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You should write a letter explaining that you are seeking employment as a

Director of Staff Development/Instructor. The following is a sample letter

you can use in drafting your own:

March 11, 2012 Johnny Delvin Walker, LVN 1121 Washington Avenue Cisco, California 97818 California Department of Public Health Licensing and Certification Program Aide and Technician Certification Section MS 3301 P.O. Box 997416 Sacramento, California 95899-7416 Re: Application for Director of Staff Development/Instructor Certification Dear Representative, Enclosed with this letter is my “Application for Director of Staff Development/Instructor” for processing. I am forwarding it directly to your section as I am seeking employment as a DSD/Instructor and do not have an employer at this time to submit it to your office on my behalf. On the application I completed only the section applicable to the “Applicant” and then dated and signed it. I am also providing a resume, copy of my license as a vocational nurse (or registered nurse as appropriate), and an official transcript in a sealed envelope issued by West Haven University certifying that I have completed a 24 hour CEU course in planning, implementing, and evaluating educational programs in nursing. It would be appreciated if your office would process my application for certification as a DSD/Instructor.

If you have any questions or concerns, please contact me on my cell phone at (512) 777-7777; email me at GreatDSD@dsdschool.com; or by mail at the address listed above. Sincerely yours, Johnny Delvin Walker

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CEU Courses for Certified Nursing Assistants

CNACEU 101: PROMOTING INFECTION CONTROL CNACEU 102: HIPAA FOR CNA’S CNACEU 103: RESTORATIVE NURSING CNACEU 104: DISASTER PREPAREDNESS CNACEU 105: SETTING PRIORITIES CNACEU 106: ELDER ABUSE CNACEU 107: CARING FOR PATIENTS WITH DIABETES CNACEU 108: CARING FOR A PATIENT WITH MULTIPLE SCLEROSIS CNACEU 109: CARING FOR PATIENTS WITH ALZHEIMER'S DISEASE CNACEU 110: THE CHANGES OF AGING CNACEU 111: SEIZURES AND STROKES CNACEU 112: COPING WITH PATIENT DEATH CNACEU 113: CARING FOR PATIENTS WITH DEMENTIA CNACEU 114: FIRE SAFETY CNACEU 115: SUPERVISING THE WANDERER CNACEU 116: PREVENTING PATIENT/STAFF INJURIES CNACEU 117: OSTEOPOROSIS CNACEU 118: WORKPLACE VIOLENCE CNACEU 119: EMERGENCIES CNACEU 120: PERSPECTIVES: PATIENTS, FAMILIES & STAFF CNACEU 121: LOSS AND BEREAVEMENT CNACEU 122: END-OF-LIFE CARE CNACEU 123: RESPECTING CONFIDENTIALITY CNACEU 124: NURSING INFORMATICS FOR CNAS

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LONG RANGE TRAINING SCHEDULE 2012-2013

MONTH/YEAR

FIRST

TUESDAY CLASSROOM

SECOND

THURSDAY ONLINE

THIRD

SATURDAY CLASSROOM

FOURTH SUNDAY ONLINE

MAY 2012

CNACEU 101

(1 hour)

CNACEU 102

(1 hour)

CNACEU 102

(1 hour)

CNACEU

101 (1 hour)

JUNE 2012

CNACEU 103

(1 hour)

CNACEU 104

(1 hour)

CNACEU 104

(1 hour)

CNACEU

103 (1 hour)

JULY 2012

CNACEU 105

(1 hour)

CNACEU 106

(1 hour)

CNACEU 106

(1 hour)

CNACEU

105 (1 hour)

AUGUST 2012

CNACEU 107

(1 hour)

CNACEU 108

(1 hour)

CNACEU 108

(1 hour)

CNACEU

107 (1 hour)

SEPTEMBER

2012

CNACEU 109

(1 hour)

CNACEU 110

(1 hour)

CNACEU 110

(1 hour)

CNACEU

109 (1 hour)

