NURSING ASSISTANT PROGRAM REGISTRATION PACKET AND INFORMATION

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  • 1. HEALTH CAREERS PROGRAM NURSING ASSISTANT PROGRAM REGISTRATION PACKET AND INFORMATION Classes are offered at the following locations: Superstition Mountain Campus Signal Peak Campus Aravaipa Campus Skills Center NAPacket081309 1
  • 2. Overview - Nursing Assistant Program The Nursing Assistant Program is designed to prepare students to be eligible for Nursing Assistant Certification through the Arizona State Board of Nursing and upon certification, practice in a health care agency as a Certified Nursing Assistant and to master skills required to enter into the CAC Nursing Program. Students may apply to the Nursing Program after successful completion of the prerequisite courses and completing the admission requirements. The CAC Nursing Program Information and Application Packets are available at the college admission and/or advising offices on each campus or may be downloaded on the college website www.centralaz.edu (go to Academics – Divisions and Programs – Nursing Division). Applicants seeking to enroll in the Nursing Assistant course HPM 125 should read and print this packet and complete it quickly to ensure enrollment in the class. The completed packet must be submitted to the Health Careers Office. If you have questions or need assistance, contact the Health Careers Office at 480 677-7787 for assistance. Only applicants that have submitted completed Nursing Assistant packets to the Health Careers Office will be allowed to register for the Nursing Assistant Classes. Upon satisfactory completion of HPM 125 Nursing Assistant course, the student is eligible to receive a certificate of completion. Each student must submit a request for a certificate of completion 3 weeks prior to completing the Nursing Assistant program. It should be given to them by the instructor during the last class. Central Arizona College reserves the right to change without notice, any materials, information, curriculum, requirements, and regulations in this publication. 2
  • 3. REGISTRATION INFORMATION Those wishing to register for HPM 125 Nursing Assistant Course must submit a Request for Registration form and provide documents via My Health Tracker following the procedure described below: 1. Carefully read through the procedure for requesting registration into the Nursing Assistant course. 2. If you have questions about the process, you can contact the following contacts. Nicole Thompson 480 677-7787 or Professor Linda Buchanan-Anderson 480-677-7712 3. Complete the following information: a. Request for Registration form b. Documented proof of all immunizations c. Copy of both sides of the CPR Health Care Provider Card d. Health Care Provider Signature Form e. ASSET or COMPASS score, Passing Reading Grade or transcript w/9 credits f. Background Check g. Student Checklist SUBMIT ALL INFORMATION TO MY HEALTH TRACKER AND CERTIFIED BACKGROUND CertifiedBackground.com is a background check service that allows students to purchase their own background check. The results of a background are posted to the CertifiedBackground.com web site in a secure, tamper-proof environment, where the student, as well as organizations can view the background check. To order your background check from CertifiedBackground.com, please follow the instructions below. 1. Go to www.CertifiedBackgound.com and click on “Students” 2. In the Package Code Box, enter package code: CE37 3. Select a method of payment: Visa, MasterCard or Money order. Once your order is submitted, you will receive a password via email to view the results of your background check. The results will be available in approximately 48-72 hours. Your package requires you to submit immunization, medical or certification records. At the end of the order process you will be prompted to visit a secure web page where you will view additional instructions for uploading your records. www.Certifiedbackground.com Phone (888) 666-7788 info@certifiedbackground.com 3
  • 4. Part 1 – Accessing your Magnus Account Your Order Confirmation page will prompt you to visit a secure website to manage your immunization records. From the confirmation page, simply click on the link: “Login to your Magnus Account.” You will then be re-directed to the Magnus website to set up account. To save you time, your personal information will auto fill. You will be unable to modify this information in order for it to match your background check results. Simply re-type your email address and enter the verification code to continue. Retype email After clicking “Next Step,” you will be required to log in with your user name and password. Your User ID is the 6 digit pass code from CertifiedBackground.com The password is sent to your email from Magnus. Part 2 – Navigation through Magnus Once you login, you will be brought to your Tracker Home Page. From here you can view all trackers associated with your school/program. If more than one tracker is listed, please read the descriptions of the trackers to make sure you select the correct one. To