DHS 129.06 HistoryHistory: CR 08-042: cr. register November 2008 No. 635, eff. 12-1-08. DHS 129.07DHS 129.07 Standards for nurse aide training programs. DHS 129.07(1)(1) Curriculum for a nurse aide training program. The training program shall include theory and practice in all of the following care areas: DHS 129.07(1)(a)(a) Interpersonal communication and social interaction. The program shall include the theory of and practice in communicating and interacting on a one-to-one basis with a client; serving as part of a team implementing client care objectives; demonstrating sensitivity to a client’s emotional; social and psychological needs through directed interactions; and skills that enable expressions of age-appropriate behavior by allowing a client to make personal choices and by reinforcing behavior that supports a client’s sense of dignity. After completion of this portion of the training program, a nurse aide shall do all of the following: DHS 129.07(1)(a)1.1. Identify the components of a caregiver-client relationship and be able to recognize and demonstrate understanding of all of the following: DHS 129.07(1)(a)1.a.a. The uniqueness of each client, in terms of that person’s age, disability, family status, financial status, gender, marital status, race, and sexual orientation, and cultural, generational, social, ethnic, religious or other background, values or characteristics. DHS 129.07(1)(a)1.b.b. The needs of a client with Alzheimer’s disease, dementia, mental illness, intellectual disability, or other cognitive disabilities or impairments. DHS 129.07(1)(a)2.2. Demonstrate an ability to establish effective relationships with clients and be able to do all of the following: DHS 129.07(1)(a)2.a.a. Communicate with clients in a respectful manner that affords clients dignity. DHS 129.07(1)(a)2.b.b. Explain procedures and activities to clients before carrying out those procedures or beginning those activities. DHS 129.07(1)(a)2.c.c. Demonstrate concern for clients who have long-term or disabling illnesses or who are dying. DHS 129.07(1)(a)3.3. Demonstrate an ability to use appropriate verbal and nonverbal communication skills with clients and be able to do all of the following: DHS 129.07(1)(a)3.c.c. Identify the difference between non-acceptable and acceptable touching during job performance. DHS 129.07(1)(a)3.d.d. Identify therapeutic interventions and specialized techniques for responding to client’s wandering and confusion. DHS 129.07(1)(a)4.4. Recognize common barriers to communication, including language, vision changes, hearing loss, speech problems, memory loss, disorientation and pain. DHS 129.07(1)(a)5.5. Demonstrate an ability to promote the independence of clients within the limitations of their physical, mental and intellectual impairments by fostering self-help skills through appropriate responses to clients’ attempts to provide self care, including recognizing clients’ level of ability in self care activities. DHS 129.07(1)(a)6.6. Identify the role of the family and other persons of importance to the client in the client’s care and as resources for client emotional support. DHS 129.07(1)(b)(b) Basic nursing skills. The program shall include the theory of and practice in basic nursing skills, including bed making, taking vital signs, measuring height and weight, caring for the client’s environment, measuring fluid and nutrient intake and output, assisting in the provision of proper nutritional care, walking or transferring the client using body mechanics and appropriately selected equipment with regard to principles of client care ergonomics, and maintaining infection control and safety standards. A nurse aide shall do all of the following: DHS 129.07(1)(b)3.3. Identify how and when to seek guidance, using the supervisory channels of communication within the facility or agency. DHS 129.07(1)(b)5.5. Demonstrate an understanding of the meaning of common medical terms and abbreviations. DHS 129.07(1)(b)6.6. Observe and report changes in client behavior and physical status, including signs and symptoms of common diseases and conditions. DHS 129.07(1)(b)8.8. Recognize the normal physical and psychological changes associated with aging. DHS 129.07(1)(b)10.10. Recognize and report deviations from a client’s normal food and fluid intake and output. DHS 129.07(1)(b)11.11. Recognize the basic requirements of commonly prescribed therapeutic diets. DHS 129.07(1)(b)12.12. Use common measures to promote a client’s skin integrity, considering the client’s ethnicity, race and age. DHS 129.07(1)(b)13.13. Demonstrate appropriate techniques in walking, transferring, positioning and