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INFORMATION AND APPLICATION PACKET

Nursing Aide Packet - Technical College of the Rockies - · PDF fileThe student will learn how to assist ... • Anyone seeking to become a Certified Nurse Aide or ... , the student

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INFORMATIONANDAPPLICATIONPACKET

Educ Services/Prog Info /Info Packet/CNA/CNA 2018/ revised 9-29-17

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SIMPLIFIEDCHECKLISTFORNURSEAIDEPROGRAMENTRY

EverythingonthischecklistisexplainedwithinthisInformationalpacketandmustbecompletedandturnedintotheNursingDepartment.Onceeverythingisinyourfile,wewillassignyoutoaclass.Youneedtoplanaheadingatheringthenecessarydocumentsandinformation.CalltheNursingDepartmentat970-874-6519ifyouhaveanyquestionsregardingtherequirementsbelow.RequireddocumentscanbefaxedtotheNursingDepartmentat970-874-6593.

1. Application:Pg4• AdultorOn-lineclassesrequire:ApplicationforAdmission(seeattached)• HighSchoolCNAclassrequires:ConcurrentEnrollmentandApplicationforAdmission• RefresherCNAclasses:ApplythroughtheCNACoordinator,DeannaMcCoy970-874-6569

Foradditionalinformationregardingsubmittinganapplication,pleasecontactPamGilder970-874-6540,[email protected].

2. BackgroundCheck:Pg5Allowatleast2weeksforprocessing• Thisisdoneon-lineathttp://cccs.castlebranch.com3. 2StepTBtests:Pg6Allow2weeksforcompletion• Thisisa4stepprocessof2skintestsand2readings4. HepatitisBinjection:Pg6Oneshotintheseriesof3.Documentationifyoualreadyhadthis

series• Aminimumoftheinitialvaccinationofthethreestepseriesisrequiredpriortoadmission5. TABETest:Pg7• Byappointmentonly.Tuesday&Thursdayonly.Pleasecalltoscheduleanappointmentfor

testing,andforaccesstopracticematerial.970-874-6565.6. Transcripts:OfficialcopysentdirectlytoTCR• HighSchoolTranscript• OrGEDCertificate• OrCollegetranscript(wemaypossiblywaivetheTABESwithenoughcreditsoradegree)7. CopyofyourDriver’sLicense8. EssentialFunctions:Pg13

IfyouhaveanIEPoralearningdisability,pleasenotethisontheEssentialFunctionsQuestionnaire

• Ifyouarepregnant,pleaseinquireregardingenrollmentlimitations.Ifapproved,youmustprovideanoteofPhysician’sclearance.

9. FluVaccine:Pg7“InfluenzaSeason”isNovember1throughMarch31ofthefollowingyear.

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COURSEDESCRIPTION:

ThiscoursepreparesthestudenttoperformthefundamentalskillsofthenurseaideasdefinedintheColoradoNurseAidePracticeAct.Itincludes:

o NUA101NurseAideHealthCareSkills(4credits)

§ Preparesthestudenttoperformthefundamentalskillsofthenurseaide.Basicnursingskills,communicationskills,restorativeservices,personalcareskills,safetyandemergencycareissuesarecovered.Includesknowledgeand/orprinciplesofasepsis,OSHAandHIPPAregulations.Ethicalbehaviors,culturalsensitivityandprinciplesofmentalhealthwillbeaddressed,aswellaspatientandresidencerights.

o NUA170NurseAideClinicalExperience(1credit)§ AppliesknowledgeandskillgainedinNUA101topatientcare

o NUA105HomeHealthAideTheory(2credits)

§ IntroducesthestudenttotheexpandingfieldofHomeHealthNursing.ThestudentwilldiscovertheuniquenessofHomeHealthCareandthevitalrolethatthenursingassistantplaysaspartofthehomecareteam.Thestudentwilllearnhowtoassisthomecarepatientswithactivitiesofdailylivingandmaintainasafe,cleanandcomfortableenvironment.Thestudentwillalsolearnthedifferencesandchallengesofcaringforpatientintheirnaturalhomeenvironmentversusinstitutionalsettings.

