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2024 – 2025

Nurse Assisting

Joanne Romanelli, Academy B Administrator – Ext. 267

Course & Program of Studies

Statement of Purpose

The Nurse/Health Assisting students care for acute and chronically ill patients as well as  physically and mentally challenged individuals. The patient population ranges from infants in pediatrics through adults and the elderly in geriatrics. Clinical experience is obtained at a long term care facility.

The Nurse/Health Assisting program prepares students to provide essential care to a diverse range of patients. The program equips students with the knowledge and skills to work in various healthcare settings, including long-term care facilities, hospitals, and home health agencies.

Key Areas of Focus:

  • Patient Care: Providing basic patient care, including vital signs measurement, personal hygiene assistance, and feeding.
  • Medication Administration: Assisting with medication administration under the supervision of a licensed nurse.
  • Infection Control: Practicing proper infection control techniques to prevent the spread of disease.
  • Communication Skills: Developing effective communication skills to interact with patients, families, and healthcare professionals.
  • Ethical and Legal Considerations: Understanding ethical and legal guidelines in healthcare.
  • Gerontology: Learning about the specific needs of older adults and providing appropriate care.
  • Pediatrics: Understanding the unique needs of children and infants and providing age-appropriate care.

Through a combination of classroom instruction and clinical rotations, students gain hands-on experience and develop the skills necessary to succeed in the healthcare field.

Exploratory Program

Freshman Exploratory is a program that provides students with a basic overview of the healthcare system and how a Certified Nursing Assistant plays an important role in the care of patients from birth to old age. Students will learn entry-level, hands-on skills (competencies), basic infection control theory, techniques, patient and nursing assistant body mechanics, safety, and communication skills. Ninth-grade exploratory curriculum includes an introduction to Infection Control (handwashing and removing contaminated gloves), use of patient equipment (wheelchairs), and vital signs assessment. Throughout this course, students will become familiarized with common medical terms and procedures used within this vocation.

The Freshman Nurse/Health Assisting Exploratory program provides an introduction to the exciting field of healthcare. Students will gain exposure to the role of a nursing assistant and the skills necessary to provide quality patient care. Key areas of focus include:

  • Infection Control: Understanding the importance of infection control and practicing proper hand hygiene and other aseptic techniques.
  • Patient Safety: Learning about patient safety measures, including fall prevention and the use of assistive devices.
  • Basic Patient Care: Performing basic patient care tasks, such as assisting with bathing, dressing, and grooming.
  • Communication Skills: Developing effective communication skills to interact with patients, families, and healthcare professionals.
  • Ethical Considerations:Understanding the ethical principles that guide healthcare practice.

Through a combination of classroom instruction and hands-on activities, students will develop a solid foundation in healthcare and be prepared to advance to more complex skills in their sophomore year.

Group of nursing students working

Freshman Program

This course introduces the student to basic infection control, health and safety practices that will be used initially in the shop, and then later in the clinical setting. It provides an overview of the health care system as well as detailed instruction explaining the role and scope of practice of the Certified Nursing Assistant within the system. A brief overview of home care and the role of the Home Health Aide are also provided. The concepts of patient’s needs, rights, and cultural diversity are addressed. Documentation is introduced during the freshman year. Portfolio binders will be created and maintained throughout the course. Students will learn entry level, hands on skills (competencies) and the basic theory related to them. In addition, they will learn communication and employability skills. Basic Medical Terminology is also an integral piece of the instruction freshman year. Medical terminology and abbreviations are introduced throughout the curriculum. Students will complete an online Babysitting Certification course.

Successful completion of freshman year is required in order for students to continue on to the Junior Nurse/Health Assisting course. This course meets the Department of Public Health’s beginning requirements for eligibility to take the state CNA exam.

