2014 – 2015
Florida Department of Education
Curriculum Framework 

Program Title:	Nursing Assistant (Long-Term Care)
Program Type:	Career Preparatory
Career Cluster:	Health Science

PSAV	
Program Number	H170602	
CIP Number	0351390200	
Grade Level	30, 31	
Standard Length	120 hours	
Teacher Certification	REG NURSE 7 G 
PRAC NURSE @7  %7%G *(Must be a Registered Nurse)	
CTSO	HOSA: Future Health Professionals	
SOC Codes (all applicable) 	31-1014 Nursing Assistants	
Facility Code	[252]  http://www.fldoe.org/edfacil/sref.asp (State Requirements for Educational Facilities)	
Targeted Occupation List	http://www.labormarketinfo.com/wec/TargetOccupationList.htm	
Perkins Technical Skill Attainment Inventory	http://www.fldoe.org/workforce/perkins/perkins_resources.asp 	
Industry Certifications	http://www.fldoe.org/workforce/fcpea/default.asp 	
Statewide Articulation	http://www.fldoe.org/workforce/dwdframe/artic_frame.asp 	
Basic Skills Level	N/A	

Purpose

This program offers a sequence of courses that provides coherent and rigorous content aligned with challenging academic standards and relevant technical knowledge and skills needed to prepare for further education and careers in the Health Science career cluster; provides technical skill proficiency, and includes competency-based applied learning that contributes to the academic knowledge, higher-order reasoning and problem-solving skills, work attitudes, general employability skills, technical skills, and occupation-specific skills, and knowledge of all aspects of Health Science career cluster. 

This program is designed to prepare students for employment as nursing assistants, nursing aides, and orderlies, nurse aides in nursing homes or SOC Code 31-1014 Nursing Assistants 
The content includes, but is not limited to, interpersonal skills, medical terminology, legal and ethical responsibilities, safe and efficient work, gerontology, nutrition, pet-facilitated therapy, health and safety including Cardio-pulmonary Resuscitation (CPR) – heart saver level, and employability skills.

Additional Information relevant to this Career and Technical Education (CTE) program is provided at the end of this document.

Program Structure

This program is a planned sequence of instruction consisting of 1 occupational completion points.

This program is comprised of courses which have been assigned course numbers in the SCNS (Statewide Course Numbering System) in accordance with Section 1007.24 (1), F.S.  Career and Technical credit shall be awarded to the student on a transcript in accordance with Section 1001.44(3)(b), F.S.

The following table illustrates the post-secondary program structure:

OCP	Course Number	Course Title	Length	SOC Code	
A 	PRN0090	Nurse Aide and Orderly	120 hours	31-1014	

Regulated Programs

This program must be taught by a Registered Nurse meeting the qualifications as set forth in 64B9-15.004 (3) (a) F.A.C.

Successful completion of this program from an approved school prepares the student for certification for employment as a Nursing Assistant in a nursing home, in accordance with Chapter 82-163, Florida Statutes.

New programs must be approved by the Board of Nursing, Department of Health prior to enrolling students.

To be approved, the course must be taught by a registered nurse. Those students who satisfactorily complete an approved course are eligible to apply to take the national nursing assistant examination being utilized in Florida, in accordance with Chapter 82-163, F.S.  Nursing assistants do not need to be certified except to work in nursing homes unless it is a condition for employment in other institutions.  This framework does not include acute care skills, nor all sections of the Health science Core.

Persons Who Are Enrolled In A State Approved Nursing Assistant Training Program, Approved By The Department Of Education, May Be Employed By A Licensed Nursing Home For A Period Of Four Months.  The Certification Requirements Must Be Met Within Four Months Of Such Initial Employment. However, all new programs must obtain approval from the Board of Nursing, Department of Health.

Common Career Technical Core – Career Ready Practices

Career Ready Practices describe the career-ready skills that educators should seek to develop in their students.  These practices are not exclusive to a Career Pathway, program of study, discipline or level of education.  Career Ready Practices should be taught and reinforced in all career exploration and preparation programs with increasingly higher levels of complexity and expectation as a student advances through a program of study. 

