’s responsibility concerning residents’ rights. 
       K. List the goals of a long term care facility. 
       L. Identify the types of long-term care facilities in Kansas 
    3. Role and Responsibilities of the CNA. 
       A. Identify major categories involved in fulfilling your role as a CNA. 
       B. Discuss desirable attitudes and actions which will lead to successful job 
performance. 
       C. Discuss desirable personal grooming habits. 
       D. Examine an adult care home’s employee policy manual. 
       E. Discuss how confidentiality of resident information is maintained.
       F. Define and discuss legal and ethical aspects of care as it relates to the role of the CNA.
       G. Discuss Abuse, neglect and exploitation.

     4. Meeting Resident Needs: Communication  
        A. Identify attitudes which promote communication between people.  
        B. Identify behavior which will help accomplish effective communication between the CNA and residents. 
        C. Identify factors which promote good communication between the CNA and resident’s family and friends. 
        D. Recognize factors which may block effective communication between resident, family and
staff.  
        E. Identify factors which promote effective communication between the CNA and other staff
members. 
        F. Identify steps for answering resident’s call signal.  
        G. Identify techniques which promote communication using telephone or intercom. 
        H. Promote resident communication through the use of sensory assistive
devices. 
        I. Identify behavior which may show that a resident is confused.
        J. Identify ways of communicating with a confused resident.
     5. Meeting Resident Needs: Infection Prevention and Control 
        A. Identify reasons why infection prevention and control are important. 
        B. Discuss conditions which affect bacterial growth. 
        C. Name ways in which pathogens are spread. 
        D. Identify practices which hinder the spread of infection.
        E. Identify and Use Infection Control Terminology. 
        F. Discuss Standard precautions. 
        G. Identify the purpose for Standard precautions. 
        H. Identify potential sources of infection. 
        I. Identify and use activities that are a part of standard precautions.
        J. Discuss the reasons for thorough hand washing. 
        K. Identify key points of the hand washing routine. Demonstrate effective hand washing. 
        L. Identify methods used to control microorganisms on supplies.  
        M. Identify and demonstrate use of personal protective equipment. 
        N. Use environmental control measures. 
        O. Identify key points of hand washing with waterless cleaner.
        P. Identify key points for using gloves. 
        Q. Demonstrate donning and removing gloves.
        R. Describe the purpose for transmission-based precautions. 
        S. Discuss the needs of a resident in isolation. 
        T. Identify CNA actions when there is a break in infection control procedures. 
     6. Meeting Resident Needs:
        A. Explain the CNA’s role in resident care relating to mobility.  
        B. Define and discuss body mechanics as it applies to the CNA. 
        C. Identify and demonstrate rules of body mechanics. 
        D. Identify general principles for lifting and moving residents. 
        E. Describe and use safe practices with a transfer belt. 
        F. Demonstrate ability to: 
           1. Raise to sitting position 
           2. Move toward head of bed
           3. Move to one side of bed
           4. Turn onto side 
           5. Transfer from chair to bed and bed to chair 
           6. Transfer from bed to stretcher 
        G. Describe correct body alignment. 
        H. Explain why correct alignment is important. 
        I. Describe postural variations which occur in the elderly. 
        J. Demonstrate correct positioning of a person in supine, prone, side lying and sitting
position using common devices to support positioning. 
        K. Identify devices which are used to help position the resident in normal body alignment
and describe how they are used. 
        L. Identify and use devices that assist the resident in walking or ambulation (walker,
cane, crutches) 
        M. Describe and demonstrate use of a wheel chair as a mobility device. 
        N. Identify and discuss the safety precautions involved in the use of wheelchairs 
        O. Discuss the CNA’s role in promoting pressure relief for a resident in a wheel chair. 
        P. Discuss wheel chair positioning. 
        Q. Identify, discuss and demonstrate safety precautions involved in the operation of
portable mechanical lifts. 
     7. Meeting Resident Needs: The Residents’ Personal Living Space 
        A. Discuss actions and activities that respect the resident’s control of his/her living space. 
        B. Identify and state the purpose for items in the resident’s unit. 
        C. Discuss ways of keeping the resident’s environment comfortable. 
        D. Identify tasks involved in ensuring that the resident’s unit is safe and completely furnished. 
        E. Identify and Discuss measures which make the bed comfortable. 
        F. Identify types of bed making and when each is appropriate
        G. Demonstrate safe practices while making occupied and unoccupied beds.
     8. Meeting Resident Needs: Safety 
        A. Identify, discuss and give examples of resident situations that influence safety.  
        B. Identify and us safety precautions to prevent falls. 
        C. Identify and use safety precautions to prevent burns. 
        D. Identify and use safety precautions to prevent electrical injury. 
        E. Identify and use safety precautions to prevent choking and to assist a resident who is choking. 
        F. Identify and use precautions for chemicals in the adult care home. 
        G. Identify and use safety precautions for oxygen use. 
        H. Identify actions to take when a fire is discovered (RACE).
        I. Describe what action the CNA should take when a fire is discovered in an adult care home (Facility Fire Plan).
        J. Identify and use precautions to prevent elopement and to respond when a resident elopes.
        K. Identify and use safety actions and procedures when an emergency is expected.   
        L. Identify and use tornado safety actions and procedures.
     9. Meeting Resident Needs: Personal Care and Grooming 
        A. Discuss factors which affect a person’s hygiene needs and practices. 
        B. State goals for oral hygiene. 
        C. Identify and follow general practices for oral hygiene. 
        D. State and demonstrate the correct method for brushing a resident’s teeth. 
        E. Discuss and demonstrate how to safely care for the resident’s dentures. 
        F. Discuss how to safely give mouth care to an unresponsive resident. 
        G. Identify the purposes of bathing. 
        H. Discuss and demonstrate general guidelines to follow when bathing the resident.
        I. Demonstrate a bed bath. Identify actions which promote comfort for the resident.   
        J. Name and describe bed bath variations. 
        K. Identify situations in which perineal care needs to be given.
        L. Discuss and demonstrate how whirlpool baths are given. 
        M. Discuss and demonstrate how shower and tub baths are given.
        N. Discuss why, when and how a back rub is given.
        O. Demonstrate a back rub. 
        P. Discuss and demonstrate how to dress and undress the resident. 
        Q. Discuss and demonstrate care of the resident’s hair: 
           1. Shampooing 
           2. Combing
           3. Facial Hair 
        R. Describe and follow general guidelines for cutting resident’s hair. 
        S. Discuss safe care of a resident’s fingernails and toenails. 
        T. Discuss and demonstrate shaving resident’s facial hair. 
        U. Describe how to assist a resident with applying make-up. 
        V. Describe how to assist the resident with prosthetic or assistive devices. 
    10. Meeting Resident Needs:  Nutrition and Fluids 
        A. Name the parts of the digestive system.
        B. Identify the function of parts of the digestive system.
        C. Identify changes that occur in the digestive system with age. 
        D. State why adequate nutrition and fluid intake are important for the resident.  
        E. Discuss factors which affect the nutrition/hydration state of the elderly.
        F. Identify the responsibility of dietary personnel in providing for the resident’s
nutrition. 
        G. Identify the role of the CNA in promoting nutrition and hydration for the resident.  
        H. Describe and use guidelines that promote nutrition and safe eating in preparing the
resident for meals. 
        I. Describe and use guidelines that promote nutrition and safe eating relative to infection control practices. 
        J. Describe and use guidelines that promote nutrition and safe eating in assisting a
resident at meal times. 
        K. Describe and use guidelines that promote nutrition and safe eating in promoting
independent eating. 
        L. Describe and use guidelines that promote nutrition and safe eating in assisting the
resident who is unable to feed self. 
        M. Describe how to assist a resident with dysphagia. 
        N. State daily requirements for liquids.
        O. Identify and use measures to encourage adequate fluid intake. 
        P. State the responsibilities of the CNA in caring for a resident with a fluid
restriction. 
        Q. Describe how a resident’s intake is recorded. 
        R. Discuss why a resident’s weight may be regularly measured and recorded. 
        S. Describe how to check weight accurately. 
        T. Identify purposes for and characteristics of LTC facility diets including:  regular, mechanical soft, puree, clear to full liquid, LCS, NAS, no added fat, low calorie and high calorie. 
        U. Identify devices and techniques which may be used to help the resident maintain
independence while eating. 
        V. Describe how to feed a resident. 
   11. Meeting Resident Needs: Elimination 
       A. State the importance of accurate measurement and recording of intake and output. 
       B. Describe and demonstrate methods to measure and record fluid intake. 
       C. Define the terms:  encourage fluids, restrict fluids, NPO. 
       D. Describe and demonstrate methods to measure and record fluid output. 
       E. Identify typical actions by the CNA when assisting a resident with elimination. 
       F. Identify and demonstrate safe procedures for assisting resident with using the bedside
commode or toilet. 
       G. Identify and demonstrate safe procedure for assisting resident with using urinal. 
       H. Identify and demonstrate safe procedure for assisting resident with bedpan or fracture
pan. 
       I. Describe measures to provide proper skin care, perineal care and comfort after toileting and care for the incontinent resident using aseptic techniques. 
   12. Measuring and Recording Vital Signs 
       A. Identify measurements taken when “vital signs” are to be measured. Identify abbreviations for the vital signs.
       B. Identify what causes body temperature.
       C. Identify “normal” or average body temperature and acceptable ranges.
       D. List situations which may cause the thermometer reading to vary from #8220;normal.”
       E. Identify types of thermometers and situations in which used. 
       F. Describe and demonstrate safe methods of taking temperature by the following
routes:oral, rectal, tympanic and axillary. 
       G. Describe for each method of checking temperature:
          1. Situations when used 
          2. How to place or insert thermometer 
          3. Time needed for thermometer to register 
       H. Discuss how the CNA should record and report temperature measurements including  
correct symbol used to indicate route. 
       I. Identify temperature measurements that should be reported to the nurse. 
       J. Describe what causes pulse. 
       K. Describe characteristics of “normal” or average pulse. 
       L. Identify variations from the “normal” pulse. 
       M. Describe and demonstrate methods used to accurately measure radial and apical pulses.
       N. Discuss how to record and report pulse measurements including the standard abbreviation
for apical pulse.
       O. Identify pulse changes and variations that should be reported to the nurse. 
       P. Describe what is meant by respiration. 
       Q. Identify the “normal” or average adult respiratory rate. 
       R. Identify variations from normal respiration. 
       S. Describe and demonstrate how to accurately measure respiratory rate. 
       T. Identify changes or variation in respirations that should be reported to the nurse. 
       U. Describe what causes blood pressure. 
       V. Identify meanings for the terms 
systolic and 
diastolic blood pressure.
       W. Identify “normal” or average blood pressure. 
       X. Describe variations in blood pressure. 
       Y. Identify instruments to check blood pressure. 
       Z. Describe and demonstrate how to accurately measure blood pressure. 
      AA. Identify how to record and report blood pressure measurements. 
      BB. Identify changes and variations in blood pressure that should be reported to
the nurse. 
      CC. Demonstrate how to measure and record height. 
      DD. Identify why the resident’s height is measured. 

