HAZARD COMMUNITY AND TECHNICAL COLLEGE Course Syllabus Summer 2009 Number and Name of Course: Semester/Year/Day/Time: Name of Instructor: Office Location/Number: Office Hours: Email Address: Telephone Number: NAA 100 Nursing Assistant Skills I - 4701 Summer 2009 07/06/09-07/31/09 Mon & Thurs 8:00 am-4:30 pm Verna Stacy RN Lees College Campus 606-666-4996 Course Description Provides knowledge and skills for nurse aides to assume the role and responsibility required in a long term care setting. The focus is communication, infection control, safety, resident/patient rights, and basic nursing skills. Integrated components: Lecture: 2 credits (30 contact hours). Laboratory: 1 credit (45 contact hours). Prerequisites None. Textbook Information and Supplies Sorrentino, S.A. and Gorek, B. (2007). Mosby's Textbook for Long-term Care Assistants. 5th Ed. St. Louis: Mosby-Year Book, Inc. ISBN: 978-0-323-04518-6 Mosby's Workbook for Long-term Care Assistants. 5th Ed. St. Louis: Mosby-Year Book, Inc. ISBN: 13978-0-323-04604-6 Supplies needed for clinical: White uniform, white shoes (leather, non canvas), KCTCS name tag with 1st initial, Last Name and Student (order from bookstore at the First Federal Center). Also need pen ,note pad, a watch with a second hand, Malpractice Insurance ( $20.00, pay at business office in the Devert Owens Bldg.), TB Skin Test/ or Chest X-ray within the last year. COURSE COMPETENCIES/OBJECTIVES/LEARNING OUTCOMES: Upon completion of this program the learner will be able to: 1. Demonstrate an understanding of the role of the nursing assistant in a long term care setting as evidenced by achieving at least a 70% on written exams, quizzes, lab check off and satisfactory clinical performance. 2. Demonstrate all identified basic nursing skills with safety and efficiency as evidenced by achieving at least a 70% on written exams, quizzes, homework assignments and lab check off to demonstrate mastery of these skills. 3. Organize care for assigned clients in a responsible manner these skills will practice in the lab and in the clinical setting and will be demonstrated by the learner in the presence of the instructor and successful achievement will be evidenced by a grade of satisfactory on the clinical evaluation. 4. Use effective communication techniques with clients, families and other members of the healthcare team as evidenced by achieving at least a 70% on written exams, quizzes, homework assignments. 1 5. 6. 7. Evaluation of communication skills in the clinical setting will be demonstrated by the learner in the presence of the instructor and successful achievement will be evidenced by a grade of satisfactory on the clinical evaluation. Identify and support situations that may impact the client/families rights or well-being as evidenced by achieving at least a 70% on written exams, quizzes, lab check off and satisfactory clinical performance. Report client knowledge deficits, support needs, and provide basic instruction as directed as evidenced by achieving at least a 70% on written exams, quizzes, lab check off and satisfactory clinical performance. Recognize situations beyond ones knowledge and experience and reports appropriately as evidenced by achieving at least a 70% on written exams, quizzes, lab check off and satisfactory clinical performance. Experiments/activities: Tasks as required by 42 USC 1396r. 1. Practice good personal hygiene 2. Maintain good personal health 3. Exhibit acceptable behavior 4. Work cooperatively with others 5. Maintain confidentiality 6. Observe the Residents’ Bill of Rights 7. Identify and report abuse or neglect to appropriate person 8. Use plan of care to meet resident’s needs 9. Communicate with resident, family, and staff 10. Assist resident in use of intercom/call system/telephone 11. Report observations/information to appropriate personnel 12. Recognize health problems related to the aging process 13. Recognize needs of the resident with cognitive impairment 14. Assist with providing diversionary activities for the resident 15. Assist in giving postmortem care 16. Follow standard (universal) precautions 17. Wash hands aseptically 18. Provide for environmental safety 19. Adjust bed and side rails 20. Assist with application of protective devices 21. Report unsafe conditions to appropriate supervisor 22. Assist with care of resident with oxygen 23. Follow fire and disaster procedures 24. Assist resident who has fallen 25. Assist resident who has fainted 26. Assist resident who is having a seizure 27. Clear obstructed airway - conscious adult 28. Apply direct pressure to control bleeding 29. Serve meals and collect trays 30. Recognize diet modifications/restrictions 31. Check food tray against diet list 32. Feed or assist resident in eating 2 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. Administer after meal care Record and report intake and output Give partial bath Give bed bath Assist resident with tub bath Assist resident with shower Make unoccupied bed Make occupied bed Perform or assist in performing oral hygiene for the conscious/unconscious resident Shave