OCTOBER

2012

CNACEU 111

(1 hour)

CNACEU 112

(1 hour)

CNACEU 112

(1 hour)

CNACEU

111 (1 hour)

NOVEMBER

2012

CNACEU 113

(1 hour)

CNACEU 114

(1 hour)

CNACEU 114

(1 hour)

CNACEU

113 (1 hour)

DECEMBER

2012

CNACEU 115

(1 hour)

CNACEU 116

(1 hour)

CNACEU 116

(1 hour)

CNACEU

115 (1 hour)

JANUARY

2013

CNACEU 117

(1 hour)

CNACEU 118

(1 hour)

CNACEU 118

(1 hour)

CNACEU

117 (1 hour)

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FEBRUARY

2013

CNACEU 119

(1 hour)

CNACEU 120

(1 hour)

CNACEU 120

(1 hour)

CNACEU

119 (1 hour)

MARCH 2013

CNACEU 121

(1 hour)

CNACEU 122

(1 hour)

CNACEU 122

(1 hour)

CNACEU

121 (1 hour)

APRIL 2013

CNACEU 123

(1 hour)

CNACEU 124

(1 hour)

CNACEU 124

(1 hour)

CNACEU

123 (1 hour)

MAY 2013

CNACEU 101

(1 hour)

CNACEU 102

(1 hour)

CNACEU 102

(1 hour)

CNACEU

101 (1 hour)

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SHORT RANGE TRAINING SCHEDULE

MAY TO JULY 2012

MONTH/YEAR

FIRST

TUESDAY CLASSROOM

SECOND

THURSDAY ONLINE

THIRD

SATURDAY CLASSROOM

FOURTH SUNDAY ONLINE

MAY 2012

CNACEU 101

(1 hour) May 5

4:00-5:00 p.m.

CNACEU 102

(1 hour) May 14

4:00-5:00 p.

CNACEU 102

(1 hour) May 16

8:00-9:00 a.m.

CNACEU 101

(1 hour) May 24

1:00-2:00 p.m.

JUNE 2012

CNACEU 103

(1 hour) June 1

4:00-5:00 p.

CNACEU 104

(1 hour) June 11

4:00-5:00 p.

CNACEU 104

(1 hour) June 20

8:00-9:00 a.m.

CNACEU 103

(1 hour) June 28

1:00-2:00 p.m.

JULY 2012

CNACEU 105

(1 hour) July 7

4:00-5:00 p.

CNACEU 106

(1 hour) July 9

4:00-5:00 p.

CNACEU 106

(1 hour) July 18

8:00-9:00 a.m.

CNACEU 105

(1 hour) July 26

1:00-2:00 p.m.

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West Haven University Nursing Informatics for CNAs

NURS 101 Lesson Plan COURSE OUTLINE FOR NURS CNA101

NURSING INFORMATICS FOR CNA’S

INSTRUCTOR: 1) Licensed Registered Nurse, or 2) Licensed Vocational Nurse with training in subject matter METHOD OF INSTRUCTION: 1) Distance learning or 2) Classroom Presentation CONTACT HOURS: 1) 1 Continuing Education Unit CATALOG DESCRIPTION: “Nursing Informatics for CNA’s” was specifically developed for certified nursing assistants in order to provide foundational knowledge in computer-related technology in a healthcare environment. CONTENT OUTLINE: General content outline for the course is as follows: 1) Define relevant terms to informatics 2) The nursing assistant as a Knowledge Worker 3) The significance of Good Information and Knowledge Management 4) Patient Safety

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5) Applications of Nursing Informatics 6) Privacy, Security, and Confidentiality

COURSE OBJECTIVES: Upon completion of this course, the student will be able to 1) Define the terms used in Nursing Informatics. 2) Identify the application of Nursing Informatics in direct client monitoring and

diagnosis. 3) Distinguish between medical informatics, nursing informatics, and consumer

informatics. 4) Differentiate between computer and information literacy. 5) Differentiate between privacy, confidentiality, and information security. 6) Identify several security measures to protect information. 7) Distinguish between appropriate and inappropriate password selection. 8) Discuss the implication of HIPAA privacy and security rules for the protection

of information security. DISABILITY STATEMENT: 1) Any student in this course who needs an accommodation because of a

disability in order to complete the course requirements should contact the instructor at (714) 828-3793 or via email nursing@westhavenuniv.com.

