Identify essential functions, similarities, and differences of healthcare facilities (e.g., acute care, long-term care, assisted living, homecare, rehabilitation, hospice)

NUR.1.2

Depth 1

Explain the organizational structure and essential duties, including the delegation process, of the healthcare team within a healthcare facility [e.g., physician, physician’s assistant, RN, LPN, nursing assistant, nurse practitioner, discharge coordinator, home health aide, therapists (physical, occupational, respiratory)]

NUR.1.3

Depth 1

Explain the role of the nursing assistant as outlined in regulatory and professional guidelines [e.g., Omnibus Budget Reconciliation Act (OBRA), Arizona State Board of Nursing Standards of Conduct (R4- 19-814), ethics in the workplace, informed consent, advanced directives]

NUR.1.4

Depth 1

Demonstrate professional work habits and time management skills

NUR.2.1

Depth 1

Examine ethical and legal issues and the standards for healthcare professions (e.g., nursing code of ethics, facility ethical protocol, appropriate legal documents)

NUR.2.2

Depth 1

Explain state certification and renewal requirements including criminal conduct

NUR.2.3

Depth 1

Identify the standards of conduct that the nurse assistant must maintain in his or her daily care of residents

NUR.2.4

Depth 1

Examine the effect of personal ethics, morals, and values in nursing services

NUR.2.5

Depth 1

Compare and contrast behaviors and practices that could result in malpractice, liability, or negligence

NUR.2.6

Depth 1

Explain the Patient’s Bill of Rights (e.g., right for privacy and confidentiality; right to be free from abuse, mistreatment, and neglect; right to be free from restraints; right to make personal choices; right to obtain assistance in resolving grievances and disputes; security of personal property)

NUR.2.7

Depth 1

Comply with legal, regulatory, and accreditation standards or codes such as the Health Insurance Portability and Accountability Act (HIPAA)

NUR.2.8

Depth 1

Review methods and protocol for reporting instances or suspicion of abuse, mistreatment, or neglect

NUR.2.9

Depth 1

Follow the standards for workers’ rights, harassment, labor, and employment laws

NUR.3.1

Depth 1

Explain the infectious process and modes of disease transmission

NUR.3.2

Depth 1

Examine the Center for Disease Control (CDC) and Prevention guidelines related to body substances and Standard Precautions (e.g., respiratory hygiene, exposure incidents, transmission-based precautions)

NUR.3.3

Depth 1

Examine the Occupational Safety and Health Administration (OSHA) guidelines related to body substance and Standard Precautions (e.g., bloodborne pathogen and methods for reducing infection)

NUR.3.4

Depth 1

Explain the general principles of asepsis (e.g., clean, medical, sterile, disinfection)

NUR.3.5

Depth 1

Demonstrate the principles of hand hygiene

NUR.3.6

Depth 1

Explain the isolation procedures

NUR.3.7

Depth 1

Explain and demonstrate the use of Personal Protective Equipment (PPE)

NUR.4.1

Depth 1

Examine the effects of prolonged bed rest and/or restricted physical activity (e.g., muscle atrophy, arterial restriction, body alignment)

NUR.4.2

Depth 1

Identify and use different techniques for positioning residents in bed (e.g., side lying, supine, prone, Sim’s, high and low Fowler’s, Trendelenburg, lithotomy, orthopneic, footboard)

NUR.4.3

Depth 1

Identify and use assistive devices and techniques to aid in turning residents (e.g., logroll, draw sheet, move up in bed)

NUR.4.4

Depth 1

Identify and use assistive devices and techniques to aid in ambulating residents (e.g., crutches, cane, walker, wheelchair, dangling, gait belt)

NUR.4.5

Depth 1

Identify and use assistive devices and techniques to aid in transferring residents (e.g., gait belt, mechanical lifts, slide board, lift sheet, stretcher)

NUR.4.6

Depth 1

Assist residents to transfer from bed to chair and chair to bed using pivot and ambulatory techniques

NUR.4.7

Depth 1

Assist resident to ambulate with and without a gait belt

NUR.4.8

Depth 1

Demonstrate proper positioning of the resident in a wheelchair

NUR.4.9

Depth 1

Assist and care for the resident who is falling or who has fallen

NUR.4.10

Depth 1

Apply body mechanics and use safety procedures when positioning, transferring, transporting, turning and lifting residents