1. Act as a responsible and contributing citizen and employee. 

2. Apply appropriate academic and technical skills. 

3. Attend to personal health and financial well-being. 

4. Communicate clearly, effectively and with reason. 

5. Consider the environmental, social and economic impacts of decisions. 

6. Demonstrate creativity and innovation. 

7. Employ valid and reliable research strategies. 

8. Utilize critical thinking to make sense of problems and persevere in solving them. 

9. Model integrity, ethical leadership and effective management. 

10. Plan education and career path aligned to personal goals. 

11. Use technology to enhance productivity. 

12. Work productively in teams while using cultural/global competence. 

Standards

After successfully completing this program, the student will be able to perform the following:

01.0	Demonstrate mathematics and science knowledge and skills
02.0	Demonstrate the ability to communicate and use interpersonal skills effectively 
03.0	Demonstrate legal and ethical responsibilities
04.0	Use information technology tools
05.0	Recognize and practice safety and security procedures
06.0	Demonstrate employability skills
07.0	Provide emergency care
08.0	Describe the anatomy and physiology of the human body
09.0	Perform physical comfort and safety functions
10.0	Provide personal patient care
11.0	Perform patient care procedures.
12.0	Apply principles of nutrition. 
13.0	Provide care for geriatric patients
14.0	Apply the principles of infection control.
15.0	Provide biological, psychological, and social support.
16.0	Perform organizational skills following the patient plan of care. 
17.0	Assist with restorative (rehabilitative) activities.
18.0	Demonstrate knowledge of blood borne diseases, including HIV/AIDS
19.0	