o HPR102CPRforProfessionals(0.5credits)§ MeetsrequirementsforAmericanRedCrossProfessionalRescuerCPRorAmericanHeart

AssociationBasicLifeSupportforthosewhoworkinEmergencyServices,HealthCareandotherprofessionalareas.MosthospitalswillonlyacceptAmericanHeartAssociationCPRcertification.Materialpresentedinthiscourseisbasicpatientassessment,basicairwaymanagement,rescuebreathing,AEDuse,firstaidforchokingforallages,andCPRforinfant,childrenandadultpatients.Pleasenote,ifyoucurrentlyholdavalidAmericanRedCrossProfessionalCPRcard,youarestillrequiredtoattendtheCPRinstructionandtesting.

VOCATIONALCREDITS:7.5creditsINTENDEDAUDIENCES:• AnyoneseekingtobecomeaCertifiedNurseAideorHomeHealthAide.Thefollowingwillprovideadditionalinformationregardingeachrequirement.ThisinformationisalsoavailableonTechnicalCollegeoftheRockieswebsiteathttp://www.tcr.edu/academics/nursing-aide-program.php.

v YouwillnotbeenrolledintheNurseAideProgramuntilalloftherequireditemsarecompletedandsubmitted.AsimplifiedchecklistisprovidedonPg.2.

v RequireddocumentscanbefaxedtotheNursingDepartmentat970-874-6593.

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1. ADMISSION/APPLICATIONPOLICY:• Completeanapplication,andagreetoadheretoprogrampolicies.

• Paymentmustbeinreceivedinfullonebusinessdaypriortothefirstdayofclass.

Ø Wedonotacceptinstallmentpayments.Ø Ifbeingsponsored,writtenauthorizationfromthesponsoringfacilitymustbesubmittedtoreservea

position.Authorizationsmaybefaxedto970-874-6593.

• Allstudentsmustbe16bythetimetheytaketheirstateexamination.PleasenotemanyfacilitieswillNOThirebeforetheageof18.

• Allstudentsmustbeabletospeak,read,writeandcomprehendEnglish.

• Studentsmustbephysicallyabletoperformrequiredactivitiesinthecareoftheclientandpatient.Medicalreleasesmaybenecessaryforstudentinsomecircumstances.

• StudentsmustsignanddatetheEssentialFunctionsQuestionnaire(p.13)whichwillbekeptintheirfile.Ifa

studentisunabletomaintainessentialfunctions,itwillbegroundsfordismissal.

Ø IfyouhaveanIEPoralearningdisability,pleasenotethisontheEssentialFunctionsQuestionnaire.

• Wemustbeinformedinadvanceofanyspeciallearningaccommodationsthatareneededorrequired.Ø Theseaccommodationswillbepresentedintheclassroomsettingonly.Onlyunderspecialcircumstances

willaccommodationsbepresentedinLaborClinicalsetting.Ø Studentswhorequirespeciallearningaccommodationsmustdocumentthesecircumstanceswitha

statementfromanM.D.orPsychiatrist.• Pregnantstudentsandstudentsbeingtreatedforand/orevidencingmedicalormentalhealthproblemspleaserefer

toHealthandHealthServicesPolicy.Requestacopyifneeded.• LegalcitizenordocumentationofbeinglawfullypresentintheU.S.–seeDORA’sAffidavitofEligibilityform

availableatwww.pearsonvue.com,orfollowthislinkgoo.gl/RLsn34andrefertopage8.

2. CRIMINALBACKGROUNDCHECKPROCEDUREMUSTBECOMPLETEDPRIORTOENROLLMENTINTHECLASS

AstudentmusthaveabackgroundcheckcompletedbyCertifiedBackgroundpriortoenrollment.Backgroundcheckinformationwillbeacceptedinonlyoneofthefollowingthreemanners:

Ø Adults:Completecriminalbackgroundcheckthrough:CertifiedBackgroundathttp://cccs.castlebranch.com.

