1 Ghazvini Center for Healthcare Education 1528 Surgeons Drive Tallahassee, Florida phone Nurse Assistant Program (HCP0122) Program Code hours of instruction Cost approximately $ for in-state students (PSAV tuition rate X 120 clock hours + liability insurance) Cost for out of state students will be more Financial Aid is not available for this course This course prepares students for the certification exam and subsequent employment as Nursing Assistants in long-term care facilities, clinics, home care and hospitals. The program includes 80 hours of classroom/lab instruction plus 40 hours clinical internship in local healthcare facilities. Students learn to identify and meet basic patient care needs for safety, vital signs, comfort, and activities of daily living. Students then have the opportunity to practice their newly acquired skills and knowledge in a healthcare setting. Students must successfully complete both the classroom and clinical portions of the class in order to be eligible to take the certification examination. Graduates must pass the certification examination to become a certified nursing assistant (CNA) to practice in the State of Florida. The State of Florida requires that a nursing assistant must have a standard high school diploma or GED, be 18 years old and pass a state and national background check and drug screening. Student must complete the application process, with satisfactory results, by the stated deadline in order to be eligible to attend the first class. The first 24 students to complete the application process will be admitted to the program. NOTE: Students who would like copies of completed forms need to make copies prior to submitting. TCC will not make copies for students. Nursing Assistant Admission Process all requirements must be completed by the deadline. 1. Submit a TCC application. To apply to TCC, go to the website, and on the application, select PSAV Nurse Assistant, program code number Submit copies of official regular transcripts for High School/GED to Enrollment Services on main campus on the 2nd floor of the Student Union. Students with college credits and/or degrees from another college or university, will need to have official transcripts sent to Enrollment Services on main campus on the 2nd floor of the Student Union. 3. Submit an application to the Nurse Assistant program to the TCC Ghazvini Center for Healthcare Education. This application must be hand delivered or sent by US mail. Please do not fax or Pass a Level 1 background check and drug screen. Tallahassee Community College has contracted with CertifiedBackground.com to complete your required student background and drug screening checks as a requirement for enrollment in Tallahassee Community College s Healthcare Programs. The overall cost for your student background and drug screening checks will be approximately $ You are responsible for the payment of the background and drug screening. All results are submitted to the agencies requiring these items and they determine if the student may participate in clinical activities in their agency. If the agency determines a student cannot attend clinical experiences at their agency, the student will not be allowed to continue in the program. Successful completion of all required clinical experiences is required for successful completion of all programs. Additionally, the cost of the background check and drug screening is the responsibility of the student, and no refunds will be issued. Please follow the instructions below.
2 STUDENT INSTRUCTIONS FOR TALLAHASSEE COMMUNITY COLLEGE About CertifiedProfile NURSING ASSISTANT CertifiedProfile is a secure platform that allows you to order your background check and drug test online. Once you have placed your order, you may use your login to access additional features of CertifiedProfile, including document storage, portfolio builders and reference tools. CertifiedProfile also allows you to upload any additional documents required by your school. Order Summary Required Personal Information In addition to entering your full name and date of birth, you will be asked for your Social Security Number, current address, phone number and address. Drug Test (LabCorp) Within hours after you place your order, the electronic chain of custody form (echain) will be placed directly into your CertifiedProfile account. This echain will explain where you need to go to complete your drug test. Payment Information At the end of the online order process, you will be prompted to enter your Visa or Mastercard information. Money orders are also accepted but will result in a $10 fee and an additional turnaround-time. Place Your Order View Your Results Go to: and enter package code: TF66 You will then be directed to set up your CertifiedProfile account. Your results will be posted directly to your CertifiedProfile account. You will be notified if there is any missing information needed in order to process your order. Although 95% of background check results are completed within 3-5 business days, some results may take longer. Your order will show as In Process until it has been completed in its entirety. Your school's administrator can also securely view your results online with their unique username and password. If you have any additional questions, please contact CertifiedProfile at or