or assist resident with shaving Give backrub Give perineal care Shampoo/groom hair Give nail care Assist resident with dressing and undressing Provide foley/external catheter care Assist with care of incontinent resident Assist resident in bladder and bowel retraining Assist resident in using bedpan/urinal Give enema Collect routine/clean catch urine specimen Collect stool specimen Collect sputum specimen Use good body mechanics Assist with range of motion exercises Turn and position the resident in bed Transfer helping/helpless resident to and from bed/chair Use a mechanical lift to transfer resident Apply and use gait belt Assist resident with standing/walking Assist resident in using cane/walker Transport resident by wheelchair Move resident between stretcher and bed using transfer board Assist with admission, in-house transfer, and discharge of resident Measure and record oral temperature using glass/electronic thermometer Measure and record axillary temperature using glass/electronic thermometer Measure and record rectal temperature using glass/electronic thermometer Measure and record radial pulse Measure and record respiration Measure and record blood pressure Take and record resident height/weight Assist in prevention of decubitus ulcers Apply elastic stockings 3 GENERAL EDUCATION COMPETENCIES: I. Communicate Effectively 1. Read and listen with comprehension as evidenced by at least a 70% on written exams/quizzes and presentations. 2. Speak and write clearly using standard English. Accomplishment demonstrated by written assignments and verbal presentations. 3. Interact cooperatively with others using both verbal and non-verbal means. Accomplishment evidenced by in class and group discussions. 4. Demonstrate information processing through basic computer skills by completing typed assignments and visiting required internet sites. II. Think Critically 1. Make connections in learning across the disciplines and draw logical conclusions by correctly answering scenario questions on exams which require critical thinking. 2. Demonstrate problem solving through interpreting, analyzing, summarizing, and/or integrating a variety of materials. Accomplishment evidenced by identifying patient problems and reporting these promptly to the nurse or instructor. III. Learn Independently 1. Use appropriate search strategies and resources to find, evaluate, and use information as evidenced by a grade of at least 70% on written assignments and presentations. 2. Make choices based upon awareness of ethics and differing perspectives/ideas. Accomplishment evidenced by demonstrating ethical and unbiased behavior. 3. Apply learning in academic, personal, and public situations as evidenced completion of the course with at least a 70%. 4. Think creatively to develop new ideas, processes, or products. Accomplishment evidenced by assisting the nurse/instructor in identifying patient problems and delivering therapeutic interventions. IV. Examine Relationships in Diverse and Complex Environments 1. Recognize the relationship of the individual to human heritage and culture as evidenced by a grade of at least 70%test/written assignments and oral presentation of case study. 2. Demonstrate an awareness of the relationship of the individual to the biological and physical environment as evidenced by a grade of at least 70% on tests/written assignments and oral presentation of case study. 3. Develop an awareness of self as an individual member of a multicultural global community as evidenced by their interaction in class and group. Attendance Policy The learner’s attendance record directly affects employment opportunities as well as successful mastery of skills and knowledge necessary for completion of the program requirements. Therefore attendance and punctuality are required. Learner must be in attendance for the entire 75 hours- all hours missed must be made up to the instructor’s satisfaction. Learner may be asked to withdraw if they miss more than 7.5 hours for any reason. LEARNER MUST NOTIFY THE INSTRUCTOR PRIOR TO THE ABSENCE!!!! If clinical hours are missed, it may not be possible to make up the hours until a new NURSE AIDE 4 CLASS begins! FAILURE TO COMPLETE THE 75 REQUIRED HOURS WILL RESULT IN THE LEARNER NOT BEING ABLE TO SIT FOR THE STATE REGISTRY EXAM. Inclement Weather Policy During periods of severe inclement weather, the college president will make the decision on whether to delay, close, or keep the college open at the normal hours. In the event that the decision is to operate as usual, no media announcement will be made; however if the decision is to either delay the start of classes or close the college the media will be notified and one of the following messages will be announced: 1. Delay of Start of Class: all campuses of the Hazard Community & Technical College will be operating on an inclement weather schedule with the students reporting at 9:30 a.m. In the event of a delay this class schedule will not be affected. 