Part II 

   13. The Resident’s Care Plan 
       A. Identify the purposes for a resident care plan. 
       B. Identify typical members of an interdisciplinary care team and how they contribute to  
developing the care plan. 
       C. Identify the CNA’s role during the care planning process. 
       D. Use terminology that is typically part of the care planning process. 
       E. Describe how assessment, planning, implementation and evaluation contribute to the care planning process. 
   14. Observing, Reporting and Documenting 
       A. List attitudes and actions which are prerequisites for making observations about
residents. 
       B. Describe the CNA’s responsibilities when communicating information about the resident. 
       C. Identify observations to be made during resident care and/or while spending time with residents. 
       D. Identify the frequency with which CNA’s make observations. 
       E. List examples of how the CNA uses the senses to collect information about the
resident. 
       F. Describe how and when to report and record observations. 
       G. Discuss how a CNA’s observations might be used. 
       H. Identify and use common medical abbreviations. 
       I. Identify purposes for medical record, including legal implications.
   15. Physical Changes Accompanying Aging 
       A. Describe basic structure and function of the eye. 
       B. Describe how the CNA might observe that a resident has impaired vision. 
       C. Describe changes in vision which accompany aging. 
       D. Identify names of diseases which may cause visual impairment. 
       E. List ways to change the environment to encourage independence and promote safety. 
       F. Describe basic structure of the ear. 
       G. Identify warning signs of hearing impairment. 
       H. Describe changes in hearing which may accompany aging. 
       I. List ways to modify communication to a person with a hearing loss. 
       J. List nursing actions to help prevent injury to the resident with impaired sensation
(touch, temperature). 
       K. Describe changes in behavior which may follow loss of the senses of taste and smell. 
       L. List ways to aid the resident who has losses of taste and smell. 
       M. Describe  basic structure and function of cardiovascular system. 
       N. Describe the changes of aging which may affect the heart and blood vessels. 
       O. Identify descriptions of common cardiovascular diseases. 
       P. Identify changes the resident may experience as a result of cardiovascular
diseases. 
       Q. Describe  basic  structure and function of respiratory system 
       R. Describe how the changes of aging affect respiratory function. 
       S. Describe the result of common chronic respiratory diseases. 
       T. Identify names of common respiratory diseases of aging. 
       U. Identify common measures a CNA would use to aid the resident with shortness of
breath. 
       V. Describe basic structure and function of endocrine system. 
       W. Identify the body changes which cause diabetes. 
       X. Describe how diabetes is treated. 
       Y. Name complications which may occur with diabetes. 
       Z. Describe the care a CNA would give to a resident with Diabetes. 
      AA. Describe basic structure and function of reproduction system. 
      BB. Describe basic structure and function of urinary system. 
      CC. Identify names and descriptions of common GU disorders.
      DD. Describe changes of aging which may affect urinary function.   
      EE. Discuss how the CNA can help promote good kidney function. 
      FF. Describe basic structure and function of musculoskeletal system. 
      GG. Describe changes of aging which affect the musculoskeletal system. 
      HH. Identify descriptions of common musculoskeletal disorders. 
      II. List measures to assist the resident with common musculoskeletal disorders. 
      JJ. Describe basic structure and function of nervous system. 
      KK. Describe the changes of aging which may affect the nervous system. 
      LL. Identify descriptions of common nervous system disorders.
      MM. Discuss measures a CNA might use which to assist residents who have nervous system 
disorders.
      NN. Describe basic structure and function of the integumentary system.
      OO. Describe changes that occur in the integumentary system with age.
      PP. Use medical terminology to describe cancer and cancer treatment.
      QQ. Identify common needs of a resident with cancer.
      RR. Identify early warning signs of cancer.
  16. Sexuality in Aging
      A. Define the term 
sexuality.
      B. Identify sexuality as a basic human need.
      C. Describe factors that affect the resident’s sexual expression.
      D. Describe the CNA’s role in supporting and protecting the resident’s sexual expression.
      E. Discuss responses that the CAN may make to inappropriate sexual comments or actions 
from a resident.
  17. Meeting Resident Needs:  Comfort & Rest
      A. Describe the resident’s need for rest and sleep.
      B. Discuss measures the CNA may use to promote rest and sleep.
      C. Identify comfort as a quality of life issue.
      D. Identify Pain as the “fifth vital sign”.
      E. Discuss pain as a subjective experience.
      F. Describe how the CNA observes, reports and records a resident’s pain.
      G. Discuss measures a CNA might use to promote pain relief.
      H. Discuss how the CNA can determine the effectiveness of pain relieving measures.
  18. Meeting Resident Needs:  End-of-Life Care 
      A. Identify society’s and the CNA’s Views attitudes about death and dying
      B. Describe how the CNA can obtain information about resident/family end-of-life practices.
      C. Describe what is meant by the terms:  Advanced Directive, Living Will, life sustaining care, supportive or comfort care, DNR and DPOA.
      D. Identify services provided to a resident and family by a hospice organization.
      E. Identify how approaching death affects the core emotional needs of the person.
      F. Describe responses by the CNA to emotional needs of the dying resident.
      G. Identify the 5 stages of grief as described by Kubler-Ross.  For each, identify behaviors the dying person might demonstrate.
      H. Identify emotions which may be experienced in response to the death of others.
      I. Discuss the importance of and ways to acknowledge the death of a resident in an adult
care home.
      J. Identify physical signs of approaching death.
      K. Identify supportive care measures which the CNA should provide for the dying resident.
      L. Identify the meaning of the term 
postmortem care and the steps involved in providing postmortem care.
      M. Describe supportive care the CNA can provide for the dying resident’s roommate.
  19. Meeting Resident Needs: Restoring Nutrition and Elimination 
      A. Describe care guidelines for the resident who is receiving an IV infusion.
      B. Describe CNA observations for the resident receiving an IV infusion.
      C. Identify names and placement sites for feeding tubes.
      D. Describe care guidelines for the resident who is receiving a tube feeding.
      E. Describe CNA observations for the resident who is receiving a tube feeding. 
      F. Identify types of urinary catheters.
      G. Identify steps to maintain a closed drainage system to help prevent urinary infection
and provide dignity.
      H. Describe care guidelines for the resident who has a urinary catheter including use of