Ø Youselectourschool,DeltaMontroseTechnicalCollegeSelectCNAfromthedropdownmenu.Applicants18yearsorolder,costis$34.50.Applicantsunder18yearsofage,costis$24.90.

Ø Ifalong-termcarefacilityissponsoringastudentandtheyhaveanacceptablecriminalbackgroundcheckforthestudentonfile,completedinthepastyear,thiswillbeaccepted.

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Ø CertifiedBackgroundwillsendthereportelectronicallytotheNursingProgramCoordinatorattheTechnical

CollegeoftheRockiesandacopywillbeprovidedtothenurseaideclinicaltrainingfacility.StudentsmayobtainacopyfromTCRuponrequestorhaveacopydirectlyemailedtothemuponrequest.

Ø Ifadisqualifyingoffenseisonthereport,thestudentwillbenotifiedthathe/shewillnotbeacceptedintothe

programandwillbeencouragedtocontacttheirlegalcounseltoassisttheminclearingtheirrecord.Untilthestudent’srecordisclearofdisqualifyingoffenses,thestudentwillnotbeadmittedintothenursingaidetrainingprogram.Pleaseseetheguidelinesbelow.

NURSINGBACKGROUNDCHECKCRITERIATheColoradoCommunityCollegeSystem(“CCCS”)andtheStateBoardforCommunityCollegesandOccupationalEducationauthorizethenursingprogramstoconductabackgroundinvestigationofallstudentapplicants.Theclinicalsitesusedinthenursingprogramsrequirebackgroundchecksofallpotentialinterns.Thepurposeistomaintainasafeandproductiveeducationalandclinicalenvironment.NewstudentswhorefusetocomplywiththebackgroundinvestigationwillnotbeallowedtoenteraCCCSNursingProgram.AnApplicantwillbedisqualifiedfromaCCCSnursingprogrambasedonthefollowingguidelines:

•Anyviolentfelonyconvictionsofhomicide.(Notimelimit)•Crimesofviolence(assault,sexualoffenses,arson,kidnapping,anycrimeagainstanat-riskadultorjuvenile,etc.)

asdefinedinsection18-1.3-406C.R.S.inthe10yearsimmediatelyprecedingthesubmittalofapplication.•Anyoffenseinvolvingunlawfulsexualbehaviorinthe10yearsimmediatelyprecedingthesubmittalofapplication.•Anycrime,theunderlyingbasisofwhichhasbeenfoundbythecourtontherecordtoincludeanactofdomesticviolence,asdefinedinsection18-6-800.3C.R.S.inthe7yearsimmediatelyprecedingthesubmittalofapplication.•Anycrimeofchildabuse,asdefinedinsection18-6-401C.R.S.inthe7yearsimmediatelyprecedingthesubmittal

ofapplication.•Anycrimerelatedtothesale,possession,distributionortransferofnarcoticsorcontrolledsubstancesinthe7

yearsimmediatelyprecedingthesubmittalofapplication.•Anyfelonytheftcrimesinthe7yearsimmediatelyprecedingthesubmittalofapplication.•Anymisdemeanortheftcrimesinthe5yearsimmediatelyprecedingthesubmittalofapplication.•Anyoffenseofsexualassaultonaclientbyapsychotherapist,asdefinedinsection18-3-405.5C.R.S.inthe7years

immediatelyprecedingthesubmittalofapplication.•Crimesofmoralturpitude(prostitution,publiclewdness/exposure,etc.)inthe7yearsimmediatelyprecedingthe

submittalofapplication.•RegisteredSexOffenders.(Notimelimit)•Anyoffenseinanotherstate,theelementsofwhicharesubstantiallysimilartotheelementsofanyoftheabove

offenses.•Morethanone(1)D.U.I.inthe7yearsimmediatelyprecedingthesubmittalofapplication.

