NRST 1550 Certified Nursing Assistant II
This course provides the Certified Nursing Assistant (CNA) an opportunity to prepare for practice in an expanded role in selected healthcare settings. The student will explore the rationale for skill procedures within the role of a CNA II, and will demonstrate those skills in the classroom and laboratory setting. On successful completion of the course, the student is eligible for certification as a CNA II. Eligibility criteria set forth by the Wyoming State Board of Nursing includes current, unencumbered Wyoming nursing assistant certification and documentation of 1500 work hours as a CNA. (S/U grading only.) (1 lect., 2 lab)
Major Topics
Regulation of the CNA II
- Wyoming State Board of Nursing Rules and Regulations, Policies and Procedures that Regulate CNA II Practice in Wyoming
- Scope of Practice and Ethical Legalities for the CNA II (W.S. 33-21-120)
- Principals of Delegation
- Interprofessional Communication
Sterile Technique
- Medical and Surgical Asepsis
- Sterile Fields
- Sterile Technique While Performing an Activity
Peripheral Intravenous Fluids
Urinary Elimination Procedures
- Specimen Collection and Handling
- Foley Catheter Removal
- Bladder Scanning
Bowel Elimination Procedures
- Ostomy Care
- Bowel Training Program
- Enema Administration
- Signs of Fecal Impaction
Respiratory Procedures
- Oxygen Therapy
- Pulse Oximetry
- Oropharyngeal Suctioning
- Tracheostomy Suctioning and Care
- Continuous Positive Airway Pressure (CPAP)
Enteral Tubes and Feeding
- Gastrostomy and Percutaneous Gastric (PEG) Tubes
- Feeding and Site Care
Wound Care
- Open and Closed Wounds
- Wound Irrigation
- Infection Control Procedures
- Sterile Dressing Application
Nasogastric (NG) Tube Management
- Indications for Tube Placement
- NG Securement
- NPO Status
- Aspiration Risk
- NG Tube Removal
Electrocardiography (ECG)
- Proper Lead Placement
- Reporting Parameters
Outcomes
In order to successfully complete this course, the student will:
1. Identify the policies, procedures, rules and regulations that govern the CNA II in Wyoming.
2. Describe the ethical legalities guiding CNA II practice.
3. Explain the principles of delegation governing the practice of a registered professional nurse in Wyoming, specific to task assignment to the CNA II.
4. Demonstrate CNA II skills approved by the Wyoming State Board of Nursing in accordance with best practice guidelines.
5. Model appropriate communication within the healthcare team and with patients and their families.