3 5. Must have current Basic Life Support (BLS) card. The only acceptable courses are offered by either American Heart Association (BLS for the health care provider) or the American Red Cross course (CPR for the professional rescuer and health care provider). No other course will be accepted! Course must be hands on, not an online version. The TCC Healthcare Professions Division is an American Heart Association training center and offers the BLS course. Please call for availability. 6. Required immunizations/screenings a. current Tb test (PPD) b. proof of 2 MMRs (measles, mumps & rubella) or a positive titer c. proof of history of varicella (chicken pox) or a positive titer d. proof of seasonal flu shot (when it becomes available) 7. Once you have been notified of your admission via TCC you must complete the following: a_ register and pay for class (online or in person at Enrollment Services on campus, payment can be made online with a credit card) at the Cashier s office across the hall from Enrollment Services, 2 nd floor of Student Union). b. while at Cashier s office, obtain TCC ID. c. obtain the textbook required for class: Nurse Assistant A Basic Study Guide; 10 th edition; author: Beverly Robertson ISBN Cost is approximately $ Obtain the following required uniform: (you will receive further information during the program orientation) a wristwatch with a sweep second hand scrub uniform white, closed shoes, not sandals, crocs, clogs
4 TALLAHASSEE COMMUNITY COLLEGE NURSE ASSISTANT PROGRAM APPLICATION Please type or print clearly in ink! Only completed applications will be considered. DATE:_ TCC STUDENT ID NUMBER:_ NAME:_ LAST FIRST MIDDLE /MAIDEN TCC Address Phone Signature (in ink) Date
5 Ghazvini Center for Healthcare Education 1528 Surgeons Drive Tallahassee, Florida phone fax Please read and sign. This form must be submitted with the Nurse Assistant Program application. Criminal background checks and drug screening are required of health students by the majority of the clinical agencies used by the Tallahassee Community College (TCC) Health programs. Successful completion of all required clinical experiences is required for successful completion of all programs. All results are submitted to the agencies requiring these items and they determine if the student may participate in clinical activities in their agency. If the agency determines a student cannot attend clinical experiences at their agency, the student will not be allowed to continue in the program and will not be reimbursed for any costs incurred by the student, including tuition, fees, the cost of the background check and/or drug screening. Students with positive background checks that are allowed to continue in the program cannot be guaranteed that this will not impact licensure/certification eligibility and/or employment opportunities. Students need to be aware of the state statutes for licensure/certification. The Florida Statutes are on the Florida Department of Health Web site, I have read the above statement concerning my background check and drug screening and understand the decision to allow me to participate in clinical activities rests with the clinical site. Further, I understand should I be denied permission to attend clinical experiences at any agency/clinical site, I will be dismissed from my program and TCC will not reimburse me for any costs incurred while a student in coursework at TCC. I agree I will not be informed of the specific agency/clinical site denying me and will not make any attempt to contact any agency/clinical site to appeal to them directly. Signature Date Print Name
6 Ghazvini Center for Healthcare Education 1528 Surgeons Drive Tallahassee, Florida phone fax Nurse Assistant Health Form Name (print clearly): First M.I. Last INSTRUCTIONS: The following information must be completed by the attending physician or staff members only. Tuberculosis (TB Skin) PPD Required annually. If results are positive a chest X-ray is required. Please attach x-ray results, if any. Note: A 2 step PPD may be required if no documentation of annual PPD s. Skin Test Chest X-Ray Date Administered Date Read Results Date Attach Results Seasonal Flu Required annually. Date Administered Varicella (Chicken Pox) Insert the date when patient had chicken pox. If patient did not have the disease, please complete the series of immunizations. Disease Titer - IGG Immunizations OR OR Date Date Attach Results Date of 1 st Date of 2 nd MMR (Measles, Mumps, Rubella) Student must have proof of 2 MMR vaccines or a positive titer result. If not immune then patient must receive immunizations one month apart to complete series. Immunizations Titers Date of 1 st Date of 2 nd Measles - IGG Mumps - IGG Rubella - IGG OR Date: Date: Date: Attach Results Attach Results Attach Results The above information is true and accurate to the best of my knowledge. The release of this information is authorized by the above named individual to Tallahassee Community College s Health Care Professions Division and its clinical affiliates. Signature Title Date Printed Name Name of Medical Facility Phone Number