2. College Closed: all campuses of Hazard Community &Technical College are closed. All activities and classes, day and night are cancelled. Time missed due to inclement weather will be scheduled to be made up before the end of this course. Academic Honesty Policy KCTCS faculty and learners are bound by principles of truth and honesty that are recognized as fundamental for a community of teachers and scholars. The college expects students and faculty to honor, and faculty to enforce, these academic principles. The college affirms that it will not tolerate academic dishonesty including, but not limited to, violation of the academic rights of students (section 2.0) and student offenses (section 3.0). Complaint/Appeal Procedure 1. Assistant Nurse Administrator: Patricia Walters 2. Director of Nursing Education: Donna Combs 3. Division Chair: Gwen Collins. 4. Academic Dean: Anna Napier . 5. Vice President of Academic Affairs / Provost: Dr. Kathy Smoot For information about academic rights and academic offenses and the student’s right to appeal, students should be referred to the KCTCS Code of Student Conduct found on-line at http://www.kctcs.edu/Student/studentcodeofconduct.pdf Withdrawal Policy Learners may withdraw up to midterm and receive a grade of “W” without the instructor’s permission. After midterm, and up until the last day of class, any learner may officially request a W grade, which may be given at the discretion of the instructor. In order to receive a “W” after midpoint for this class you must be making satisfactory progress in your course work. An instructor shall not assign a learner a W grade for a class unless the learner has officially withdrawn from that class. NAA 100 is a 75 clock hour course and midterm would be at 37.5 clock hours. The last day to be able to withdraw at the discretion of the instructor and still receive a “W” is May 21, 2009 or prior to final exam. If you do not officially withdraw before the last day of the course you will receive an E for the course. 5 Accommodations Policy Learners needing accommodations should contact the local disabilities service representative to complete an Accommodations Plan which will ensure that the Learner receive full benefits and that the instructor is aware and can make the proper adjustments in his/her courses for the Learner. The HCTC Disabilities Services Representative is Melissa Johnson. Phone (606)-487-3405; and eMail: MelissaD.johnson@kctcs.edu. Every effort is being made to meet the ADA 508 and W3C guidelines but if you find any distance learning course to be limiting in any way please contact the course instructor and the Disability Services Representative. Address: Hazard Community and Technical College, One Community College Drive, Hazard, KY 40351; phone (606)-487-3405; and eMail: MelissaD.johnson@kctcs.edu Evaluations Methods This course will include 41 chapters. There will be at least 4 exams, possibly more depending on the learners understanding of material. The 4th exam will be comprehensive final. All chapter assignments including workbook assignments are required. Keeping up with reading and workbook assignments is very important! Clinical and lab performance must be satisfactory. Learners must successfully pass clinical with a satisfactory evaluation to complete the course. Instructor will evaluate the learner a minimum of one time before the end of course. Must maintain a 70% on all test. GRADING SCALE: (Learners must maintain a “C” Average to be eligible to take nurse aid state registry exam). 90-100% 80-89% 70-79% 60-69 % <60% A B C D E Grades will not be rounded. If you receive 69.9 then your final grade will be a “D” No extra credit work will be given. OTHER CLASS POLICIES The purpose of the following information is to provide you with the policies that have been set up to guide and protect you throughout your training. Planned instruction and informal learning opportunities will be provided for you daily. However, you will be expected to keep alert constantly for possibilities of learning on your own initiative. You will have to make a great effort yourself to gain experience, knowledge, and understanding in all phases of nursing. Your primary responsibility is to learn to be a dependable nurse aid who can give safe, effective and skillful nursing care to all patients. GUIDANCE: You will be faced with many situations during the course and many frequently need help in making adjustments or solving problems. Do not hesitate to consult your instructor, advisor or school counselor at any time. You will have scheduled conferences with the instructor at regular intervals for purposes of discussing your progress. The purposes of these conferences is to help you develop into the best possible nurse aid by means of helping you to appreciate your strong points and 6 to understand how you can improve in other ways, such as professionalism, problem-solving ability, and accountability. General: Learners are expected to read course syllabus, sign and return attached form indicating the learner understands the course policies. If the learner does not understand the syllabi, the learner is to make an appointment to speak with their instructor. Learners