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State of California Health and Human Services Agency California Department of Public Health (CDPH)
Licensing and Certification Program (L&C)
Aide and Technician Certification Section (ATCS)
MS 3301, P.O. Box 997416
Sacramento, CA 95899-7416
PHONE: (916) 327-2445 FAX: (916) 324-0901
SAMPLE- A completed schedule for the entire program must be submitted. Ensure that the minimum number of theory hours and clinical hours are met for each topic. Prior to any direct patient contact, a
total of sixteen (16) hours of federal training shall be provided in prescribed topics (see CDPH 276C). This requirement is met if all theory components of the following modules are taught prior to clinical
training. Modules 1,2,3,4,5,6,12,14; and one additional hour from either 8E, 8H, 15A, 15C, 16C. This form is available at this website: www.cdph.ca.gov
SAMPLE DAILY NURSE ASSISTANT TRAINING
PROGRAM SCHEDULE
LUNCH 11:00AM 11:30AM
THEORY HOURS: 7:00 AM 3:30PM ½ HR. LUNCH
CLINICAL SITE: ABC Skilled Nursing Facility CLINICAL HOURS: 7:00AM 3:30PM ½ HR. LUNCH
DAY 1
(DATE)
DAY 2
(DATE)
DAY 3
(DATE)
DAY 4
(DATE)
DAY 5
(DATE)
THEORY: 7:00AM 3:30PM
Time: 7:00 9:00 AM (2 hrs)
Module (1)
Introduction
(A)(B)(C)(D)(E) Components of the
modules per CDPH 276C
Time: 9:00 11:00 AM (2 hrs)
Module (2)
Resident Rights (A)(B)(C)
Time: 11:30 AM 1:30 PM (2
hrs)
Module (3)
(A)(B)(C)(D)(E)
Time: 1:30 PM 3:30 PM (2 hrs)
Module (5)
(A)(B)(C)(D)
THEORY 8 HOURS
THEORY: 7:00AM 3:30PM
Time: 7:00 9:00 AM (2 hrs)
Module (6)
(A)(B)(C)
Time: 9:00 11:00 AM (2 hrs)
Module (12)
(A)(B)(C)
Time: 11:30 AM – 12:30 PM (1
hr)
Module (4)
(A)(B)(C)(D)(E)
Time: 12:30 PM – 2:30 PM (2 hrs)
Module (14)
(A)(B)(C)(D)(E)(F)(G)
Time: 2:30 3:30 (1 hr)
Module (15)
(A)(C)
End of 2
nd
day meets the federal
requirement that prescribed topics
(see CDPH276C) are taught prior to
clinical and the topics meet a total of
16 hours.
THEORY 8 HOURS
LAB SKILL PRACTICE regarding
Theory Day 1 and Day 2 Curriculum
Time: 7:00 AM 3:30 PM
Hand Washing, proper linen handling,
gloving, gowning, applying mask,
doubling bagging.
Demonstrates fire-disaster
procedures. Handles oxygen safely.
Uses of fire extinguishers.
Demonstrates Heimlich maneuver on
conscious and unconscious resident.
Transfer/positioning techniques in bed
and use of life sheet.
Assisting resident from bed to chair,
chair to bed. Use of gait belt. Feeding
assistance.
LAB 8 HOURS (LAB hours do NOT
count toward theory or clinical hours)
CLINICAL: 7:00AM 3:30PM
Skills as listed on CDPH276A
Module (2)
Res. Rights & Tour of the
Facility (2 hrs)
*Knocks on door before entering.
*Pulls privacy curtains during personal
care.
*Keeps resident’s records
confidential.
*Treats residents with dignity & respect.
*Encourages residents to make
choices.
*Explains procedure to resident.
Module (6):
Asepsis (1 hr)
*Hand washing
*Proper handling of linen
*Universal precaution (gloving,
gowning, masking, double bagging).
Module (14)
Rehab (3 hrs)
*Range of motion.
*Assist with ambulation gait belt,
walker, cane.
*Rehab devices.
Module (4):
Catastrophe (2 hrs)
*Postural Supports
*Soft wrist/ankle-safety devices.
*Call light positioning.
*Fire/disaster procedures
*Handle 02 safely
*Fire extinguisher use.
CLINICAL 8 HOURS
CLINICAL: 7:00AM 3:30PM
Module
(4/12): Emergency
Procedures (1 hr)
*Choking precautions.
*Heimlich maneuver for the
conscious. & unconscious resident.
Module (5):
Body Mech. (4 hrs)
* Use of gait belt.
*Helping helpless resident to head of
bed with two assistants.
*Turning and position resident
(supine, side-lying, use of lift sheet).
*Transfer from bed to
chair/wheelchair.
*Transfer from chair to bed
*Mechanical lift.
Module (11):
Nutrition (3 hrs)
*Feeding the helpless resident.
*Assisting the resident who can feed
self.
*Verifying resident has been given
correct diet tray.
*Use of feeding assistance devices.
CLINICAL 8 HOURS
CDPH 276B Sample (08/14)
DOWNLOAD HERE


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