Revised: 2/1/2010

July 2010

Florida Department of Education Curriculum Framework

Nursing Assistant (Long-Term Care) Career Preparatory Health Science

http://www.labormarketinfo.com/wec/Targ etOccupationList.htm Perkins Technical Skill Attainment Inventory http://www.fldoe.org/workforce/perkins/pe rkins_resources.asp Industry Certifications http://www.fldoe.org/workforce/fcpea/defa ult.asp Basic Skills Level N/A

Purpose
This program offers a sequence of courses that provides coherent and rigorous content aligned with challenging academic standards and relevant technical knowledge and skills needed to prepare for further education and careers in the Health Science career cluster; provides technical skill proficiency, and includes competency-based applied learning that contributes to the academic knowledge, higher-order reasoning and problem-solving skills, work attitudes, general employability skills, technical skills, and occupation-specific skills, and knowledge of all aspects of the Health Science career cluster. This program is designed to prepare students for employment as nursing assistants, nursing aides, and orderlies, nurse aides in nursing homes or SOC Code 31-1012 nurse aides, orderlies & attendants. Successful completion of this program from an approved school prepares the student for certification for employment as a Nursing Assistant in a nursing home, in accordance with Chapter 82-163, Florida Statutes. To be approved, the course must be taught by a registered nurse. Those students who satisfactorily

complete an approved course are eligible to apply to take the national nursing assistant examination being utilized in Florida, in accordance with Chapter 82-163, F.S. Nursing assistants do not need to be certified except to work in nursing homes unless it is a condition for employment in other institutions. This framework does not include acute care skills, nor all sections of the Health science Core. New programs must be approved by the Board of Nursing, Department of Health prior to enrolling students. Persons Who Are Enrolled In A State Approved Nursing Assistant Training Program, Approved By The Department Of Education, May Be Employed By A Licensed Nursing Home For A Period Of Four Months. The Certification Requirements Must Be Met Within Four Months Of Such Initial Employment. However, all new programs must obtain approval from the Board of Nursing, Department of Health. The content includes, but is not limited to, interpersonal skills, medical terminology, legal and ethical responsibilities, safe and efficient work, gerontology, nutrition, petfacilitated therapy, health and safety including Cardio-pulmonary Resuscitation (CPR) heart saver level, and employability skills. This program focuses on broad, transferable skills and stresses understanding and demonstration of the following elements of the health care industry; planning, management, finance, technical and production skills, underlying principles of technology, labor issues, community issues and health, safety, and environmental issues.

Program Structure
This program is a planned sequence of instruction consisting of 1 occupational completion points. When offered at the post secondary adult career and technical level, this program is comprised of courses which have been assigned course numbers in the SCNS (Statewide Course Numbering System) in accordance with Section 1007.24 (1), F.S. Career and Technical credit shall be awarded to the student on a transcript in accordance with Section 1001.44(3)(b), F.S. The following table illustrates the program structure: OCP A Course Number PRN0090 Course Title Nurse Aide and Orderly Course Length 120 hours SOC Code 31-1012

The length of this program is 120 hours. Completion of this program should enable the postsecondary student to be given advanced standing in the Patient Care Technician

program but will require additional evaluation and competencies to enter at the level of OCP A.

Laboratory Activities
Laboratory activities are an integral part of this program. These activities include instruction in the use of safety procedures, tools, equipment, materials, and processes related to these occupations. Equipment and supplies should be provided to enhance hands-on experiences for students. Students will perform nursing skills in the clinical and/or simulated laboratory settings under the supervision of a qualified registered nurse instructor. The recommended teacher/student ratio in the clinical area is 1 to 12, but the maximum is 1 to 15. Clinical and simulated laboratory learning experiences must correlate with didactic instruction. For nursing assistant certification a minimum of 40 hours clinical and/or cooperative education learning experiences must be obtained. Twenty hours of this clinical experience must be in a licensed nursing home.