are expected to follow the course outline and calendar for due dates. Late assignments will not be accepted and will result in a zero for that grade. Learners are expected to read assignment prior to coming to class. In the event you are absent it is the learners’ responsibility to find out what was missed and to obtain any material that was given out in class. Do this before class. Learners are expected to have all class textbooks and supplies by the end of the first week of classes No leaving class room once class begins unless previously cleared with instructor or in case of emergency. If you are gone for more than 5 minutes without permission, you will be counted absent. Respect for fellow learners and faculty: Turn off all cell phones, beepers or pagers during class If you are going to use a tape recorded, you must obtain permission from the instructor. Personal phone calls. Learners are not to receive or make personal phone calls except in emergencies. The only pay phone on the Tech campus is in the Industrial Education Bldg. Learners should refrain from having family members, friends, and children visit or spend extended time during class(s). The college campus is not suited for small children and children should not be left unattended at any time while on campus. Absolutely no sleeping, eating, drinking, smoking, or use of tobacco products in the classroom. If you are going to chew gum, no one should know you have it. “Popping” and “cracking” of gum is distracting. If you arrive late, quietly take your seat. Find out missed information and turn in absent slip at the next break or after class. Please adhere to faculty office hours outlined in the syllabus and posted on office door. Do not enter an office if no one is present. Be courteous, knock on doors, respect confidentiality when instructor is conferencing with another learner, avoid interruptions of classes in progress. Exams: BE PREPARED: Clear desk, sharpen pencils, obtain cover sheet prior to test time. Clear desk of all material except blank cover sheet, pen, and pencils. You will be instructed in regards to the use of a calculator. Once you have finished the exam, study quietly. Absolutely no talking during or after the exam until everyone is finished. Review or questions about the exam will be done after all learners have completed the exam. Participating in any form of cheating will not be tolerated and shall be grounds for dismissal. Quizzes – may be announced or unannounced. In the event of absences, quizzes cannot be made up and will result in a grade of zero. Attendance is imperative. Missed exams may be made up with excused absences only. (See attendance policy) LAB 7 You are expected to practice during allotted lab time. You may practice on your own time whenever the lab is open. Each learner is responsible for cleaning his/her unit or station after each lab session. No food, drink, or smoking permitted in lab. No sitting or lying on lab beds except when part of the lab activities. You will be given a list of items that should be present in each lab station. Make sure these items are there, the unit is clean, and bed and curtains straightened. Manikins shall not be abused in any fashion. They should be dressed and in proper body alignment. Treat with respect. Proper care and storage of all lab equipment is mandatory. All sharps and waste material shall be disposed of properly. Do not remove lab equipment or supplies without permission and being signed out. Medication or drugs used for lab practice are for demonstration purposes only and are not made for human consumption. Clinical: You are expected to be on time, equipped to work and in proper uniform. If you are going to be absent notify your instructor at least 12-24 hours ahead of time. In the event of an emergency, notify your instructor as soon as possible. Do not leave messages with personnel at the clinical sites. Professional conduct is expected at all times. Do not leave clinical unit or premises without notifying the instructor. This is a patient safety issue. All assignments or duties are to be completed. Notify the instructor of any work not completed. In addition you must report off to a designated unit staff member at the clinical site. Confidentiality is a must. Think before you speak. Be aware of how this can be breached. (Written assignments or notebooks, general conversation, giving information to unauthorized persons, etc). Any copying of a patient’s chart or part of the chart is strictly prohibited. You are here to learn, however PATIENT SAFETY AND CARE IS TOP PRIORITY. Malpractice Insurance and a TB skin test (chest x-ray if unable to take TB skin test) are required before you can attend clinical. Learners may be required to have a criminal background check and/or drug screening done in order to enter the health care facilities for clinical. Learners are responsible for the cost. Based on the results the facility has the right to deny the learner admission to the site for clinical. This may jeopardize your academic success, because you may not be able to complete the required clinical experience of the program. 