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

   1. (A) using ethical and legal concepts in relationships and communication with others, including other health care providers and the client;
   2. (B) maintaining confidentiality of client information;
   3. (C) identifying the lines of authority and reporting problems to the appropriate person;
   4. (D) identifying the range and limitation of certified nurse aide functions;
   5. (E) accepting responsibility for one's actions;
   6. (F) demonstrating promptness and dependability;
   7. (G) seeking assistance when unsure about appropriate action;
   8. (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
   9. (I) using the concept of client's rights and responsibilities in client relationships, including the rights described in 7 AAC 12.890;

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

   1. (A) monitoring body functions;
   2. (B) taking and recording vital signs;
   3. (C) non-invasive physical specimen collection and testing, including recognizing and reporting deviations from normal limits;
   4. (D) measuring and recording height and weight;

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

      1. (i) shortness of breath;
      2. (ii) rapid respiration;
      3. (iii) fever, chills, or coughs;
      4. (iv) pain in the chest or abdomen;
      5. (v) nausea and vomiting;
      6. (vi) blue color to the lips;
      7. (vii) drowsiness;
      8. (viii) excessive thirst or sweating;
      9. (ix) pus, blood, or sediment in urine;
      10. (x) urinating difficulties, urinating in frequent small amounts, pain or burning during urination, or urine with dark color or strong odor;
   6. (F) transfers, positioning, and turning of clients;

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

   1. (A) bathing;
   2. (B) oral hygiene;
   3. (C) grooming;
   4. (D) dressings;
   5. (E) toileting;
   6. (F) eating and hydration;
   7. (G) proper feeding techniques; and
   8. (H) skin care;

4. (4) demonstrate knowledge of safety concepts by

   1. (A) using the principles of medical asepsis and isolation techniques;
   2. (B) showing proficiency in basic life support;
   3. (C) providing adequate ventilation, warmth, light, and therapeutic environment;
   4. (D) using appropriate measures to relieve pain and promote rest and sleep;
   5. (E) maintaining equipment and keeping client space clean and orderly;
   6. (F) identifying and using accident prevention measures;
   7. (G) applying principles of body mechanics in transferring and ambulation of a client;
   8. (H) demonstrating the proper application and release of restraints and other protective devices;
   9. (I) demonstrating the proper care of the client in protective devices;
   10. (J) demonstrating knowledge of fire and disaster procedures; and
   11. (K) applying principles of health and sanitation in the service of food to a client;

5. (5) demonstrate appropriate communication skills by

   1. (A) listening and responding to a client's verbal and nonverbal communications;
   2. (B) recognizing that the certified nurse aide's own behavior influences a client's behavior;
   3. (C) seeking assistance in understanding a client's behavior;
   4. (D) giving appropriate positive and negative reinforcement;
   5. (E) making adjustments for the physical or mental limitations of a client;
   6. (F) using terminology accepted in the employing facility to record and report observations and pertinent information;
   7. (G) recording and reporting observations, activities, and communications accurately;

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

   1. (A) providing appropriate personal hygiene services to the client;
   2. (B) using measures that promote good skin care, including the use of antipressure procedures and devices;
   3. (C) carrying out preventive maintenance and rehabilitative measures such as therapeutic ambulation, exercise, range of motion, and bed and chair positioning in daily care;
   4. (D) recognizing and promoting opportunities for self-care, according to the client's ability;
   5. (E) helping to provide adequate nutrition, including fluid intake and progressive self-feeding by the client;
   6. (F) identifying and monitoring special dietary needs;
   7. (G) following correct procedures to aid adequate elimination from the bladder and bowel, including measuring output;
   8. (H) demonstrating an understanding of the concepts of bladder and bowel retraining; and
   9. (I) making adjustments for physical or mental limitations;

7. (7) demonstrate knowledge of growth and development concepts by

   1. (A) identifying basic human needs;
   2. (B) helping to provide for a client's spiritual needs;
   3. (C) recognizing the client's family as an influence on behavior and care;
   4. (D) identifying developmental tasks associated with aging;
   5. (E) identifying cultural factors that may influence behavior;
   6. (F) describing the body responses, including sexuality, in the normal life cycle;
   7. (G) describing the body responses to loss, dying, and death; and
   8. (H) demonstrating knowledge of post mortem care; and

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

   1. (A) providing privacy and maintenance of confidentiality;
   2. (B) promoting the client's right to make personal choices to accommodate individual needs;
   3. (C) helping the client to resolve grievances;
   4. (D) helping the client get to, and participate in, family and other group activities;
   5. (E) helping to care for and maintain the security of a client's personal possessions;
   6. (F) providing care that protects the client from abuse, mistreatment, or neglect;
   7. (G) reporting any instances of abuse, mistreatment, or neglect to the appropriate authorities;
   8. (H) maintaining the client's environment and providing the level of care that will minimize the need for physical and chemical restraints;
   9. (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 200)

Authority: AS 08.68.100, AS 08.68.331