The Freshman Nurse/Health Assisting program provides a solid foundation in the fundamentals of healthcare. Key areas of focus include:

  • Infection Control: Understanding and practicing proper infection control techniques, including hand hygiene, glove use, and aseptic technique.
  • Patient Safety: Learning about patient safety measures, such as fall prevention and the use of assistive devices.
  • Basic Patient Care: Performing basic patient care tasks, including bathing, grooming, and positioning.
  • Communication Skills: Developing effective communication skills to interact with patients, families, and healthcare professionals.
  • Medical Terminology: Learning medical terminology to understand and communicate effectively in healthcare settings.
  • Documentation: Understanding the importance of accurate and timely documentation.
  • Ethical Considerations: Understanding the ethical principles that guide healthcare practice.
  • Home Health Care: Learning about the role of a Home Health Aide and the specific skills required for home care.

By the end of the freshman year, students will have a strong foundation in healthcare and be prepared to advance to more complex skills in their sophomore year. They will also be prepared to sit for the state CNA exam, if eligible.

Sophomore Program

Sophomore Nurse/Health Assisting course begins with a general review of the competencies (skills), theory, and documentation introduced during the freshman year, and then discusses those topics in further detail using a body system approach. More complex competencies are taught, which also incorporate the concepts of infection control, and patient and nursing assistant safety. The importance of critical thinking and observation skills are stressed.

Communication and employability skills are reinforced throughout the course. Focus is placed on guiding the students toward independent thinking and team work. Portfolio binders will be maintained throughout the course.
Basic Medical Terminology is also covered in the shop setting for one related period each day. Principles of Business for the sophomore curriculum covers the use of Microsoft Office applications and an entrepreneurial project. Additionally, students will complete Career Safe, an OSHA online career and safety training program. Additionally, students will complete OSHA 10, an online career and safety training program.

Successful completion of sophomore year is required in order for students to continue on to the Junior Nurse/Health Assisting course. This course meets the Department of Public Health’s beginning requirements for eligibility to take the state CNA exam.

The Sophomore Nurse/Health Assisting program builds upon the foundational knowledge and skills acquired in the freshman year. Key areas of focus include:

Clinical Skills:

  • Vital Signs: Measuring blood pressure, temperature, pulse, and respirations.
  • Personal Care: Assisting with bathing, grooming, and dressing.
  • Feeding: Assisting with feeding and hydration.
  • Ambulation and Transfer Techniques: Assisting patients with walking, transferring, and positioning.
  • Specimen Collection: Collecting urine, stool, and other specimens.

Communication and Documentation:

  • Effective Communication: Interacting with patients, families, and healthcare team members.
  • Documentation: Accurately documenting patient care activities in medical records.

Safety and Infection Control:

  • Infection Control: Practicing proper infection control techniques, including hand hygiene, glove use, and aseptic technique.
  • Patient Safety: Implementing safety measures to prevent accidents and injuries.
  • Body Mechanics: Using proper body mechanics to prevent injury to oneself and patients.

By the end of the sophomore year, students will be well-prepared to sit for the state Certified Nursing Assistant (CNA) exam and enter the workforce. They will have the skills and knowledge to provide quality patient care in a variety of healthcare settings.

Sophomore Related Class 1

Basic Medical Terminology

Basic Medical Terminology is a full-year course that introduces students to prefixes, root words, and suffixes, which are also referred to as elements. Understanding, correct use, and retention of these terms will help students comprehend the theory discussed throughout the Nurse/Health Assisting program. It will also provide a foundation and better prepare students for Advanced Medical Terminology which is taught as a Related course during the senior year of the program.

This course provides a foundational understanding of medical terminology, which is essential for effective communication in healthcare settings. Key topics include:

  • Word Roots: Understanding the core meaning of medical terms.
  • Prefixes: Learning how prefixes modify the meaning of word roots.
  • Suffixes: Understanding how suffixes indicate medical conditions, procedures, or diseases.
  • Combining Forms: Combining word roots and suffixes to form complex medical terms.
  • Body Systems: Learning the medical terminology related to various body systems, such as the cardiovascular, respiratory, and digestive systems.
  • Medical Abbreviations: Understanding common medical abbreviations and acronyms.

By the end of the course, students will be able to:

  • Break down complex medical terms into their component parts.
  • Define medical terms accurately.
  • Use medical terminology in written and oral communication.
  • Understand medical records and other healthcare documents.
  • Apply medical terminology to various healthcare settings.