Iftheinvestigationrevealsinformationthatcouldberelevanttotheapplication,thedesignatedindividualresponsibleforbackgroundchecksmayrequestadditionalinformationfromtheapplicant.Theoffenseshallbereviewedonacasebycasebasis.

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Ø Studentswhohavesuccessfullycompletedthetermsofadeferredadjudicationagreementwillnotbe

disqualified.Ifanyapplicantfeelsthecriminalbackgroundcheckisinaccurate,theapplicantmayappealthedecisionandrequestareviewwiththeCollege.Itistheapplicant’sburdentoproducesubstantialevidencethatprovesthecrimeschargedareincorrect.

3. TUBERCULINSKINTEST

Howistwo-steptuberculinskintestingdone?Thetwo-steptuberculinskintest(TST)isusedtodetectindividualswithpasttuberculosis(TB)infection,whonowhavediminishedskintestreactivity.Thisprocedurewillreducethelikelihoodthataboostedreactionislaterinterpretedasanewinfection.Fourvisits,ohmy!

Ø Visit1:Placethe1stTSTØ Visit2:Returnin48-72hoursforthetesttoberead.Ø Visit3:Placea2ndTST.(1weekafterthefirstvisit)Ø Visit4:Returnin48-72hoursforthetesttoberead.

FYI:Wewillaccept2TBtestswithinthepastyearpriortoclass

4. HEPATITISBIMMUNIZATIONSeriesorsignedanExemption.Youmaycontactyourhealthcareprovideroremployer,ifapplicable,fortheserecords.

5. TABETEST

Ø YoumusttakeandpasstheTABE(TestofAdultBasicEducation)witha6.0orgreater.Theseteststakeapproximately3-4hoursandcost$40.00(refertotheTCRCatalogforfurtherexplanationonretakingtheTABES).Retakefeeis$10.00persection)

Ø InallprogramsexceptPracticalNursing,theTABErequirementmaybewaivedforstudentswho

meetanyofthefollowingrequirements:ü AnAssociate’sdegreeorhigher(OfficialTranscriptisrequired)ü Completionoftwosemesters(30semestercredits)atanationallyaccreditedinstitution

ofhighereducationwitha3.0GPAorhigher.ü ACTorSATtestscoreswithinthelasttwoyearsthatmeetorexceedthefollow:EnglishACT18orSAT440/ornewSAT25ReadingACT17orSAT430/ornewSAT24MathACT19orSAT460/ornewSAT25ü IfaHighSchoolJunior*andtakingtheConcurrentHighSchoolCNAcourse,wewill

accepttheAccuplacerTestasbelow:EnglishAccuplacer95ReadingAccuplacer80MathAccuplacer85

*ThisAccuplacerpolicyappliesonlytoahighschoolstudentwhoisdoingconcurrentenrollmentandwhoisjustenteringtheirjunioryearandhasnotyettakentheACTorSATtest.IftheyhavetakentheAccuplacertestandhavetheabovescoreswewillwaivetherelatedsection(s)oftheTABEtest.

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6. FLUVACCINE:“InfluenzaSeason”meansNovember1throughMarch31ofthefollowingyear.TheCountyHealthDepartment,doctor’soffices,somegrocerystoresorindependentpharmaciesprovidethis.Requestaverificationcopyandsubmitthistothenursingdepartment.

2018NURSEAIDETRAININGCLASSESDATES/TIMES:LOCATION:Allclassandonline/hybridlabsessionsareontheTCRcampusinthenursingdepartment.CPRisintheEMSclassroomoncampus.INSEATNURSEAIDECLASSTheinseatisa3weekintensivecourse.Thesedatesaresubjecttochange.Pleasecontactthenursingdepartmentforverificationofdatesat970-874-6519

