1. (a) The philosophy of the program shall be written and clearly reflect the sponsoring institution’s beliefs regarding care-recipients, care-providers, care-characteristics, environment within which care shall be provided, and educational preparation for providing nursing-related activities.
2. (b) The course objectives shall identify expected student outcomes.

3. (c) Following successful completion of the program, a nursing assistant shall be able to:

   1. (1) Form a relationship, communicate and interact effectively with individuals and groups;
   2. (2) Demonstrate comprehension related to individuals’ emotional, mental, physical and social health needs through skillful, direct nursing-related activities;
   3. (3) Assist individuals to attain and maintain functional independence in a home or health-care facility;
   4. (4) Exhibit behaviors supporting and promoting care-recipients’ rights;
   5. (5) Demonstrate observational and documenting skills required for reporting of people’s health, safety, welfare, physical and mental condition, and general well-being; and
   6. (6) Provide safe nursing-related activities under the supervision of a registered or licensed practical nurse.

4. (d) Content shall include the following information:

   1. (1) Pathological, physical, psychological, social, cultural and religious influences related to the life cycle and the aging process;
   2. (2) End of life issues; and
   3. (3) Legal, ethical and moral issues involved when providing nursing-related activities.

5. (e) Prior to direct care with care-recipients, students shall receive 16 hours of instruction including the following:

   1. (1) Orientation to the role;
   2. (2) Holistic approach to care throughout the lifespan;
   3. (3) Communication skills;
   4. (4) Safety and emergency procedures including the Heimlich Maneuver; and
   5. (5) Protection of care-recipients’ rights, dignity and their confidentiality.

6. (f) Theoretical and clinical experiences shall include assisting care-recipients with nursing-related activities in the following areas:

   1. (1) Personal hygiene including bathing, grooming, dressing;
   2. (2) Ambulation, and movement including range of motion, turning, positioning, transferring;
   3. (3) Nutrition and elimination including feeding and hydration, toileting, bowel and bladder training;
   4. (4) Environmental and personal safety involving housekeeping concerns, adaptive devices, special clothing;
   5. (5) Emotional support including appropriate responses and techniques used with the cognitively impaired and demented, the aging process, identification of resources, preservation of dignity, assuring freedom from fear and reprisal;
   6. (6) Comfort, rest, and activities including privacy, physical and occupational skills; and
   7. (7) Emergency situations including appropriateness of action or non-action, fire drills, security of the environment, resources available.
7. (g) The course content, learning activities, and objectives shall be offered at the educational level appropriate to the applicants.
8. (h) Students shall be prepared to observe and report activities appropriately.
9. (i) The program shall consist of a minimum of 100 hours of instruction. Of this time, there shall be 40 hours of theory and 60 hours of concurrent clinical experience.
10. (j) Instructors shall prepare and administer written/oral and skills tests formulated from program objectives and expected outcomes.

11. (k) Instructors shall require the following:

    1. (1) A grade of 70, or greater, in examinations testing for theoretical content; and
    2. (2) A grade of “pass” on skills test.

12. (l) Instructors shall prepare and give to each student at the successful completion of the program a performance record of nursing-related activities that includes but is not limited to:

    1. (1) Skill(s) performed;
    2. (2) Date(s) of skill performance;
    3. (3) Satisfactory or unsatisfactory performance; and
    4. (4) Instructor signature and date of performance evaluation.

13. (m) Upon successful completion of the program, the coordinator shall provide to the successful candidate a certificate indicating the following:

    1. (1) Student name;
    2. (2) Name of sponsoring agency;
    3. (3) Hours of clinical and theoretical instruction;
    4. (4) Date of program initiation and successful completion; and
    5. (5) Signature of program coordinator.

Source. #8873, eff 4-24-07 (formerly Nur 706.09); ss by #9395, eff 2-25-09; ss by #10302, eff 3-22-13; ss by #10570, eff 4-17-14