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Our First Graduating CNA class

Written by kimmel52 on November 17, 2009 – 7:29 pm

myCNAstudentsour CNA graduation cake

my CNA students

Press Release from Phlebotomy Career Training

28050 Ford Road, Garden City, Michigan 48135

Date: 11/26/09

Congratulations to our first graduating Certified Nursing Assistant Class of 2009.  It was a day of celebrating for our Nursing Assistant students at Phlebotomy Career Training.  All of the students received their test dates for the Michigan Thompson Prometric Certification for Nursing Assistants.  These students have trained long and hard over the past six weeks.  They put in over forty eight hours of clinical training at HCR Manor in Ann Arbor, Michigan and over eighty hours of class room and lab.   We would like to thank Mrs. Darla Hamstreet Director of Nursing at HCR Manor for allowing our students to train at her extended care facility.  Our many thanks goes to the wonderful nurses and nursing assistants at HCR Manor that we were so fortunate to work along side.

The CNA’s came to the graduation celebration with their families.  The decor included metallic light green balloons on the walls.  The tables were covered with white table cloths, and there were congratulation banners across the room. Everyone got acquainted with each others family members.  We had a special cake made for the occasion.  It was a truly amazing work of culinary art.  The cake was in the shape of patient in a hospital bed with a Foley catheter and a bedside table.  The main course was Pizza.

The graduating CNA’s were excited at the prospect of embarking on a new path in their lives as health care workers.   Diplomas were handed out to each of the graduating CNA’s along with a letter of recommendation from their instructor praising their professionalism and caring natures.  Applause resounded with each diploma as it was presented to the graduating students.  The CNA’s presented their instructor, Nancy Kimmel R.N. with a vase of twelve long stemmed red roses.  There were tears of happiness from all.  Lots of pictures were taken.  One of the children of the graduating CNA’s ate the entire bedside table and Foley catheter.  It was very funny, when the little girl asked what the yellow bag was on the side of the bed.  Everyone laughed.

The after dinner discussion centered on the  level of difficulty regarding the Thompson Prometric Nursing Assistant Exam, and the job possibilities in the Dearborn and Taylor area hospitals for Certified Nursing Assistants.  Everyone felt confident that they would soon be employed.  The students were very supportive of each other and traded phone numbers.  Their instructor suggested that they should schedule times to come to the school to practice their clinical skills.   Many of the students husbands engaged in conversations about having their spouses bringing in an extra income to the family.

The graduation party was a wonderful day of celebration and excitement. The girls are very hopeful to soon be working in hospitals in the surrounding Metro Detroit area.  They are wished all the best.  What an amazing graduating class.  They will truly make a difference in peoples lives.

If you have the desire to go into nursing, then you must first get ready to take the N.E.T., the HESI or the TEAS entrance test. You can begin preparing for your career by practicing your skills using the online tutorials and tests at The Nurses Learning Center. There are over 1000 questions and answers. You will get unlimited internet access, 24/7. It is yours to keep. New questions are added daily. It’s like sitting for the N.E.T., The HESI or the TEAS in your home.

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Posted in Become a Certified Nurses Assistant, Certified Nursing Assistant | 2 Comments »

CNA Course Syllabus

Written by kimmel52 on September 19, 2009 – 12:09 pm

Become a CNA

Become a CNA


Class meets every

Friday and Saturday from 8:00 AM to 2:30 PM,

Afternoon Classes meet every Friday and

Saturday from 3:00 PM to 9:30 PM

Instructor: Nancy L. Kimmel RN, PhD, CHMM,

CNAT (Certified Nursing Assistant Trainer)

Phone: (734) 762 -3220, or (313) 575- 1214

See School Catalog for policies.

Please notify your instructor immediately, both verbally and in writing, if you are a

student with special needs who may require course adaptations, special physical

accommodations, attention for potential medical emergencies, or would need help

in the event the building must be evacuated.

Course Description: The learner is introduced to basic nursing care, resident rights,

safety and emergency nursing procedures. Principles of therapeutic relationships and

client care are presented as well as the legal/ethical issues related to nursing assistant

practice. Students demonstrate competencies required to assist in giving basic nursing

care to patients in long-term care agencies under the supervision of the instructor or

licensed nursing staff. AIDS education and  59 lecture hours, 16 lab hours and 48 clinical hours.

Prerequisites: Completion of Michigan State Criminal History Background Check is

required prior to entry into clinical agencies. Documentation on file in Nursing Program

Office of immunizations: Hepatitis B vaccination started (optional), skin test or x-ray

findings negative for active TB.