Special Notes
This program must be taught by a Registered Nurse meeting the qualifications as set forth in 64B9-15.004 (3) (a) F.A.C. This program meets the Department of Health HIV/AIDS Domestic Violence and Prevention of Medical Errors education requirements. Upon completion of this program, the instructor will provide a certificate to the student verifying that these requirements have been met. If students in this program are seeking a licensure, certificate or registration through the Department of Health, please refer to 456.0635 F.S. for more information on disqualification for a license, certificate, or registration through the Department of Health. Students must have a minimum of 16 hours of training in communication and interpersonal skills, infection control, safety/emergency procedures, promoting residents independence, and respecting residents rights prior to any direct contact with a resident. Career and Technical Student Organization (CTSO) Health Occupations Students of America Inc. (HOSA) is the appropriate career and technical student organization for providing leadership training and reinforcing specific career and technical skills. Career and Technical Student Organizations provide activities for students as an integral part of the instruction offered. The activities of such organizations are defined as part of the curriculum in accordance with Rule 6A-6.065, F.A.C.

Cooperative Training OJT On-the-job training is appropriate but not required for this program. Whenever offered, the rules, guidelines, and requirements specified in the program-specific OJT framework apply. Essential Skills Essential skills identified by the Division of Career and Adult Education have been integrated into the standards and benchmarks of this program. These skills represent the general knowledge and skills considered by industry to be essential for success in careers across all career clusters. Students preparing for a career served by this program at any level should be able to demonstrate these skills in the context of this program. (www.fldoe.org/workforce/dwdframe/rtf/essential_skills.rtf) Adult students with disabilities, as defined in Section 1004.02(7), Florida Statutes, may be exempted from meeting the Basic Skills requirements (Rule 6A-10.040). Students served in exceptional student education (except gifted) as defined in s. 1003.01(3)(a), F.S., may also be exempted from meeting the Basic Skills requirement. Each school district and Florida College must adopt a policy addressing procedures for exempting eligible students with disabilities from the Basic Skills requirement as permitted in Section 1004.91(3), F.S. Students who possess a college degree at the Associate of Applied Science level or higher; who have completed or are exempt from the college entry-level examination pursuant to Section 1008.29, F.S.; or who have passed a state, national, or industry licensure exam are exempt from meeting the Basic Skills requirement (Rule 6A-10.040, F.A.C.) Basic Skills In PSAV programs offered for 450 hours or more, in accordance with Rule 6A-10.040, F.A.C., the minimum basic skills grade levels required for postsecondary adult career and technical does not apply to this program due to the fact that it is less than 450 hours. See the Basic Skills Exemption List document for a list of eligible industry certifications (http://www.fldoe.org/workforce/dwdframe/rtf/basic-skills.rtf). Adult students with disabilities, as defined in Section 1004.02(7), Florida Statutes, may be exempted from meeting the Basic Skills requirements (Rule 6A-10.040). Students served in exceptional student education (except gifted) as defined in s. 1003.01(3)(a), F.S., may also be exempted from meeting the Basic Skills requirement. Each school district and Florida College must adopt a policy addressing procedures for exempting eligible students with disabilities from the Basic Skills requirement as permitted in Section 1004.91(3), F.S.

Students who possess a college degree at the Associate of Applied Science level or higher; who have completed or are exempt from the college entry-level examination pursuant to Section 1008.29, F.S.; or who have passed a state, national, or industry licensure exam are exempt from meeting the Basic Skills requirement (Rule 6A-10.040, F.A.C.) Accommodations Federal and state legislation requires the provision of accommodations for students with disabilities as identified on the secondary students IEP or 504 plan or postsecondary students accommodations plan to meet individual needs and ensure equal access. Postsecondary students with disabilities must self-identify, present documentation, request accommodations if needed, and develop a plan with their postsecondary service provider. Accommodations received in postsecondary education may differ from those received in secondary education. Accommodations change the way the student is instructed. Students with disabilities may need accommodations in such areas as instructional methods and materials, assignments and assessments, time demands and schedules, learning environment, assistive technology and special communication systems. Documentation of the accommodations requested and provided should be maintained in a confidential file. In addition to accommodations, some secondary students with disabilities (ESE) will need modifications to meet their special needs. Modifications change the outcomes or what the student is expected to learn, e.g., modifying the curriculum of a secondary career and technical education course. Note postsecondary curriculum cannot be modified. Some secondary students with disabilities (ESE) may need additional time (i.e., longer than the regular school year), to master the student performance standards associated with a regular occupational completion point (OCP) or a modified occupational completion point (MOCP). If needed, a student may enroll in the same career and technical course more than once. Documentation should be included in the IEP that clearly indicates that it is anticipated that the student may need an additional year to complete an OCP/MOCP. The student should work on different competencies and new applications of competencies each year toward completion of the OCP(s)/MOCP. After achieving the competencies identified for the year, the student earns credit for the course. It is important to ensure that credits earned by students are reported accurately. The districts information system must be designed to accept multiple credits for the same course number (for eligible students with disabilities). Articulation This program has no statewide articulation agreement approved by the Articulation Coordinating Committee. However, this does not preclude the awarding of credits by any college through local agreements.