the care plan;  proper positioning of catheter, tubing and
bag; and, routine catheter care.
      I. Identify proper steps for catheter care using aseptic technique and standard
precautions.
      J. Identify proper steps in emptying a urinary drainage bag.
      K. Identify proper steps to disconnect catheter from tubing and attach to leg bag urinary 
drainage.
      L. Describe an external drainage system for the male and measures for correct use.
      M. Describe CNA observations for the resident who has a Foley Catheter or external urinary 
catheter.
      N. Identify meanings for the terms diarrhea, feces, and peristalsis.
      O. Identify care guidelines and CNA observations for the resident who has diarrhea.
      P. Identify the reason and procedure for collecting a stool specimen.
      Q. Identify meanings for the terms constipation, defecation, and impaction.
      R. Identify signs which may indicate that a resident is constipated and/or has a fecal
impaction.
      S. Describe care guidelines and CNA observations for the resident who has constipation 
and/or fecal impaction.
      T. Identify the purpose and procedure for an enema.
      U. Identify differences between a pre-packaged, ready to use enema, cleansing enema and oil retention enema.
      V. Describe safe practices for enema administration.
      W. Identify meanings for the terms ostomy, colostomy, ileostomy, ureterostomy, and stoma.
      X. Describe care guidelines and CNA observations for the resident who has an ostomy.
      Y. Identify contributing causes of incontinence.
      Z. Describe reasons for promoting bladder and bowel continence.
     AA. Identify how a toileting assistance program is developed.
     BB. Describe resident care guidelines for bowel continence.
     CC. Identify examples of voiding assistance programs.
     DD. Describe the CNA’s role with toileting assistance programs.
 20. Meeting Resident Needs: Maintaining and Restoring Mobility 
      A. Define and describe restorative services.
      B. Identify the requirements for restorative services in an LTC.
      C. Identify the purposes and importance of restorative care.
      D. Describe general restorative care responsibilities in an LTC.
      E. Describe the types of rehabilitative/restorative services in an LTC.
      F. List the main areas for rehabilitative/restorative interventions to improve
functional ability.
      G. Identify the difference between passive and active ROM and situations where each is 
appropriate.
      H. Demonstrate proper techniques for ROM.
      I. Identify the purpose of and safety precautions to employ when a CNA assists a resident
with ROM exercises. 
      J. Use ROM terminology including abduction, adduction, flexion and extension.
      K. Describe the CNA’s responsibility for restorative care.
      L. Describe physical consequences of immobility on the musculoskeletal, integumentary, GU, 
GI, respiratory and cardiovascular systems.
      M. Identify alternate names used to describe pressure ulcers.
      N. Discuss how to prevent pressure ulcers.
      O. Identify devices used to prevent pressure. 
      P. Describe the signs and symptoms of a pressure ulcer. 
      Q. Identify locations which are prone to ulcer formation.
      R. Discuss methods of treatment.
      S. Identify general measures the CNA can use to prevent complications of immobility.
  21. Meeting Resident Needs: Dementia and Problem Behaviors 
      A. Identify a definition for dementia.
      B. Describe types of dementia:  reversible vs. irreversible.
      C. Identify names of diseases that cause dementia.
      D. Describe the general progression of Alzheimer’s disease and goals for care.
      E. Give examples of questions a CNA can use to understand problem behaviors from the 
resident’s perspective.
      F. Describe communication strategies for the resident with dementia and approaches by the  CNA.
      G. Describe common behaviors associated with dementia; and, approaches the CNA can use 
to support the resident.
      H. Describe common behaviors associated with depression and approaches the CNA can use 
to support the resident.
      I. Discuss communication and support techniques such as validation, reality orientation
and reminiscing.
  22. Additional Resident Care Procedures 
      A. Identify the effect of heat on skin and nearby tissues.
      B. Identify examples of heat application.
      C. Describe safety precautions in carrying out heat application.
      D. Identify the effect of cold on skin and nearby tissues.
      E. Identify examples of cold applications.
      F. Describe safety precautions in carrying out cold applications.
      G. Identify Oxygen administration devices.
      H. Identify safety precautions related to O
2 therapy. 
      I. Describe application and monitoring of anti-embolus hose/elastic stocking.
      J. Describe uses for AE hose/stockings.
      K. Identify general guidelines and specific steps for collecting specimens (urine, stool).
      L. Describe characteristics of devices that make them a restraint.
      M. Identify the intended use for a restraint.
      N. Identify specific examples of restraints.
      O. Describe actions a CAN might take to anticipate or respond to a resident’s unsafe 
behaviors.
      P. Describe key points of restraint use.
      Q. Identify situations that allow a CNA to perform delegated tasks.
      R. Describe what a CNA reports about a delegated task.
  23. Meeting Resident and family Needs:  Admission, Transfer and Discharge
      A. Identify feelings the resident and family may have at the time of admission.
      B. Identify actions the CNA may take to assist the resident during admission.
      C. Identify feelings the resident may have when discharged.
      D. Identify how the CNA might assist with discharge.
      E. Identify feelings the resident and family might have during a transfer.
      F. Identify actions the CNA might take to assist during a transfer.
  24. First Aid in the Adult Care Home 
      A. Identify general guidelines for the CNA response to an emergency requiring first aid.
      B. Identify first aid measures the CNA should take when a resident has an abrasion or a 
laceration.
      C. Identify methods to help control nosebleeds.
      D. Identify first aid measures for burns.
      E. Identify signs which indicate that a resident may be experiencing a medical emergency 
(Shock, Seizures, Change in level of consciousness or mobility, chest pain), and for each set of symptoms, identify what the CNA’s first aid action should be.
      F. Identify first aid measures for someone who faints.
      G. Identify first aid measures for someone who has fallen.
      H. Identify first aid for a resident who has ingested poison or harmful substance.
      I. Identify first aid measures for someone who is choking
  25. Working as a CNA 
      A. Discuss how the adult care home’s organizational structure is used for problem solving.
      B. Identify departments/services commonly found in the adult care home.
      C. Describe qualities of an effective team.
      D. Identify skills needed to become a successful team member,
      E. Describe environments that foster teamwork.
      F. Identify terminology used in the survey process such as KDOA, CMS, Surveyor, and Deficiency.
      G. Describe the CNA’s role in the survey process.
      H. Describe how the individual earns and maintains a CNA certificate.

