SKILL CENTER PROGRAMMING NURSING ASSISTANT PROGRAM REGISTRATION PACKET AND INFORMATION

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1 SKILL CENTER PROGRAMMING NURSING ASSISTANT PROGRAM REGISTRATION PACKET AND INFORMATION Classes are offered at the following location: Casa Grande Center 1015 E. Florence Blvd, A100 Casa Grande, AZ NAPacket

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 (go to Academics Divisions and Programs Nursing Division). Applicants seeking to enroll in the Nursing Assistant Program Skills Center Programming courses should read and print this packet and complete it quickly to ensure enrollment in the class. The completed Skills Center Programming packet must be submitted to the Casa Grande Center/Skills Center Program at 1015 E Florence Blvd, Casa Grande, AZ If you have questions or need assistance, contact the Skills Center Programming at for assistance. Only applicants who have submitted completed the Nursing Assistant Skills Center Programming packets will be allowed to register for the Nursing Assistant Classes. Upon satisfactory completion of the Nursing Assistant Skills Center Programming courses, 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 the Skills Center Programming courses Nursing Assistant Program must attend one of the CNA Orientations located at the Casa Grande Center Building A, submit a Request for Registration form, and provide documents via My Health Tracker following the procedure described below: 1. To register for the CNA Orientation or if you have questions about the process, you can contact: Penny Miller at Carefully read through the procedure for requesting registration into the Nursing Assistant courses. 3. Complete the following information: a. Request the packet for Registration form for Skills Center Programming courses b. Obtain documented proof of all immunizations c. Copy both sides of the your CPR Health Care Provider Card (you will receive your CPR card after completion of the course which is one of the Skills Center Programming courses) d. Obtain a physical and have the Health Care Provider Signature Form completed e. Obtain either your ASSET or COMPASS score with a passing Reading score of RDG094 or higher, transcript indicating passing RDG094, and/or college transcript with w/9 credits f. Completion of Student Checklist g. Background Check (You must wait to complete the background check until you have been given PIN #.) ALL INFORMATION IS SUBMITTED TO MY HEALTH TRACKER VIA CERTIFIED BACKGROUND ON A COMPUTER. (Computers are available at the Casa Grande Center for student use.) CertifiedBackground.com is a background check service that allows students to request their own background check. The background check fee is included with costs of the Skill Center Programming courses. The results of your background are posted to the CertifiedBackground.com web site in a secure, tamper-proof environment, where the student, as well as limited reviewer within Skills Center Programming can view the background check. To order your background check from CertifiedBackground.com, please follow the instructions below. 1. Go to and click on Students 2. In the Package Code Box, enter package code: CE25 3. You will be prompted to enter your Personal Identification Number (PIN). This will be given to you by Skills Center Programming staff. Your package requires you to submit immunization, medical and/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. Make sure you print out your confirmation page with your password so you can return to the system. If you have concerns or problems about the process, please contact Phone (888) Once your order is submitted, you will receive a password via to view the results of your background check. The results will be available in approximately hours. 3

4 Part 1 Accessing your Magnus Account (Secure Website Account) 1. Your Order Confirmation page will prompt you to visit a secure website to manage your immunization records. 2. From the confirmation page, simply click on the link: Login to your Magnus Account. 3. 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 address and enter the verification code to continue. 4. Retype 5. After clicking Next Step, you will be required to log in with your user name and password. 6. Your User ID is the 6 digit pass code from CertifiedBackground.com 7. The password is sent to your from Magnus. Part 2 Navigation through Magnus 1. 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. 2. To view the requirements and to begin uploading records, click on the tracker name. 3. Note: If at any time you navigate away from your tracker, look for the Health Trackers icon 4. After you have selected your tracker, you can view a list of your school/program requirements. 5. Any record you have faxed, mailed or ed will be located in the Document Properties/Details Part 3 Uploading Records 1. You have multiple options when you need to upload records to your tracker: 2. Upload Document Allows you to upload a file directly from your computer or a disk. 3. Fax or Mail Document Allows you to print a cover sheet and then fax/mail your information. 4. To associate a new immunization record, go to Add New Record 5. Here, you can upload files directly from a disc or your computer 6. Once records have been uploaded, faxed, ed or mailed, they will be associated with your account. 7. Click on Medical Record Archive to view all files you have uploaded and to edit information. 8. You can visit Magnus at any time to upload additional records at a later date: ( Submit the completed Skills Center Programming Request for Registration form with your name on an envelope and mail OR deliver it to the following address: Penny Miller Central Arizona College Casa Grande Center Skills Center Programming 1015 E. Florence Blvd, #A100 Casa Grande, AZ