view the requirements and to begin uploading records, click on the tracker name. Note: If at any time you navigate away from your tracker, look for the Health Trackers icon After you have selected your tracker, you can view a list of your school/program requirements. Any record you have faxed, mailed or emailed will be located in the ”Document Properties/Details” Part 3 – Uploading Records You have multiple options when you need to upload records to your tracker: Upload Document – Allows you to upload a file directly from your computer or a disk. Fax or Mail Document – Allows you to print a cover sheet and then fax/mail your information. To associate a new immunization record, go to “Add New Record” Here, you can upload files directly from a disc or your computer Once records have been uploaded, faxed, emailed or mailed, they will be associated with your account. Click on “Medical Record Archive” to view all files you have uploaded and to edit information. You can visit Magnus at any time to upload additional records at a later date: (www.magnushealthportal.com) Submit the Request for Registration form with your name on the envelope and mail or deliver to the following address: Linda Buchanan-Anderson Health Careers Office, Room 410 Central Arizona College 273 Old West Highway Apache Junction, AZ 85219-5321 4
  • 5. Process for Notification of Permission for Registration Completed requests received during registration will be dated and placed in order of receipt. Once Request for Registration forms and documents are checked for requirements and deemed complete by the Professor of Health Careers, the student is eligible for registration. The number of available positions in the Nursing Assistant course is limited; students are registered only as space is available. The student will receive permission to register by email. They must take that email to the registrar at the college to register for the class. Once students are notified, students must register within 1 week. Payment is due at the time of registration. If the student fails to register within the 1 week timeframe his or her slot will be given to the next student on the waiting list. You may call the office 480 677-7787 to check on placement status if you have not received an email from us by 7 days after you mailed your packet to us. Additional Information about the Nursing Assistant Program If you are registered for the Nursing Assistant classes and decide not to attend the program for any reason, you must come to the Admissions office and withdraw in advance of the start date. Any student not attending class or clinical on the first day will be withdrawn from the course. The Nursing Assistant course has a strict attendance policy and students are expected to attend each class session The first 60 hours of class (didactic portion) will be held at the CAC (Central Arizona College) campus. The last 90 hours of class (clinical portion) will be held in a nursing home and/or hospital that has a contract with the Health Careers Department at CAC. Each class goes as a group to one location at the same time. The beginning and ending times of the clinical portion may be different than the didactic hours and will probably be 8 hour shifts; but will definitely be on the same day of the week. For this reason, It is not usually a good idea to schedule other classes on the same day(s) as your Nursing Assistant Class. Nursing Assistant Uniforms: Students must wear a forest green or hunter green scrub top, white or forest green (or hunter green) scrub pants and white shoes. You will be expected to wear your uniform and shoes starting with the second day of class. Books: Students may purchase course materials prior to the first day of class in campus bookstores. The bookstore staff will tell you which textbooks and classroom materials are required for the Nursing Assistant courses. 5
  • 6. COST ESTIMATE FOR THE NURSING ASSISTANT PROGRAM * HPM125* Nursing Assistant Courses (6 credits x $62.00 Arizona Resident) 372.00 Liability Insurance 25.00 Textbooks Approx. 85.00 Background check 70.00 Gait/Transfer Belt (May be required in specific agencies) Cost will Vary 12.00 Stethoscope (optional) Cost will Vary 20.00 Watch with a Second Hand Cost will Vary 10.00 Uniform and Shoes Cost will Vary 70.00 Physical Exam and Immunizations Cost will Vary 100.00 Total Estimated Cost of Nursing Assistant Program $764.00 Upon completion of HPM 125 students are eligible to take the examination for certification as Nursing Assistants administered under the guidelines of the Arizona State Board of Nursing. The cost for obtaining certification is approximately $85.00. Contact the ASBON at http://www.nursing.state.az.us/ or 602-889-5150. *Fees are subject to change by the Central Arizona Community Colleges Governing Board. All costs quoted are subject to change. 6
