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Alaska Administrative Code (Last Updated: January 12, 2017) |
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Title 12. Professional Regulations. |
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Part 12.1. Boards and Commissions Subject to Centralized Licensing. |
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Chapter 12.44. Board of Nursing. |
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Article 12.44.7. Disciplinary Guidelines. |
Section 12.44.847. Clinical training curriculum.
Latest version.
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The 80 hours of supervised skills and clinical training 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.
Authorities
08.68.100;08.68.331