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. In addition, the student must be at least 18 years of age and have a high school diploma or the equivalent. (1 lect., 2 lab)
Major Topics
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●Regulation of the CNA II
o Wyoming State Board of Nursing Rules and Regulations, Policy and Procedures that Regulate CNA II Practice in Wyoming
o Scope of Practice and Ethical Legalities for the CNA II (W.S. 33-21-120)
o Principals of Delegation
o Interprofessional Communication
● Sterile Technique
o Difference Between Medical and Surgical Asepsis
o Sterile Fields
o Maintain Sterile Technique While Performing an Activity
● Assisting with Peripheral Intravenous Fluids
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o Set-up IV Equipment
o Identify IV Fluids
o Discontinue Peripheral IV
Certified Nursing Assistant II
● Urinary Catheter
o Specimen Collection and Handling
o Foley Catheter Removal
o Documentation
● Elimination Procedures
o Ostomy Care
o Steps of a Bowel Training Program
o Administer Enemas
o Probable Signs of Fecal Impaction
o Communicate Procedures
● Respiratory Procedures
o Oxygen Therapy
o Pulse Oximetry
o Oropharyngeal Suctioning
o Tracheostomy Suctioning and Care
o Continuous Positive Airway Pressure (CPAP)
● Enteral Tubes and Feeding
o Gastrostomy and Percutaneous Gastric (PEG) Tubes
o Feedings and Site Care
● Wound Care
o Difference Between Open and Closed Wounds
o Wound Irrigation
o Infection Control Procedures
o Application of Sterile Dressings
● Nasogastric (NG) Tube Removal
o Need for Tube Placement
o NPO Status
o NG Securement
o Risks of Aspiration
o Discontinuation
● Electrocardiography (ECG)
o Proper Lead Placement
o 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.