For details on statewide articulation agreements which correlate to programs and industry certifications, refer to http://www.fldoe.org/workforce/dwdframe/artic_frame.asp.

Standards
After successfully completing this program, the student will be able to perform the following: Course PRN0090: After successfully completing the program, the student will be able to: 01.0 Demonstrate mathematics and science knowledge and skills. 02.0 Demonstrate language arts knowledge and skills. 03.0 Use oral and written communication skills in creating, expressing and interpreting information and ideas. 04.0 Describe the importance of professional ethics and legal responsibilities 05.0 Solve problems using critical thinking skills, creativity and innovation. 06.0 Use information technology tools. 07.0 Describe the roles within teams, work units, departments, organizations, inter-organizational systems, and the larger environment. 08.0 Demonstrate the importance of health, safety, and environmental management systems in organizations and their importance to organizational performance and regulatory compliance. 09.0 Demonstrate leadership and teamwork skills needed to accomplish team goals and objectives. 010.0 Describe the importance of professional ethics and legal responsibilities. 011.0 Explain the importance of employability skill and entrepreneurship skills. 012.0 Demonstrate personal money-management concepts, procedures, and strategies. 013.0 Provide emergency care 014.0 Describe the anatomy and physiology of the human body 015.0 Perform physical comfort and safety functions 016.0 Provide personal patient care 017.0 Perform patient care procedures 018.0 Apply principles of nutrition 019.0 Provide care for geriatric patients. 020.0 Apply the principles of infection control 021.0 Provide biologial, psychological, and social support 022.0 Perform organizational skills following the patient plan of care. 023.0 Assist with restorative (rehabilitative) activities 024.0 Demonstrate knowledge of blood borne diseases, including HIV/AIDS

July 2010

Florida Department of Education Student Performance Standards

Course Number: PRN0090 Occupational Completion Point: A Nursing Aides, Orderlies and Attendants 120 SOC Code 31-1012
01.0 Demonstrate mathematics and science knowledge and skills.--The students will be able to: 01.01 Use measurements in both traditional and metric units. 01.02 Construct charts/tables/graphs using functions and data. AF3.5 01.03 Use addition, subtraction, multiplication and division of whole numbers and fractions in performing patient care procedures. 01.04 Demonstrate knowledge of arithmetic operations. AF3.2 01.05 Formulate scientifically investigable questions, construct investigations, collect and evaluate data, and develop scientific recommendations based on findings. AF4.3 01.06 Analyze and apply data and measurements to solve problems and interpret documents. AF3.4 01.07 Discuss the role of creativity in constructing scientific questions, methods and explanations. AF4.1 02.0 Demonstrate language arts knowledge and skills.--The students will be able to: 02.01 Locate, comprehend and evaluate key elements of oral and written information. AF2.4 02.02 Draft, revise, and edit written documents using correct grammar, punctuation and vocabulary. AF2.5 02.03 Present information formally and informally for specific purposes and audiences. AF2.9 03.0 Use oral and written communication skills in creating, expressing and interpreting information and ideas. --The student will be able to: 03.01 03.02 03.03 03.04 Distinguish between factual reports and personal opinion. Identify barriers to communication. Use basic medical terminology and approved abbreviations. Demonstrate effective interpersonal relationships.

