Health Care Core Curriculum in High School

Used for Nursing Assistant Pathway


1. Requirements for Teaching HCCC in High School

1. If the HCCC is part of a Health Careers/Exploration Curriculum the Core may be taught by

K-12 Educators that are Teachers of Medical Careers of

K-12 Educators who have a specialty in Health/Public Health related topics.


2.  Educate the Educator is required for those teaching the statewide HCCC.
Participants can register through Anoka Ramsey Professional and Workforce Training.

The course has 7 CEU’s taking approximately 7 hours to complete online.

The link on  the HealthForce Minnesota Educate the Educator page will bring you to the registration

page at Anoka Ramsey :


3.  Guest speakers who are experts in their field may be utilized as adjunct teachers.


2. HCCC used as Pathway to Nursing Assistant

If the intent of the HCCC is to be a path to becoming a nursing assistant the instructor for the HCCC must be approved by the Department of Health.


a. Instructors of nursing assistant curriculum requirements under Title 42- Public Health Chapter IV of the Code of Federal Regulations  Sec. 483.152 (a) must meet the following requirements for instructors who train nurse aides:
 (i) The training of nurse aides must be performed by or under the general supervision of a registered nurse who possesses a minimum of 2 years of nursing experience, at least 1 year of which must be in the provision of long term care facility services;
 (ii) Instructors must have completed a course in teaching adults or have experience in teaching adults or supervising nurse aides;
 (iii) In a facility-based program, the training of nurse aides may be performed under the general supervision of the director of nursing for the facility who is prohibited from performing the actual training; and
 (iv) Other personnel from the health professions may supplement the instructor, including, but not limited to, registered nurses, licensed practical/vocational nurses, pharmacists, dietitians, social workers, sanitarians, fire safety experts, nursing home administrators, 
gerontologists, psychologists, physical and occupational therapists, activities specialists, speech/language/hearing therapists, and resident rights experts. Supplemental personnel must have at least 1 year of experience in their fields; 
If they are continuously teaching the curriculum they would need to be approved by the MDH as an adjunct trainer.
Adjunct trainers only have to be licensed/certified during the minimal year of field experience as a health professional.
Adjunct trainers are not authorized to train or sign off on skill competencies in the lab or clinical setting. 
Skills must be taught and signed off on competency by the instructor.
Adjunct trainers may monitor students practicing skills in the lab after they have been trained and competency tested by the instructor.
Adjunct trainers cannot take students to clinicals.



3. High Schools Partnering with a College to Train Nursing Assistants

High Schools may partner with a College who is approved to train nursing assistants.


The K-12 faculty would need to be approved by the MDH to be an instructor or trainer of the HCCC.
If they do not qualify the College nursing faculty must teach the HCCC (if approved by the MDH to train nursing assistants and if have taken the HCCC Educate the Educator Course for the HCCC).


  • Occasional guest speakers on a topic may be used if they are content experts.


  • The Nursing Assistant Skill Set must be taught by a registered nurse who has been approved by the MDH.


  • If any skills are to be taught in the high school setting the high school must be approved as a training site. The college must have the high school approved as a satellite site.






4. HCCC may be taught on-line as a Pathway to the Nursing Assistant Skill Set IF:

1. Curriculum standards are met in keeping with module content and academic rigor.


2. Hours of instruction/learning are documented and kept at least within minimum requirements for nursing assistant regulations:


a) For a nurse aide training and competency evaluation program to be approved by the State, it must, at a minimum—

(1) Consist of no less than 75 clock hours of training;
(2) Include at least the subjects specified in paragraph (b) of this section;
(3) Include at least 16 hours of supervised practical training. Supervised practical training means training in a laboratory or other setting in which the trainee demonstrates knowledge while performing tasks on an individual under the direct supervision of a registered nurse meeting the qualifications of an instructor.
The clinicals must only be provided in a licensed nursing home.
5. The Curriculum of the Nurse Aide Training Program includes:
 (1) At least a total of 16 hours of training in the following areas prior to any direct contact with a resident:
   (i) Communication and interpersonal skills;
   (ii) Infection control;
    (iii) Safety/emergency procedures, including the Heimlich maneuver;
    (iv) Promoting residents' independence; and
    (v) Respecting residents' rights.
 (2)  nursing skills;
    (i) Taking and recording vital signs;
    (ii) Measuring and recording height and weight;
    (iii) Caring for the residents' environment;
(iv) Recognizing abnormal changes in body functioning and the importance of reporting such changes to a supervisor; and
(3) Personal care skills, including, but not limited to--
(i) Bathing;
(ii) Grooming, including mouth care;
(iii) Dressing;
(iv) Toileting;
(v) Assisting with eating and hydration;
(vi) Proper feeding techniques;
(vii) Skin care; and
 (viii) Transfers, positioning, and turning
(4) Mental health and social service needs:
(i) Modifying aide's behavior in response to residents' behavior;
(ii) Awareness of developmental tasks associated with the aging process;
(iii) How to respond to resident behavior;
(iv) Allowing the resident to make personal choices, providing and reinforcing other behavior 
    consistent with the resident's dignity; and
 (v) Using the resident's family as a source of emotional support.
(5) Care of cognitively impaired residents:
  (i) Techniques for addressing the unique needs and behaviors of individual with dementia (Alzheimer's and others);
(ii) Communicating with cognitively impaired residents;
(iii) Understanding the behavior of cognitively impaired residents;
(iv) Appropriate responses to the behavior of cognitively impaired  residents; and
(v) Methods of reducing the effects of cognitive impairments.
 (6) Basic restorative services:
(i) Training the resident in self-care according to the resident's abilities;
(ii) Use of assistive devices in transferring, ambulation, eating, and dressing;
 (iii) Maintenance of range of motion;
 (iv) Proper turning and positioning in bed and chair;
 (v) Bowel and bladder training; and
 (vi) Care and use of prosthetic and orthotic devices.
  (7) Residents' Rights.
(i) Providing privacy and maintenance of confidentiality;
(ii) Promoting the residents' right to make personal choices to accommodate their needs;
(iii) Giving assistance in resolving grievances and disputes
 (iv) Providing needed assistance in getting to and participating in resident and family groups and other activities; 
 (v) Maintaining care and security of residents' personal possessions;
 (vi) Promoting the resident's right to be free from abuse, mistreatment, and neglect and the need to report any instances of such treatment to appropriate facility staff;
    (vii) Avoiding the need for restraints in accordance with current professional standards.


3. Documentation is available stating the process whereby integrity of exams is maintained.

4. Documentation is available stating the process by which students take exams.

5.  Skills are tested in a laboratory setting by a qualified instructor: Handwashing      and gloving.

(Do you want to add the rest of the skills competency tested in lab for a pathway to the Registry?)