  • 7. REQUIRED DOCUMENTATION INFORMATION HEALTH RECORDS Required Immunizations Documentation is as follows: Documentation of 2 MMR (Measles/Rubella, Mumps & Rubella) vaccinations, if done under the age of 18 or documentation of 1or 2 MMR vaccinations if done after the age of 18 Documentation of 2 Varicella (Chickenpox) vaccinations. Documentation of 1 Tetanus/Diphtheria (Td) immunization within the past 10 years. Documentation of 1 Tuberculosis skin test (PPD) and the results within the past 6 months. If skin test is positive, documentation of a chest x-ray negative for evidence of disease within the past 6 months is required. Documentation of 3 Hepatitis B vaccinations. Documentation of the first vaccination must be submitted with the packet; documentation of the second one must be submitted one month after the first vaccination and the third one 4 months after the second vaccination. If you are immune because you had one of the above diseases, documentation of a positive Titer Test result may be substituted for documentation of a vaccination. In the case of the MMR, you would need to submit positive titer results for all 3 diseases. If the Titer Test is negative, you will need to have the vaccination. IMPORTANT: Students are responsible for maintaining their own health records including current CPR certification and proof of negative TB skin tests until completion of the program. Copies of proof of these updates must be submitted to the Health Careers Department when due. Some places that offer immunizations would be your private physician, the Pinal County Health Department, the Maricopa County Health Department and EVVAX (East Valley Vaccination and Examination Center in Mesa. Your private physician and EVVAX may offer Titer tests. Students are responsible for their medical expenses. CPR CERTIFICATION You must take a HEALTH CARE PROVIDER CPR Class CPR certification must include infant, child, and adult, 1 and 2 man rescuer, and evidence of a land-based demonstration component. CPR certification must have been completed within the last 12 months. Include a copy of both sides of the CPR card in your Nursing Assistant Packet. You must take the CPR class in person; online class certification is not acceptable. CPR class dates and locations are available online. Some of the organizations that offer these are CPR instruction.com; American Safety & Health Institute; The Heart Association, local fire departments and the first week of the semester at the CAC campus. 7
  • 8. HEALTH CARE PROVIDER SIGNATURE FORM A health care provider must sign Health Care Provider Signature Form (page 8 of this packet) and indicate whether the applicant will be able to function as a Nursing Assistant student. Health care providers who qualify to sign this declaration include a licensed physician (M.D., D.O.), a nurse practitioner or physician’s assistant. If any medical condition exists which may interfere with your becoming a NA, then you may be sent to an independent practitioner. (The student is responsible) HEALTH DECLARATION: It is essential that nursing students be able to perform a number of physical activities in the clinical portion of the program. At a minimum, students will be required to lift patients, stand for several hours at a time and perform bending activities. Students who have a chronic illness or condition must be maintained on current treatment and be able to implement direct patient care. The clinical nursing experience also places students under considerable mental and emotional stress as they undertake responsibilities and duties impacting patients’ lives. Students must be able to demonstrate rational and appropriate behavior under stressful conditions. Individuals should give careful consideration to the mental and physical demands of the program prior to making application. ASSET OR COMPASS READING TEST Obtain a copy of the ASSET or COMPASS Reading Test from the Registrar at the college where you took the test. If your score was less than 41 on the ASSET Reading test or 81 on the COMPASS Reading Test, you will need to take and pass Reading 094 prior to enrolling in the Nursing Assistant Class. If you have completed 9 or more transferrable credits at another college, you will need to have those credits transferred by having an official transcript sent to Central Arizona College and including an unofficial transcript showing these credits with your Nursing Assistant Packet. BACKGROUND CHECK All students registered for the Nursing Assistant course will be responsible for obtaining a background check from CertifiedBackground. The website address is www.CertifiedBackground.com WAIVER OF LICENSURE/CERTIFICATION GUARANTEE: Admission or graduation from the CAC Nursing Program does not guarantee obtaining a license or certificate to practice nursing. Licensure and certification requirements and the subsequent procedures are the exclusive right and responsibility of the Arizona State Board of Nursing. Students must satisfy the requirements of the Nurse Practice Act: Statutes, Rules and Regulations, independently of any college or school requirements for graduation. Pursuant to A.R.S. § 32-1606(B)(17), an applicant for professional or practical nurse license by examination is not eligible for licensure if the applicant has any felony convictions and has not received an absolute discharge from the sentences for all felony convictions. The absolute discharge must be received five or more years before submitting this application. If you cannot prove that the absolute discharge date is five or more years, the Board cannot consider your application. After finishing the Nurse Assistant program, as a part of the certification process, all nursing assistant applicants for certification and licensure must be fingerprinted to permit the Department of Public Safety to obtain state and federal criminal history information. All applicants with a positive history are investigated. If there is any question about eligibility for licensure or certification, contact the nursing education consultant at the Arizona State Board of Nursing (602-889-5150). 8