NUR.4.11

Depth 1

Determine the purpose and procedure for active and passive range of motion exercises

NUR.4.12

Depth 1

Identify and the purpose continuous passive motion (CPM) devices

NUR.5.1

Depth 1

Recognize emergency situations/changes in condition and notify appropriate personnel following protocol (e.g., asphyxia, stroke/TIA, anaphylaxis, seizure, poisonings, fainting, hemorrhage)

NUR.5.2

Depth 1

Demonstrate basic life support (CPR) at the minimum accepted standard of practice (e.g., compression, AED, breathing techniques)

NUR.5.3

Depth 1

Perform standard first aid skills (e.g., hemorrhage, shock, fainting, burns)

NUR.5.4

Depth 1

Perform abdominal thrusts for the choking victim

NUR.6.1

Depth 1

Describe the characteristics of homeostasis

NUR.6.2

Depth 1

Describe major body systems, organs, cell functions, anatomical terms, and tissues (e.g., nervous, connective, muscular, epithelial)

NUR.6.3

Depth 1

Use medical terminology as it relates to body systems and their functions

NUR.6.4

Depth 1

Identify the function, structure, common health problems, and age-related changes of the integumentary system (e.g., bruises, skin tears, rashes, decubitus ulcers, shingles, lice/scabies, gangrene)

NUR.6.5

Depth 1

Identify the function, structure, common health problems, and age-related changes of the musculoskeletal system (e.g., arthritis, osteoporosis, fractures, amputations, muscle atrophy, joint replacement)

NUR.6.6

Depth 1

Identify the function, structure, common health problems, and age-related changes of the nervous system (e.g., cerebral vascular accident, Parkinson’s disease, dementia/Alzheimer’s, spinal cord/head injuries, seizures, multiple sclerosis)

NUR.6.7

Depth 1

Identify the function, structure, common health problems, and age-related changes of the sensory system (e.g., cataracts, glaucoma, macular degeneration, hearing loss, neuropathy)

NUR.6.8

Depth 1

Identify the function, structure, common health problems, and age-related changes of the circulatory system (e.g., angina, myocardial infarction, coronary disease, congestive heart failure, hypertension)

NUR.6.9

Depth 1

Identify the function, structure, common health problems, and age-related changes of the respiratory system (e.g., COPD, bronchitis, asthma, TB, pneumonia, oxygen therapy

NUR.6.10

Depth 1

Identify the function, structure, common health problems, and age-related changes of the gastrointestinal system (e.g., constipation/fecal impaction, gastroesophageal reflux disease, ulcers, hernias, gall bladder disease, diverticulitis, colon cancer, Crohn’s disease, celiac disease)

NUR.6.11

Depth 1

Identify the function, structure, common health problems, and age-related changes of the urinary system (e.g., renal failure, urinary tract infection, incontinence, kidney stones)

NUR.6.12

Depth 1

Identify the function, structure, common health problems, and age-related changes of the endocrine system (e.g., diabetes mellitus, thyroid disease)

NUR.6.13

Depth 1

Identify the function, structure, common health problems, and age-related changes of the reproductive system [e.g., BPH, prolapsed uterus, cancer, pregnancy-related conditions, endometriosis, sexually transmitted disease (STD)]

NUR.7.1

Depth 1

Use medical terminology to interpret and communicate information, data, and observations including sound alike and look alike terms

NUR.7.2

Depth 1

Respond effectively to resident’s behavior in a positive non-threatening manner

NUR.7.3

Depth 1

Observe and describe resident’s physical and emotional condition changes

NUR.7.4

Depth 1

Communicate appropriately with residents who have sensory deficits (e.g., hearing, visual, and cognitively impaired; aphasic, and comatose; physically and verbally aggressive)

NUR.8.1

Depth 1

Describe purpose, influencing factors (e.g., confused patient, infant, child), and procedures (e.g., digital, electronic, oral, rectal, axillary, tympanic) for measuring and recording temperature and report abnormal findings

