Formal Caregiver Training Syllabus

1. Executive Program Overview

Course Title: Advanced Clinical Caregiver Competency & Patient Care Program

Target Audience: Certified Nursing Assistants (CNAs), Home Health Caregivers, Clinical Support Workers, and Patient Care Technicians.

Total Program Hours: 120 Hours (Didactic Instruction: 40 Hours | Skills Laboratory & Simulation: 80 Hours)

Instructional Methodologies: Interactive Lectures, Skill Demonstration/Return Demonstration, Low/High-Fidelity Simulation, Clinical Scenario Debriefing.

Assessment Framework: Written Knowledge Examination (Minimum 80% to pass) and Practical Clinical Competency Checkoffs (100% mastery required on Critical Safety Items).

2. Module & Competency Breakdown Module

Module & competency breakdown

Explore the learning objectives and hands-on procedures in each module.

Module 1

Infection Control, Asepsis & Sterile Technique

4 Didactic hours8 Lab hours

Learning objectives

Master chain-of-infection interruption, maintain sterile boundaries, and execute biohazard waste safety.

Core procedures

  1. 1.1
    Performing hand hygiene

    Decontaminate hands using soap and water or alcohol-based rub to break the chain of infection.

  2. 1.2
    Establishing a sterile field

    Set up an uncontaminated working area for sterile clinical procedures.

  3. 1.3
    Adding items to a sterile field

    Introduce sterile packaged supplies without breaching the field border.

  4. 1.4
    Pouring sterile solution

    Transfer sterile liquid into a basin without touching its edges or splashing.

  5. 1.5
    Donning and doffing PPE

    Apply and remove gowns, masks, eye protection, and gloves in sequence to prevent cross-contamination.

  6. 1.6
    Biohazard waste and sharps safety

    Use needle-safety devices, puncture-resistant containers, and correct clinical waste segregation.

Module 2

Vital Signs & Physical Health Assessment

5 Didactic hours10 Lab hours

Learning objectives

Execute accurate physiological measurements, recognize baseline deviations, and conduct systemic head-to-toe screenings.

Core procedures

  1. 2.1
    Assessing radial pulse

    Palpate the radial artery to evaluate rate, rhythm, and pulse quality.

  2. 2.2
    Blood pressure: two-step method

    Estimate systolic pressure by palpation first to account for an auscultatory gap.

  3. 2.3
    Blood pressure: one-step method

    Measure pressure using cuff inflation and stethoscopic auscultation in one cycle.

  4. 2.4
    Assessing apical pulse

    Auscultate at the cardiac apex for one full minute to determine central heart rate.

  5. 2.5
    Assessing apical-radial pulse

    Measure apical and radial rates concurrently to identify a pulse deficit.

  6. 2.6
    Obtaining oxygen saturation

    Monitor blood oxygen levels using a photoelectric sensor on a finger, toe, or earlobe.

  7. 2.7
    Head-to-toe assessment

    Conduct a systematic physical examination of all body systems using IPPA principles.

  8. 2.8
    Auscultation of the lungs

    Listen to anterior and posterior lung fields to assess breath sounds and airflow.

  9. 2.9
    Heart auscultation

    Listen to cardiac valves for normal S1/S2 sounds, extra sounds, or murmurs.

  10. 2.10
    Measuring body temperature

    Assess temperature using oral, tympanic, temporal artery, or axillary methods.

  11. 2.11
    Assessing respiration rate and rhythm

    Count respiratory cycles and evaluate effort, depth, and abnormal patterns.

  12. 2.12
    Assessing pain level

    Evaluate intensity, location, duration, and quality with validated tools such as PQRST or FACES.

  13. 2.13
    Basic neurological screening

    Assess pupils, level of consciousness, and basic motor response.

  14. 2.14
    Measuring weight and height

    Record accurate body mass and stature for baseline and ongoing clinical assessment.