Method of Evaluation and Competencies:

ASSIGNMENTS: 

Oral Health-related Presentations
 
Testing: 
There will be scheduled tests and quizzes. Each test or quiz will contain information received through reading assignments, lecture and discussion, visual aids, and material covered in the laboratory. Each test or quiz will contain content that will be necessary in evaluating the safety and competency of the student.
 
Labs/Clinical Practicum:
The student must successfully complete NATCEP checklist at the conclusion of Part 1 to continue on to Part II of the course. A student may not participate in the clinical practicum if he/she has not demonstrated beginning competency in all of the skills on the NATCEP Checklist! Clinical practicum is graded on a Pass/Fail basis. The student must pass the clinical practicum to complete the course.
 
Grades: 
The student must have a grade of 75% or greater on tests and quizzes completed prior to the start of clinical practicum in order to participate in the clinical practicum. The student must have a 75% or greater on all tests, quizzes and assignments in order to pass the class.
 
A Pass or Fail grade will be given upon completion of the course. If the student successfully completes the course by demonstrating the competencies as established by the Kansas Department of Health and Environment, and meets the requirements of the course as outlined by Johnson County Community College, he/she will be registered to take the Kansas State Exam for Nursing Assistants.
 
The Resource Center on the main campus is available for those students who may need special help or added study time.

Grade Criteria:

Caveats:

Consistent attendance is critical to a student’s success in this course. More than one absence or multiple late-arrivals may necessitate the withdrawal of a student from the class. The student is responsible to make-up any course content missed during an absence. All course content missed must be completed before the clinical rotation begins. Make-up time for lectures; and, related assignments must be arranged with the Instructor; and, completed on campus. Notification of absences is required. The student should contact the instructor at the number listed on the first page of the syllabus. Students who have not completed the required 90 hour minimum will not pass the class or be eligible to take the state CNA test. These are the contact hours established by Kansas Department of Health & Environment as requirements for certification.

Instructor supervised lab and clinical experience are required by Kansas Department of Health & Environment. Thus, these portions of the course are mandatory for completion of the course. Students must attend all lab & clinical sessions. In addition, students must be on time for clinical.  An absence on a lab or clinical day will be evaluated on a case by case basis. A student who does not complete the state-mandated minimum of 45 hours of lecture, 20 hours of lab and 25 hours of clinical will receive an “F” for the course.

Note:  If the college is closed due to snow or natural disaster, Students may be required to attend make-up sessions prior to the last date of the course to attain the contact hour requirements for Kansas Department of Health & Environment.

Clinical/field agencies and state certification application may require drug screening and a criminal background check. Additional requirements and/or disclosures may become necessary throughout the course of the program. Any non-compliance with these mandates may result in termination from the program. Any fees associated with these mandates will be the responsibility of the student.

Student Responsibilities:

PHYSICAL REQUIREMENTS:
GROSS MOTOR SKILLS
to move within confined spaces, sit and/or stand and maintain balance, reach above shoulders (e.g., IV poles), and reach below waist (e.g., plug electrical appliances into wall outlets).

MANUAL DEXTERITY OF FINE MOTOR SKILLS with the ability to handle small objects, picking up objects with hands, grasping small objects with hands (e.g., pencil), writing with pen or pencil, keyboarding/typing (e.g., using a computer), pinching/picking or otherwise working with fingers (e.g., securing buttons or snaps), twisting (e.g., turning objects/knobs using hands), squeezing with finger and to perceive texture.

PHYSICAL ENDURANCE with ability to stand (e.g., at resident side during a therapeutic procedure)To sustain repetitive movements (e.g., CPR)  Maintain physical tolerance (e.g., work entire shift).

PHYSICAL STRENGTH with ability to push and pull 50 pounds (e.g., position residents), support 50 pounds of weight (e.g., ambulate resident), lift 50 pounds (e.g., transfer a resident), move light objects weighing up to 10 pounds (e.g., IV poles), move heavy objects weighing from 11 to 50 pounds and carry up to 25 pounds frequently, but occasionally may exceed these limits; stoop, kneel, crouch and/or crawl at appropriate times as needed; push or pull with hands and arms as needed; stand and/or walk as the job requires in the performance of duties; defend self against combative resident, carry equipment/supplies, use upper body strength (e.g., perform CPR, physically restrain a resident), squeeze with hands (e.g., operate fire extinguisher).

MOBILITY needed to twist, bend, stoop, move quickly (e.g., response to an emergency) and climb (e.g., ladders/stools/stairs).

STUDENT CODE OF CONDUCT:

No student shall engage in behavior that, in the judgment of the instructor of the class, may be construed as cheating.  This may include, but is not limited to plagiarism or other forms of academic dishonesty such as the acquisition, without permission, of tests or other academic materials and/or distribution of these materials.  This includes students who aid and abet, as well as those who attempt such behavior.
 
The student will display professionalism at all times during class, lab and while at clinical.  Cell phones/blue tooth devices, cameras and I-Pods are not permitted at any time in the clinical setting; and, must be turned off during class and lab.  Lap Tops may not be used in class unless approved by the instructor.  Students may not record, video tape or take photographs during any class, lab or clinical session.  Students in violation of this policy will be asked to leave class, lab or clinical.  This will impact course completion.

REFERENCES:

Upon request, the instructor will provide an employment reference. Privacy laws require that a signed Request for Verification of Enrollment Information form be on file before any information can be given to a potential employer. This form will be provided to interested students on the last day of class.

Disabilities:

If you are a student with a disability, and if you will be requesting accommodations, it is your responsibility to contact Access Services. Access Services will recommend any appropriate accommodations to your professor and his/her director. The professor and director will identify for you which accommodations will be arranged.

JCCC provides a range of services to allow persons with disabilities to participate in educational programs and activities. If you desire support services, contact the office of Access Services for Students With Disabilities (913) 469-8500, ext. 3521 or TDD (913) 469-3885. The Access Services office is located in the Success Center on the second floor of the Student Center.

AVHO 103

  • Title: Certified Nurse Aide Refresher Course (CNA-R)*
  • Number: AVHO 103
  • Effective Term: Fall 2014
  • Credit Hours: 1
  • Contact Hours: 21
  • Lecture Hours: 12
  • Lab Hours: 9

Requirements:

Prerequisites: Kansas CNA Certification

Description:

This 21-hour CNA refresher course provides classroom and laboratory experience to update the inactive CNA. The student will discuss the nurse aide's responsibility in the current health care system and the importance of resident rights. The student will demonstrate safety measures, infection control procedures, personal care skills, measurement of vital signs and transfers, positioning and turning. 21 contact hours. For additional information go to the jccc.edu web page: click on classes; click on credit class search; click the semester; course prefix is AVHO Health Occupations. Click on CRN number for information. For more information, go to http://www.jccc.edu/nursing/nurse-aide/index.html . This course is not federal aid eligible.

Course Fees:

None

Supplies:

Refer to the instructor's course syllabus for details about any supplies that may be required.

Objectives

  1. Describe the basic interpersonal skills needed to interact successfully with clients and other health care workers in health care facility.
  2. Demonstrate successfully the ability to perform entry level nursing assistant skills.  

Content Outline and Competencies:

PART I
    I.Working in an Adult Care Home
      A. List goals of a long-term facility.
      B. Identify the types of long-term care facilities in Kansas.
      C. Describe the responsibilities of the health care team.
      D. Identify major categories involved in fulfilling your role as a CNA.
      E. Discuss desirable attitudes and actions which will lead to successful job performance.
      F. Discuss desirable personal grooming habits.
      G. Examine an adult care home’s employee policy manual.
      H. Discuss what is meant by confidentiality.
      I. Define and discuss legal aspects of resident care as it relates to the role of the CNA.
      J. Identify legal rights of residents which will be stated in Residents’ Rights. 
      K. State the CNA’s responsibility concerning residents’ rights.
      L. Recognize the purpose for learning about the aging process and social attitudes toward the aged.
      M. List some of the stereotypes about aging which are prevalent in our society.  
      N. State facts concerning aging and the elderly.