DATE CPR CLINICAL FINAL&STATETESTVOUCHER

INSEAT3weekcourseFEB26–MARCH16,201810am–6pm

CPRFRIDAYMARCH28:30am-4:30pm*

CLINICALSITETBDMARCH13,14,15

FRIDAYMARCH16

MARCH19–APRIL6,201810am–6pm

CPRFRIDAYMARCH238:30am-4:30pm*

CLINICALSITETBDAPRIL3,4,5

FRIDAYAPRIL6

APRIL23–MAY11,201810am–6pm

CPRFRIDAYAPRIL278:30am-4:30pm*

CLINICALSITETBDMAY8,9,10

FRIDAYMAY11

MAY21–JUNE8,201810am–6pm

CPRFRIDAYMAY258:30am-4:30pm*

CLINICALSITETBDJUNE5,6,7

FRIDAYJUNE8

JUNE18–JULY13,201810am–6pmNOCLASSJULY2-6

CPRFRIDAYJUNE228:30am-4:30pm*

CLINICALSITETBDJULY10,11,12

FRIDAYJULY13

SEPT10–SEPT28,201810am–6pm

CPRFRIDAYSEPT148:30am-4:30pm*

CLINICALSITETBDSEPT25,26,27

FRIDAYSEPT28

CLINICALSITESWILLBEDETERMINEDBASEDONENROLLMENT.POSSIBLECLINICALSITESARE:HORIZONS,WILLOWTREEFIRSTDAYOFCLINICALROTATION,PLEASEREPORTTOSITEAT7:55AM–4:30PMSECONDANDTHIRDDAYOFROTATION,PLEASEREPORTTOSITEAT5:55AM-4:30PMBRINGYOURLUNCH,asyouwillnotbeabletoleavethefacilityduringclinicalhours.

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ONLINE/HYBRIDNURSEAIDECLASSAccesstoacomputerwillbeneededforthisclass.Thesedatesaresubjecttochange.Pleasecontactthenursingdepartmentforverificationofdatesat970-874-6519

DATE CPR LAB CLINICAL FINAL SPECIALCONSIDERATIONS

ONLINEJAN5–FEB162018Instructor:Mary

CPRFRIDAYJAN128:30am-4:30pm*

FRIDAYS8am-4:301/19,262/2,9

CLINICALSITETBDFEB13,14,15

INSEATFRIDAYFEB16

*AfterCPRclass,theremainderoftheclasstimeforExamI,Photobadgeandpaperwork

MARCH30–MAY18,2018Instructor:DeannaNOCLASSAPRIL14-20

CPRFRIDAYAPRIL68:30am-4:30pm*

FRIDAYS8am-4:304/13,275/4,11

CLINICALSITETBDMAY15,16,17

INSEATFRIDAYMAY18

*AfterCPRclass,theremainderoftheclasstimeforExamI,PhotobadgeandpaperworkNOCLASSAPRIL14-20

JULY6–AUG17,2018Instructor:Mary

CPRFRIDAYJULY138:30am-4:30pm*

FRIDAYS8am-4:307/20,278/3,10

CLINICALSITETBDAUGUST14,15,16

INSEATFRIDAYAUG17

*AfterCPRclass,theremainderoftheclasstimeforExamI,Photobadgeandpaperwork

AUG31–OCT19,2018Instructor:DeannaNOCLASSOCT6-12

CPRFRIDAYSEPT78:30am-4:30pm*

FRIDAYS8am-4:3011/16,3012/7,14

CLINICALSITETBDOCTOBER16,17,18

INSEATFRIDAYOCT19

*AfterCPRclass,theremainderoftheclasstimeforExamI,PhotobadgeandpaperworkNOCLASSOCT6-12

NOV2–DEC21,2018Instructor:MaryNOCLASSNOV17-23

CPRFRIDAYNOV98:30am-4:30pm*

FRIDAYS8am-4:30

CLINICALSITETBDDECEMBER18,19,20

INSEATFRIDAYDEC21

*AfterCPRclass,theremainderoftheclasstimeforExamI,PhotobadgeandpaperworkNOCLASSNOV17-23

CLINICALSITESWILLBEDETERMINEDBASEDONENROLLMENT.CLINICALSITESARE:HORIZONS,WILLOWTREEFIRSTDAYOFCLINICALROTATION,PLEASEREPORTTOSITEAT7:55AM–4:30PMSECONDANDTHIRDDAYOFROTATION,PLEASEREPORTTOSITEAT5:55AM-4:30PMBRINGYOURLUNCH,asyouwillnotbeabletoleavethefacilityduringclinicalhours.NURSEAIDEREFRESHERCOURSEAVAILABLECalltheNursingDepartmentat970-874-6519formoreinformation.