Learner Outcomes: At the completion of the course, the learner will be able to:

1. Demonstrates basic technical skills that facilitate an optimal level of functioning

or the client, recognizing individual, cultural, and religious diversity. (Disciplinary Learning)

2. Provide personal care to clients. (Disciplinary Learning, Social and personal responsibility)

3. Identify psychosocial characteristics of all clients including persons with mental

retardation, mental illness, dementia, Alzheimer’s Disease, and related disorders. (Disciplinary Learning)

4. Incorporates principles and skills of restorative nursing in providing care. (Disciplinary Learning)

5. Demonstrate behaviors that maintain and respect client rights and promote

clients’ independence, regardless of race, religion, life-style, sexual preference,

disease process, or ability to pay. (Social and personal responsibility)

6. Use effective communication skills in order to function as a member of the nursing team. (Literacy)

7. Use procedures and techniques to prevent the spread of microorganisms.

(Disciplinary Learning, Social and personal responsibility)

8. Demonstrates the ability to identify and use safety and emergency

procedures (Disciplinary Learning, Social and personal responsibility)

9. Deliver sensitive care to the dying patient and the family.

(Social and personal responsibility)

10. Demonstrate knowledge of and is responsive to the laws

and regulations that affect his/her practice including but not limited client abuse and neglect, client

Desired Student Abilities 2

complaint procedures, workers right to know, and the Uniform Disciplinary Act.

(Disciplinary Learning, Social and personal responsibility)

Textbooks & Materials:

1. Michigan Model provided to all students

2. Optional for reference. Sorrentino, S. & Gorek, B. (2007).

Mosby’s textbook for long-term care nursing assistants (5th ed). Philadelphia: Elsevier Mosby

2. The Law Relating to Nursing Assistants, Federal Rules and

Regulations for CAN’s (Provided in class)

3. Resident’s Rights Handout (Provided in class) includes Public Health Code,

MCL 333.21766, and Public Health Code MCL 333.20201

4. Watch with second hand strongly recommended, stethoscope optional, uniform, nursing shoes

Teaching/Learning Methods: Lecture, discussion, videotapes, role play,

demonstration/return demonstration

Course Requirements:

1. A grade of “C” (2.0) or better is required to pass the course.

2. Active participation in class

3. Attendance is required.

Methods Of Evaluation: Weekly quizzes Final written and skills exam

Passing grade for clinical Grading Scale:

Passing A = 90-100% A, 80-89% B, 70-79% C, Below 70% is failing.

Course Outline Total of 75hours included 16 hours in lab with

the addition of 48 hours clinical rotation totaling 123 hours.