This course will provide a strong foundation for further study in healthcare and prepare students for more advanced medical terminology courses.

Sophomore Related Class 2

Principles of Business

“Principles of Business” is a sophomore level course, which centers around principles, policies and procedures related to being an entrepreneur. Two tracks run simultaneously during this course. The first, focuses on the use of computers, understanding application, hardware, software and responsible use of technology. The course also concentrates on intermediate word processing and spreadsheet applications using Microsoft Word and Excel. Students will process business correspondence, mail merges, memos, tables, and newsletters, as well as basic Microsoft Excel functions. Through the text, “The Teen Entrepreneur”, students study the principles of entrepreneurship, small business, and start-up procedures. At the same time they choose a business of their own and prepare all necessary documents to obtain funding, research the market, gain customers, and operate the business. Students will be challenged to use creativity, entrepreneurial writing, and decision-making skills that will yield a professional business plan and marketing materials. The business plan can then be used as a guide to help operate and manage the chosen business.

This sophomore-level course equips students with a strong foundation in business principles and entrepreneurship. Key areas of focus include:

Business Fundamentals:

  • Entrepreneurship: Understanding the core concepts of entrepreneurship, including identifying opportunities, developing business plans, and managing risks.
  • Business Operations: Learning about the fundamental aspects of running a business, such as marketing, finance, and human resources.
  • Legal and Ethical Considerations: Understanding legal and ethical issues in business, including contracts, intellectual property, and workplace regulations.

Technology Skills:

  • Computer Proficiency: Mastering essential computer skills, including word processing, spreadsheets, and presentation software.
  • Digital Literacy: Developing digital literacy skills to navigate the digital landscape and utilize online tools effectively.

Practical Application:

  • Business Plan Development: Creating comprehensive business plans that outline business goals, strategies, and financial projections.
  • Market Research: Conducting market research to identify target markets, analyze industry trends, and assess competition.
  • Financial Management: Understanding financial statements, budgeting, and cash flow management.
  • Marketing and Sales: Developing effective marketing strategies and sales techniques.

By the end of the course, students will be well-prepared to pursue entrepreneurial ventures or careers in business and management. They will have the skills and knowledge to start and run successful businesses, make informed business decisions, and adapt to changing market conditions.

Junior Program

Junior year instruction focuses on providing information to support the successful mastery of critical thinking and technical skills with an emphasis on patient care. Students learn advanced competencies (skills) which they utilize to complete patient care scenarios, while also focusing on maintaining privacy and treating the patient/client with dignity and respect. Students will obtain the required clinical hours at a Long Term Care Facility at the end of second trimester. Instruction also includes dementia care and the Home Health Aide curriculum, for which students receive certificates of completion. This course is designed to prepare the student to function independently as a skilled team member under the supervision of a licensed nurse in an acute or long term facility.

Upon successful completion of this year’s coursework and clinical hours, the student is eligible to take the Massachusetts Certified Nursing Test to become a Certified Nursing Assistant (CNA).

The Junior Nurse/Health Assisting program builds upon the foundational knowledge and skills acquired in the previous years. Key areas of focus include:

Advanced Clinical Skills:

  • Wound Care: Providing basic wound care, including dressing changes and wound irrigation.
  • Medication Administration: Assisting with medication administration under the supervision of a licensed nurse.
  • Tracheostomy Care: Providing tracheostomy care, including suctioning and cleaning.
  • Catheter Care: Providing catheter care, including insertion, maintenance, and removal.

Dementia Care:

  • Understanding the challenges of dementia and Alzheimer’s disease.
  • Implementing strategies to communicate effectively with individuals with dementia.
  • Providing appropriate care and support to individuals with dementia.

Home Health Care:

  • Understanding the principles of home healthcare.
  • Providing basic home health services, such as personal care, meal preparation, and light housekeeping.

By the end of the junior year, students will be well-prepared to sit for the state Certified Nursing Assistant (CNA) exam and enter the workforce. They will have the skills and knowledge to provide quality patient care in a variety of healthcare settings.

