Section 12 AAC 44.847 - Clinical training curriculumThe 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: (iii) fever, chills, or coughs;(iv) pain in the chest or abdomen;(vi) blue color to the lips;(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 (F) eating and hydration;(G) proper feeding techniques; and(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.Eff. 2/14/99, Register 149; am 10/3/2011, Register 200Authority:AS 08.68.100
AS 08.68.331