PART III – Theory and Clinical Objectives Course: PSYCHIATRIC TECHNICIAN 150 Title: FUNDAMENTALS LEGAL & ETHICAL ASPECTS OF NURSING & THE PSYCHIATRIC TECHNICIAN ROLE THEORY & CLINICAL OBJECTIVES THEORY OBJECTIVES: After completion of this unit of study, the student will be able to: 1. Identify role of psychiatric technician in the healthcare delivery system. 2. Identify legal implications of having a psychiatric technician license. 3. Identify the rights of patients. 4. Discuss ethics and understand the process of executing decisions in an ethical manner. 5. Demonstrate understanding and Good Samaritan Laws. 6. Define legal terms related to the rights of patients. 7. Identify his/her legal status as a student in the psychiatric technician program. CLINICAL OBJECTIVES: After completion of this unit of study, the student will be able to: 1. Identify and perform tasks that all within the psychiatric technician student practice. 2. Avoid incompetence or gross negligence in his/her practice in the clinical area. 3. Identify and protect the rights of patients in the clinical area. 4. Provide responsible practice and adhere to the principles of confidentiality. 5. Have an awareness of legal implications and personal responsibility while practicing in the clinical area. 31 Course: PSYCHIATRIC TECHNICIAN 150 Title: FUNDAMENTALS LEGAL & ETHICAL ASPECTS OF NURSING & THE PSYCHIATRIC TECHNICIAN ROLE GOOD SAMARITAN LAWS The Business and Professional Code of California, in an attempt to encourage trained professionals and civilians trained in CPR to render emergency care, provides immunity from liability as follows: 2861.5 - A person licensed under this chapter who in good faith renders emergency care at the scene of an emergency which occurs outside both the place and course of his employment shall not be liable for any civil damages as the result of acts or omissions in rendering the emergency care. This section shall not be construed to grant immunity from civil damages to any person whose conduct in rendering emergency care is grossly negligent. Examples of emergencies outside the place of one’s employment are heart attack victim in the street, choking in a restaurant, traffic accident, fire, flood, and earthquake. This immunity only applies: 1. If care is rendered at the scene of an Emergency (a pressing situation calling for IMMEDIATE action). 2. If care is rendered OUTSIDE of place of employment. a. If you are on your way out of the hospital after signing off your shift and render care in an emergency in another area than that to which you are assigned, but still in the same hospital in which you work (e.g., in an elevator), this immunity does not apply. 3. You are not “grossly negligent.” In the case of the Good Samaritan Law, there are three levels of negligence: (1) A simple mistake of judgment that does not harm the person. (2) Negligence is failure to apply skill and learning that would be applied by an AVERAGE nurse in the same area of nursing (in this case, a psychiatric technician within the limited scope of practice allowed). (3) Gross negligence is to render such a poor degree of care that it seems the caregiver is indifferent to the welfare of the victim. Legally, in California, you are not required to respond to emergencies. Not all states have Good Samaritan Laws. 32 Course: PSYCHIATRIC TECHNICIAN 150 Title: FUNDAMENTALS OF VITAL SIGNS THEORY & CLINICAL OBJECTIVES THEORY OBJECTIVES: After completion of this unit of study, the student will be able to: 1. Identify the physiological mechanisms that regulate temperature, heart rate, blood pressure, and respiration. 2. List the factors that affect body temperature. 3. Discuss normal and abnormal characteristics of pulse. 4. Describe the respiratory patterns considered to be normal and abnormal. 5. Explain the relationship of Korotkoff sounds to systolic and diastolic blood pressure. CLINICAL OBJECTIVES: After completion of this unit of study, the student will be able to: 1. Measure and record the body temperature of an adult or child at oral, rectal, axillary, and tympanic sites using mercury, electronic or tympanic thermometers. 2. Measure and record an apical and radial pulse. 3. Count and record aspirations. 4. Measure and record blood pressure. 5. Recognize and report deviations from normal or baseline vital signs. 6. Describe oximetry operation principles. 7. Determine normal and abnormal oximetry readings. Pain is now considered the 5th vital sign; however, pain assessment and nursing intervention will be covered extensively in the Patient Comfort Section. 33 Course: PSYCHIATRIC TECHNICIAN 150 Title: FUNDAMENTALS OF BODY MECHANICS, POSITIONING AND TREATMENT THEORY & CLINICAL OBJECTIVES THEORY OBJECTIVES: After completion of this unit of study, the student will be able to: 1. State three principles underlying proper body mechanics. 2. Describe safe and practical ways of assisting clients out of bed. 3. Demonstrate moving a partially or totally immobile client up in bed. 4. Describe and demonstrate how to transfer an immobile client from bed to chair and back. 5. State the purpose of range of motion exercises. 