Module 3

Personal Hygiene, Grooming & Environmental Care

3 Didactic hours7 Lab hours

Learning objectives

Provide dignified personal care while preserving skin integrity, preventing infection, and maintaining ergonomic patient environments.

Core procedures

  1. 3.1
    Assisting with a tub or shower

    Support patient bathing while maintaining privacy, hygiene, and fall safety.

  2. 3.2
    Hair care and shampooing

    Clean and groom hair and scalp while maintaining skin integrity and dignity.

  3. 3.3
    Oral hygiene for an unconscious patient

    Clean the mouth and gums with appropriate suction equipment to reduce aspiration risk.

  4. 3.4
    Cleaning dentures

    Remove, brush, and rinse removable dental prostheses over a padded sink basin.

  5. 3.5
    Bed making in an occupied bed

    Replace linens while the patient remains in bed, preserving comfort and avoiding shear injury.

  6. 3.6
    Shaving a male patient

    Use a safety razor or electric shaver while protecting skin integrity.

  7. 3.7
    Nail and foot care

    Clean, inspect, and file nails straight across to help prevent skin breakdown.

  8. 3.8
    Assisting with a gown change

    Change clothing while preserving modesty and accommodating lines or injuries.

  9. 3.9
    Perineal care

    Provide respectful perineal hygiene using appropriate patient-care technique.

Caregiver training · Module 4

Patient Safety, Body Mechanics & Mobility

13 hrs4 Didactic · 9 Lab

Learning objectives

  • Apply ergonomic transfer techniques
  • Operate mechanical assist devices
  • Implement fall reduction strategies
  • Prevent pressure injuries

Core procedures

  1. 4.1

    Applying restraints

    Authorized use of physical restraint devices to prevent self-harm or dislodgement of life-sustaining tubes.

  2. 4.2

    Bed-to-stretcher transfer

    Horizontal transfer using friction-reducing slide boards and coordinated caregiver technique.

  3. 4.3

    Using a hydraulic lift

    Operating a sling lift to transfer non-weight-bearing patients safely between surfaces.

  4. 4.4

    Using a sequential compression device

    Applying inflatable leg sleeves to support venous return and help prevent deep vein thrombosis.

  5. 4.5

    Alternative restraints

    Using environmental modifications and safety strategies to reduce harm without physical restraint.

  6. 4.6

    Moving and positioning

    Realigning or turning a bedbound patient to maintain alignment and prevent pressure injuries.

  7. 4.7

    Ambulation with a gait belt

    Supporting weak or unsteady patients during walking to maintain balance and reduce falls.

  8. 4.8

    Logrolling a patient

    Turning as one unit while maintaining alignment of the head, neck and spine.

  9. 4.9

    Passive range of motion

    Moving joints through their physiological range without exertion to maintain flexibility and prevent contractures.

  10. 4.10

    Assisting a falling patient

    Using a safe stance to control descent to the floor during weakness or faintness episodes.

  11. 4.11

    Transfer to a chair or wheelchair

    Applying body mechanics and transfer safety protocols for weight-bearing or partially weight-bearing patients.

  12. 4.12

    Moving up in bed

    Repositioning with slide sheets or coordinated team technique to reduce shear and skin breakdown.

Caregiver training curriculum

Medication safety and respiratory care

Module 5 · 6 didactic / 12 lab hours Module 6 · 4 didactic / 8 lab hours

Learning focus: Apply medication administration safety principles and core respiratory-care skills through supervised practice and competency-based training.

Medication safety, preparation & administration

6 hours didactic 12 hours lab

Learning objectives

  • GOALDemonstrate adherence to medication administration rights, dosage calculations, parenteral routes, and error mitigation.