NUR.8.2

Depth 1

Describe purpose, influencing factors, and procedures for measuring and recording pulse rate (e.g., radial, apical, carotid, brachial) and report abnormal findings

NUR.8.3

Depth 1

Describe purpose, influencing factors, and procedures for measuring and recording respirations and report abnormal findings

NUR.8.4

Depth 1

Describe purpose, influencing factors, and procedures for measuring and recording blood pressure and report abnormal findings

NUR.8.5

Depth 1

Describe purpose, influencing factors, and procedures for measuring and recording height and weight (e.g., upright/standing, bed, chair scale) and report abnormal findings

NUR.8.6

Depth 1

Describe purpose, influencing factors, and procedures for measuring and recording oxygen saturation using an oximeter and report abnormal findings

NUR.8.7

Depth 1

Identify signs, symptoms, and behavior relative to pain and report abnormal findings

NUR.8.8

Depth 1

Record observations of changes in vital signs and report abnormal findings to licensed personnel according to protocol (e.g., tachycardia, bradypnea, arrhythmia, tachypnea, hypertension, pain)

NUR.8.9

Depth 1

Apply noninvasive pain relief measures within scope of practice and report abnormal findings

NUR.9.1

Depth 1

Describe the purpose and procedure for bathing residents (e.g., complete bed bath, partial bath, tub bath, whirlpool, and shower)

NUR.9.2

Depth 1

Provide skin care including back rub, massage procedures, and frequent turning

NUR.9.3

Depth 1

Identify and report skin problems including the four major stages of decubitus ulcers

NUR.9.4

Depth 1

Describe the purpose and procedure for perineal care

NUR.9.5

Depth 1

Describe the purpose and procedure for catheter care

NUR.9.6

Depth 1

Describe the purpose and procedure for oral and dental care

NUR.9.7

Depth 1

Describe the purpose and procedure for shampoo and hair care

NUR.9.8

Depth 1

Describe the purpose and procedure for nail care

NUR.9.9

Depth 1

Describe the procedure for shaving a resident

NUR.9.10

Depth 1

Assist resident with dressing and undressing

NUR.9.11

Depth 1

Examine the use and care of prosthetic and orthotic devices

NUR.9.12

Depth 1

Describe the purpose and procedure for bedmaking (occupied and unoccupied)

NUR.9.13

Depth 1

Describe the purpose and methods for pressure reduction (e.g., floating heels, repositioning)

NUR.10.1

Depth 1

Identify measures to prevent or control workplace violence (e.g., facility policies and procedures and personal safety practices)

NUR.10.2

Depth 1

Apply safety precautions related to age of residents (e.g., flooring, bed elevation, shoes/dress, cords)

NUR.10.3

Depth 1

Explain risk management protocols in the healthcare environment (e.g., incident reporting and fall risk)

NUR.10.4

Depth 1

Apply emergency procedures (e.g., fire, chemical, biohazard, radiation, community disasters)

NUR.10.5

Depth 1

Maintain equipment to ensure safe use (e.g., cleaning and check safety cords)

NUR.10.6

Depth 1

Comply with hazardous labeling requirements, safety signs, and symbols

NUR.10.7

Depth 1

Handle and dispose of contaminated and hazardous items according to standards and procedures

NUR.10.8

Depth 1

Position call light for easy access (e.g., toileting, ambulating, pain medication)

NUR.10.9

Depth 1

Provide care within scope of practice to residents receiving oxygen (e.g., securing oxygen, transporting oxygen, oxygen signage, cylinder care, risks)

NUR.10.10

Depth 1

Demonstrate proper handling and safe use of oxygen delivery systems/equipment (e.g., transporting system, nasal cannula, face mask, removal and application of oxygen)

NUR.10.11

Depth 1

Explain how to work with the resident’s family as a source of emotional support for the resident

NUR.11.1

Depth 1

Identify principles of nutrition (e.g., essential nutrient groups, My Plate, physiological needs, serving sizes)

NUR.11.2

Depth 1

Identify alternative feeding methods

NUR.11.3

Depth 1

Explain optimal nutritional needs for the resident across the life span

NUR.11.4

Depth 1

Examine therapeutic diets (e.g., liquid, low sodium, diabetic, high fiber)