EQUIPMENT: 1) Online student needs web access and 65K modem. 2) No other special equipment is needed for this course.

DRESS CODE:

1) No dress code assigned for this course. METHOD OF EVALUATION:

1) Active participation in classroom discussion and exercises. 2) Final examination. (75% pass rate).

STUDENT ASSIGNMENT:

1) Open discussion in class.

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West Haven University Loss and Bereavement

Lesson Plan –CNA121 LOSS AND BEREAVEMENT (CNA121) – LESSON PLAN

Instructor: 1) Licensed Registered Nurse, or 2) Licensed Vocational Nurse with training in subject matter

Delivery Methods: 1) Distance Learning or 2) Classroom Presentation Goal: The goal of this lesson is to familiarize the Certified Nursing Assistant with loss and bereavement so that they will understand the grieving process associated with loss and be better prepared to address the needs of their patients experiencing loss. In-Service Hours: 1.0* *1) A student is expected to spend one contact hour in classroom training or through Internet presentation. Lesson: I. Introduce yourself: a. State your name.

If you want to be called Ms. Smith, it is recommended that you introduce yourself as follows: “Good evening, my name is Mrs. Betty Smith.” If, first name is ok: Good evening, my name is Betty Smith.

b. Identify your title and level of license: “Good evening, my name is Betty Smith, I am the Director of Staff Development and a licensed vocational nurse.

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c. Provide relevant information on yourself or anecdotal: “I graduated from Long Beach City College LVN program in 1998 and have worked in a variety of clinical settings including working in a hospice unit. Can anyone tell me what a hospice unit is?”

II. State Objective:

The objective of this course is to provide you with knowledge of loss and bereavement so that you will be better prepared to tend to the needs of those under your care that is experiencing loss. III. Material: Nothing special for this lecture. IV. Lecture: The following is a lecture can be used in its entirety or modified to suit the needs of the instructor.

Point No.

Lecture or Question Note

1. Can anyone tell me what the word bereavement means?

Allow response.

2. Frame response: (Address responses given and then summarize). Bereavement is getting over another person’s death. Recovery may occur quickly or may never happen.

Incorporate statements of CNAs if you can.

3. We have all experienced some form of loss in our life but this lesson deals specifically with loss of a loved one through death.

This may invoke an emotional response.

4. Sometimes we think of such a loss as depression. But there is more to it than that.

5. Individual bereavement takes three forms: physical, emotional, and intellectual.

6. Physical manifestation can be shortness of breath, tightness in the chest, feeling of emptiness in the abdomen, loss of energy, and

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lack of strength.

7. These symptoms usually appear shortly after death and gradually fade over time.

8. The emotional reaction to bereavement includes anger, depression, anxiety, and preoccupation with thoughts of the deceased.

9. Mental manifestations can take on the form of depression. Can anyone give me some of the things or behavioral cues we may see in a depressed person? We call these cues manifestation of depression.

Incorporate statements of CNAs if you can.

Include crying, appetite changes (may eat more, may eat less; sleep changes, may sleep more, may sleep less; weight changes, may gain weight, may lose weight. Decrease interest in activity which usually brings pleasure such as bowling with friends or Bingo on Thursday evenings. Also suicidal ideations, which is thoughts of suicide.

10. Can anyone give me what is called signs of suicidal ideations: that is clues that a person may be considering suicide?

Incorporate statements of CNAs if you can.

Include: changing a will, changing plans, discussing death, a previous suicide attempt, preoccupation with death, giving away belongings, and getting things in order (papers, house, giving away a pet or other belongings).