 II. Basic Communication Skills
     A. Identify attitudes which promote communication between people.
     B. Identify behavior which will help accomplish effective communication between the CNA and residents.
     C. Identify factors which promote good communication between the CNA and resident’s family and friends.
     D. Recognize factors which may block effective communication between resident, family and staff.
     E. Identify factors which promote effective communication between the CNA and other staff members.
     F. Identify steps for answering resident’s call signal.
     G. Identify techniques which promote communication using telephone or intercom.

III. Communicating with the Confused Resident
     A. Identify behavior which may show that a resident is confused.
     B. Identify psychosocial implications of confusion.
     C. Identify ways of communicating with a confused resident.

 IV. Principles of Body Mechanics - Lifting and Moving the Resident
     A. Define and discuss body mechanics as it applies to the CNA.
     B. Identify and demonstrate rules of body mechanics.
     C. Identify general principles for lifting and moving residents.
     D. Demonstrate ability to:                 
        1. Raise to sitting position                    
        2. Move toward head of bed
        3. Move to one side of bed   
        4. Turn onto side
        5. Transfer from chair to bed and bed to chair
        6. Transfer from bed to stretcher
     E. Describe correct body alignment.
     F. Explain why correct alignment is important.
     G. Describe postural variations which occur in the elderly.
     H. Demonstrate correct positioning of a person in supine, prone, side lying and sitting position.
     I. Identify devices which are used to help position the resident in normal body alignment and describe how they are used.

  V. Infection Prevention and Control
     A. Identify reasons why infection prevention and control are important. 
     B. Discuss conditions which affect bacterial growth.
     C. Name ways in which pathogens are spread.
     D. Identify practices which hinder the spread of infection.
     E. Discuss the reasons for good handwashing and gloving.
     F. Identify key points of the handwashing routine.  Demonstrate effective handwashing.
     G. Identify methods used to control microorganisms on supplies. 
     H. State reasons for using isolation practices.
     I. Use terminology associated with the isolation unit.
     J. Identify isolation precautions. 

 VI. Basic Nursing Care: The Resident’s Unit
     A. Identify and state the purpose for items in the resident’s unit.               
     B. Discuss ways of keeping the resident’s environment comfortable. 
     C. Identify tasks involved in ensuring that the resident’s unit is safe and completely furnished. 
     D. Discuss measures which make the bed comfortable. 
     E. Identify types of bedmaking and when each is appropriate 
     F. Demonstrate making occupied and unoccupied beds.

VII. Observing and Measuring Vital Signs
     A. Identify measurements taken when “vital signs” are to be measured.  Identify abbreviations for the vital signs. 
     B. Identify what causes body temperature. 
     C. Identify “normal” or average body temperature and state how the older person may vary from this level. 
     D. List situations which may cause the thermometer reading to vary from “normal.” 
     E. Identify types of glass thermometers and situations in which used.              
     F. Identify other types of thermometers and their use.              
     G. State how to care for glass thermometers. 
     H. Describe for each method of checking temperature: 
        1. Situations when used 
        2. How to place or insert thermometer 
        3. Time needed for thermometer to register 
     I. Discuss how the CNA should record and report temperature measurements.          
     J. Describe what causes pulse.              
     K. Describe characteristics of “normal” or average pulse.              
     L. Identify variation from the “normal” pulse which should be reported. 
     M. Identify the site and actions used to accurately measure radial and apical pulses. 
     N. Discuss how to record and report pulse measurements.             
     O. Identify what is meant by respiration and an average respiratory rate. 
     P. Identify variations from normal respiration which should be reported.            
     Q. Describe how to measure respiratory rate.        
     R. Identify what causes blood pressure. 
     S. Identify meanings for the terms systolic and diastolic blood pressure. 
     T. Identify “normal” or average blood pressure.
     U. Describe variations in blood pressure.
     V. Identify instruments to check blood pressure.
     W. Describe how to check blood pressure.
     X. Identify how to record and report blood pressure measurements.
     Y. Demonstrate how to accurately measure temperature, pulse, respiration and blood pressure.
     Z. Demonstrate how to measure height and record. 

VIII. Safety
     A. Identify and discuss reasons for safety.
     B. Identify safety precautions the CNA should take to prevent falls.
     C. Identify precautions the CNA should take to prevent burns.
     D. Identify safety precautions the CNA should take to prevent falls from bed, chairs and wheelchairs.
     E. Identify safety precautions the CNA should take to prevent choking.              
     F. Identify precautions the CNA should take to prevent ingestion of harmful substances. 
     G. Identify safety precautions for oxygen use.
     H. Identify actions to take when a fire is discovered.
     I. Describe what action the CNA should take when a fire is discovered in an adult care home.
     J. Identify residents at risk and action to be taken when a resident elopes. 

IX. Cleanliness and Grooming 
    A. Discuss factors which affect a person’s hygiene needs and practices. 
    B. Name goals for oral hygiene.
    C. Identify general practices for oral hygiene. 
    D. State and demonstrate the correct method to use toothbrush.
    E. Identify how to safely care for the resident’s dentures.                
    F. Discuss how to safely give mouth care to the unconscious resident. 
    G. Identify the purposes of bathing. 
    H. Identify general guidelines to follow when bathing the resident. 
    I. Demonstrate bedbath. Identify actions which promote comfort for the resident.    
    J. Identify situations in which perineal care needs to be given. 
    K. Discuss how whirlpool baths are given. 
    L. Discuss how shower and tub baths are given. 
    M. Discuss why, when and how a back rub is given.
    N. Discuss how to dress and undress the resident. 
    O. Discuss the care of the resident’s hair: 
       1. Shampooing
       2. Combing
       3. Cutting
       4. Beard care
    P. Discuss the care of a resident’s fingernails and toenails.
    Q. Discuss shaving resident’s facial hair.
    R. Describe the signs and symptoms of pressure ulcer.  Identify locations which are prone to ulcer formation.

Method of Evaluation and Competencies:

  • Written examination with a score of 75%.
  • Completion of laboratory component with a Satisfactory or Pass rating.

Mandatory attendance at all sessions.

A Pass or Fail grade will be given upon completion of the course. If the student successfully completes the course by demonstrating the competencies as established by the Kansas Department of Health and Environment, and meets the requirements of the course as outlined by Johnson County Community College, the student will be issued a “P” for the course and KDHE will be notified of eligibility for reactivation of C.N.A. Certification.

Grade Criteria:

Caveats:

*The credit reflected in this course is for transcript reporting, recording and transfer only.

Attendance at all sessions is mandatory for satisfactory course completion.

Student Responsibilities:

Johnson County Community College has a student code of conduct. It is described in the college catalog, in the section “Academic and Student Policies and Procedures”.  “No student shall engage in behavior that, in the judgment of the instructor of the class, may be construed as cheating. This may include, but is not limited to, plagiarism or other forms of academic dishonesty such as the acquisition without permission of tests or other academic materials and/or distribution of these materials. This includes students who aid and abet, as well as those who attempt such behavior.

Disabilities:

If you are a student with a disability, and if you will be requesting accommodations, it is your responsibility to contact Access Services. Access Services will recommend any appropriate accommodations to your professor and his/her director. The professor and director will identify for you which accommodations will be arranged.

JCCC provides a range of services to allow persons with disabilities to participate in educational programs and activities. If you desire support services, contact the office of Access Services for Students With Disabilities (913) 469-8500, ext. 3521 or TDD (913) 469-3885. The Access Services office is located in the Success Center on the second floor of the Student Center.