I. Introduction: 16-hours of education in the following prior to clinical rotations

A. Communication and interpersonal skills

1. Communication in health care

2. Communicating with staff members

3. Guidelines for communicating with clients

B. Infection Control

1. Chain of infection

2. Body defenses

3. Viral infections

4. Bacterial infections

5. Guidelines for preventing infections

6. Self-care

C. Safety/emergency procedures, including the Heimlich maneuver

1. The client environment

2. Safety measures

3. Fire Safety

4. Nursing assistant safety

D. Guidelines for promoting the client’s independence

E. Respecting client’s rights

1. Resident’s rights and responsibilities

2. Providing privacy and maintaining confidentiality

3. Giving assistance in resolving grievances and disputes

4. Providing needed assistance in getting to and participating in facility activities

5. Maintaining care and security of personal belongings

6. Promoting the right to be free from abuse, mistreatment and neglect

7. Reporting any abusive treatment

8. Avoiding use of restraints in accordance with current professional and facility standards

II. Basic Nursing Skills

A. Taking and recording vital signs

1. Body temperature

a. Definitions of body temperature

b. Temperature control

c. Measuring body temperature

d. Clinical thermometers

e. Guidelines for using oral and rectal thermometers

f. Guidelines for safe use of a glass thermometer

2. Pulse

a. Sites for taking a pulse

b. Using a stethoscope

c. Pulse rate

d. Rhythm and force of pulse

e. Taking a radial pulse

f. Taking an apical pulse

3. Respirations

a. Abnormal respirations

b. Counting respirations

4. Blood pressure

a. Factors affecting blood pressure

b. Equipment

c. Measuring blood pressure

B. Measuring and recording height and weight

1. Guidelines for obtaining accurate weight and height

2. upright scale

3. electronic scale

4. bed scale

5. chair scale

C. Caring for the client’s environment

1. Environment and nursing assistant safety

2. The client environment

3. Safety measures

D. Reporting and recording observations

1. Making observations

2. Reporting changes in client condition

3. Documentation

E. Caring for dying clients

1. Five stages of grief

2. Preparation for death

3. Client self-determination

4. Role of nursing assistant

5. Hospice care

6. Physical changes as death approaches

7. Postmortem care

8. Organ donation

9. Autopsy

III. Personal Care skills

A. Bathing

1. Guidelines for client bathing

2. Assisting with tub or shower bath

3. Bed bath

4. Peri-care (male/female)

5. Hand and fingernail care

6. Foot care

7. Bed shampoo

B. Bedmaking

1. Making the unoccupied bed

2. Making the occupied bed

C. Grooming/oral care

1. Routine oral care

2. Special oral hygiene

3. Denture care

4. Daily shaving

5. Hair care

D. Dressing

1. Guidelines for dressing and undressing the client

2. Use of assistive devices

E. Toileting

1. Elimination needs

2. Giving and removing a bedpan

3. Giving and removing a urinal

4. Assisting with the use of the bedside commode

5. Providing catheter care

F. Maintaining and restoring musculo-skeletal function

1. Range of motion exercises

2. Care and use of prosthetic and orthotic devices

3. Methods of fall prevention

G. Assisting with eating and hydration

1. Nutritional needs and diet modifications

2. Normal nutrition

3. Essential nutrients

4. Six food groups

5. Basic diets

6. Supplements and nourishment

7. Recognizing weight loss

8. Fluid balance

9. Providing fresh water

10. Recognizing signs of dehydration

11. Alternative nutrition

12. Measuring and recording intake and output

13. Proper feeding techniques

a. feeding the client

b. assisting the client with self feeding

c. use of assistive devices

d. feeding dependent client

14. Reporting weight loss, decreased food and fluid intake, and decreased urine output.

H. Skin care

1. Integumentary system structures

2. Skin functions

3. Aging changes

4. Skin lesions

5. Guidelines for preventing pressure ulcers

I. Positioning, moving, transferring, ambulating

1. Body mechanics for client and nursing assistant

2. Transfer skills

a. Moving

b. Lifting

3. Guidelines for safe transfers

4. Use of transfer belts

5. Use of assistive devices: cane, walker, crutches

6. Positioning

a. Fowler’s position

b. Supine position

c. Side-lying (lateral)

d. Prone position

e. Sims’ position

6. Moving the client

a. Moving client up on bed

b. Moving client to side of bed

7. Transfers

a. Bed to wheelchair – one person assist

b. Stretcher transfers

c. Toilet transfers

d. Tub transfers

e. Car transfers

8. Assisting the client to ambulate

9. Preventing falls

IV. Mental Health and Social Service Needs

A. Nursing assistant’s response to client behavior

1. Care for the demanding client

2. Care for the client experiencing emotional distress

3. Modifying own behavior in response to client behavior

4. Assisting the client to cope

5. Reporting client concerns

B. Meeting the spiritual and cultural needs of clients

C. Awareness of developmental tasks associated with the aging process

1. Normal changes of aging

2. Developmental tasks of the elderly

3. Adaptations necessary to accommodate the aging process

D. Allowing personal choices

1. Respect for human dignity

2. Safety issues

3. Exercise, activity, and recreation needs

E. Recognizing the family as a source of emotional support

1. Traditions

2. Client/family teaching

F. Care of the cognitively impaired client

1. Techniques for addressing the unique needs and behaviors of client

with dementia (Alzheimer’s Disease and others)

2. Care for the emotionally stressed client

3. Mental health

4. Defense mechanisms

5. Maladaptive behavior

6. Alcoholism

7. The cognitively impaired client

a. Communicating effectively with the cognitively impaired client

b. Understanding behavior

c. Responding appropriately to behavior

d. Reducing the effects of cognitive impairment

V. Basic Restorative Services

A. Rehabilitation and restorative services

B. Interdisciplinary health care team

C. Principles of rehabilitation

D. Training the client in self-care according to client abilities

E. Complications of inactivity

F. Restorative programs

G. Guidelines for implementing restorative programs

H. Use of assistive devices

I. Bowel and bladder training

VI. CPR for Health Care Providers VII. HIV/AIDS (see page 11) 8

Standards of Practice and Competencies of Nursing Assistants.