8 Criminal Records Checks Law (HB628) in part: “Nursing facilities are prohibited from employing a person who has been convicted of a felony offense related to theft; abuse or sale of illegal drugs; abuse, neglect, or exploitation of an adult; or a sexual crime. You may employ a person convicted or pleading guilty to an offense classified as a misdemeanor if the crime is not related to abuse, neglect, or exploitation of an adult.” Nurse Aide State Registry Exam The cost of the exam is $75.00, ($15.00 written and $60.00 performance). Please pay in the at the business office of Devert Owens Bldg. on the technical campus on or before the test date. On the test date be sure that you present to the test evaluator receipt of payment, 2 forms of identification (ID), one a photo ID, (such as drivers license), and Social Security Card (non-laminated). If you do not have these you will not be able to test. You should receive test results within business 30 days of taking the exam. You must take the exam within one year of completing the course. Failure to do so will result in having to repeat the course in order to be eligible to take the state exam. Course Outline: I. The Role Of The Nursing Assistant A. Introduction to health care B. History of nursing care C. The Nursing Assistant D. Communication and interpersonal skills E. Considerations for the elderly F. Respecting rights G. Relating to individual in the health care setting H. Death and Dying II. Safety A. Infection control B. Environmental safety, accident prevention, and disaster plans C. Basic Nursing Skills D. Body systems and common diseases E. Vital signs and bedside observations F. Positioning, moving, and ambulation G. Admission, transfer, and discharge III. Providing Personal Care And Comfort to Patient A. The patient’s environment B. Hygiene and grooming C. Special skin care D. Nutrition E. Elimination needs F. Specimen collection and testing G. Rest and comfort H. Restorative care and rehabilitation 9 eLearning: Web-enhanced, Web-Local, Web-Hybrid, or Web-KYVU Class Policy: The Internet can be used in multiple ways to deliver instruction, assess Learner learning, and provide an interaction among Learners and between the instructor and Learners. Internet instruction can be designed to be accessed by Learners at their convenience. Learner rules and expectations Learners are expected to check eMail on a regular basis and keep the eMail Inbox clean. This is to prevent eMails from bouncing back. HCTC and its instructors are NOT responsible for undeliverable eMails due to exceeded storage limits on learners eMail account. Keep your Inbox clean. Learners are expected to read the course syllabus and send the instructor an eMail stating the Learner understands the course policies otherwise directed by the instructor). If the Learner does not understand the syllabi, the Learner is to make an appointment to speak with their instructor. Learners are expected to complete the HCTC DL Orientation at http://216.69.13.12/faculty/ESTRONG0001/DLOrientation/index.htm Learners having problems with course access are to first contact the Blackboard Help Desk toll-free at: 1-866-590-9238. Issues and problems can also be submitted online at http://elearning.kctcs.edu/ (login and click the Help Tab. If you are unable to login contact the Help Desk by Phone (number provided above)). Then notify your instructor of problems not corrected within 24 hours. If issues are not corrected after 48 hours contact the HCTC Distance Learning Coordinator. Learners are expected to have all course textbooks and supplies by the end of the first week of courses. Learners are expected to follow the course outline and calendar for due dates. It is strongly suggested that Learners check the course site at least one week prior to the first day of course and continuously throughout the semester as all calendar entries are tentative. Learners are expected to attend all course meetings (if applicable). Web-enhanced courses will have course meetings similar to an in-person course. Web-local may or may not have associated course meetings. Web-Hybrid courses will meet half of the course time and have online work for half the course time. Web-KVC courses do not normally have course meetings. Logging-on to an eLearning course 1. Point your browser to http://elearning.kctcs.edu 2. Go to the login box in the middle of the window that opens and enter your username and password which is the same to access your eMail or Learner self serve account. Video Instructions for login go to: http://kctcslive.wimba.com/launcher.cgi?room=_kctcs_s__94588_1_693191_2008_0717_1906_ 57 Checking Your KCTCS E-Mail As a Learner of the KCTCS System, you have been issued a login ID and password. NOTE: this is the same login as the one described with the Logging-on to an eLearning course account. eMail is an integral part of the distance learning process as well as your everyday process as a Learner of HCTC (Hazard Community and Technical College) as you will receive course information, campus information, 