11. The intellectual side of bereavement is the process of purifying the memory of the deceased. That is the negative image slips away leaving only the positive, idealized memory. “He was such a wonderful man.” “She was everything I ever wanted in a wife and

Ask: Have any of your heard residents speak fondly of their deceased spouse?

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more and such a wonderful mother of our children. She was truly everything and then some.” The content of an obituary announcement attests to this process. In also provides the grieving person with the thought that the person’s life had meaning. Yet, this can have a negative impact on new special relationships because it is hard to compete with an idol.

12. Men seem to respond different to a loss of a wife. Men typically characterize their loss as a loss of part of themselves.

13. Women typically view it as being abandoned, deserted, left to defend for themselves.

14. Men find it more difficult to express grief and less desirable to do so. Women tend to be the opposite.

15. Men tend to accept the reality of death more quickly. Women tend to be the opposite.

16. Men also find it difficult to work during the bereavement period. Women tend to be the opposite.

17. Men and women usually take approximately 30 months to work through the bereavement period. Do you think it is a long time?

Incorporate statements of CNAs if you can.

A loss can disrupt life.

18. Highest level of depression occurs during the first two months.

19. Death is usually more acceptable if it is timed correctly. That is grandparents are supposed to die before parents. When there is a reverse order, it is more difficult to accept.

20. A slow death, from cancer as an example, is easier to accept than a motor vehicle accident or sudden death from cardiac arrest.

21. Victim of violence is never accepted well and is usually accompanied by anger.

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22. People may be grieving and we don’t recognize it. As an example, in the facility, friendships are made and losses are felt when the person passes away. Have any of you worked in a facility where a person passed away?

Incorporate statements of CNAs if you can.

23. People usually do not have to go through grief alone. Who can help the person through this period?

Incorporate statements of CNAs if you can.

Usually children, surviving brothers and sisters, and friends. But don’t forget about nurses. They can help in many ways.

24. Here, we would know when a person is going through the grief process.

25. Are there things we could do or say to someone experiencing a loss?

Incorporate statements of CNAs if you can.

Allow ventilation, stay with the individual, hold their hand, even if they do not talk. It shows you care.

26. What should we say if the patient says I would like to be alone?

Incorporate statements of CNAs if you can.

You could say, if you don’t mind I would like to sit with you for awhile.

27. Is it ok to say, “Oh it’s such a beautiful day. Don’t think of bad things such as the death.”

Incorporate statements of CNAs if you can.

It is not a good thing to say as it minimizes loss.

28. Is it ok to say, “You were so supportive of your husband during his illness. I am sure it meant a

Incorporate statements of CNAs if you can.

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lot to him.”

Complimenting a person on accomplishments is good. False reassurance is not good.

29. What is the most important contribution we as nurses can make to individuals who suffer a loss?

Incorporate statements of CNAs if you can.

1. Show support

2. Show understanding

3. Be genuine

4. Don’t be afraid to be a human

5. Do not say I know how you feel unless you been there.

6. Look for signs of depression and let the charge nurse know what you see or suspect.

7. Encourage the person to maintain life to the extent possible, thereby minimizing a total disruption in their life.

30. Do any you have any questions for me? Answer any questions asked.

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I. Lecture Summary:

31. Today we explored the bereavement process. We learned that there are different processes individuals use to cope with loss. As nurses we need to help in the process by being available to the person grieving and at the same time encourage them to go forward to the extent that they can. If they used to attend Bingo on Thursday, encourage them (but not force them) to do so. We do want to monitor for changes in appetite, sleeping, weight and be aware of things that suggest the person may be considering suicide such as changing a will, giving away possessions, or being fascinated with death.

32. That is all I have for you. I do have a 10 question examination for you to take. Fifteen minutes is allowed for the examination and then you all will be excused. Please make sure that all of you signed the roster so you get credit for today’s class.