Junior Related 1

Anatomy & Physiology

The related Anatomy and Physiology course is an introductory course covering selected body systems. This course is a full-year course offered during the Junior year. At the completion of the course, students will demonstrate their knowledge of the systems outlined in the course goals.

Anatomy and Physiology is a foundational course that provides students with a comprehensive understanding of the human body. Key topics covered in this course include:

  • Introduction to Anatomy and Physiology: Basic anatomical terminology, body planes, and directional terms.
  • Cells and Tissues: Cell structure and function, types of tissues, and homeostasis.
  • Integumentary System: Structure and function of the skin, hair, and nails.
  • Skeletal System: Structure and function of bones, joints, and the skeletal system as a whole.
  • Muscular System: Structure and function of muscles, types of muscle tissue, and muscle contraction.
  • Nervous System: Structure and function of the nervous system, including the brain, spinal cord, and nerves.
  • Special Senses: Structure and function of the senses of sight, hearing, taste, smell, and touch.
  • Endocrine System: Structure and function of endocrine glands and hormones.
  • Cardiovascular System: Structure and function of the heart, blood vessels, and blood.
  • Lymphatic System: Structure and function of the lymphatic system, including lymph nodes and lymphatic vessels.
  • Respiratory System: Structure and function of the respiratory system, including the lungs and airways.
  • Digestive System: Structure and function of the digestive system, including the mouth, esophagus, stomach, intestines, and accessory organs.
  • Urinary System: Structure and function of the urinary system, including the kidneys, ureters, bladder, and urethra.
  • Reproductive System: Structure and function of the male and female reproductive systems.

By the end of the course, students will have a solid understanding of the human body’s structure and function. They will be able to apply this knowledge to various healthcare settings and further their education in healthcare-related fields.

Junior Related 2

Nutrition

Significant nutrition for individual, patient, resident and the family is identified and related to real life situations. Cultural consideration and cultural competence is important as the diversity of patient, client and resident needs change and expand. Information will be provided and through multiple learning exercises, the student will use critical thinking skills to determine outcomes. Students will also examine medical conditions which require the use of diet modification, medication and lifestyle changes. Students will determine the best options for individuals based on the medical diagnosis (es).

This course focuses on the importance of nutrition in maintaining overall health and well-being, with a specific emphasis on the needs of diverse patient populations. Key topics include:

  • Basic Nutrition: Understanding the essential nutrients (carbohydrates, proteins, fats, vitamins, and minerals) and their roles in the body.
  • Dietary Guidelines: Adhering to recommended dietary guidelines and food labels.
  • Special Diets: Developing and implementing specialized diets for patients with specific medical conditions, such as diabetes, heart disease, and kidney disease.
  • Cultural and Religious Dietary Considerations: Respecting and accommodating diverse cultural and religious dietary practices.
  • Food Safety and Sanitation: Practicing safe food handling and storage techniques to prevent foodborne illness.
  • Menu Planning: Creating balanced and nutritious meal plans for individuals and groups.
  • Nutrient Analysis: Using nutrition analysis software to assess the nutritional content of meals.
  • Enteral and Parenteral Nutrition: Understanding the principles of tube feeding and intravenous nutrition.

Through a combination of classroom instruction and hands-on activities, students will develop the skills to:

  • Assess individual nutritional needs.
  • Develop and implement appropriate nutrition plans.
  • Educate patients and families about healthy eating habits.
  • Monitor and evaluate the effectiveness of nutrition interventions.

By mastering these skills, students will be well-prepared to provide quality nutrition care to a diverse range of patients.

Senior Program

The senior year curriculum consists of Cooperative job placement or Clinical Placement. Students who meet the school’s eligibility requirements and have passed the CNA certification test may obtain a Co-op job working as a CNA in an Assisted Living Center, Long Term Care Facility, Adult Day Care Center, or in a hospital acute care setting. ​Long Term Care Facility, or an Adult Day Care Center. Students, who are not eligible to obtain a Co-op job, will obtain work experience at an assigned unpaid placement site.