6. Demonstrate the ability to perform and supervise range of motion exercises. 7. Demonstrate the ability to position a client safely for various examinations. 8. Describe the terms used for various joint movements. CLINICAL OBJECTIVES: After completion of this unit of study, the student will be able to: 1. Position a client properly according to patient’s needs, either in bed, chair or wheelchair. 2. Assist patient in active R.O.M. 3. Assist patient in dangling. 4. Help a mobile client from bed. 5. Demonstrate the ability to transfer a patient from bed to chair and back. 6. Assist a patient in ambulation using mobility devices such as walker. 7. Will properly transfer a client who is hemiplegia or paraplegia. 8. Apply treatment restraints safely and humanely. 34 Course: PSYCHIATRIC TECHNICIAN 150 Title: FUNDAMENTALS OF INFECTIOUS PROCESS, PROTECTIVE MECHANISMS, INFECTION CONTROL PRINCIPLES, MEDICAL & SURGICAL ASEPSIS THEORY & CLINICAL OBJECTIVES THEORY OBJECTIVES: After completion of this unit of study, the student will be able to: 1. List the types of microorganisms that can cause infection in humans. 2. Discuss the links in the infection process and give an example of each. 3. Identify methods for removal or destruction of microorganisms on animate or inanimate objects. 4. Compare and contrast medical and surgical asepsis. 5. Explain how the body's protective mechanisms work to prevent infection. CLINICAL OBJECTIVES: After completion of this unit of study, the student will be able to: 1. Perform sterile procedures while maintaining sterile asepsis 2. Prevent the spread of infection in the clinical area. 3. Properly utilize personal protective equipment in the clinical setting 35 Course: PSYCHIATRIC TECHNICIAN 150 Title: FUNDAMENTALS OF HYGIENE AND CARE OF CLIENT’S ENVIRONMENT THEORY & CLINICAL OBJECTIVES THEORY OBJECTIVES: After completion of this unit of study, the student will be able to: 1. Describe factors that influence personal hygiene practices. 2. Discuss the purpose of bathing. 3. Describe what is involved in providing nail, hair and perineal care. 4. Describe what safety precautions are involved in providing bathing and personal care. 5. Discuss benefits and safety measures in giving backrubs. 6. Discuss risk factors for impaired skin integrity. 7. Describe special considerations needed when providing care to older adults. 8. Describe the care of various sensory aids. CLINICAL OBJECTIVES: After completion of this unit of study, the student will be able to: 1. Perform a complete bed bath and backrub on a patient. 2. Provide personal care for a patient, including nail, hair, shaving and perineal care. 3. Give patient baths appropriate to their physical condition. 4. Observe all safety and privacy factors concerning patient care. 5. Perform an accurate skin assessment including correct staging of pressure ulcers. 6. Document all abnormal findings according to facility policy and procedure. 7. Provide appropriate care of sensory aids. 36 Course: PSYCHIATRIC TECHNICIAN 150 Title: FUNDAMENTALS OF ORAL HYGIENE THEORY & CLINICAL OBJECTIVES THEORY OBJECTIVES: After completion of this unit of study, the student will be able to: 1. Define terms used to describe oral health or pathology. 2. Explain the purpose of oral care including care of dentures. 3. List supplies and equipment needed to provide oral care. 4. Describe how to remove and clean dentures. 5. Describe common problems of mouth. 6. Define measures to combat tooth decay. CLINICAL OBJECTIVES: After completion of this unit of study, the student will be able to: 1. Appropriately provide mouth and denture care for clients in the clinical setting. 2. Perform a complete oral assessment on clients in the clinical setting. 3. Document and report abnormal oral findings both verbally and written format. 37 Course: PSYCHIATRIC TECHNICIAN 150 Title: FUNDAMENTALS OF PATIENT COMFORT & PAIN MANAGEMENT THEORY & CLINICAL OBJECTIVES THEORY OBJECTIVES: After completion of this unit of study, the student will be able to: 1. Identify the purpose for heat applications. 2. Discuss the steps and safety precautions in heat applications. 3. Identify the appropriate type of heat application for various health considerations. 4. Discuss the purpose and steps for providing a sitz bath. 5. Identify the purpose for cold applications. 6. Discuss steps and safety precautions in cold applications. 7. Discuss pain, its theories, and its management in clients. CLINICAL OBJECTIVES: After completion of this unit of study, the student will be able to: 1. Perform heat application safely. 2. Perform cold application safely. 3. Provide a sitz bath. 4. Assess clients for pain. 5. Identify and implement physical and psychological measures for pain control. 6. Identify and administer analgesics for the clinical setting safely. 7. Evaluate pain relief and monitor patients for medication side effects. 38
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