33. Again, any questions? Respond to any questions.

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Examination: 10 questions (15 minutes) 1. Which of the following is the definition of bereavement according to the lecture? a. Getting over another person’s death b. Grief c. Adapting to the loss d. A period of time after death up to thirty months 2. According to the lecture, individual bereavement takes three forms. Which of the following is not such a form? a. Physical b. Emotional c. Intellectual d. Gradual 3. Which of the following is not a physical manifestation of Individual bereavement? a. Shortness of breath b. Tightness in chest c. Anxiety d. Decreased strength 4. In what form of bereavement does purifying the memory occur? a. Physical b. Emotional c. Intellectual d. Gradual 5. What form of bereavement does depression occur? a. Physical b. Emotional c. Intellectual d. Gradual

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6. Which of the following clues suggest that an individual is considering suicide? a. Changing a will b. Preoccupation with death c. Giving away prized possessions d. All the above 7. If a resident (or patient) going through the bereavement process is found crying, what would be an appropriate thing to say by the nurse? a. You know crying will only prolong the grieving. b. He was 90! c. Are you hungry? d. Can I sit here with you for awhile? 8. Who finds it more difficult to work during bereavement? a. Men b. Women 9. How long is the bereavement period for men and women? a. 12 months b. 24 months c. 30 months d. 48 months 10. Purification of the memory of the deceased can have a negative consequence because it? a. Prolongs grief b. Skews reality c. Interferes with new intimate relationships d. Promotes arguments with those who know better

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________________________________________________________________________________________________________________________

Infection Control - Sign in Roster Date: ___________ Time: ___________ Instructor: ________________

(Print name and sign)

____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________

SUNSHINE VALLEY CONVALESCENT HOSPITAL

12343 Wilton Street Los Alton, California 95634

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________________________________________________________________________________________________________________________

Infection Control - Sign in Roster Date: July 24, 2012 Time: 4:00 – 5:00 p.m. Instructor: Tricia Rendall, DSD

Sherri Tomlin: ____________________________________

Andrea Wilson: ____________________________________

Tammy Garcia: ____________________________________

Nathaniel Smith: ____________________________________

Linda Riskur: ____________________________________

Henrietta Trujillo: ____________________________________

Francis Tuck: ____________________________________

Josephine Lewis: ____________________________________

Donna Frisk: ____________________________________

Maria Del Campo: ____________________________________

Barbara Cobelle: ____________________________________

SUNSHINE VALLEY CONVALESCENT HOSPITAL

12343 Wilton Street Los Alton, California 95634

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TICKLER FILE

This is a great way to keep track of repeating tasks that need to be done on a certain day. For example: certification renewals, CPR Training, In-service classes.

Sunshine Valley Convalescent Hospital

Date Due Inservice Training

License Renewal

CPR Immunization

July 14, 2012 Infection Control

July 15, 2012 Lisa Martin (Due 8/15/2012)

Jose Ramirez (Review Training

Record)

July 16, 2012 Larry Tilton (Due 8/16/2012)

July 17, 2012 PPD Lisa Martin PPD Mary Smith (Due 8/17/2012)

July 18, 2012 Shiela Tomson (Due 8/18/2012)

July 19, 2012 ROM Exercises Tom Stratton (Due 8/19/2012)

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INDIVIDUAL TRAINING RECORDS

SUNSHINE VALLEY CONVALESCENT HOSPITAL

EMPLOYEE TRAINING RECORD

Name: _______________________________ Employee Number: ______________

Course Number Course Title Completion Date

CNACEU 104: DISASTER PREPAREDNESS 4/23/2012

CNACEU 121: LOSS AND BEREAVEMENT 5/15/2012

CNACEU 114: FIRE SAFETY 6/12/2012

CNACEU 115: SUPERVISING THE

WANDERER

7/03/2012

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You can label the form such as “and then a statement such as this: This certifies that I have reviewed my “Employee Training Record this date.” There should be a series of signature lines and date lines for the employees to use affirming the review.

