nursing assistant program clinical packet clinical packet.pdf · bed making occupied/unoccupied...

Nursing Assistant Program Clinical Packet

Updated 2/2019

Name________________________Student ID _________________________

Assisted Living Clinical Locations:

Lotus Park Assisted Living_ 2639 W. 3520 S., West Haven

Our House of Ogden Assisted Living___________________________________446 N Jefferson Ave., Ogden

Clinical Schedule:

Attendance

Students may only complete ONE clinical at an Assisted Living Facility.

Clinical Times – please arrive 15 minutes early to prepare for your shift

Day Clinical 0530-1400 - DO NOT BE LATE – You will be considered late after 0545am

Eve Clinical 1330-2200 - DO NOT BE LATE – You will be considered late after 1345 (1:45pm)

Students who arrive 15 minutes late will be sent home**

Items to Bring:

OWTC Name badge*

Clinical Packet*

Utah Food Handler’s Permit* (must carry with you)

Pen with Black Ink

Lunch

Items marked with a (*) must be brought or you will be considered unprepared and will sent home **Students who are sent home for any reason will be required to pay the $25 reschedule fee

Assisted Living Clinical ONLY SCHEDULE ONE (8 hours)

Date Time Location Clinical Instructor Signature

_________ _________ __________________ __________________

This sheet must be turned in to clinical instructor at the end of last clinical to complete course

*For 24 hour Cancellation or In Case of Emergency, contact Program Coordinator @

[email protected], Office phone 801-612-4179 (leave a message), or Text 385-626-0614. Failure to notify Coordinator will be considered a no show/no call and will result in a $25 rescheduling fee.

mailto:[email protected]


Updated 2/2019

Long-Term Care Clinical Locations:

George E. Wahlen Veterans Home (*VA) 1102 N. 1200 W., Marriot-Slaterville

Stonehenge of Ogden (*SH) 5648 Adams Ave Parkway, Washington Terrace

Clinical Schedule:

Attendance

Students must complete a minimum of 16 clinical hours at a Long-Term Care Facility

Schedule TWO clinicals in Long-Term Care

Clinical Times - please arrive 15 minutes early to prepare for your shift

Day Clinical 0530-1400 - DO NOT BE LATE – You will be considered late after 0545am

Eve Clinical 1330-2200 - DO NOT BE LATE – You will be considered late after 1345 (1:45pm)

Students who arrive 15 minutes late will be sent home**

Items to Bring:

OWTC Name badge*

Clinical Packet*

Utah Food Handler’s Permit* (must carry with you)

Pen with Black Ink

Lunch

Items marked with a (*) must be brought or you will be considered unprepared and will sent home **Students who are sent home for any reason will be required to pay the $25 reschedule fee

Long-Term Care Clinical #1 (8 hours)


_________ _________ __________________ __________________

Long-Term Care Clinical #2 (8 hours)


_________ _________ __________________ __________________

This sheet must be turned in to clinical instructor at the end of last clinical to complete course

*For 24 hour Cancellation or In Case of Emergency, contact Program Coordinator @

[email protected], Office phone 801-612-4179 (leave a message), or Text 385-626-0614. Failure to notify Coordinator will be considered a no show/no call and will result in a $25 rescheduling fee.

mailto:[email protected]


Updated 2/2019

Skills Sheet: Clinical Performance Evaluation

Student must bring this form to ALL clinicals. One Assisted Living (AL), Two Long-Term Care (LTC) Student will have instructor initial (I. I.) each procedure completed during clinical This skill sheet must be turned in to clinical instructor at the end of last clinical to complete course

Procedure AL Clinical I. I. LTC Clinical #1 I. I. LTC Clinical #2 I. I.

Critical Criteria, Beginning/Ending Procedures

AL2 only - IADLs

Documentation as per Facility Policy

Proper Placement of Call Light, Phone, Water

Reported Observations to Nurse

Promote Resident Rights

Demonstrate ability to Communicate verbal/non-verbal

Hearing Aid / Eyeglass Care

Proper Hand Washing & Hand Sanitizer

Proper Gloving Technique

Proper PPE Technique

Abdominal Thrust

Knowledge of Fire Safety, emergency procedures @ site

Vital Signs – AT LEAST ONE SET @ each Clinical

Application of Cold Pack

Application of Anti-Embolism Stockings

Measuring/documenting O2 Saturation

O2 (Cannula/Mask Placement)

Obtain HT &/ or WT Assisting to Ambulate Cane/Walker/Visually Imprd/Gait Belt

Bed Making Occupied/Unoccupied

Logrolling with draw sheet

Moving/Positioning in bed

Occupied Draw Sheet Change

Pressure Ulcer Prevention – what did you do?