2014 – 2015
Florida Department of Education
Student Performance Standards

Program Title:	Nursing Assistant (Long Term Care) 
PSAV Number:	H170602

Course Number: PRN0090
Occupational Completion Point: A 
Nursing Aides, Orderlies and Attendants –120 hours – SOC Code 31-1014 	
01.0	Demonstrate mathematics and science knowledge and skills.--The students will be able to:	
01.01	Draw, read, and report on graphs, charts and tables.	
01.02	Measure time, temperature, distance, capacity, and mass/weight.	
01.03	Make, use and convert using both traditional and metric units. 	
01.04	Make estimations and approximations and judge the reasonableness of the result.	
01.05	Convert from regular to 24 hour time.	
01.06	Demonstrate ability to evaluate and draw conclusions.	
01.07	Organize and communicate the results obtained by observation and experimentation.	
01.08	Ask appropriate scientific questions and recognize what is involved in experimental approaches to the solution of such questions.	
01.09	Calculate ratios.	
02.0	Demonstrate the ability to communicate and use interpersonal skills effectively ‑‑The student will be able to:	
02.01	Distinguish between factual reports and personal opinion.	
02.02	Identify barriers to communication.	
02.03	Use basic medical terminology and approved abbreviations.	
02.04	Demonstrate effective interpersonal relationships.	
02.05	Receive and give oral reports of a patient's status.	
02.06	Report and record objective, pertinent observations, in written or oral form, observing legal guidelines.	
02.07	Maintain current documentation.	
02.08	Obtain specified data from patient and family.	
02.09	Utilize verbal and written information to assist with the patient's plan of care.	
02.10	Adapt communication skills to varied levels of understanding and cultural orientation.	
02.11	Read and discuss technical material.	
03.0	Demonstrate legal and ethical responsibilities.-- The student will be able to:	
03.01	Demonstrate legal and ethical behavior within the role and scope of nursing assistant responsibilities, including conflict resolution.	
03.02	Identify the role of each health‑care team member.	
03.03	Explain “resident rights”.	
03.04	Maintain confidentiality of patient information.	
03.05	Describe the purpose of the chain of command (i.e., to resolve patient or employee problems).	
03.06	Follow policies and procedures affecting the health, safety, and well‑being of patients.	
03.07	Recognize and report signs and symptoms of abuse and neglect.	
03.08	Recognize and report signs of substance abuse.	
03.09	Exhibit behavior supporting and promoting residents' rights.	
03.10	Recognize sexual harassment and domestic violence.	
03.11	Recognize that a C.N.A. Must self report any crimes they’ve been involved in within 30 days of the offense. (FS 456.0727(1) w)	
03.12	Discuss Florida certified nursing assistant rules.	
04.0	Use information technology tools.--The students will be able to:	
04.01	Employ computer operations applications to access, create, manage, integrate, and store information.	
05.0	Recognize and practice safety and security procedures.--The students will be able to:	
05.01	Recognize safe and unsafe working conditions and report safety hazards. 	
05.02	Demonstrate the safe use of medical equipment.	
05.03	Explain and apply the theory of root- cause analysis.  	
05.04	Identify and describe methods in medical error reduction and prevention in the various healthcare settings. 	
05.05	Identify and practice security procedures for medical supplies and equipment. 	
05.06	Demonstrate personal safety procedures based on Occupations Safety and Health Administration (OSHA) and Centers for Disease Control (CDC) regulations (including standard precautions). 	
05.07	Recognize Materials Data Safety Sheets (MSDS) and comply with safety signs, symbols and labels. 	
05.08	Demonstrate proper body mechanics and ergonomics. 	
05.09	Demonstrate the procedure for properly identifying patients. 	
05.10	Demonstrate procedures for the safe transport and transfer of patients. 	
05.11	Describe fire, safety, disaster and evacuations procedures. 	
05.12	Discuss The Joint Commission patient safety goals (www.jointcommission.org).	
06.0	Demonstrate employability skills- The students will be able to: 	
06.01	Conduct a job search and secure information about a job.	
06.02	Identify documents that may be required when applying for a job.	
06.03	Complete a job application.	
06.04	Demonstrate competence in job‑interview techniques.	
06.05	Identify or demonstrate appropriate responses to criticism from employer, supervisor, or other persons.	
06.06	Demonstrate knowledge of how to make job changes appropriately.	
06.07	Demonstrate acceptable employee health habits.	
07.0	Provide emergency care.‑‑ The student will be able to:	
07.01	Obtain and maintain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid for infant, child and adult.	
07.02	Identify emergency evacuation procedures.	
08.0	Describe the anatomy and physiology of the human body.--The student will be able to:	
08.01	Describe the basic structure and function of body systems.	
08.02	Describe the relationships of body systems in providing patient care.	
08.03	Recognize abnormal signs and symptoms of common diseases and condition	
09.0	Perform physical comfort and safety functions.--The student will be able to:	
09.01	Care for equipment and supplies.	
09.02	Maintain patient units.	
09.03	Maintain service areas on the units.	
09.04	Observe and report the patient's behavior daily, including mental awareness.	
09.05	Adjust bed and siderails.	
09.06	Lift, hold, or transfer a patient, using good body mechanics.	
09.07	Transfer patient with mechanical lifters using proper body mechanics and patient safety measures.	