transporting clients. DHS 129.07(1)(b)14.14. Recognize and respond appropriately to unsafe environmental conditions, including damp floors, frayed electrical cords and loose hand rails. DHS 129.07(1)(b)15.15. Recognize and respond appropriately to emergency situations including following emergency evacuation procedures. DHS 129.07(1)(b)17.17. Understand and use commonly used alternatives to restraints in accordance with current professional standards. DHS 129.07(1)(b)20.20. Perform commonly accepted infection control practices, including proper gloving technique and proper disposal of blood and body fluids and secretions. DHS 129.07(1)(b)27.27. Recognize therapeutic interventions and specialized non-pharmacological pain control interventions. DHS 129.07(1)(c)(c) Personal care skills. The program shall include the theory of and practice in basic personal care skills, including bathing, mouth care, grooming, dressing, toileting, and assistance with eating, hydration and skin care. A nurse aide shall demonstrate the ability to do all of the following: DHS 129.07(1)(c)1.1. Give a complete or partial bed bath to a client and assist a client in taking a bath or a shower. DHS 129.07(1)(c)3.3. Apply appropriate oral hygiene practices when assisting a client with oral hygiene, including caring for the client’s dentures. DHS 129.07(1)(c)5.5. Shave and shampoo a client, including applying nonprescription medicated shampoos. DHS 129.07(1)(c)8.8. Assist in feeding a client, including helping a client use adaptive devices and feeding utensils and encouraging a client to eat nutritionally balanced meals. DHS 129.07(1)(d)(d) Basic restorative services. The program shall include the theory of and practice in providing restorative services. Basic restorative services include the application of assistive devices for ambulation; eating and dressing; maintenance of range of motion through appropriate exercises; proper turning and positioning both in bed and chair; proper transferring techniques; bowel and bladder training; and care and use of prosthetic devices such as hearing aids, artificial eyes and artificial limbs. A nurse aide shall demonstrate the ability to do all of the following: DHS 129.07(1)(d)2.2. Recognize the method for maintaining and improving musculoskeletal functioning by promoting joint mobility, body alignment and movement, including being able to do all of the following: DHS 129.07(1)(d)2.c.c. Assist clients in the use of crutches, walkers, wheelchairs, canes, prostheses and appliances. DHS 129.07(1)(d)3.3. Transfer clients safely and according to principles of patient care ergonomics and with proficiency in use of available equipment that is used to transfer clients. DHS 129.07 NoteNote: Equipment used to transfer clients includes, but is not limited to, mechanical lifts, friction reducing devices; wheelchairs and gait belts.
DHS 129.07(1)(d)4.4. Reinforce breathing exercises, including coughing and deep breathing. DHS 129.07(1)(e)1.1. The program shall provide instruction on the principles of and requirements relating to clients’ rights. The nurse aide shall demonstrate an understanding of all of the following obligations: DHS 129.07(1)(e)1.a.a. Providing privacy for clients in treatment, living arrangements and personal care needs. DHS 129.07(1)(e)1.d.d. Providing help clients need in getting to and participating in activities, including client and family group meetings. DHS 129.07(1)(e)1.e.e. Maintaining the personal possessions of clients in good and secure condition. DHS 129.07(1)(e)1.h.h. Immediately reporting to appropriate facility or agency staff every instance of abuse or neglect of a client or misappropriation of a client’s property as defined in s. DHS 13.03 (1), (12), and (14). DHS 129.07(1)(e)2.2. The nurse aide shall demonstrate behavior that recognizes that clients have rights and that the aide respects those rights. The nurse aide shall do all of the following: DHS 129.07(1)(e)2.a.a. Demonstrate respect and concern for each client’s rights, preferences and awareness of age, color, disability, family status, financial status, gender, marital status, race, sexual orientation, and ethnic, cultural, social, generational and religious differences. DHS 129.07(1)(e)2.c.c. Recognize what constitutes abuse of clients and demonstrate an understanding of how to interact with clients without abusing them or without appearing to abuse them.
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administrativecode
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Department of Health Services (DHS)
Chs. DHS 110-199; Health
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