03.05 Receive and give oral reports of a patient's status. 03.06 Report and record objective, pertinent observations, in written or oral form, observing legal guidelines. 03.07 Maintain current documentation. 03.08 Obtain specified data from patient and family. 03.09 Utilize verbal and written information to assist with the patient's plan of care. 03.010 Adapt communication skills to varied levels of understanding and cultural orientation. 03.011 Read and discuss technical material. 03.012 Select and employ appropriate communication concepts and strategies to enhance oral and written communication in the workplace. CM 1.0 03.013 Locate, organize and reference written information from various sources. CM 3.0 03.014 Design, develop and deliver formal and informal presentations using appropriate media to engage and inform diverse audiences. CM 5.0 03.015 Interpret verbal and nonverbal cues/behaviors that enhance communication. CM 6.0 03.016 Apply active listening skills to obtain and clarify information. CM 7.0 03.017 Develop and interpret tables and charts to support written and oral communications. CM 8.0 03.018 Exhibit public relations skills that aid in achieving customer satisfaction. CM 10.0 04.0 Describe the importance of professional ethics and legal responsibilities.-- The student will be able to: 04.01 Demonstrate legal and ethical behavior within the role and scope of nursing assistant responsibilities, including conflict resolution. 04.02 Identify the role of each health-care team member. 04.03 Explain resident rights. 04.04 Maintain confidentiality of patient information. 04.05 Describe the purpose of the chain of command (i.e., to resolve patient or employee problems). 04.06 Follow policies and procedures affecting the health, safety, and well-being of patients. 04.07 Recognize and report signs and symptoms of abuse and neglect. 04.08 Recognize and report signs of substance abuse. 04.09 Exhibit behavior supporting and promoting residents' rights. 04.010 Recognize sexual harassment and domestic violence. 04.011 Recognize that a C.N.A. Must self report any crimes theyve been involved in within 30 days of the offense. (FS 456.0727(1) w) 04.012 Discuss Florida certified nursing assistant rules.

04.013 Evaluate and justify decisions based on ethical reasoning. ELR 1.0 04.014 Evaluate alternative responses to workplace situations based on personal, professional, ethical, legal responsibilities, and employer policies. ELR1.1 04.015 Identify and explain personal and long-term consequences of unethical or illegal behaviors in the workplace. ELR1.2 04.016 Interpret and explain written organizational policies and procedures. ELR 2.0 05.0 Solve problems using critical thinking skills, creativity and innovation. --The students will be able to: 05.01 Employ critical thinking skills independently and in teams to solve problems and make decisions. PS1.0 05.02 Employ critical thinking and interpersonal skills to resolve conflicts. PS 2.0 05.03 Identify and document workplace performance goals and monitor progress toward those goals. PS 3.0 05.04 Conduct technical research to gather information necessary for decision-making. PS 4.0 06.0 Use information technology tools.--The students will be able to: 06.01 Use personal information management (PIM) applications to increase workplace efficiency. IT1.0 06.02 Employ technological tools to expedite workflow including word processing, databases, reports, spreadsheets, multimedia presentations, electronic calendar, contacts, email, and internet applications. IT2.0 06.03 Employ computer operations applications to access, create, manage, integrate, and store information. 07.0 Describe the roles within teams, work units, departments, organizations, inter-organizational systems, and the larger environment. --The students will be able to: 07.01 Describe the nature and types of business organizations. SY 1.0 07.02 Explain the effect of key organizational systems on performance and quality. SY 1.0 07.03 List and describe quality control systems and/or practices common to the workplace. SY 2.0 07.04 Explain the impact of the global economy on business organizations. SY2.0