AVHO 104

  • Title: Certified Medication Aide (CMA)*
  • Number: AVHO 104
  • Effective Term: Fall 2014
  • Credit Hours: 4
  • Contact Hours: 80
  • Lecture Hours: 47
  • Lab Hours: 8
  • Other Hours: 25

Requirements:

Prerequisites: Appropriate Compass reading test score, and proof of Kansas CNA certification or having completed the state CNA examination and awaiting results. If CNA examination results are not satisfactory, the student must withdraw from the CMA course. Documentation of current TB skin test - negative results within the last year. Current CPR for Health Care Providers and Social Security card

Description:

This course includes the development of knowledge related to many commonly prescribed medications. Students will learn the classification, side effects and techniques of administration, including preparation and accurate distribution of medications. Safe administration of oral medications is discussed and demonstrated. Students will be scheduled to take the Kansas CMA examination. 80 contact hrs. For additional information go to the jccc.edu web page: click on classes; click on credit class search; click the semester; course prefix is AVHO Health Occupations. Click on CRN number for information. For more information, go to http://www.jccc.edu/nursing/nurse-aide/index.html . Enrollment in this course requires that you be current in payment of a professional liability fee of $16.00. This fee is required once per calendar year based on enrollment in selected courses and must be in place prior to the start of classes. Students will be notified via their JCCC student email account if they are required to pay a $16 fee. This course is not federal aid eligible.

Course Fees:

Student Professional Liability Insurance purchased through ShopJCCC

Supplies:

Refer to the instructor's course syllabus for details about any supplies that may be required.

Objectives

  1. Current Kansas CNA certification OR having completed the state CNA examination and awaiting results.
  2. If CNA examinations results are not satisfactory, the student must withdraw from the CMA course.
  3. Documentation of current TB skin test with negative results and current throughout the end of the course.
  4. Compass test reading level documented at a score of 64 or better.
  5. Current CPR for Health Care Provider - to remain current throughout the end of the course.

Content Outline and Competencies:

I. Introduction and Orientation to Medications
    A. Demonstrate ability to use drug resource materials.  
    B. Differentiate between a generic and brand name for a drug.  
    C. Describe the basic expectations of a medication aide. 
    D. Explain what is meant by the term side effect when discussing drug action.

II. Pharmacodynamics
    A. Identify what happens to medications when they enter the human body and how they produce
their effects.
    B. Discuss how medications are affected by normal body processes, the individual and modes of
administration.
    C. Recognize adverse reactions that occur with medication administration.

III. Fundamentals of Medication
    A. Describe different medication forms used in practice and their nursing implications.
    B. Determine from a list which medicines should not be crushed and give explanations. 
    C. Accurately interpret simulated medicine orders using abbreviations pertaining to
medication.  
    D. Write abbreviations for units of measure with the meaning. 

 IV. Dosage Calculation
    A. Recognize three systems of measurement used in the calculation of dosage. 
    B. Solve simple dosage problems involving decimals, fractions and percent. 
    C. Perform simple conversions among systems of measurement. 
 
 V. Medications for Infection and Cancer 
    A. State the structure of a body system from simple to complex. 
    B. Identify all the systems of the body as reviewed in the unit.
    C. Describe two disorders that can affect any system.
    D. Explain how anti-infectives/antibiotics are effective in the treatment of pathogenic
invasion. 
    E. Distinguish between the various classifications of anti-infectives. 
    F. State universal precaution guidelines.

 VI. Medication and the Elderly  
    A. Describe normal physical changes of aging.  
    B. Recognize the effects of aging on the pharmacokinetics of medication.

VII. Medication for the Respiratory System  
     A. Correctly describe the structure and function of the respiratory system. 
     B. Identify common respiratory disorders and applied nursing interventions. 
     C. Classify medications used to treat respiratory disorders. 
     D. Discuss conditions that affect the ear. 

VIII. Medications for the Urinary System
     A. Recognize structure and function of the urinary system. 
     B. Differentiate the medications used to treat urinary disorders, their actions and nursing
implications for care that accompany them. 
     C. Discuss and demonstrate the importance of accurate intake-output measurement.

 IX. Role and Routine Responsibilities of the Medication Aide   
     A. Describe how to order, store, dispose and account for medications.   
     B. Illustrate medication administration documentation. 
     C. Successfully demonstrate medication administration.
     D. Apply the “6 Rights” to medication administration.

  X. Medication Affecting the Nervous and Sensory System
     A. Describe basic normal function of the nervous system. 
     B. Explain the major action of medication used to treat disorders of the nervous system.
     C. Apply basic nursing interventions to the care of nervous system disorders.

 XI. Medications Affecting the Digestive System, Vitamins and Minerals 
     A. State structures and functions of digestion and elimination. 
     B. Determine how various abnormal conditions may affect medication efficacy. 
     C. Apply nursing assessment and interventions associated with drug therapy and diseases of the digestive system. 
     D. Determine appropriate level of treatments performed by the CMA. 

XII. Medications for the Musculoskeletal System 
     A. Discuss the structure and functions of the musculoskeletal system. 
     B. Identify common disorders that affect the musculoskeletal system. 
     C. Classify medications used to treat disorders of the musculoskeletal system. 
     D. Determine what nursing interventions would be appropriate for the musculoskeletal system.

XIII. Medications for the Integumentary System 
     A. Describe the structures and functions of the integumentary system.  
     B. Identify disorders that affect the integumentary system and the medications used to
treat them.  
     C. Demonstrate correctly the procedures involved in the application of topical medications.

XIV. Medications Used for Endocrine/Reproductive Systems 
     A. Discuss the structures and functions of the endocrine system. 
     B. Identify and classify medications used in the treatment of disorders of the endocrine
system. 
     C. Demonstrate basic knowledge of diabetes mellitus, cause of condition and systemic effects
related to condition.

Method of Evaluation and Competencies:

  1. Exams 
  2. Class test average is required to be 75% or above in order for the student to qualify for participation in clinical practicum.  
  3. Completion of drug cards as required for participation in clinical practicum.  
  4. The state exam may be repeated one time if the first attempt is not successful, for a total of two tries.  The second exam given is an alternate test.  If a student fails to obtain a passing grade upon the second attempt on the test, the student is required to retake the course before attempting to take the exam again, and after repeating the course, will have only ONE attempt to pass the state certification exam.

ATTENDANCE AND COURSE COMPLETION REQUIREMENTS: 

  1. Five hours of absence is allowed from class time. Absences in excess of five hours will result in a drop from the class.
  2. Students are responsible for information presented in class when they are absent.
  3. Students must complete all instructor-approved assigned clinical hours. Clinical time is mandatory and absences, in most cases, will result in the student being dropped.  Transportation to and from clinical agencies is the responsibility of the student.
  4. All clinical practicum hours must be completed prior to the student taking the Kansas CMA certification exam.
  5. The Johnson County Community College transcript grade for this course is recorded as either “P” for pass or “F” for fail. A grade of “P” is earned when all classroom and clinical requirements have been met satisfactorily.  This includes a test average of 75% or higher, completion of all assigned drug cards; and, satisfactory demonstration of competencies during clinical practicum.
  6. The State Certification Exam will be scheduled for those who satisfactorily complete the course after the final clinical day.

Grade Criteria:

Caveats:

Students must complete classroom assignments and a minimum of 25 clinical practice hours and receive a satisfactory evaluation in order to take the Kansas State CMA examination. Consistent attendance is critical to a student’s success in this course. More than one absence or multiple late-arrivals may necessitate the withdrawal of a student from the class. The student is responsible to make-up any course content missed during an absence. All course content missed must be completed before the clinical rotation begins. Make-up time for lectures; and, related assignments must be arranged with the Instructor; and, completed on campus. Notification of absences is required. The student should contact the instructor at the number listed on the first page of the syllabus.

Students who have not completed the required 75 hour minimum will not pass the class or be eligible to take the state CMA Exam.  These are the contact hours established by Kansas Department of Health & Environment as requirements for certification.

Instructor supervised clinical experience is required by Kansas Department of Health & Environment. Thus, this portions of the course is mandatory for completion of the course. Students must attend all  clinical sessions. In addition, students must be on time for clinical.  An absence on a clinical day will be evaluated on a case by case basis. A student who does not complete the state-mandated minimum of 50 hours of class  and 25 hours of clinical will receive an “F” for the course.

Note: If the college is closed due to snow or natural disaster, Students may be required to attend make-up sessions prior to the last date of the course to attain the contact hour requirements for Kansas Department of Health and Environment.