Core procedures

  1. 5.1Ear drops — Instill prescribed medication with correct pinna alignment.
  2. 5.2Intradermal injection — Practice shallow-angle technique and wheal formation.
  3. 5.3Topical medications — Apply creams, ointments, and transdermal patches to prepared skin.
  4. 5.4Subcutaneous injection — Identify suitable tissue and use the prescribed technique.
  5. 5.5Vial preparation — Withdraw liquid or reconstituted medication using aseptic technique.
  6. 5.6Insulin — Calculate, prepare with the appropriate device, and administer as prescribed.
  7. 5.7Error prevention — Compare medication labels with the MAR and verify administration rights.
  8. 5.8Ampoule preparation — Use a filter needle when drawing medication from glass ampoules.
  9. 5.9Oral medications — Assess swallowing, confirm whether alteration is permitted, and measure liquids at eye level.
  10. 5.10Ophthalmic medications — Apply drops or ointment to the lower conjunctival sac without touching the eye.
  11. 5.11Intramuscular injection — Identify approved landmarks and practice the Z-track method when indicated.
  12. 5.12Inhaled medications — Use metered-dose inhalers, spacers, and nebulizers as directed.
Safety emphasisFollow the prescription, facility protocol, and scope of practice; verify dose, route, patient identity, and documentation.

Respiratory care & airway management

4 hours didactic 8 hours lab

Learning objectives

  • GOALSupport airway clearance, tracheostomy care, prescribed oxygen therapy, and pulmonary expansion.

Core procedures

  1. 6.1Oropharyngeal suctioning — Clear oral and pharyngeal secretions with an appropriate suction tip.
  2. 6.2Nasotracheal suctioning — Practice catheter insertion and suction only under appropriate authorization and supervision.
  3. 6.3Sputum specimen — Collect an expectorated deep-lung sample in a sterile container.
  4. 6.4Tracheostomy care — Clean the stoma and manage the inner cannula and ties per protocol.
  5. 6.5Low-flow oxygen — Set up equipment and apply the prescribed delivery device and flow.
  6. 6.6Incentive spirometry — Coach sustained, controlled inspiration to support lung expansion.
  7. 6.7Deep breathing and coughing — Guide pulmonary expansion exercises and secretion clearance.
Practice emphasisMonitor comfort and response, maintain infection-control precautions, and follow the care plan and local clinical protocol.

Caregiver training

Clinical skills modules

Gastrointestinal care, nutrition & elimination

4 didactic hours | 7 lab hours

Manage enteral nutrition delivery, perform ostomy hygiene, reduce aspiration risk, and assess gastrointestinal diagnostics.

Explore core procedures
  1. Pouching a colostomy and assisting with a bedpan
  2. Gastric occult and pH testing; safe feeding-tube removal
  3. Fecal occult blood testing and cleansing enema administration
  4. Enteral tube feeding, including aspiration precautions
  5. Supporting dysphagia-safe meals and patient-paced feeding
  6. Recording intake and output; serving trays and commode assistance

Urinary system & ostomy care

3 didactic hours | 7 lab hours

Practice urinary catheter care, maintain closed drainage systems, collect specimens, and manage urostomies.

Explore core procedures
  1. Assisting with a urinal and obtaining catheter specimens
  2. Clean-catch, mid-stream urine collection
  3. Pouching a urostomy and applying a condom catheter
  4. Indwelling catheter insertion and removal using aseptic technique
  5. Maintaining a closed drainage system and unobstructed tubing
  6. Collecting a complete 24-hour urine specimen

Clinical skills curriculum

Modules 9–11

17 total hours Didactic + lab

Learning objectives

Build safe, practical skills in wound and tissue care, bedside diagnostic testing, emergency response, and respectful post-mortem care.

Module overview

  • 09Wound care & tissue integrity3 didactic hours · 6 lab hours
    Wound assessment, dressing changes, pressure injury care, irrigation, drains, compression garments, skin prep, and hot/cold therapies.
  • 10Diagnostic & point-of-care testing2 didactic hours · 4 lab hours
    Capillary glucose, urine reagent strip testing, and accurate 12-lead ECG acquisition.
  • 11Emergency response & post-mortem care2 didactic hours · 2 lab hours
    Response to foreign-body airway obstruction and dignified post-mortem preparation.

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