08.0 Demonstrate the importance of health, safety, and environmental management systems in organizations and their importance to organizational performance and regulatory compliance.--The students will be able to: 08.01 Describe personal and jobsite safety rules and regulations that maintain safe and healthy work environments. SHE 1.0 08.02 Study the theory of root- cause analysis 08.03 Identify and describe methods in medical error reduction and prevention in the various healthcare settings. 08.04 Explain emergency procedures to follow in response to workplace accidents. SHE 2.0 08.05 Create a disaster and/or emergency response plan. SHE 2.3 09.0 Demonstrate leadership and teamwork skills needed to accomplish team goals and objectives.--The students will be able to: 09.01 Employ leadership skills to accomplish organizational goals and objectives. LT1.0 09.02 Establish and maintain effective working relationships with others in order to accomplish objectives and tasks. lT3.0 09.03 Conduct and participate in meetings to accomplish work tasks. lT4.0 09.04 Employ mentoring skills to inspire and teach others. lT5.0 010.0 Describe the importance of professional ethics and legal responsibilities.-The students will be able to: 010.01 Evaluate and justify decisions based on ethical reasoning. ELR 1.0 010.02 Evaluate alternative responses to workplace situations based on personal, professional, ethical, legal responsibilities, and employer policies. ELR1.1 010.03 Identify and explain personal and long-term consequences of unethical or illegal behaviors in the workplace. ELR1.2 010.04 Interpret and explain written organizational policies and procedures. ELR 2.0 011.0 Explain the importance of employability skill and entrepreneurship skills.-The students will be able to: 011.01 job. 011.02 for a job. 011.03 011.04 Conduct a job search and secure information about a Identify documents that may be required when applying Complete a job application. Demonstrate competence in job-interview techniques.

011.05 Identify or demonstrate appropriate responses to criticism from employer, supervisor, or other persons. 011.06 Demonstrate knowledge of how to make job changes appropriately. 011.07 Demonstrate acceptable employee health habits. 011.08 Identify and demonstrate positive work behaviors needed to be employable. ECD 1.0 011.09 Develop personal career plan that includes goals, objectives, and strategies. ECD 2.0 011.010 Examine licensing, certification, and industry credentialing requirements. ECD 3.0 011.011 Maintain a career portfolio to document knowledge, skills, and experience. ECD 5.0 011.012 Evaluate and compare employment opportunities that match career goals. ECD 6.0 011.013 Identify and exhibit traits for retaining employment. ECD 7.0 011.014 Identify opportunities and research requirements for career advancement. ECD 8.0 011.015 Research the benefits of ongoing professional development. ECD 9.0 011.016 Examine and describe entrepreneurship opportunities as a career planning option. ECD 10.0 012.0 Demonstrate personal money-management concepts, procedures, and strategies.--The students will be able to: 012.01 Identify and describe the services and legal responsibilities of financial institutions. FL 2.0 012.02 Describe the effect of money management on personal and career goals. FL 3.0 012.03 Develop a personal budget and financial goals. FL3.1 012.04 Complete financial instruments for making deposits and withdrawals. FL3.2 012.05 Maintain financial records. FL3.3 012.06 Read and reconcile financial statements. FL3.4 012.07 Research, compare and contrast investment opportunities. FL4.0 013.0 Provide emergency care.--The student will be able to: 013.01 Obtain and maintain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid for infant, child and adult. 013.02 Identify emergency evacuation procedures.

014.0 Describe the anatomy and physiology of the human body.--The student will be able to: 014.01 Describe the basic structure and function of body systems. 014.02 Describe the relationships of body systems in providing patient care. 014.03 Recognize abnormal signs and symptoms of common diseases and condition 015.0 Perform physical comfort and safety functions.--The student will be able to: 015.01 Care for equipment and supplies. 015.02 Maintain patient units. 015.03 Maintain service areas on the units. 015.04 Observe and report the patient's behavior daily, including mental awareness. 015.05 Adjust bed and siderails. 015.06 Lift, hold, or transfer a patient, using good body mechanics. 015.07 Transfer patient, using mechanical lifters. 015.08 Transfer patient to stretcher. 015.09 Turn and position patient. 015.010 Maintain the residents environment and care to avoid the need for restraint. 015.011 Apply comfort devices as directed (e.g., footboard, overbed cradle, alternating pressure mattress). 015.012 Assist patient to dangle. 015.013 Assist patient in ambulation, including the use of crutch, cane, or walker. 015.014 Assist patient in using wheelchair. 015.015 Assist patient with care and use of prosthetic/orthotic devices. 015.016 Administer back rub. 015.017 Discuss joint commission (JCAHO) patient safety goals. (www.jcaho.org) 016.0 Provide personal patient care.--The student will be able to: 016.01 Give bed bath, checking full body for alterations in skin surface and color. 016.02 Assist with shower or tub bath, including the use of specialty tubs. 016.03 Assist patient with sink, tub, shower, or bed shampoo. 016.04 Shave patient. 016.05 Groom patient, including hair, skin, foot, and nail care. 016.06 Assist with and/or administer oral hygiene including denture care.