Senior year in the Nurse/Health Assisting program is designed to provide students with real-world, hands-on experience in a healthcare setting through Cooperative Education.

Cooperative Education Placement

  • Eligibility: Students who have successfully completed the program’s coursework and passed the state CNA certification exam are eligible for cooperative education placements.
  • Placement Settings: Students are placed in long-term care facilities, assisted living facilities, or other healthcare settings.
  • Responsibilities: Under the supervision of licensed nursing staff, students will perform a variety of tasks, including:
    • Providing direct patient care
    • Assisting with activities of daily living
    • Administering medications (under supervision)
    • Documenting patient care
    • Communicating effectively with patients, families, and healthcare team members

Cooperative education placements provide students with invaluable opportunities to apply their knowledge and skills in real-world settings. These experiences will help them develop the confidence and competence needed to succeed as healthcare professionals.

 

Senior Related 1

Advanced Medical Terminology

The class is presented in a system approach. Students must understand the normal anatomy and physiology of the system to appreciate the importance of the pathology. Relevant body structures and systems are learned and then word parts are addressed. Word parts include prefixes, combining forms (root words) and suffixes. Spelling rules are reinforced and practiced throughout the cycle with a variety of medical terms. Terms can include, but not limited to, pathology, medical procedures, diagnostic exams, and operative procedures. Spelling, defining, and pronouncing terms are stressed. Writing, recognizing and spelling word parts, abbreviations and medical terms is essential in enforcing the importance of medical terms. This course studies, but is not limited to, units pertaining to diagnostic studies, pharmacology, mental illness, central nervous system, lymphatic system, oncology, infectious disease, immunity, special senses, and positioning for examinations.

his advanced medical terminology course builds upon the foundational knowledge acquired in previous courses. It focuses on the complex language used in various medical specialties, including:

  • Diagnostic Studies: Medical imaging techniques (X-rays, CT scans, MRIs), laboratory tests, and endoscopic procedures.
  • Pharmacology: Drug classifications, mechanisms of action, side effects, and drug interactions.
  • Mental Illness: Mental health disorders, such as depression, anxiety, and bipolar disorder.
  • Central Nervous System: Structure and function of the brain and spinal cord, neurological disorders, and neurodegenerative diseases.
  • Lymphatic System: Structure and function of the lymphatic system, including lymph nodes and lymphatic vessels.
  • Oncology: Cancer types, staging, treatment, and prevention.
  • Infectious Disease: Pathogens, modes of transmission, and immune response.
  • Immunity: The immune system and its role in fighting infection.
  • Special Senses: Structure and function of the senses of sight, hearing, taste, smell, and touch.
  • Positioning for Examinations: Proper positioning techniques for various medical procedures.

By the end of the course, students will be able to:

  • Analyze and interpret complex medical terms.
  • Understand the underlying medical concepts associated with specific terms.
  • Communicate effectively using medical terminology.
  • Apply medical terminology to various healthcare settings.
  • Stay updated on the latest medical terminology and advancements in the field.

This course will provide students with a strong foundation in medical terminology, enabling them to excel in their future healthcare careers.

Senior Related 2

Growth & Development / Pharmacology – Elective

This course provides the student an appreciation for the normal growth and development and factors that influence atypical development. The course includes a variety of topics including Healthy People 2030, Determinants of Health, leading causes of death, governmental influences on health care and cultural consideration across the lifespan. Students discuss normal growth and development; including social, language, fine and gross motor development. Students identify normal development according to developmental stages as well as recognize atypical development. They will calculate the expected growth of an infant during their first year of life. Students will highlight the stages of development and the conflicts challenged throughout the lifespan according to Erikson. In the course, the student will investigate cultural differences and the importance of cultural competence. The students will investigate the normal aging process as well as environmental factors that impact organ systems within the individual. The student will identify normal memory loss as well as problematic memory loss. Conditions such as Dementia and Alzheimer’s disease (AD) are discussed in the course. As part of the course, the student will identify challenges of the older adult and their losses, identify the stages of grief, as well as explain bereavement and mourning. Centers for Disease Control and Prevention (CDC) is often utilized as it relates to a variety of the topics covered in this course.