09.08	Transfer patient to stretcher.	
09.09	Turn and position patient.	
09.10	Maintain the resident’s environment and care to avoid the need for restraint.	
09.11	Apply comfort devices as directed (e.g., footboard, overbed cradle, alternating pressure mattress).	
09.12	Assist patient to dangle.	
09.13	Assist patient in ambulation, including the use of crutch, cane, or walker.	
09.14	Assist patient in using wheelchair.	
09.15	Assist patient with care and use of prosthetic/orthotic devices.	
09.16	Administer back rub.	
09.17	Discuss The Joint Commission patient safety goals. (www.jcaho.org)	
10.0	Provide personal patient care.‑‑ The student will be able to:	
10.01	Give bed bath; observe and report changes in patient.	
10.02	Assist with shower or tub bath, including the use of specialty tubs.	
10.03	Assist patient with sink, tub, shower, or bed shampoo.	
10.04	Shave patient.	
10.05	Groom patient, including hair, skin, foot, and nail care.	
10.06	Assist with and/or administer oral hygiene including denture care.	
10.07	Assist patient with toileting.	
10.08	Assist patient to dress.	
10.09	Assist patient with meals.	
10.10	Provide bowel and bladder training.	
10.11	Give perineal care.	
11.0	Perform patient care procedures.‑‑ The student will be able to:	
11.01	Admit patient.	
11.02	Transfer patient.	
11.03	Make unoccupied/occupied bed.	
11.04	Measure and record patient's pulse and respiration.	
11.05	Measure and record patient's blood pressure.	
11.06	Measure and record patient's temperature.	
11.07	Measure and record patient's height and weight.	
11.08	Assist patient in passive range‑of‑motion exercises.	
11.09	Apply anti-embolic hose and sequential compression devices.	
11.10	Collect, strain, and/or test routine urine specimen.	
11.11	Monitor catheter drainage system.	
11.12	Collect clean‑catch (midstream‑voided) urine specimen.	
11.13	Monitor fluid intake and output (i&o).	
11.14	Observe, record, and report patient's emesis.	
11.15	Monitor and assist with care of catheters.	
11.16	Assist with ostomy care.	
11.17	Collect stool specimen.	
11.18	Perform postmortem care.	
11.19	Maintain care and securing of patients personal possessions and of patient‑belongings list.	
11.20	Identify signs and symptoms of pain.	
12.0	Apply principles of nutrition. ‑‑The student will be able to:	
12.01	Identify nutrients and food groups.	
12.02	Explain regional, cultural, and religious food preferences.	
12.03	Describe special diets.	
12.04	Prepare a basic food plan.	
12.05	Check patient's diet tray for accuracy.	
12.06	Identify methods of maintaining fluid balance.	
13.0	Provide care for geriatric patients.‑‑The student will be able to:	
13.01	Identify safety principles as related to the elderly.	
13.02	Describe general characteristics, particular needs, and problems of the elderly.	
13.03	Identify attitudes and living habits that promote positive mental and physical health for the elderly.	
13.04	Distinguish between fact and fallacy about the aging process.	
13.05	Identify community resources and services available to the elderly.	
13.06	Apply reality orientation techniques and validation therapy.	
13.07	Provide and involve patients in diversional activities.	
13.08	Identify common alterations in elderly patient behavior.	
13.09	Provide care for patients with special needs (e.g., impaired hearing, impaired vision, immobility, impaired body functions, & cognitively impaired (dementia)).	
13.10	Recognize and respond appropriately to symptoms of common diseases, including dementia, depression/suicide and alzheimer’s.	
14.0	Apply the principles of infection control.--The student will be able to:	
14.01	Wash hands.	
14.02	Provide care for patients with infectious diseases.	
14.03	Practice universal/standard precautions according to the centers for disease control guidelines.	
14.04	Set up isolation unit with proper personal protective equipment (PPE) for all types of isolation.	
14.05	Follow isolation procedure with food tray, garments, and other materials.	
14.06	Collect specimen from patient in isolation.	
15.0	Provide biological, psychological, and social support.--The student will be able to:	
15.01	Identify basic human needs.	
15.02	Discuss family roles and their significance to health.	
15.03	List community resources for individual and family health.	
15.04	Identify components of the grief process.	
15.05	Respond to patient and family emotional needs including death and dying.	
16.0	Perform organizational skills following the patient plan of care. ‑‑The student will be able to:	
16.01	Organize patient‑care assignments.	
16.02	Complete assignments accurately and in a timely manner.	
17.0	Assist with restorative (rehabilitative) activities.--The student will be able to:	
17.01	List the purposes of restorative (rehabilitation) program.	
17.02	Assist patient with specified restorative (rehabilitation) needs.	
17.03	Assist patients/residents to reach the optimum level of independence.	
18.0	Demonstrate knowledge of blood borne diseases, including HIV/AIDS.--The student will be able to:	
18.01	Distinguish between fact and fallacy about the transmission and treatment of diseases caused by blood borne pathogens.	
18.02	Identify community resources and services available to individuals with diseases caused by blood borne pathogens.	
18.03	Identify "at risk" behaviors that promote the spread of aids and the public education needed to combat the spread of diseases caused by blood borne pathogens.	
18.04	Apply infection control techniques designed to prevent the spread of diseases caused by blood borne pathogens to the care of all patients following center for disease control (CDC) guidelines.	
18.05	Demonstrate knowledge of the legal aspects of aids, including testing.	