016.07 Assist patient with toileting. 016.08 Assist patient to dress. 016.09 Assist patient with meals. 016.010 Provide bowel and bladder training. 016.011 Give perineal care. 017.0 Perform patient care procedures.--The student will be able to: 017.01 Admit patient. 017.02 Transfer patient. 017.03 Make unoccupied/occupied bed. 017.04 Measure and record patient's pulse and respiration. 017.05 Measure and record patient's blood pressure. 017.06 Measure and record patient's temperature. 017.07 Measure and record patient's height and weight. 017.08 Assist patient in passive range-of-motion exercises. 017.09 Apply anti-embolic hose. 017.010 Collect, strain, and/or test routine urine specimen. 017.011 Monitor catheter drainage system. 017.012 Collect clean-catch (midstream-voided) urine specimen. 017.013 Monitor fluid intake and output (i&o). 017.014 Observe, record, and report patient's emesis. 017.015 Monitor and assist with care of catheters. 017.016 Assist with ostomy care. 017.017 Collect stool specimen. 017.018 Perform postmortem care. 017.019 Maintain care and securing of patients personal possessions and of patient-belongings list. 017.020 Identify signs and symptoms of pain. 018.0 Apply principles of nutrition. --The student will be able to: 018.01 018.02 018.03 018.04 018.05 018.06 Identify nutrients and food groups. Explain regional, cultural, and religious food preferences. Describe special diets. Prepare a basic food plan. Check patient's diet tray for accuracy. Identify methods of maintaining fluid balance.

019.0 Provide care for geriatric patients.--The student will be able to: 019.01 Identify safety principles as related to the elderly. 019.02 Describe general characteristics, particular needs, and problems of the elderly. 019.03 Identify attitudes and living habits that promote positive mental and physical health for the elderly.

019.04 Distinguish between fact and fallacy about the aging process. 019.05 Identify community resources and services available to the elderly. 019.06 Apply reality orientation techniques and validation therapy. 019.07 Provide and involve patients in diversional activities. 019.08 Identify common alterations in elderly patient behavior. 019.09 Provide care for patients with special needs (e.g., impaired hearing, impaired vision, immobility, impaired body functions, & cognitively impaired (dementia)). 019.010 Recognize and respond appropriately to symptoms of common diseases, including dementia, depression/suicide and alzheimers. 020.0 Apply the principles of infection control.--The student will be able to: 020.01 Wash hands. 020.02 Provide care for patients with infectious diseases. 020.03 Practice universal/standard precautions according to the centers for disease control guidelines. 020.04 Set up isolation unit. 020.05 Follow isolation procedure with food tray, garments, and other materials. 020.06 Collect specimen from patient in isolation. 021.0 Provide biological, psychological, and social support.--The student will be able to: 021.01 Identify basic human needs. 021.02 Discuss family roles and their significance to health. 021.03 List community resources for individual and family health. 021.04 Identify components of the grief process. 021.05 Respond to patient and family emotional needs including death and dying. 022.0 Perform organizational skills following the patient plan of care. --The student will be able to: 022.01 Organize patient-care assignments. 022.02 Complete assignments accurately and in a timely manner. 023.0 Assist with restorative (rehabilitative) activities.--The student will be able to: 023.01 List the purposes of restorative (rehabilitation) program. 023.02 Assist patient with specified restorative (rehabilitation) needs. 023.03 Assist patients/residents to reach the optimum level of independence.

024.0 Demonstrate knowledge of blood borne diseases, including HIV/AIDS.-The student will be able to: 024.01 Distinguish between fact and fallacy about the transmission and treatment of diseases caused by blood borne pathogens. 024.02 Identify community resources and services available to individuals with diseases caused by blood borne pathogens. 024.03 Identify "at risk" behaviors that promote the spread of aids and the public education needed to combat the spread of diseases caused by blood borne pathogens. 024.04 Apply infection control techniques designed to prevent the spread of diseases caused by blood borne pathogens to the care of all patients following center for disease control (CDC) guidelines. 024.05 Demonstrate knowledge of the legal aspects of aids, including testing.