Consistent with the requirements of Michigan Department of Health,

the following Standards of Practice are accompanied by competencies

per Michigan Department of Health. During clinical rotations, and at the

completion of the course, students demonstrate the following:

1. Basic technical skills. The nurse assistant demonstrates basic technical skills

which facilitates an optimal level of functioning for the client, recognizing the cultural,

and religious diversity:

a. Demonstrate proficiency in CPR and Heimlich maneuver;

b. Takes and records vital signs;

c. Takes and records height and weight;

d. Measures and records fluid and food intake and output of clients;

e. Recognizes and reports abnormal signs and symptoms of common disease and conditions;

f. Demonstrates sensitivity to client’s emotional, social, and mental health needs;

g. Makes observations of client’s environment to ensure safety and comfort of client;

h. Participates in care planning and nursing reporting process;

2. Personal care skills. The nurse assistant demonstrates basic personal care skills:

a. Assists client with bathing, mouth care, and skin care;

b. Provides toileting assistance to client;

c. Assists client with eating and hydration;

d. Utilizes proper feeding techniques;

e. Provides for client privacy;

3. Mental health and social service needs. The nurse assistant demonstrates the ability

to identify the psychosocial characteristics of all clients including persons with

mental retardation, mental illness, dementia, Alzheimer’s and relaxation disorders:

a. Modifies his/her own behavior in response to the client’s behavior;

b. Identifies adaptations necessary to accommodate the aging process;

c. Provides training in, and the opportunity for, self-care according to the client’s capabilities;

d. Demonstrates skills supporting client’s personal choices;

e. Identifies ways to use the clients family as a resource for emotional support

4. Basic restorative services. The nurse assistant incorporates principles and skills

of restorative nursing in providing nursing care:

a. Demonstrates knowledge and skill in using assistive devices in ambulation;

b. Demonstrates knowledge and skill in the maintenance of range of motion;

c. Demonstrates proper techniques in turning/positioning client in bed and chair;

d. Demonstrates proper transferring of client;

e. Demonstrates knowledge about methods for meeting the elimination needs of clients;

f. Demonstrates knowledge and skill for he care and use of prosthetic and/or orthotic devices;

5. Client rights and promotion of client independence. The nurse assistant demonstrates

behavior which maintains and respects client rights and promotes client independence,

regardless of race, religion, life-style, sexual preference, disease process or ability to pay:

a. Recognizes that the client has the right to participate in decisions about his/her care;

b. Recognizes and respects the client’s need for privacy and maintenance of confidentiality;

c. Promotes and respects the client’s right to make personal choices to accommodate their needs;

d. Taught how to deal with their own on the job frustrations and are instructed in basic

anger management skills to effectively report client concerns;

e. Provides assistance in getting to and participating in activities

f. Provides for the care and security of client’s personal possessions:

g. Provides care which maintains the client free from abuse, mistreatment or neglect,

and reports any instance to appropriate facility staff;

h. Maintains the client’s environment and care through appropriate nurse assistant

behavior so as to minimize the need for physical and chemical restraints.

6. Communication and interpersonal skills. The nurse assistant uses communication

skills effectively in order to function as a member of the nursing team:

a. Reads, writes, speaks and understands English at the level necessary for

performing duties of the nursing assistant;

b. Listens and responds to verbal and nonverbal communication in an appropriate manner;

c. Recognizes how one’s own behavior influences client’s behavior;

d. Makes adjustments for client’s physical or mental limitations;

e. Uses terminology accepted in the nursing facility to record and report observations

and pertinent information;

f. Records and reports observations, action, and information accurately and timely;

g. Demonstrates ability to explain policies and procedures before and during client care.

7. Infection Control: The nurse assistant uses procedures and techniques

to prevent the spread of microorganisms.

a. Uses principles of medical asepsis and demonstrates infection control

techniques and universal precautions;

b. Explains how disease causing microorganisms are spread: lists ways the HIV and

Hepatitis B virus can spread from one person to another;

c. Demonstrates knowledge of cleaning agents and methods, which destroy microorganisms on surfaces.

8. Safety/emergency procedures: The nurse assistant demonstrates the

to identify safe/emergency procedures.

a. provides adequate ventilation, warmth, light and quiet measures;

b. uses measures that promote comfort, rest, and sleep;

c. promotes clean, orderly, and safe environment and equipment for the client;

d. identifies and utilizes measures for accident prevention;

e. identifies and demonstrates principles of body mechanics;


f. demonstrates proper use of protective devices in the care of clients;

g. demonstrates knowledge of fire and disaster procedures;

h. identifies and demonstrates principles of health and sanitation in the service of food;

i. demonstrates proper use and storage of cleaning agents and other potentially

hazardous materials;

j. recognizes abnormal changes in body functions and the importance of

reporting changes to a supervisor;

9. Death/dying client and family. The nurse assistant will be able to use

the nursing process to plan and implement care for the dying client and their family:

a. discuss the five stages of dying;

b. discuss his/her own reactions to death and dying;

c. begin to assess the needs of the dying client and his/her family;

d. describe the signs of imminent death;

e. Understand general post-death care.