Proper Body Mechanics

Range of Motion (Passive or Active)

Proper Wheelchair positioning

Transfers/ Use of gait belt

Back Rub/Massage

Bed Bath (Complete/Partial)

Denture Care

Dress/Undress Resident

Haircare

Nail Care/ Foot care

Oral Care- Unconscious Resident

Oral Care-Conscious Resident

Peri-Anal Care (Male/Female)

Shaving (Razor Blade/Electric)

Shower

Serve & Assist at Mealtime

Convert oz to ml

Measure and Record Fluid Intake/Output

Assist with a urinal

Assist with Bedpan/Fracture Pan

Brief Change

Empty Down Drain Bag/ measure/ record

Indwelling Foley Cath Care/positioning

Ostomy Care

Provide Toileting assistance / bedside commode

Postmortem Care


Updated 2/2019

ASSISTED LIVING FACILITY

PERSONAL REFLECTION ASSIGNMENT

This assignment must be turned in to clinical instructor at the end of last clinical to complete

course

IMPORTANT – When completing this assignment, you are reflecting on your own experience. DO NOT use any identifiable information regarding a resident, their identity, or diagnosis.

Communication:

Sometime during the day, find a quiet moment to have a conversation with at least one resident. The clinical instructor may assign a certain resident to talk to. In order to ensure privacy, you will not record the answers, but will be asked to share something you learned about that person during post-conference. Practice “presence” and LISTEN to what the resident has to say. Ask appropriate follow up questions. Allow the resident to set the pace and length. If they are not wanting to talk, that is OK. Remember this is a conversation not an interrogation! Don’t forget to SMILE. LISTEN. ENGAGE. Keep the conversation appropriate and respectful.

Find out what makes this person special and brings them joy. Here are some examples of the types of questions you might want to ask.

Where were you born? (City/ farm/ other state/country) – What was it like there?

Do you have brothers and sisters? Married? Children? Grandchildren?

What was your favorite subject in school?

How did you get to school?

What was your occupation? How long? How did you get interested in that field?

Did you have a favorite tradition or celebration you shared with your family as a child? Did you continue the tradition/celebration as you got older?

What was your favorite treat as a child? What is your favorite thing to eat now?

Do you have a favorite type of music/song/movie/ TV show?

What brings them joy? Hobbies?

Nursing assistants must use a variety of methods to communicate effectively with residents in order to establish trust and form a bond.

What forms of communication did you use today?

Was it difficult to start/maintain the conversation? Why?

How would you rate your effectiveness with interpersonal communication?

Would you do anything different in the future to ensure effective communication?


Updated 2/2019

Residents Rights: Use the attached Resident Rights information sheet (TheConsumerVoice.org) as a guide: Right to Dignified Existence: Did you treat residents with consideration, respect and dignity, recognizing each resident’s individuality? Thinking of, but not identifying a resident, give an example: Thinking of, but not identifying a resident, do you think the resident’s quality of life has been “Maintained or Improved” while living at the facility? Why or Why not?

Was the resident’s room set up similar to a homelike environment with personal belongings available? What items did you see that helped to personalize the residents room?

Right to be Fully Informed:

Did you explain the type of care you were going to provide?

Thinking of, but not identifying a resident, give an example of something you explained?

Right of Access:

Did your resident participate in any services/activities inside or outside of the facility today?

If so, what did they do? Did you also participate?

Right to Privacy:

Right to Privacy can include personal, financial and medical affairs as well private communications and privacy during treatment and personal care needs. Name at least 3 ways you provided privacy for your resident today.


Updated 2/2019

Empathy - identifying with the feelings of others. (Putting yourself in their shoes)

How did you experience empathy today? Thinking of, but not identifying a resident, share an example.

Instrumental Activities of Daily Living (IADLs) “are activities related to independent living and help to

determine the person’s ability to care for himself or herself.” (Santa Barbara ADL/IADL checklist)

o IADLS include: ability to shop for self, prepare own meals, manage medications, household chores,

laundry, transportation, ability to use phone, manage day to day finances.

Did you assist with any IADLs today? If so which ones?

Reminder - This assignment must be turned in to clinical instructor at the end of last clinical

to complete course


Updated 2/2019

Long-Term Care Assignment

The clinical report roster is intended to help students learn how to gather important data necessary to provide safe, appropriate resident care. It also helps students to learn to use the resident’s care plan as a guide.