5 Process for Notification of Permission for Registration 1. Completed requests received will be dated and placed in order of receipt. 2. Once Skills Center Programming 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 into the Skills Center NA Skills Center course. The number of available positions in the Nursing Assistant course is limited; students are registered only as space is available. Once students are notified, the students will be placed on the roster list. Payment is due at the time of registration. Those students that expect to be funded by a third party, Pell grant, or student loans are responsible for fees if funding is denied. 3. If the student fails to attend the first day of class the slot will be given to the next student on the waiting list unless special arrangements have been made. 4. You may call the office, , to check on placement status if you have not received notification from us by 1 month prior to the anticipated start of next Skills Center Programming courses. Additional Information about the Nursing Assistant Program 1. If you are registered for the Skills Center Programming Nursing Assistant courses and decide not to attend the program for any reason, you must come to the Skill Center Programming Office and withdraw in advance of the start date. 2. 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. 3. The first 60 hours of class (didactic [classroom] portion) will be held at the Central Arizona College/Casa Grande Center. The last 90 hours of class (clinical portion) will be held in a nursing home and/or hospital that have 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. The clinical hours will probably be 8 hour shifts; however, will definitely be on the same day of the week and, therefore, different days/times than the classroom. For this reason, it is not usually a good idea to schedule other classes on the same day(s) as your Nursing Assistant Class. 4. The uniforms student Nursing Assistants must wear are forest green or hunter green scrub tops, white or forest green (or hunter green) scrub pants, and white shoes. Students will be expected to wear your uniform and shoes starting with the second day of class. These items are included in the Skills Center Programming-Nursing Assistant courses cost. 5. Students will receive textbooks and course materials required for the Skills Center Programming- Nursing Assistant course. These items will be included in your program cost. 5

6 COST ESTIMATE FOR THE SKILL CENTER PROGRAMMING NURSING ASSISTANT PROGRAM * SKL115* Employment Readiness I (3 credits x $62.00 Arizona Resident) SKL116* Employment Readiness II (3 credits x $62.00 Arizona Resident) EMS100* CPR for Health Care providers l (.5 credits x $62.00 Arizona Resident + $9 lab fee) HCC100* Intro to Health Care (3 credits x $62.00 Arizona Resident) HCC* Medical Terminology (3 credits x $62.00 Arizona Resident) HPM125* Nursing Assistant Courses (6 credits x $62.00 Arizona Resident) Liability Insurance Textbooks For all classes with required textbooks Classroom materials Jump drive, binders, notebooks, etc for all classes Background check Gait/Transfer Belt Approx Cost Stethoscope Approx Cost Blood Pressure Cuff Approx Cost Watch w/second Hand Approx Cost Uniforms 2 sets Approx Cost Nursing Shoes Approx Cost Total Estimated Cost of Skills Center Programming Nursing Assistant Program** Physical & shots Cost will Vary may be $ /- not included in cost Upon completion of Skill Center Nursing Assistant Program students are eligible to sit for 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 $ Contact the Arizona State Board of Nursing (ASBON) at or *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: 1. 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 Documentation of 2 Varicella (Chickenpox) vaccinations. 3. Documentation of 1 Tetanus/Diphtheria (Td) immunization within the past 10 years. 4. Documentation of 1 Tuberculosis skin test (PPD) and the results within the past 6 months. a. If skin test is positive, documentation of a chest x-ray negative for evidence of disease within the past 6 months is required. 5. Documentation of 3 Hepatitis B vaccinations. a. 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. This CPR class is included with the Skills Center Programming- Nursing Assistant courses (see above). HEALTH CARE PROVIDER SIGNATURE FORM A health care provider must sign Health Care Provider Signature Form (page 10 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 (student is responsible for charges). 7

8 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 assistant 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 an application. ASSET OR COMPASS READING TEST You will need to obtain a copy of the ASSET or COMPASS reading test from the college where you took the test. If your score is less than 41 on the ASSET or 81 on the COMPASS reading test, you will need to take and pass Reading 094 prior to enrolling in the Nursing Assistant class. This test can be completed before or after the CNA Orientation. 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. You may still apply and register for the Skills Center Programming-Nursing Assistant courses by including an unofficial transcript showing these credits with your Nursing Assistant Packet. BACKGROUND CHECK All students registered for the Certified Nursing Assistant courses will be responsible for obtaining a background check from Certified Background. The website address is WAIVER OF LICENSURE/CERTIFICATION GUARANTEE: Admission or graduation from the CAC Skills Center Programming-Nursing Assistant Program does not guarantee obtaining a license or certificate to practice nursing assistant. 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 (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 Skills Center Programming-Nursing 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 ( ). 8

9 REQUEST FOR REGISTRATION (PRINT) Name Student ID Number (PRINT) 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 Casa Grande Center Skills Center Programming Course 1 st Choice CRN # 2 nd 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) Address (will be used to notify you of your acceptance) The following items have been enclosed in this packet: All immunization records must include: 1. your name Nurse Assisting rev. 9/15/08 2. signature of the healthcare provider giving the immunization 3. 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

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