MCCCD Official Course Competencies:

NCE221  1998 Fall – 2010 Fall

Advanced Certified Nurse Assistant

1.

Identify principles of Asepsis/Sterile Technique and demonstrate the "open glove method" for sterile glove use. (I)

2.

Describe indications for blood glucose monitoring and identify normal and abnormal blood glucose values. (II)

3.

Describe the Accudata (Accucheck) system including quality control procedures. (II)

4.

Explain and demonstrate techniques for obtaining an accurate blood capillary value. (II)

5.

Describe the proper techniques for collecting venipuncture specimens, coagulation tests, blood culture specimens and explain procedures for inadequate samples. (III)

6.

Demonstrate proper venipuncture and capillary collection techniques. (III)

7.

Identify quality assurance procedures in specimen collection. (III)

8.

List the indications for suctioning and describe the methods of oropharyngeal and naso-pharyngeal suctioning. (IV)

9.

Describe how to collect a sputum specimen. (IV)

10.

State the factors that influence urinary elimination and describe the normal and abnormal characteristics of urine. (V)

11.

Describe the methods of urine collection and measurement including the handling of urine specimens. (V)

12.

Demonstrate male and female urinary catheterization, and describe the process of catheter selection. (V)

13.

List measures to reduce urinary tract infections in catheterized clients. (V)

MCCCD Official Course Outline:

NCE221  1998 Fall – 2010 Fall

Advanced Certified Nurse Assistant

I. Asepsis/sterile technique

A. Principles

B. Techniques

1. Handwashing

2. Gloving

3. Sterile packages

4. Sterile solutions

C. Patient care technician responsibilities

II. Blood glucose monitoring

A. Indications for monitoring

1. Normal values

2. Abnormal values

B. Accucheck equipment

1. Maintaining the system

2. Quality control

C. Obtaining a capillary blood glucose sample

1. Completing checklist

2. Technique

III. Specimen collection

A. Infection control/safety

1. Techniques

2. Equipment

3. Specimens

B. Collection sites

1. Venous

2. Capillary

C. Equipment

1. Types

2. Function

D. Specimen collection

1. Patient identification

2. Venous

3. Capillary

4. Blood smear

5. Inadequate samples

E. Specimen handling

1. Storage

2. Transportation

3. Environmental factors

4. Additives

F. Coagulation tests

1. Bleeding time

2. Other

G. Quality assurance

1. Timed tests

2. Specimen types

3. Additives

IV. Respiratory care

A. Suctioning

1. Indications

2. Oropharyngeal

3. Naso-pharyngeal

B. Sputum specimen collection

V. Urinary catheterization

A. Characteristics of urine

1. Normal

2. Abnormal

B. Collection of specimens

1. Clean catch

2. Twenty-four hour collection

3. Catheter bag

4. Urinary stoma

5. Measurement

C. Urinary catheterization

1. Selecting catheters

2. Procedure

D. Prevention of infections