10. Rules and Regulations. The nurse assistant demonstrates

knowledge of and is responsive to the laws and regulations which affect

his/her practice including but not limited to:

a. client abuse and neglect;

b. client complain procedures;

c. Workers right to know;

d. The Uniform Disciplinary Act.

11. Care of the cognitively impaired. The nursing assistant demonstrates

awareness of the various cognitive disorders, i.e., dementia, Alzheimer’s,

mental illness, retardation and other related disorders, and possible causes,

characteristics and demonstrated behaviors

a. Aware of the behavior and care of the cognitively impaired client:

b. Describes methods for reducing the effects of cognitive impairment;

c. Aware of effective interventions and techniques using re-directing

re-approaching for managing behaviors of the cognitively impaired;

d. Communication techniques for interacting with the cognitively impaired

with focus on non-verbal and verbal feedback and one step directives;

e. Uses appropriate responses for working with the behavior of the cognitively impaired.

f. Demonstrates modification of his/her behavior in response to behavior

of the cognitively impaired;

g. Knows the various stages of loss seen with Alzheimer’s disease and

effective approaches in dealing with these losses both with clients and family

h. Insight into modifications beneficial in directing and assisting cognitively

impaired client with activity of daily living skills, including dietary and mobility needs;

i. Values the importance of social interactions at all levels of cognitive function:

provides opportunity for meaningful social interaction relevant to individual cognitive abilities

j. Realizes the right of all clients to dignity and provides dignity for clients at all levels of cognitive loss;


k. Aware of how physiological needs directly affect behavioral responses and emotional alterations;

l. Aware of unique challenges to the family/social structure seen with long term/short term cognitive losses

m. Provides support and reinforcement at all social levels.


A. Etiology and epidemiology of HIV

1. Etiology 2. Reported AIDS cases in the United States and Washington State 3.

Risk groups/risky behavior

B. Transmission and infection control

1. Transmission of HIV 2. Infection control precautions 3. Factors

affecting risk for transmission 4. Risks for transmission to health care workers

C. Testing and counseling

1. HIV test information 2. Pretest counseling 3. Post test counseling

D. Clinical Manifestations and treatment

1. Clinical manifestations of HIV infection 2. Case management 3.

Physical care 4. Psychosocial care 5. Home care 6. Resources

E. Legal and ethical issues

1. Confidentiality as defined in the AIDS Omnibus bill 2. Informed consent 3.

Legal reporting requirements 4. Ethical issues 5. Civil rights

F. Psychosocial Issues

1. Personal impact of the HIV continuum 2. The human response to death and

dying 3. Issues for care providers 4. Family issues 5. Special populations 12

Nursing Assistant Skills Checklist Student Quarter/Year
Skill S NI NI Comments
* Handwashing
*Vital Signs:

Blood Pressure

*Temperature – non-mercury



tympanic thermometer
* Pulse
* Respiration
*Measures & Records weight
Making unoccupied bed
*Making occupied bed
*Mouth care
*Denture care
Shaving electric safety
*Feeding the dependent client
Measuring & recording intake
*Measuring & recording output
*Giving and removing bedpan / urinal
*Peri-care male/ female
*Catheter care
Assisting with shower
*Modified Bed bath
*Positions client on side
*Passive Range of motion exercises – shoulder
*PROM – Knee and ankle
Care & use of prosthetic/orthotic devices
*Put elastic stocking on client
Assist with dressing/undressing
*Dressing upper with weak right arm
*Transfers from bed to w/c
*Assist with ambulation
Assist with walker ambulation
*Hand and fingernail care
*Foot care
Assist with Mechanical lift
Appropriate client communication
Practices confidentiality & privacy
* On skills test

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Posted in Become a Certified Nurses Assistant, Certified Nursing Assistant | 4 Comments »

Congratulations Professor Kimmel

Written by kimmel52 on August 31, 2009 – 3:33 pm

Below is a congrats from one of my students who presented me with a card that read…

Congratulations Professor Kimmel;
We heard that you received your certificate for training certified nursing assistants. Just keep racking up those degrees and certificates.

Your friend Josh

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