Clinical/field agencies and state certification application may require drug screening and a criminal background check. Additional requirements and/or disclosures may become necessary throughout the course of the program. Any non-compliance with these mandates may result in termination from the program. Any fees associated with these mandates will be the responsibility of the student.

Student Responsibilities:

No student shall engage in behavior that, in the judgment of the instructor of the class, may be construed as cheating. This may include, but is not limited to, plagiarism or other forms of academic dishonesty such as the acquisition without permission of tests or other academic materials and/or distribution of these materials.  This includes students who aid and abet, as well as those who attempt such behavior.

Disabilities:

If you are a student with a disability, and if you will be requesting accommodations, it is your responsibility to contact Access Services. Access Services will recommend any appropriate accommodations to your professor and his/her director. The professor and director will identify for you which accommodations will be arranged.

JCCC provides a range of services to allow persons with disabilities to participate in educational programs and activities. If you desire support services, contact the office of Access Services for Students With Disabilities (913) 469-8500, ext. 3521 or TDD (913) 469-3885. The Access Services office is located in the Success Center on the second floor of the Student Center.

AVHO 106

  • Title: Home Health Aide (HHA)*
  • Number: AVHO 106
  • Effective Term: Fall 2014
  • Credit Hours: 1
  • Contact Hours: 21
  • Lecture Hours: 21

Requirements:

Prerequisites: Proof of Kansas CNA certification and appropriate Compass reading test score. Current CPR for Health Care Providers card and Social Security Card

Description:

This course provides the student with information necessary for nutritional meal planning, task modification, emotional support and personal service to clients and families needing health care assistance at home. Students will be scheduled to take the Kansas HHA certification examination. 21 contact hrs. For additional information go to the jccc.net web page: click on classes; click on credit class search; click the semester; course prefix is AVHO Health Occupations. Click on CRN number for information. For more information, go to http://www.jccc.edu/nursing/nurse-aide/index.html . This course is not federal aid eligible.

Course Fees:

None

Supplies:

Refer to the instructor's course syllabus for details about any supplies that may be required.

Objectives

  1. Accurately describe the role and responsibility of a Home Health Aide.
  2. Assist with hands-on client care in accordance with the initial plan of treatment and care plan.
  3. Assist in maintaining a safe and clean environment under the direction and supervision of a registered nurse.
  4. Communicate effectively with client, client’s family and/or caregiver(s) while ensuring confidentiality of client information.
  5. Identify an emergency and be able to properly handle the emergency.
  6. List signs of potential health crises for an infant, warranting evaluation by a health professional.

Content Outline and Competencies:

I. Communication and Documentation Skills; Working with Various Client Populations 
   A. Describe the communication, documentation and skills required to work in the home. 
   B. List the client populations. 

 II. Orientation to Home Care 
   A. Discuss working with clients in the home. 
   B. Describe the care of the client’s environment.

III. Caring for a Variety of Clients in the Home: Geriatric Client, Dying Patient and Mother-Baby Dyad
   A. Describe the care and skills needed to care for geriatric client, dying client and mother and baby in the home.
   B. Demonstrate use of universal precautions in the home.

IV. Special Procedures and Emergency Care
   A. Assist with the care of a client in the home.
   B. Identify special procedures being done in home and emergency care required.

Method of Evaluation and Competencies:

Attendance: No absences are allowed during this course 

Tests: There will be two tests given during the course. These tests will cover reading material, lecture and discussion, and material covered in the visual aids. These will be graded as pass/fail with a 75% or above being required to pass.  If the student successfully completes the course with a 75% or better, he/she will be registered to take the Kansas State Exam for Home Health Aides.

Grade Criteria:

Caveats:

Student Responsibilities:

No student shall engage in behavior that, in the judgment of the instructor of the class, may be construed as cheating. This may include, but is not limited to, plagiarism or other forms of academic dishonesty such as the acquisition, without permission, of tests or other academic materials and/or distribution of these materials. This includes students who aid and abet, as well as those who attempt such behavior.

Disabilities:

If you are a student with a disability, and if you will be requesting accommodations, it is your responsibility to contact Access Services. Access Services will recommend any appropriate accommodations to your professor and his/her director. The professor and director will identify for you which accommodations will be arranged.

JCCC provides a range of services to allow persons with disabilities to participate in educational programs and activities. If you desire support services, contact the office of Access Services for Students With Disabilities (913) 469-8500, ext. 3521 or TDD (913) 469-3885. The Access Services office is located in the Success Center on the second floor of the Student Center.

AVHO 108

  • Title: Certified Medication Aide Update (CMA-U)*
  • Number: AVHO 108
  • Effective Term: Fall 2014
  • Credit Hours: 1
  • Contact Hours: 15
  • Lecture Hours: 15

Requirements:

Prerequisites: Proof of Kansas CMA certification and Proof of Kansas CNA Certification

Description:

This course meets the continuing education requirements for licensed Certified Medication Aides. The course includes review of commonly used drugs and their interactions with foods and other drugs. Also included are discussions of legal implications and regulations related to administration and record keeping, biological effects of medications on the elderly and a review of basic safety principles. 15 contact hours. For additional information go to the jccc.edu web page: click on classes; click on credit class search; click the semester; course prefix is AVHO Health Occupations. Click on CRN number for information. For more information, go to http://www.jccc.edu/nursing/nurse-aide/index.html . This course is not federal aid eligible.

Course Fees:

$20 check to KDHE

Supplies:

Refer to the instructor's course syllabus for details about any supplies that may be required.

Objectives

  1. Describe the role and responsibilities of a medication aide.
  2. Classify major drug groups as to their actions, indications, adverse effects and nursing implications.
  3. Demonstrate competent skills applicable to the CMA role.
  4. Identify new medications used in the care and treatment of elderly patients.
  5. Demonstrate competency in dosage calculations.
  6. Administer medications accurately and safely as described in the Kansas CMA curriculum.
  7. List signs and symptoms of impaired nurses.

Content Outline and Competencies:

  1. State biological and pharmacodynamics of medications.
  2. Describe care of medications.
  3. Use current literature on medications for individual patient teaching project.
  4. Review CMA responsibilities and the effect of regulations on practice.
  5. Describe newer drugs and use in care of elderly patients.
  6. Discuss safety in medication administration.
  7. Describe drug action and interaction.
  8. Review drug calculation and complete test with a 70% competency.
  9. List symptoms of impaired nurses.

Method of Evaluation and Competencies:

Attendance and participation

Math competency quiz with a 75% pass rate

GRADES: 

A Pass or Fail grade will be given upon completion of the course.

Grade Criteria:

Caveats:

Attendance:

The student must attend each class session and demonstrate competency in the skills reviewed on that day.

Student Responsibilities:

STUDENT CODE OF CONDUCT:

No student shall engage in behavior that, in the judgment of the instructor of the class, may be construed as cheating.  This may include, but is not limited to, plagiarism or other forms of academic dishonesty such as the acquisition without permission of tests or other academic materials and/or distribution of these materials. This includes students who aid and abet, as well as those who attempt such behavior.

Disabilities:

If you are a student with a disability, and if you will be requesting accommodations, it is your responsibility to contact Access Services. Access Services will recommend any appropriate accommodations to your professor and his/her director. The professor and director will identify for you which accommodations will be arranged.

JCCC provides a range of services to allow persons with disabilities to participate in educational programs and activities. If you desire support services, contact the office of Access Services for Students With Disabilities (913) 469-8500, ext. 3521 or TDD (913) 469-3885. The Access Services office is located in the Success Center on the second floor of the Student Center.