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TUITION:ThecostsbelowareaccuratethroughJune30,2018.Pleasenoteallcostsaresubjecttochange.ThecostforStateCertification(currentcost$123.00)isnowincludedincoursecost.Thisisavoucherthatwillbeprovideduponsuccessfulcompletionofthecourse.

TOTALTuition&Fees:$1455.26(Costbasedonin-statetuition.)$2409.26(Out-of-statetuition)Thisdoesnotincludethecostoftextbooksoruniform.

TEXTBOOKS:

Ø Textbook:Mosby’sTextbookforNursingAssistants;9thEdition,SheilaSorrentino,ISBN:9780323319744Ø TextbookandWorkbookbundle:Mosby’sTextbookforNursingAssistants;WorkbookandCompetency

EvaluationReview;SheilaSorrentinoISBN:9780323319775TheWorkbookisoptional,butisavaluablestudytoolwithanexcellentreviewsection.AmericanHeartAssociation(2010)BLSforHealthcareProviderscanbeborrowedfortheCPRclass.

UNIFORMREQUIREMENT:1. Darkgreyuniform

• Unisexuniformsetsaretobepurchasedthroughthebookstore.TheseareDarkGreyincolor,representingschoolcolors.Orderonthefirstdayofclass.Nonrefundable,somakesuretheyfit.

• Uniformmustproperlycoverbody.(i.e.noshowingofcleavageorbarebuttocks)• Youmaywearablacklongorshortsleevedshirtunderneaththeuniform.

2. Cleanathleticorwalkingshoes,neutralcolor.Noclogs,crocs,opentoeorheelallowed.

3. Watchwithsecondhand.

TextbooksanduniformscanbepurchasedattheTCRbookstore.Bookstorephonenumber:970-874-6565Pleaserefertowww.tcr.edu,nursingprogramforcurrenttextanduniformcosts.SCHOLARSHIPS:

FULLSCHOLARSHIPSAREAVAILABLEFORQUALIFIEDSTUDENTSWILLINGTO

WORKATTHEFOLLOWINGSPONSORINGNURSINGHOMES:FacilityName Location PhoneNumber

PaoniaCareCenter Paonia 527-4837

SanJuanLivingCenter Montrose 249-9683HomesteadatMontrose Montrose 252-9359

HorizonsHealthCare Eckert 835-3113ValleyManorCareCenter Montrose 249-9634

• Youmustcontacttheindividualfacilityforscholarships• QualifyingstudentmayalsocontacttheColoradoWorkForceCenterforassistance.• CareCenterswillonlysponsoryouifyouareplanningonworkingforthem.

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REIMBURSEMENT: “Pursuanttosection483.152©oftheFederalRulesandRegulationsrelatedtoNurseAideTrainingandCompetencyEvaluationPrograms(NATCEP),along-termcarefacility(“facility’)thatreceivesMedicareorMedicaidfundsmustreimburseanurseaidewhopaysforaNATCEPandbecomesemployedbythefacilitywithin12monthsofdateofcertification,proratedfortheportionofthe12-monthperiodthattheindividualwasemployedbythefacility.”

EqualOpportunity/AffirmativeActionWeareanequalopportunityeducationalinstitutionandwillnotdiscriminateonthebasisofrace,color,nationalorigin,religion,sex,age,ordisability.Inouractivities,programs,oremploymentpracticesasrequiredbyTitleVI,TitleIXandSection504.Forfurtherinformationregardingcivilrightsorgrievanceprocedures,contactMichaelKlouser,TCRDirector,1765Hwy50,Delta,Colorado81416,(970)874-7671,ortheOfficeforCivilRights,U.S.DepartmentofEducation,FederalBuilding,1244SpeerBoulevard,Suite310,Denver,Co80204-3582,phone(303)844-5695;FAX(303)844-4303;TDD(303)844-3417;[email protected].

