MCCCD Program Description

Restorative Nursing Assistant

Course: NCE153

First Term: 2021 Spring

Lec + Lab 1.75 Credit(s) 1.75 Period(s) 1.75 Load
Subject Type: Occupational
Load Formula: T - Lab Load

Description: Additional skills for nurse assisting in restorative care settings, such as reinforcing client performance of Activities of Daily Life and assistive efforts for optimizing client independence.

MCCCD Official Course Competencies
1. Differentiate between nursing assistant role and restorative nursing assistant (RNA). (I) 2. Recognize and discuss the RNA role with plan of care for optimizing client independence. (I, II) 3. Reinforce client teaching for increasing client performance of activities of daily life (ADLs). (I-IX) 4. Implement activity plan of care including positioning and range of motion, depending on client`s condition. (II, III, V, VIII, IX) 5. Demonstrate use of adaptive/assistive and therapeutic devices to achieve optimal independence in performing ADLs. (II, IV, VII, VIII) 6. Report and record client condition to appropriate health care provider. (III) 7. Implement pain management in collaboration with the health care team. (V) 8. Communicate professionally with client, client`s significant others, and health care team. (VI, X) 9. Discuss nutrition, physiology, and complications associated with eating and dysphagia. (VII) 10. Demonstrate safe feeding and positioning of client. (VII) 11. Document accurately in client records. (X) 12. Correctly use terminology and abbreviations. (X)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.

MCCCD Official Course Outline
I. Role of the restorative nursing assistant (RNA) A. Standards of practice B. Responsibilities II. Client independence and activities of daily living (ADL) A. Adult and elder developmental levels and needs for independence B. Plan of care 1. Components 2. Minimum data set (MDS) 3. Implementation and evaluation 4. Positive reinforcement 5. Outcomes, barriers, etc 6. Problem solving III. Client condition A. Normal age-related changes B. Alterations in client`s behaviors C. Changes in client`s mental status D. Adaptations for clients with special needs E. Reinforce client teaching F. Essential information to report and to record IV. Common adaptive/assistive and therapeutic devices A. Ostomy skin care and appliance bag B. Adaptive, assistive and therapeutic equipment C. Routine cleaning, changing of appliance and dressings D. Prophylactic treatment of skin conditions E. Basic assistive skills V. Pain A. Client comfort level performing restorative activities B. Appropriate rest periods C. Comfort and pain relief measures D. Severity, pain scales 1. Chronic versus acute 2. Subjective versus objective 3. Types of pain 4. Reporting to appropriate health care provider E. Negative consequences F. Manifestations G. Influencing factors H. Language of pain 1. Cultural 2. Generational 3. Social beliefs I. Assisting with complementary therapies VI. Therapeutic communication skills A. With the client B. With clients with special needs C. With family/significant others D. Family/significant other`s role in therapeutic issues VII. Eating and dysphagia A. Eating process and barriers B. Anatomy and physiology C. Aspiration risk D. Textural requirements E. Musculoskeletal ability F. Therapeutic positioning G. Behavioral challenges VIII. Mobility and positioning A. Passive and active range of motion techniques B. Body alignment (immobile clients) C. Transfer techniques and devices IX. Common disease processes and conditions A. Conditions B. Diseases C. Effect on body system functions D. Functional ability of client X. Communication skills: reporting and recording A. Verbal reporting 1. Alterations in client`s physical condition 2. Alterations in client`s behaviors 3. Changes in client`s mental status B. Terminology and abbreviations 1. Accuracy 2. Specific to restorative care 3. Terms used in occupational, physical and speech therapy C. Documentation 1. Legibility, format 2. Client care records

MCCCD Governing Board Approval Date: May 26, 2020

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.