Nursing Fundamentals
Lesson Plan: Objective 1.01
Prepared by: Anne Whisnant
Date: 1-25-14
Time Allocation: 3 Classes
Course: Nursing Fundamentals
Unit: 1.01
Competency/Essential: Understand the Process of Skill Acquisition
Standard
Objective/Indicator: Understand the Nurse Aide Skill Acquisition Process
Essential Question(s): What are the principals of skill acquisition?
What methods are used in the process of skill acquisition?
Why handwashing is important in the prevention and spread of infection?
What are methods of skill evaluation?
Teacher Actions Student Actions
Review/Focus Facilitate discussion to Participate in discussion about present
assess student’s knowledge knowledge the skill acquisition process
of the skill acquisition
process
Instruction/Information Handout: Skill Acquisition Key Terms
Present the PowerPoint (Define Key Terms while viewing PowerPoint)
Presentation.
a) Nurse Aide Skill Handout: Process of Skill Acquisition
Acquisition (Define Skill Acquisition Process while viewing
PowerPoint)
Facilitate discussion on the
process of skill acquisition, Participation in discussion on the
and the methods used for process of Skill Acquisition, methods of
skill acquisition evaluation. Evaluation for Skill Acquisition and the
Facilitate discussion on the importance of the prevention and
importance of handwashing spread of infection.
in the prevention and spread
of infection Helps student UNDERSTAND (B2) the
process of Skill Acquisition and
Methods used to Evaluate Skill
Acquisition, as well as, the importance
of the prevention and spread of
infection.
Guided activities with Skill Acquisition: Skill Acquisition Activity:
ungraded feedback Handwashing Students will record notes on the
(formative assessment) Review Teacher Resource to appropriate handouts
prepare for this activity. Students will assemble supplies
Distribute the Handwashing need for handwashing
Skill Procedure handout. Students will participate in a
Students will read the guided practice for handwashing
handout procedure.
Present video on Students will progress to
Handwashing Independent Practice for
http://youtu.be/MN8Xb59Q Handwashing Skill.
5vw Student will have summative
Instruct students to record assessment to document
any notes and class competency for Handwashing.
discussion on the handouts Student will participate in
Demonstrate handwashing discussion about the importance
procedure to students of handwashing in the healthcare
Facilitate discussion facility
Helps student UNDERSTAND (B2) the
appropriate procedure for handwashing
and the importance of preventing the
spread of infection.
Independent activities Infection Control Research Students will research the history of
with graded feedback Instruct students to research handwashing and the different types
the different types (resident of bacteria (resident and transient)
and transient) of bacteria that that reside on the hands.
reside on the hands. Students will create a virtual poster
Instruct students to research that explains the types of transient
the History of Handwashing and resident bacteria that reside on
Instruct students to construct the hands. Poster will also include
a virtual poster on the handwashing technique and the
Importance of Handwashing. importance of handwashing in the
Review the HOSA guidelines prevention and spread of infection.
for Extemporaneous Health Students should complete the
Poster with students assignment as directed using the
HOSA competitive events guidelines
for Extemporaneous Health Poster.
www.hosa.org/natorg/sectb/cat- iii/ehp.pdf
The students will present their
posters to the class.
www.hosa.org/natorg/sectb/cat-iii/es.pdf
Helps student UNDERSTAND (B2)
infection control procedures
Summary Review materials covered in this Students will review all materials
unit with students and answer covered in unit and ask questions
questions
Students will take post-
Administer post-assessment assessment
Reflections Facilitate discussion based on Students will be asked to reflect on
student’s reflections on the the process.
process of virtual poster project. What similarities and/or
differences did the students note
after seeing the finished product?
Were there any “lessons
learned” from this project that will
change personal hygiene habits?