10 registration information, and other related information on your eMail account. In addition, all of your KCTCS information will come through Learner eMail. Click on the following link to check your e-mail: https://webmail.kctcs.edu/exchange/ Enter the Learner (student) ID and password you were provided when prompted in the following format: The login entry (if asked or required) is the domain name (KCTCSACC), followed by a "right slash" (/), ending with the PeopleSoft Learner ID that you were given during registration (first initial + lastname + four digit number). Login: KCTCSACC/jdoe0001 Password: yourpassword (whatever the password is) *For more information about Learner eMail, go to the following site: http://www.kctcs.edu/Student/eMail.html Blackboard Help and Support Process 1. Contact the Blackboard Help Desk toll-free at: 1-866-590-9238. Issues and problems can also be submitted online at http://elearning.kctcs.edu/ (login and click the Help Tab). If you are unable to login, contact the Help Desk by Phone (number provided above). 2. Notify your instructor of problems not corrected within 24 hours. 3. If issues are not corrected after 48 hours contact the HCTC Distance Learning Coordinator (see contact section). Resource Links KCTCS KVC Web Session Calendar: Learners need to be aware that Web-KVC courses (with BW mode) do not necessarily follow the same academic calendar as their home college. To check the calendar for the Web-KVC courses go to the following site: http://www.kctcs.edu/distancelearning/Calendar.htm Online Bookstore (for BW mode courses ONLY): http://kctcs-dl.bncollege.com HCTC DL Orientation: http://216.69.13.12/faculty/ESTRONG0001/DLOrientation/index.htm HCTC Online Advising Center: http://kctcslive.wimba.com/launcher.cgi?room=_kctcs_s__94588_1_693191_2008_0717_1919_42 Distance Learning Proctor's Site link: http://www.kctcs.edu/distancelearning/testingcenters.htm Distance Learning Tutorials: http://www.kctcs.edu/distancelearning/tutorials.htm Online Program Advising Guides: http://www.kctcs.edu/distancelearning/programchecklist.htm College Contacts: http://www.kctcs.edu/distancelearning/collegeContacts.htm KCTCS Student Code of Conduct: http://www.kctcs.edu/Learner/Learnercodeofconduct.pdf - refer to section 2.3.1 KCTCS Distance Learning: http://kctcs.edu/distancelearning/ KCTCS Learner Services: http://www.kctcs.edu/distancelearning/advising.htm KCTCS Learner Tutorial and Orientation: http://www.kctcs.edu/distancelearning/orientation.htm Kentucky Virtual Library. http://www.kyvl.org/ Online Course Schedule (Systemwide courses with BW mode): http://www.kctcs.edu/distancelearning/Courses.htm KCTCS Disability Services: http://www.kctcs.edu/edp/services/dsc.html. 11 Engaging Differences website: http://www.kctcs.edu/edp/index.html Contact Persons HCTC Chief Information Officer If you have an ITV issue or problem or technology in general, contact Donna Roark, CIO, phone (606) 487-3128; eMail: donnad.roark@kctcs.edu for assistance. HCTC Disability Services Representative For assistance with ADA requirements, and learners with a disability or learners with any inquiries about an accommodation or lack thereof of should contact to Melissa Johnson, Disability Services Representative, phone (606)-487-3405; and eMail: MelissaD.johnson@kctcs.edu HCTC Distance Learning Coordinator For assistance with questions for ADA-related need for distance learning courses or unresolved Blackboard problems, contact Dr. Paul B. Currie, Distance Learning Coordinator, phone (606)-487-3246; eMail: paul.currie@kctcs.edu HCTC Web Master If you use the HCTC Web site and have any problems are issues, contact Bart Massey, Webmaster, phone (606)-487-3267; eMail: bart.massey@kctcs.edu. 12 Hazard Community & Technical College NAA 100 Nursing Assistant Skills I I, ____________ _____________, have read and fully understand the contents of the NAA 100 course syllabus. I will comply with guidelines in the syllabus, while I am a HCTC Nurse Aide Student. It is my responsibility to ask for clarification from my instructor, prior to signing this form, if I have questions about guidelines. Confidentiality Contract NAA 100 My responsibility related to maintaining confidentiality as a nursing student of the Hazard Community and Technical College Nurse Aide Program has been explained to me. I understand that it is my responsibility to maintain confidentiality. I understand that disciplinary action will be taken if a breach of confidentiality occurs which will result in dismissal from the Hazard Community and Technical College Nurse Aide Program. Criminal Records Checks Law (HB628) in part: “Nursing facilities are prohibited from employing a person who has been convicted of a felony offense related to theft; abuse or sale of illegal drugs; abuse, neglect, or exploitation of an adult; or a sexual crime. You may employ a person convicted or pleading guilty to an offense classified as a misdemeanor if the crime is not related to abuse, neglect, or exploitation of an adult.” Signature __________________________________________ Witness Date 13