NUR.11.5

Depth 1

Present meals in the facility

NUR.11.6

Depth 1

Restrict and record fluids

NUR.11.7

Depth 1

Assist with eating using assistive devices

NUR.11.8

Depth 1

Examine dietary concerns associated with age-related problems (e.g., denture problems, reduced sense of taste); situational factors (e.g., depression and dysphagia), and aspects of nursing assistant care (e.g., socialization and comfort foods)

NUR.11.9

Depth 1

Identify personal, cultural, religious, and medical conditions leading to variations in the diet

NUR.11.10

Depth 1

Ensure that residents receive diets as ordered

NUR.11.11

Depth 1

Measure and record nutritional data, including meal percentage, intake, and output

NUR.12.1

Depth 1

Assist with toileting, (e.g., bedpan, urinal, commode and toilet seat extension, bladder training)

NUR.12.2

Depth 1

Measure, calculate, and record fluid intake and output in ounces and milliliters

NUR.12.3

Depth 1

Assist with alternative methods of elimination (e.g., ostomy, urostomy, Foley catheter)

NUR.12.4

Depth 1

Care for the resident who is incontinent

NUR.12.5

Depth 1

Care for the resident who is vomiting

NUR.13.1

Depth 1

Determine purpose and procedure for assisting with preoperative care according to protocol (e.g., NPO orders, ID band, surgical checklist)

NUR.13.2

Depth 1

Determine purpose and procedure for assisting with postoperative care per protocol (e.g., ID band, airway maintenance, N/V, surgical bed)

NUR.13.3

Depth 1

Determine purpose and procedure for positioning and caring for resident receiving tube feeding

NUR.13.4

Depth 1

Determine purpose and procedure for caring for residents with feeding tubes

NUR.13.5

Depth 1

Determine purpose and procedure for caring for residents with gravity and sump drains

NUR.13.6

Depth 1

Examine complications with improper positioning and surgical gravity drains

NUR.13.7

Depth 1

Measure and record intake and output

NUR.13.8

Depth 1

Determine purpose and procedure for applying binders

NUR.13.9

Depth 1

Determine purpose and procedure for applying support, anti embolism, and compression stockings

NUR.13.10

Depth 1

Determine purpose and procedure for applying and maintaining dressings

NUR.13.11

Depth 1

Report status, observations, and resident response to binders, bandages, and dressings

NUR.13.12

Depth 1

Follow policy and protocol for appropriate temperature range for heat and cold treatments

NUR.14.1

Depth 1

Explain the procedure for admitting a resident

NUR.14.2

Depth 1

Explain the procedure for transferring a resident

NUR.14.3

Depth 1

Explain the procedure for discharging a resident

NUR.14.4

Depth 1

Maintain safekeeping of resident’s belongings and personal possessions according to facility policy

NUR.15.1

Depth 1

Determine purpose and procedure for collection, labeling, and sending specimen for analysis according to protocol (e.g., sputum, stool, urine, blood)

NUR.15.2

Depth 1

Determine purpose and procedure for diagnostic testing (e.g., culture and sensitivity, clean catch, sterile, 24-hour)

NUR.16.1

Depth 1

Discuss basic human needs of the individual (e.g., throughout the lifespan, including physical, socio-cultural, social service and mental health needs, developmental tasks with aging, mental and behavior changes, role of the elderly in a community)

NUR.16.2

Depth 1

Explain how cultural and spiritual attitudes may influence psychological responses

NUR.16.3

Depth 1

Respect and accommodate cultural and spiritual differences

NUR.16.4

Depth 1

Modify personal behavior in response to resident behavior

NUR.16.5

Depth 1

Determine purpose and techniques for addressing needs and behaviors of individuals with dementia, Alzheimer’s, and other cognitive or sensory deficits (e.g., cognitive impairments, anger, depression, unresponsiveness)

NUR.16.6

Depth 1

Describe special needs of residents with a mental health diagnosis

NUR.16.7

Depth 1

Describe special needs of residents in long-term care/alternative care facilities

NUR.17.1

Depth 1

Describe the stages of grieving and death and dying process

NUR.17.2

Depth 1

Explain the role of hospice in end-of-life care