TUITIONPOLICY:• AfterdroppingtheCNAProgramtwice,youmustwait3monthspriortore-admission.Youwillbechargedallthe

applicabletuitionandfeesperDrop/WithdrawalPolicyintheTCRcatalog.

• Norefundwillbegivenonce15percentormoreofthescheduledtimefortheclasshaselapsed.PleaseseetheTCRdrop,withdrawal,andrefundpolicyforfurtherinformation. 15%ofOnlineclass:6daysormore(classtotalis6weeksor42days) 15%ofAdultclass:2daysormore(classtotalis3weeksor21days)15%ofAdultclass:3daysormore(classtotalis4weeksor28days)15%HighSchoolclass:10daysormore(classtotalis135hours)

Exceptions:TheremaybeexceptionstopolicyduetoextenuatingcircumstancesatthediscretionoftheProgramCoordinatorandtheSchoolAdministration.COMPLETIONPOLICY:Studentswillgraduate,beawardedacertificateofcompletion,andwillbeallowedtotestforcertificationwhenALLofthefollowinghavebeencompleted• PassNUR101,NUA105,NUA170,andHPR102witha75%cumulativeorgreaterforeachsection,students

CANNOTMISSMORETHAN8HOURSOFCLASS.

• Passallmultichapterexamswitha75%cumulativeorgreater.

• Successfullycompletedaminimumof24hoursofclinicalwithapositiveevaluation.• Successfullycompleteaminimumof18hoursoflaboratorypractice.Online/hybridNurseAideclasslaboratory

requirementisaminimumof24hours.Studentsmustmakearrangementswithinstructorformissedlabtime.

• SuccessfullycompletetheprogramskillschecklistdefinedbytheColoradoBoardofNursing.• SatisfactorilyattainedtheterminalcompetenciesstandardsasdefinedbytheColoradoBoardofNursing.

• Fullpaymentofallmonetaryobligations.

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CERTIFICATION:• Eachstudentmustdemonstratesatisfactorytheoryandclinicalpracticetobeeligibleforcertification.• GraduationfromtheprogramdoesnotguaranteelicensurebytheStateBoardofNursing.Uponcompletionof

theNurseAidecoursestudentsareeligibletositforthestatecertificationexam.• Inordertobecomecertifiedasanurseaideyoumustpassawrittenexaminationandapracticalskillsexaminthe

labasperColoradoStateBoardofNursing(NurseAidePracticeAct).ThewrittenandskillsexamsMUSTbepassedwithamaximumallowedis3attempts,ortheNurseAideclassmustberepeated.

• PearsonVueisresponsibleforadministeringthestateCNAexam.Formoreinformationyoumaycontactthemat1-888-274-5050.Alistoflocationsforthetestisavailableontheirwebsitehttp://www.asisvcs.com/indhome.asp?CPCat=0706NURSE.

• ReadtheColoradoNurseAideCertificationProgramCandidateHandbookavailableatTCRorhttp://www.asisvcs.com/publications/pdf/070600.pdf.

• StudentsMUSTcompleteacriminalbackgroundcheck.PleasecontactPearsonVueforfurtherinformationregardingcriminalbackgroundcheckat888-274-5050.

• ADAaccommodationsareavailableifyounotifyPearsonVuepriortotesting.(PleaserefertoPearsonVuehttp://www.asisvcs.com/indhome.asp?CPCat=0706NURSEforfurtherinformationregardingADAaccommodations.)

DISMISSALPOLICY:STUDENTSWILLBEDISMISSEDFORTHEFOLLOWINGREASONS:• Missingmorethanoneclassdayorcombinedtotalof8hours.

