Title 12 . Professional and Vocational Regulations

Chapter 44 . Big Game Guides and Transporters

Section 847. Clinical training curriculum

12 AAC 44.847. Clinical training curriculum

The 80 hours of supervised clinical experience required in 12 AAC 44.835(c) (2) must provide an opportunity for a student to gain the following competencies:

(1) perform according to a nurse aide's role and responsibility by

(A) using ethical and legal concepts in relationships and communication with others, including other health care providers and the client;

(B) maintaining confidentiality of client information;

(C) identifying the lines of authority and reporting problems to the appropriate person;

(D) identifying the range and limitation of certified nurse aide functions;

(E) accepting responsibility for one's actions;

(F) demonstrating promptness and dependability;

(G) seeking assistance when unsure about appropriate action;

(H) participating as a member of the health care team, including providing input to licensed nursing staff in the development and updating of client care plans; and

(I) using the concept of client's rights and responsibilities in client relationships, including the rights described in 7 AAC 12.890;

(2) demonstrate an understanding of the basic nursing skills of

(A) monitoring body functions;

(B) taking and recording vital signs;

(C) non-invasive physical specimen collection and testing, including recognizing and reporting deviations from normal limits;

(D) measuring and recording height and weight;

(E) recognizing abnormal signs and symptoms of common diseases and conditions, including the following:

(i) shortness of breath;

(ii) rapid respiration;

(iii) fever, chills, or coughs;

(iv) pain in the chest or abdomen;

(v) nausea and vomiting;

(vi) blue color to the lips;

(vii) drowsiness;

(viii) excessive thirst or sweating;

(ix) pus, blood, or sediment in urine;

(x) urinating difficulties, urinating in frequent small amounts, pain or burning during urination, or urine with dark color or strong odor;

(F) transfers, positioning, and turning of clients;

(3) demonstrate an understanding of basic personal care skills by assisting clients with

(A) bathing;

(B) oral hygiene;

(C) grooming;

(D) dressings;

(E) toileting;

(F) eating and hydration;

(G) proper feeding techniques; and

(H) skin care;

(4) demonstrate knowledge of safety concepts by

(A) using the principles of medical asepsis and isolation techniques;

(B) showing proficiency in basic life support;

(C) providing adequate ventilation, warmth, light, and therapeutic environment;

(D) using appropriate measures to relieve pain and promote rest and sleep;

(E) maintaining equipment and keeping client space clean and orderly;

(F) identifying and using accident prevention measures;

(G) applying principles of body mechanics in transferring and ambulation of a client;

(H) demonstrating the proper application and release of restraints and other protective devices;

(I) demonstrating the proper care of the client in protective devices;

(J) demonstrating knowledge of fire and disaster procedures; and

(K) applying principles of health and sanitation in the service of food to a client;

(5) demonstrate appropriate communication skills by

(A) listening and responding to a client's verbal and nonverbal communications;

(B) recognizing that the certified nurse aide's own behavior influences a client's behavior;

(C) seeking assistance in understanding a client's behavior;

(D) giving appropriate positive and negative reinforcement;

(E) making adjustments for the physical or mental limitations of a client;

(F) using terminology accepted in the employing facility to record and report observations and pertinent information;

(G) recording and reporting observations, activities, and communications accurately;

(6) demonstrate knowledge of hygiene and restorative nursing care by

(A) providing appropriate personal hygiene services to the client;

(B) using measures that promote good skin care, including the use of antipressure procedures and devices;

(C) carrying out preventive maintenance and rehabilitative measures such as therapeutic ambulation, exercise, range of motion, and bed and chair positioning in daily care;

(D) recognizing and promoting opportunities for self-care, according to the client's ability;

(E) helping to provide adequate nutrition, including fluid intake and progressive self-feeding by the client;

(F) identifying and monitoring special dietary needs;

(G) following correct procedures to aid adequate elimination from the bladder and bowel, including measuring output;

(H) demonstrating an understanding of the concepts of bladder and bowel retraining; and

(I) making adjustments for physical or mental limitations;

(7) demonstrate knowledge of growth and development concepts by

(A) identifying basic human needs;

(B) helping to provide for a client's spiritual needs;

(C) recognizing the client's family as an influence on behavior and care;

(D) identifying developmental tasks associated with aging;

(E) identifying cultural factors that may influence behavior;

(F) describing the body responses, including sexuality, in the normal life cycle;

(G) describing the body responses to loss, dying, and death; and

(H) demonstrating knowledge of post mortem care; and

(8) demonstrate behavior that maintains the rights of the client by

(A) providing privacy and maintenance of confidentiality;

(B) promoting the client's right to make personal choices to accommodate individual needs;

(C) helping the client to resolve grievances;

(D) helping the client get to, and participate in, family and other group activities;

(E) helping to care for and maintain the security of a client's personal possessions;

(F) providing care that protects the client from abuse, mistreatment, or neglect;

(G) reporting any instances of abuse, mistreatment, or neglect to the appropriate authorities;

(H) maintaining the client's environment and providing the level of care that will minimize the need for physical and chemical restraints;

(I) acting as an advocate if a client's rights appear to have been violated by reporting to the appropriate supervisory staff.

History: Eff. 2/14/99, Register 149

Authority: AS 08.68.100

AS 08.68.331