Additional Information

Laboratory Activities

Laboratory activities are an integral part of this program.  These activities include instruction in the use of safety procedures, tools, equipment, materials, and processes related to these occupations.  Equipment and supplies should be provided to enhance hands-on experiences for students. 

Students will perform nursing skills in the clinical and/or simulated laboratory settings under the supervision of a qualified registered nurse instructor.  The recommended teacher/student ratio in the clinical area is 1 to 12, but the maximum is 1 to 15.  Clinical and simulated laboratory learning experiences must correlate with didactic instruction.  For nursing assistant certification a minimum of 40 hours clinical and/or cooperative education learning experiences must be obtained.  Twenty hours of this clinical experience must be in a licensed nursing home.  

Special Notes

This program focuses on broad, transferable skills and stresses understanding and demonstration of the following elements of the health care industry; planning, management, finance, technical and production skills, underlying principles of technology, labor issues, community issues and health, safety, and environmental issues.

The length of this program is 120 hours.  Completion of this program should enable the postsecondary student to be given advanced standing in the Patient Care Technician program but will require additional evaluation and competencies to enter at the level of OCP A.

This program meets the Department of Health HIV/AIDS Domestic Violence and Prevention of Medical Errors education requirements. Upon completion of this program, the instructor will provide a certificate to the student verifying that these requirements have been met.

If students in this program are seeking a licensure, certificate or registration through the Department of Health, please refer to 456.0635 F.S. for more information on disqualification for a license, certificate, or registration through the Department of Health. 

Students must have a minimum of 16 hours of training in communication and interpersonal skills, infection control, safety/emergency procedures, promoting residents’ independence, and respecting residents’ rights prior to any direct contact with a resident.

Career and Technical Student Organization (CTSO)

HOSA: Future Health Professionals is the appropriate career and technical student organization for providing leadership training and reinforcing specific career and technical skills.  Career and Technical Student Organizations provide activities for students as an integral part of the instruction offered.  The activities of such organizations are defined as part of the curriculum in accordance with Rule 6A-6.065, F.A.C.

Cooperative Training – OJT

On-the-job training is appropriate but not required for this program.  Whenever offered, the rules, guidelines, and requirements specified in the OJT framework apply. 

Accommodations

Federal and state legislation requires the provision of accommodations for students with disabilities as identified on the secondary student’s Individual Educational Plan (IEP) or 504 plan or postsecondary student’s accommodations’ plan to meet individual needs and ensure equal access.  Postsecondary students with disabilities must self-identify, present documentation, request accommodations if needed, and develop a plan with their counselor and/or instructors.  Accommodations received in postsecondary education may differ from those received in secondary education.  Accommodations change the way the student is instructed.  Students with disabilities may need accommodations in such areas as instructional methods and materials, assignments and assessments, time demands and schedules, learning environment, assistive technology and special communication systems.  Documentation of the accommodations requested and provided should be maintained in a confidential file.

In addition to accommodations, some secondary students with disabilities (students with an IEP served in Exceptional Student Education (ESE)) will need modifications to meet their needs.  Modifications change the outcomes or what the student is expected to learn, e.g., modifying the curriculum of a secondary career and technical education course.  Note: postsecondary curriculum and regulated secondary programs cannot be modified.

Some secondary students with disabilities (ESE) may need additional time (i.e., longer than the regular school year), to master the student performance standards associated with a regular Occupational Completion Point (OCP) or a Modified Occupational Completion Point (MOCP).  If needed, a student may enroll in the same career and technical course more than once.  Documentation should be included in the IEP that clearly indicates that it is anticipated that the student may need an additional year to complete an OCP/MOCP.  The student should work on different competencies and new applications of competencies each year toward completion of the OCP/MOCP.  After achieving the competencies identified for the year, the student earns credit for the course.  It is important to ensure that credits earned by students are reported accurately.  The district’s information system must be designed to accept multiple credits for the same course number for eligible students with disabilities.

Articulation

This program has no statewide articulation agreement approved by the Florida State Board of Education.  However, this does not preclude the awarding of credits by any college through local agreements. 

For details on statewide articulation agreements which correlate to programs and industry certifications, refer to http://www.fldoe.org/workforce/dwdframe/artic_frame.asp.