Use the report roster to give a verbal report at the end of each clinical during post-conference.

When filling out the report, use medical terminology and abbreviations.

The Report Roster must be turned in to the Clinical Instructor following post-conference.

The report roster may not leave the facility.

LONG-TERM CARE CLINICAL #2

REPORT ROSTER MALE/FEMALE

CODE

MAIN DX LOC DIET EAT IN DR OR ROOM

THICKENED LIQ OR FLUID

RESTRICTION?

MOBILITY/TRANSFER (USE ADL SCORING)

WALKER/CANE AND/OR WHEELCHAIR

WEIGHT BEARING HYGEINE (USE ADL SCORING)

ORAL CARE (USE ADL SCORING)

DRESS (USE ADL SCORING)

SHOWER (USE ADL SCORING)

TOILETING (USE ADL SCORING)

CONTINENT OR INCONTINENT

BOWEL BLADDER

LBM DATE AND SIZE

T:

P: R: B/P: O2?: RA OR L/MIN:

ADDITIONAL COMMENTS:

*Turn in to Clinical Instructor following Clinical. This report may not leave the facility.

CUT HERE….CUT HERE….CUT HERE….CUT HERE….CUT HERE….CUT HERE…CUT HERE….CUT HERE….CUT HERE….CUT HERE….

LONG-TERM CARE CLINICAL #1

REPORT ROSTER

MALE/FEMALE

CODE

MAIN DX LOC DIET EAT IN DR OR ROOM

THICKENED LIQ OR FLUID

RESTRICTION?








CONTINENT OR INCONTINENT

BOWEL BLADDER

LBM DATE AND SIZE

T:

P: R: B/P: O2?: RA OR L/MIN:


*Turn in to Clinical Instructor following Clinical. This report may not leave the facility.


Updated 2/2019

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Updated 2/2019

Clinical Report Roster ADL Scoring Sheet and Abbreviations Guideline MALE/FEMALE

CODE

MAIN DX LOC DIET EAT IN DR

OR ROOM? THICKENED LIQ

OR FLUID RESTRICTION?

No Names please!

Full Code or DNR

Info will be located in resident chart.

Level of Conscious- Is

resident alert and oriented or confused?

Alert- Awake and

responding

Orientation- person, place, time

(write as A&O x 1, 2, or 3)

REG, MECH SOFT, PUREED, ADA, AHA, etc.

Did resident consume an adequate amount of

their meal?

Does anything need to be reported to nurse?

DR- dining room

FLUID RESTRICTION: Is resident on a fluid restriction? If so, how much per shift?

LIQUID: REG, NECTAR, HONEY, PUDDING





How much assist is needed to transfer resident?

How much assist is needed to ambulate resident?

Put all that apply.

FWB-full weight bearing

PWB-partial weight bearing

NWB-non weight bearing

WBAT-weight bearing as tolerated

TTWB-toe touch weight bearing

SBA-stand by assistance

How much assist is needed?

Dentures or Own teeth?





CONTINENT OR INCONTINENT OR BOTH

LBM DATE AND SIZE




BOWEL: Note if pt has an ostomy. BLADDER: Note if pt has a catheter.

Last bowel movement- date and size, Be sure to report anything unusual

T: Obtain VS and make sure to report any VS that are out of range to nurse.

P: R: B/P: O2?: RA OR L/MIN: Does resident wear O2 continuously, at noc only, or prn? If so, how many L/MIN of O2?


Feel free to add any additional comments that would be important to pass on in report!

ADL Scoring (Part 1) 0-INDEPENDENT (no oversight/help) 1-SUPERVISION (stand by) (CNA set up and watch resident perform task) 2-LIMITED ASSISTANCE (CNA guide palms down) (one person assistance transfer/ambulation) 3-EXTENSIVE ASSISTANCE (CNA lift palms up) (two or more person assistance) 4-TOTAL DEPENDENCE (CNA does everything for resident) (two or more person assistance) 8- ACTIVITY DID NOT OCCUR

ADL Scoring (Part 2) 0 - No physical help

1 - Set up

2 - One person assist

3- Two or more person assist

8- Activity did not occur


Updated 2/2019

Clinical Site Information – Reminders for ALL Facilities: Violations may result in you being sent home and/or dismissed from program

Arrive on time, ready to work, learn, and participate. Food Handlers permit and clinical packet must be brought with you to all clinicals