AVHO 115

  • Title: IV Therapy for LPNs*
  • Number: AVHO 115
  • Effective Term: Fall 2014
  • Credit Hours: 3
  • Contact Hours: 48
  • Lecture Hours: 32
  • Lab Hours: 8
  • Other Hours: 8

Requirements:

Prerequisites: Proof of Kansas LPN licensure. Present evidence of Personal Liability insurance at the time of application for admission to the program and maintain it throughout the clinical practicum. Maintenance of current CPR certification for the duration of the course. Evidence of negative TB test or chest X-ray within the past year. JCCC Student Professional Liability Insurance

Description:

This course provides review of basic physiology of the circulatory system and instruction in principles of site selection for veins appropriate for I.V. therapy. This course meets the Kansas requirements for LPNs seeking certification in I.V. Therapy. 48 contact hrs. For additional information go to the jccc.edu web page: click on classes; click on credit class search; click the semester; course prefix is AVHO Health Occupations. Click on CRN number for information. The credit reflected in this course is for transcript reporting, recording and transfer only. For more information, go to http://www.jccc.edu/nursing/practicalnurse/iv-therapy.html . Enrollment in this course requires that you be current in payment of a professional liability fee of $16.00. This fee is required once per calendar year based on enrollment in selected courses and must be in place prior to the start of classes. Students will be notified via their JCCC student email account if they are required to pay a $16 fee. This course is not federal aid eligible.

Course Fees:

None

Supplies:

Refer to the instructor's course syllabus for details about any supplies that may be required.

Objectives

  1. Discuss and adhere to the rules and regulations of the Kansas Nurse Practice Act as it relates to intravenous therapy.
  2. Discuss and adhere to the policies and procedures of the clinical facility used  for the clinical practicum.
  3. Describe the anatomy and physiology that is related to intravenous therapy.
  4. Discuss the variables that affect, and assessment techniques for, fluid,  electrolyte and acid-base balance.
  5. Describe the mechanisms by which body fluids move and are regulated.
  6. Describe and demonstrate the procedure for initiating and maintaining an  intravenous line, using appropriate equipment.
  7. Discuss the complications/adverse effects which can occur with intravenous therapy.
  8. Demonstrate the correct method for regulating and maintaining an accurate  flow rate of intravenous fluids.
  9. Demonstrate correct vein site selection and correct venipuncture techniques.
  10. Demonstrate correct procedures for administering intravenous medications.

Content Outline and Competencies:

I. Current Rules and Regulations from the Kansas State Nurse Practice Act 
   A. Describe scope of practice for LPN in IV Therapy.
   B. List standards of practice for LPN in IV Therapy. 
   C. Discuss anatomy and physiology of the circulatory system 
   D. Identify sites and functions of veins used for venipuncture. 

 II. Relationship Between IV Fluid Administration and the Body’s Homeostatic and Regulatory Function
   A. Define.
   B. Identify relationship between IV fluid administration and body regulatory function.      

III. Fluid and Electrolyte Imbalances 
   A. Describe composition of body fluid. 
   B. Identify fluid imbalances. 
   C. Identify electrolyte imbalances. 

 IV. Principles of Infection Control in IV Fluid Therapy Administration 
   A. Identify sources of contamination. 
   B. Describe preventive infection control measures. 

  V. Cellular Physiology as It Is Concerned with IV Therapy
   A. Describe acid-base balance. 
   B. Discuss major electrolyte imbalances including metabolic acidosis, metabolic alkalosis, respiratory acidosis, respiratory alkalosis. 

 VI. Equipment Used in IV Therapy
   A. Demonstrate use of fluid container, administration sets, infusion devices - peripheral and central filters - infusion regulation devices, accessory equipment. 

VII. Criteria for the Use of IV Therapy Equipment 
   A. Describe equipment preparation and physical and psychological preparation of the patient.
   B. List IV cannula insertion prerequisites. 
   C. Evaluate potential sites.
   D. Demonstrate skin preparation, insertion of peripheral cannula and insertion of a winged-tip needle. 
   E. Document procedure.
   F. Describe IV tubing change policy.
   G. Demonstrate cannula removal. 

VIII. Trouble-Shooting for Malfunction of IV Therapy Equipment 
   A. Discuss trouble-shooting, risks and monitoring parameters.

 IX. Principles of Compatibility and Incompatibility of Parenteral Drugs 
   A. List physical incompatibilities, chemical incompatibilities, and therapeutic and prevention incompatibilities. 
   B. Identify factors affecting the stability of drugs and administration precautions. 

  X. Nursing Management of Special IV Fluid Therapy 
   A. Demonstrate administration procedures including saline/heparin lock, changing fluid containers, application of an arm board and treatment restraint. 
   B. Demonstrate cannula site dressing change, clean dressing technique and sterile central line dressing change. 
   C. Describe central venous flushing.
   D. Discuss discharge planning/home care considerations.

 XI. Signs and Symptoms of Local IV Therapy Complications, Treatment and Preventive Measures
   A. Define local complications including hematoma, infiltration, phlebitis, thrombophlebitis, infection at site, cellulitis and nerve damage. 
   B. Describe treatment measures and preventive measures. 

XII. Signs and Symptoms of Systemic IV Therapy Complications, Treatment and Preventive Measures
   A. Define systemic complications such as sepsis, pulmonary embolus, air embolism, circulatory overload, pneumothorax, hemothorax and catheter embolus.
   B. Describe treatment measures and preventive measures.

Method of Evaluation and Competencies:

Written Work 

Students who score an 80% or higher on the final exam, and who complete the lab and clinical components of the course satisfactorily, will receive a grade of Pass on their transcript from Johnson County Community College.   Students who do not complete successfully will receive a grade of Fail. 

Clinical Skills Checklists 

These will be used in the lab and in the clinical setting.  Students must perform 100% of these skills with a minimum score of 90% on each to pass the lab/clinical practicum. 

Final Comprehensive Exam 

The final will have points.  A grade of 80% is required to pass.  All elements of the course, including the final exam, must be completed prior to the clinical practicum. 

COURSE REQUIREMENTS FOR CERTIFICATION: 

  1. Regular class and clinical attendance and participation.  Only one class absence is allowed.  All nursing laboratory and clinical sessions must be completed on the scheduled day.
  2. Return demonstrations.  Satisfactory completion of all basic intravenous skills in the nursing laboratory is required before progressing to clinicals.  Competency must be demonstrated in:
    a.   Appropriate steps of venipuncture.
    b.   Successful venipuncture on training arm.
    c.   Calculation of intravenous fluid drip rates.
    d.   Adequate and appropriate documentation.
    e.   Appropriate use of intravenous solutions and equipment.
  3. Completion of all written assignments/reports by due dates.
  4. Satisfactory completion of all clinical criteria in the clinical rotation.
  5. A grade of 80% or better on the final exam.

Grade Criteria:

Caveats:

Transportation to and from clinical agencies is the responsibility of the student.
 
Upon satisfactory completion of the course, a certificate is issued to each student by Johnson County Community College. The certificate also lists CE hours awarded and the KSBN course providership number for continuing education credit. A copy of this certificate can be used for LPN license renewal. The KSBN will send a letter confirming that he/she may practice IV therapy in the expanded role as designated by the Kansas Nurse Practice Act. This letter serves as the student’s certification verification until the student’s next license renewal, at which time the designation “IV Certified” is placed on the license.

Student Responsibilities:

No student shall engage in behavior that, in the judgment of the instructor of the class, may be construed as cheating. This may include, but is not limited to, plagiarism or other forms of academic dishonesty such as the acquisition without permission of tests or other academic materials and/or distribution of these materials. This includes students who aid and abet, as well as those who attempt such behavior.

Johnson County Community College is required to report the names of students in the IV Therapy class who violate this policy to the Kansas State Board of Nursing.

Disabilities:

If you are a student with a disability, and if you will be requesting accommodations, it is your responsibility to contact Access Services. Access Services will recommend any appropriate accommodations to your professor and his/her director. The professor and director will identify for you which accommodations will be arranged.

JCCC provides a range of services to allow persons with disabilities to participate in educational programs and activities. If you desire support services, contact the office of Access Services for Students With Disabilities (913) 469-8500, ext. 3521 or TDD (913) 469-3885. The Access Services office is located in the Success Center on the second floor of the Student Center.