You can send notes to employees letting them know their record is available for review and dates and time the record is available. When they review their record, have them identify any discrepancy. If training documentation is missing, substantiate the discrepancy and then make the appropriate correction.

SUNSHINE VALLEY CONVALESCENT HOSPITAL

EMPLOYEE RECORD REVIEW

Name: _______________________________ Employee Number: ______________

This certifies that I have reviewed my “Employee Training Record” this date and

have found no discrepancies or any discrepancies noted have been corrected to

my satisfaction.

Date: _____________________Signature:__________________________________

Date: _____________________Signature:__________________________________

Date: _____________________Signature:__________________________________

Date: _____________________Signature:__________________________________

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BINDERS

The inspector should be able to see a copy of the Course Outline and Lesson Plans for each course offered. Keep them all together in separate binders. That is, all Course Outlines in one binder and Lesson Plans in another. I would acquire binders, such as white, green etc. (all the same color for uniformity is the key) with a place for putting a print out in the front and on the spine so when looking at it on the shelf you would know exactly what information is contained within the binder. (The word “TRAINING” is on tab that slides into a pocket on the binder).

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SAMPLE COUNSELING MEMORANDUM

To: ___________________________________________ Date: __________

From: _________________________________________ Re: ___________

On ________________ we met to discuss conduct and/or performance that is

unacceptable.

The unacceptable conduct or performance is: ____________________________

________________________________________________________________

________________________________________________________________

It is unacceptable because: __________________________________________

________________________________________________________________

________________________________________________________________

Your response to the conduct or performance was: _______________________

________________________________________________________________

________________________________________________________________

Your conduct or performance can be improved by: ________________________

________________________________________________________________

________________________________________________________________

A follow-up meeting to discuss this matter will be scheduled for: _____________

______________________________ ________________________

*Signature of Employee/Date Signature of DSD/Date

This statement appears at the bottom: The employee’s signature is to

acknowledge receipt of this counseling memo and does not necessarily signify

the employee agreement with its content.

Counseling is intended to be a constructive process to assist you to identify, discuss and remedy aspects of your job

performance or conduct that needs improvement. As noted above, these aspects have been discussed with you and require

immediate attention. Failure to correct your performance may lead to further administrative action including discipline

and termination.

30

If you want to review Title 22 in its entirety, you may do so at: http://government.westlaw.com/linkedslice/default.asp?RS=GVT1.0&VR=2.0&SP=CCR-1000&Action=Welcome Click on “Social Security” and then click on Division 5. You should arrive at the following. There click on Chapter 2.5 Certified Nurse Assistant Program: DIVISION 5. LICENSING AND CERTIFICATION OF HEALTH FACILITIES, HOME HEALTH AGENCIES, CLINICS, AND REFERRAL AGENCIES

22 CA ADC T. 22, Div. 5, Refs & Annos

CHAPTER 1. GENERAL ACUTE CARE HOSPITALS

CHAPTER 2. ACUTE PSYCHIATRIC HOSPITAL

CHAPTER 2.5. CERTIFIED NURSE ASSISTANT PROGRAM

ARTICLE 1. DEFINITIONS

ARTICLE 2. ADMINISTRATION

§ 71828. Administrative Policies and Procedures.

§ 71829. Director of Staff Development or Instructor.

§ 71831. Program Flexibility.

ARTICLE 3. PROGRAM COMPONENTS

§ 71833. Orientation Program.

§ 71835. Certification Training and Competency Evaluation Program.

§ 71837. Issuance of Certificate.

§ 71839. Renewal of Unexpired Certificates.

§ 71841. Fees and Penalties.

ARTICLE 4. CONTINUING EDUCATION AND IN-SERVICE TRAINING

ARTICLE 5. ADVERSE ACTIONS AND CORRECTIVE REMEDIES

CHAPTER 3. SKILLED NURSING FACILITIES

(ALL OF THESE ARE PROVIDED IN THE SUMMARY I WILL SEND YOU AFTER CLASS ON DAY 3)