Dress Code: Professional appearance is EXPECTED Clean, Non-wrinkled, Ceil Blue Scrubs and work shoes with non-slip soles (closed toe/heel) Name badges must be worn and visible at all times Modest use of earrings (2 small pairs, non-dangle) numerous earrings, facial and body piercings

are NOT ALLOWED Gauged ears MUST BE plugged Hair styles and colors may not be radical and detract from a professional appearance Shoulder length hair or longer must be tied back and not hang in your face Finger nails/artificial nails must be clean, presentable and a length/shape that will allow you to

care for resident without causing possible harm (fingertip length and rounded) No visible tattoos. It is your responsibility to cover your tattoos

Behavior & Safety: Students are expected to behave in a safe, professional and ethical manner while at clinicals by:

Following assigned CNA and keeping within the guidelines of the clinical facility in order to assure the health, well-being and safety of each resident.

Treating all residents, facility staff, and clinical instructors with respect. Not performing any skill that you have not learned or do not feel comfortable doing. Notifying the clinical instructor of any questions or concerns you may have in a timely manner. Students may observe but MAY NOT participate in any way with medication passes. This

includes touching, holding, distributing or administering any medication. All transfers must be done with the supervision of the CNA you are working with. Follow the

care plan. Use gait belt if indicated. You may not for any reason transfer a resident while you are alone

Cell phones are UNACCEPTABLE in resident care areas. ANY student seen in a resident’s room or in the hall on a cell phone WILL be sent home and will have to reschedule the entire 8 hour clinical. $25 rescheduling fee will apply.

When completing clinicals during flu season, you must have had a flu shot or will be required to wear a mask at all times

Other: Lunches may be placed in the fridge in the breakroom. Your name and date must be on your

items. Vending machines and snacks are available at Long-term care facilities Stay busy! If you have downtime, avoid clusters of students socializing. Student experience will

be what you make of it. If you are outgoing and looking for opportunities, you will have a better experience than someone who just sits at the nurse’s station talking to other students.

HIPPA policies must be followed at all times. NO paperwork can leave the facility (even copies)

Patient Abuse: I understand that as a Mandated Reporter, I have a duty to IMMEDIATELY

report any incident or suspected incident of abuse or misappropriation of patient property to my clinical instructor and the charge nurse, DON, or administrator of the facility Student Initials __________ Date__________


Updated 2/2019

Site Specific Reminders

George E. Wahlen Veterans Home (*VA) __________ _1102 N. 1200 W., Marriot-Slaterville

When arriving at the facility for clinicals, please park in the north parking lot. Enter through the front doors located on the West side of the building. Meet the clinical instructor in the front lobby. Personal items should be left in the employee break room lockers or shower suite lockers.

You will be responsible for their safety.

Smoke free campus. If you are a smoker you need to either smoke in your car with the doors and windows closed, or go to the curb of the main street. Once finished smoking, you must properly dispose of your cigarettes and wash your hands.

Two questions that are UNACCEPTABLE to ask a veteran: o Did you ever kill someone? o Did someone that you knew die?

Stonehenge of Ogden_____________________ 5648 Adams Ave Pkwy, Washington Terrace

When arriving at the facility for clinicals, please park in the north parking lot. Enter the front doors located on the West side of the building under the carport. Meet clinical instructor in the lobby. Lockers are NOT available. Leave all personal items and valuables in your car or at home.

You will be responsible for their safety.

Smoking is not allowed within 25 feet of the facility. Once finished smoking, you are responsible for properly disposing of your cigarettes and washing your hands.

Lotus Park Assisted Living 2639 W. 3520 S., West Haven

When arriving at the facility for clinicals, please park in any of the open parking spaces that are NOT directly in front of buildings

Enter the front doors located on the West side of the building. Meet clinical instructor in the front lobby. Personal items should be left in the lockers that are provided leading up to the training room.

Bring a lock if you want. If you are a smoker you need to either smoke in your car with the doors and windows closed,

or go to the smoke shack located to the far north of the AL2 building. Once finished smoking, you must properly dispose of your cigarettes and wash your hands.

Our House of Ogden Assisted Living______________________446 N Jefferson Ave., Ogden

When arriving at the facility for clinicals, please park on the street on the west side of the building or in the back parking lot.

Enter the front doors located South Side of the building. For AM clinicals, push the button on the intercom to be let in. Meet clinical instructor in the front lobby Leave all personal items in the upstairs employee break room

Smoke free campus. If you are a smoker you need to either smoke in your car with the

doors and windows closed, or go to the curb of the main street. Once finished smoking, you

must properly dispose of your cigarettes and wash your hands.


Updated 2/2019

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