  • 9. REQUEST FOR REGISTRATION (PRINT) Name _________________________________________Student ID Number______________________ (PRINT) E-Mail Address (will be used to notify you of your acceptance) __________________________________ Phone: Cell ________________________Day________________________ Evening _____________________ Mailing Address _______________________________________________________________________________ City________________________________________State________________________Zip Code___________ COURSE ID: HPM125 NURSING ASSISTANT I am requesting (Check one): ____ Signal Peak Campus in Coolidge ____ Superstition Mountain Campus in Apache Junction ____ Aravaipa Campus 1st Choice CRN #_______________ 2nd Choice CRN #_______________ 9
  • 10. Health Care Provider Signature Form Applicant Name_______________________________ Student ID Number_________________ (Please Print) It is essential that Nursing Assistant students be able to perform a number of physical activities in the clinical portion of the program. At a minimum, students will be required to lift patients, stand for several hours at a time and perform bending activities. Students who have a chronic illness or condition must be maintained on current treatment and be able to implement direct patient care. The clinical nursing experience also places students under considerable mental and emotional stress as they undertake responsibilities and duties impacting patients’ lives. Students must be able to demonstrate rational and appropriate behavior under stressful conditions. Individuals should give careful consideration to the mental and physical demands of the program prior to making application. I believe the applicant _______ WILL OR _______ WILL NOT be able to function as a nursing student as described above. If not, explain: _____________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Licensed Healthcare Examiner (M.D., D.O., N.P., P.A.) Print Name: _______________________________________________ Title: ___________________________ Signature: __________________________________________________ Date: ___________________________ Address: ___________________________________________________________________________________ City: __________________________________________ State: ____________________ Zip: ___________ 10
  • 11. STUDENT CHECKLIST TO DETERMINE COMPLETENESS OF NURSING ASSISTANT PACKET (PRINT) Name _____________________________________Student ID Number___________________ (PRINT) E-Mail Address (will be used to notify you of your acceptance) ______________________________ The following items have been enclosed in this packet: All immunization records must include: your name Nurse Assisting rev. 9/15/08 signature of the healthcare provider giving the immunization date of immunization _____ Documented proof of MMR (Measles/Rubeola, Mumps, Rubella) vaccinations or 3 positive titer tests. _____ Documented proof of Varicella (Chickenpox) vaccination or positive titer test. _____ Documented proof of a Tetanus/Diphtheria (Td) immunization within the past 10 years. _____ Documented proof of a TB skin test (PPD) and negative results within the last 6 months  or documented proof of a tuberculosis-free status on an x-ray within the last 6 months. _____ Documented proof of 3 Hepatitis B vaccinations or positive titer test. Documentation of the first vaccination must be submitted with the packet; documentation of the second one must be submitted one month after the first vaccination and the third one 4 months after the second vaccination. _____ Documented proof of CPR Health Care Provider Certification within the last 12 months.  A copy of both sides of the CPR certification card. _____ Health Care Provider Signature Form signed by Physician or Physician’s Assistant or a Nurse Practitioner _____ Placement Scoring showing a passing score of 41 on the ASSET or 81 on the COMPASS Reading Test  or documented proof of a passing grade in Reading 094  or documented proof of an Official Transcript sent to CAC with 9 or more transferrable credits. Comments: ___________________________________________________________________________________ ___________________________________________________________________________________ FACULTY CHECKLIST ___________________________________________________________________________________ 11