Resources/materials Sink
needed Running Water
Paper Towels
Soap
Trash Container
Paper and Pencils
Computer with Internet
access
Projector and screen
Whiteboard
Multi-colored card stock
Black Sharpie Markers
Transparent Tape
Paperclips
Scissors
Nursing Fundamentals
1.01 Skill Acquisition Key Terms
Student Handout
Key Term Definition
Muscle Memory
Motor Learning
Long Term Muscle Memory
Brain Storm
Guided Practice
Independent Practice
Summative Assessment
Nursing Fundamentals
1.01 Process of Skill Acquisition
Student Handout
Student
Skill Demonstration
Where Am I Going? Student Needs the Criteria for Success.
Question:
Student
Guided Practice
Where Am I Now? How Do I Close the Gap? This is time for formative assessment. Teacher is
watching and providing descriptive feedback. Descriptive feedback helps the student “form” the skill
Questions:
correctly.
Self
Independent Practice
Student needs insight into their own strengths and weaknesses and access their own strategies for
Assessment: learning.
Summative
Competency Check-Off
Student performs skill without prompting. Pass or fail. No middle ground. Student who does not
pass competency summative assessment needs to go back through the cycle of demonstration, guided
Assessment: practice, independent practice and summative assessment.
Nursing Fundamental Notes
1.01 Hand Hygiene
Student Notes
Hand Hygiene
• New term in health care
• CDC defines hand hygiene as washing hands with
soap and water or
alcohol‐based hand rubs
• You have probably been washing hands with soap and water all
your life, but may not be as familiar with alcohol‐based hand rubs
• Alcohol‐based hand rubs may be gels, rinses, or foams that do not
need water to use
• Remember, number one way a harmful germ travels from place to
place is on the hands
Hand Hygiene – Why?
• Performing hand hygiene is the single most important
thing the nurse aide can do to prevent spread of infection when at
work
Hand Hygiene – Where? (Point of Care)
• While at work, nurse aide should perform hand hygiene at point of
Care
• Point of care refers to the place where three (3) elements occur
together
The resident
The nurse aide
The care or treatment involving resident contact
• Most point of care occurs in resident’s room
Hand Hygiene – When (5 Essential Times)
World Health Organization (WHO) recommends that during health
care delivery, at the point of care, there are five (5) essential times
or moments that nurse aide must perform hand hygiene
1. Before touching a resident (examples – helping resident move
around, helping resident with AM or PM care, taking vital signs)
1. Before doing a clean or aseptic procedure (examples before
brushing resident’s teeth or cleaning dentures, preparing meal
tray, feeding resident, getting clean linen
2. After any body fluid exposure risk (examples –after brushingresident’s teeth or pr
oviding denture care, feeding resident,
caring for skin lesions, cleaning up urine, stool, vomit, blood,
and handling soiled linen, urinal, bedpan)
3. After touching a resident (examples – after helping resident
move around, helping resident with a.m. or p.m. care, taking
vital signs)
4. After touching resident surroundings (examples – after
changing bed linen with resident out of bed, raising or lowering
bed rail, leaning against a bed or night table, clearing bedside
table or over‐bed table)
5 Moments
• The 5 Moments apply to any health care setting where care
involving direct care is provided to a resident, patient, or client
Hand Hygiene – When (Other Times to Wash Hands)
• Before/after going to restroom
• Before/after eating
• Before/after wearing gloves
• Before getting clean linen
Infection Prevention
Hand Hygiene – When (Other Times to Wash Hands)
• When hands are visibly soiled
• After handling trash
• After arrival at work;
• Before leaving work;
• After returning home from work before touching anybody or anything
Hand Hygiene–When (Other Times to Wash Hands)
• After blowing nose
• After sneezing in hand
• After touching hair
• After touching other body parts, such as your mouth or nose
When to Hand Wash
• There are times when nurse aide should use soap and water, instead of alcohol‐
based hand rub
• If hands are visibly dirty
• After using restroom
• After blowing nose
• After sneezing in hands
• After changing adult briefs
• After cleaning a spill of blood or other body fluids
• Before and after using shared medical equipment
When to Use Hand Rub
• There are times when alcohol‐based hand rubs are acceptable
choice in hand hygiene
• Before and after eating
• Before and after handling food
• Before and after routine resident care