• Failuretomaintaina75%orgreaterintheprogram.

• Failuretopassexamswitha75%orgreater.(cumulative)

• Failuretocomplete24hoursofClinical+4hoursFacilityOrientation.

• FailuretofollowStudentstheSubstanceAbusePolicywillresultinimmediatetermination.

Ø DrugScreensmaybeperformedatanytimewithorwithoutcause.Theschooldistrictassumesnofinancialresponsibilityfortheexpenseofdrugoralcoholassessmentortreatmentprovidedbyotheragenciesorgroupsunlessotherwiserequired.

Ø Testingpositiveformarijuanawithorwithoutaprescriptionisnotacceptable.AlthoughpossessionanduseofmarijuanaforcertainmedicalconditionsconsistentwiththerequirementoftheColoradoConstitutionisnolongeracrimeintheStateofColorado,thepossessionanduseofmarijuanaremainsillegalunderfederallaw.Consistentwithfederallaw,includingtheControlledSubstancesActandtheDrug-FreeSchoolsandCommunitiesAct,theuseand/orpossessionofmarijuanacontinuestobeprohibitedwhileastudentisoncampus.

• Violationofpatientrightsoranyabusivebehaviorasdeemedbytheclinicalinstructororfacilitystaff.• FailuretouseproperNurseAideProcedureinclinicalorlab(perinstructor’sdiscretion).• FailuretofollowBehavioralStandardsPolicyandAcademicDishonestyPolicy–including,butnotlimitedto

cheating,stealing,abuseofaclassmate,clientorinstructor.• Performingaskillortaskforwhichthestudenthasnotbeentrainedandfoundproficientbyinstructor.• InabilitytomaintainEssentialFunctions.• FailuretodemonstratetheLabSkillsCriticalCriteriawillnotbeallowedtoparticipateinClinical.

Studentsmaybedismissedwithoutrefundafterfirstwarning.

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QuestionnaireofStudentEssentialFunctions

1. Iamabletoconcentrateandfocusononethingfor20minutesormore? YES/NO2. Iamabletodobasicmath?(Add,Subtract,Multiply,andDivide) YES/NO3. Iamabletospeak,writeandreadEnglish? YES/NO4. Iamemotionallyandmentallystableandabletoworkinhighlystressfulsituations?YES/NO5. Iamabletowalktheequivalentof5milesperday? YES/NO6. Iamabletoreachaboveshoulderlevel? YES/NO7. Iamabletostandforlongperiods? YES/NO8. Iamabletolift50pounds? YES/NO9. Iamabletoassistpatientsinambulation? YES/NO10. Iamabletogripsmallobjects? YES/NO11. Iamabletohear(withcorrection)wellenoughtorespondappropriatelytomonitoralarms,emergencysignals,

andcriesforhelp? YES/NO12. Iamabletohearwellenoughandhavetheabilitytoobserveandassessclientresponses?

YES/NO13. Iamabletoobserveandreadequipment–analogwatch,BPequipment,scale? YES/NO14. Ihaveadequatetactileabilitytoaccuratelytakeapulse,andperformtaskthatwouldrequiremyaccurate

manipulationofsmallobjects? YES/NOIamrequestingthefollowingexceptionsand/oraccommodationsandwilldiscussthefollowingwiththeProgramDirector:

TothebestofmyknowledgeIhaveansweredtheabovequestionstruthfullyandaccurately.IunderstandthatifIstartahealthcareerprogramanddonotdemonstratetheabilitytoachievetheessentialfunctionsthatIwillnotbeabletocompletethatprogram.IunderstandthatmoneywillberefundedaccordingtotheRefundpolicyasoutlinedintheTCRcatalog,(norefundwillbegivenonce15%ormoreofthescheduledtimefortheclasshaselapsed).________________________________________Printedname Date_____________________________ ___________Studentsignature DateThisquestionnaireneedstobesignedandreturned.

Please review the following Questionnaire to determine if you are suited for Nurse Aide work. You will also be asked to sign this form the first day of class.