This course provides a comprehensive overview of human growth and development across the lifespan. Key topics include:

Normal Growth and Development:

  • Physical Development: Motor skills, sensory development, and puberty.
  • Cognitive Development: Piaget’s stages of cognitive development, problem-solving, and critical thinking.
  • Social-Emotional Development: Erikson’s psychosocial theory, attachment, and relationships.
  • Language Development: Language acquisition, communication skills, and literacy.

Atypical Development:

  • Developmental Delays and Disabilities: Identifying signs of developmental delays and disabilities.
  • Common Childhood Disorders: Understanding conditions such as autism spectrum disorder, attention-deficit/hyperactivity disorder (ADHD), and learning disabilities.
  • Aging and Age-Related Changes: Physical, cognitive, and social-emotional changes associated with aging.
  • Chronic Illnesses: The impact of chronic illnesses on development and aging.

Cultural and Environmental Influences:

  • Cultural Diversity: Understanding cultural differences and their impact on development.
  • Socioeconomic Factors: The influence of socioeconomic factors on health and development.
  • Environmental Factors: The impact of environmental factors, such as pollution and toxins, on health and development.

Health and Wellness:

  • Healthy Lifestyles: Promoting healthy behaviors, such as nutrition, exercise, and stress management.
  • Preventive Health: Understanding the importance of preventive health measures, such as vaccinations and screenings.
  • Mental Health: Recognizing signs of mental health disorders and seeking help when needed.

By the end of the course, students will have a deep understanding of human growth and development, and be able to apply this knowledge to various healthcare settings.

Nursing student doing paper work

Certifications

  • OSHA 10 Healthcare
  • American Red Cross CPR/First Aid
  • American Heart Association HeartSaver
  • Alzheimer’s Care Provider
  • Home Health Aid (HHA)
  • Certified Nurse Assistant (CNA)
  • Dementia Certification
  • Babysitting Certification

Career Opportunities

  • Speech Therapist/Pathologist 
  • Registered Nurse 
  • Nurse Midwife 
  • Nurse Practitioner 
  • Physician’s Assistant 
  • Nurse Anesthetist 
  • CPR/First Aid Instructor 
  • Health Care Assistant 
  •  Home Health Aid 
  • Massage Therapist 
  • Occupational Therapist  
  • Paramedic/EMT 
  • Physical Therapist/Sports  
  • Trainer
  • Home Health Aid 
  • Massage Therapist 
  • Occupational Therapist  
  • Paramedic/EMT 
  • Physical Therapist/Sports  
  • Trainer
  • Home Health Aid 
  • Massage Therapist 
  • Occupational Therapist  
  • Paramedic/EMT 
  • Physical Therapist/Sports  
  • Trainer 

Post-Secondary Education

Licensed Practical Nurse (LPN): Many CNAs choose to further their education by enrolling in an LPN program. These programs typically take approximately around one year to complete and prepare students for licensure as practical or vocational nurses. LPNs have more responsibilities and provide a higher level of patient care than CNAs.

Associate Degree in Nursing (ADN): CNAs can pursue an Associate Degree in Nursing, which typically takes two years to complete. Upon graduation, students are eligible to take the NCLEX-RN exam to become registered nurses (RNs). This pathway offers broader career opportunities and higher earning potential compared to being a CNA.

Bachelor of Science in Nursing (BSN): CNAs can also pursue a Bachelor of Science in Nursing degree, which usually takes four years to complete. A BSN provides a more comprehensive education in nursing, leadership, and critical thinking skills. BSN-prepared nurses often have more opportunities for advancement, specialization, and leadership roles within healthcare settings.

RN-to-BSN Programs: For CNAs who are already licensed as registered nurses (RNs) through an ADN program, an RN-to-BSN program offers a convenient pathway to earn a BSN degree. These programs typically take 1-2 years to complete and are designed for working nurses.

 

Nursing students completing work