MAT-SU CAREER & TECHNICAL HIGH SCHOOL 2472 N. Seward Meridian Parkway Wasilla, AK 99654 Phone Number: (907) 352-0400 | Fax Number: (907) 352-0480 Web Site: http://cths.matsuk12.us Student Handbook Certified Nursing Assistant 2015 Table of Content Certified Nursing Assistant Program Overview …………………………………… Page 2 CTHS Bell Schedule ……………………………………………………………………….. Page 6 Classroom Supplies and Classroom Rules ………………………………………… Page 7 Laboratory Guidelines for Students/Student Dress Code………………….. Page 8 Grading Policy ……………………………………………………………………………… Page 9 Employability Standards ………………………………………………………………. Page 10 Clinical Experience Guidelines for Students…………………………………….. Page 11 Criminal Background Check Requirements…………………………………….. Page 13 Documentation of Health Status……..……………………………………………. Page 14 MSBSD Standard Appearance Release………………………………………………. Page 15 Program Acceptance of Responsibilities Agreement……………………………. Page 16 1 Mat-Su School District Certified Nursing Assistant Program The Certified Nurse Assistant program is an intensive, fast paced course that includes a minimum of 160 hours in classroom, lab skills practice and clinical experience. Mat-Su Career Tech High School Philosophy Statement Mat-Su Career & Technical High School seeks to provide a safe learning environment for students. To achieve that learning environment, the staff will emphasize both fundamentals and intellectual thought. We expect students to be respectful, to try hard, and accept responsibility for their actions. Mat-Su School District Certified Nursing Assistant Mission Statement The Mat-Su Borough School District seeks to train compassionate, competent Certified Nursing Assistants with the knowledge and skills necessary to support successful employment in the health care arena. The Certified Nursing Assisting program will provide a career pathway for students who want to begin in the healthcare profession. Guided by the State Board of Nursing Statutes and Regulations (12 AAC 44.835-847), the objective of this program is to prepare nursing assistants for the state certification and for employment in the health care setting who are able to: Provide basic safe, competent care to residents. Communicate and interact competently on a one-to-one basis with residents Assist residents in attaining and maintaining independence Support and promote residents’ rights. Demonstrate observation and reporting skills needed in the assessment of residents’ health, physical conditions and well-being. Demonstrate professionalism while working with staff during clinical rotation Demonstrate the employability skill of: attendance, attitude, customer service, & work ethics. Accept responsibility for one’s action Uses ethical and legal concepts in relationships and communication with others 2 What is a Certified Nurse Assistant (CNA)? A trained healthcare worker who assists a nurse in caring for residents of long term care facilities, patients in hospitals, assisted living homes and clients in their homes. A trained healthcare worker provides activities of daily living for people who cannot manage these activities for themselves. These include: socialization, bathing, dressing, grooming, toileting, taking vital signs, assisting with nutrition, walking, providing range of motion exercises, providing comfort care to the dying, and documentation of care given. What does the CNA Program provide for the student? This program provides preparation for students to take the State of Alaska Certified Nurse Assistant exam to become a licensed CNA. Students may earn up to 8 college credits at the University Of Alaska Anchorage (UAA) through a Tech Prep articulation agreement. The student must achieve an overall “B” in the class to receive credit. These are elective college credits from UAA which normally transfer to most universities. Additional information with specific details will be shared during the semester. Why be a Certified Nursing Assistant? It is very rewarding and personally satisfying to help people. It is a great stepping stone to any other medical field career. In Alaska, CNA’s are paid significantly higher than minimum wage. It is an expected requirement for many health related programs. How is the program operated? The first half of the semester is primarily in the classroom setting in preparation for clinical, hands-on experience. The second half of the semester is primarily composed of clinical rotations. These clinical experiences will include day shift, evening shift, and weekend shift. These are excused absences from school. During the clinical rotation there will be some limited classroom lecture on a weekly basis. What is the location of the clinical sites? Clinical rotations are at Alaska Veterans & Pioneers Home, & Providence Extended Care. These clinical sites may be subject to change. STUDENT MUST HAVE RELIABLE TRANSPORTATION TO AND FROM CLASS AND CLINICAL SITES (bus transportation is provided if travel is beyond the Mat-Su Borough) 3 What are expected costs for this program that you are responsible for? White scrubs for clinical: White closed-toe tennis shoes: Background check payable to the State of Alaska 2 Finger Print cards Activity Fee(for CPR, First Aid cards, name tag) State of Alaska CNA Exam fee Passport photo for application Immunizations if student needs the price dependent on healthcare $ 20-50.00 $ 20-50.00 $ 76.50 $ 30.00 $ 20.00 $ 279.00 $ 10.00 facility What are the time commitments for this course? This course requires much dedication, time, and hard work. This is a 2 credit course! This course covers 51 chapters in 10-12 weeks with homework nightly. Attendance to classes & clinicals is mandatory There will be some weekend (Saturday & Sunday), after school & evening commitments. These will be announced ahead of time. Doctor appointments, vacations, or activities during class and clinicals should be avoided due to the state requirements for number of instruction and clinical hours. Students are expected to have a flexible work & sport schedule. What must the student do to successfully complete the course? Attend class, missing 12 hours of class will result in dismissal from the course. Unexcused tardies will be managed according to class syllabus. Obtain a healthcare provider CPR and First Aid Certification. These certifications are provided as part of the class. A minimum score of 70% on the classroom content (inclusive of homework, quizzes, terminology, chapter tests, finals) in order to be eligible for clinical rotation. Master the 22 skills from the State of Alaska’s C.N.A handbook Satisfactorily complete 48 hrs of supervised clinical hours Be able to meet the physical requirements for a CNA including lifting. Demonstrate integrity, & responsibility in both the classroom and clinical setting. Unprofessional conduct in the classroom or clinical sites is grounds for immediate termination from the program. Unprofessional conduct is inclusive of, but not limited to: foul language, improper attire, inappropriate behavior, abandonment of the patient, tardiness to clinical, unexcused absences, cheating, dishonesty, fraudulent behavior, or not showing respect to patients, classmates, medical personnel, or instructors. Please remember that this class is your “job” for the time you are enrolled. The instructor’s nursing license numbers are included with your State application, and therefore, we will not sign your application if you are not satisfactory on class, skills and clinical performance. 4 Please be aware that a weekly review of your performance will be made by the instructors, and this will include tests, quizzes, skills performance, and class participation. If you demonstrate borderline performance, an intervention will be made at the instructor’s discretion. If the above guidelines are not met the student will be dismissed from the class and receive no credit for the class. In order to better meet all student needs: Please inform instructors if you are pregnant, have physical lifting restrictions or any other medical, health, transportation issues that could prevent you from completing the class and or taking care of patients. Please inform the instructors if you have an IEP. Please inform the instructors if you have an animal allergy. The class room, clinical sites and skills lab are not latex free environments. 5 6 Classroom Supplies & Classroom Rules Class materials (bring to class every day!) 3 ring binder Textbook Your nursing skills candidate book Writing utensil Parking Please park in the front of the school, NOT in the handicapped area! Please fill out a vehicle registration for CTHS. Attendance Attendance in class and clinicals are mandatory in order to meet the C.N.A licensing requirements for the State of Alaska. If you are going to be late to class or absent call 352-0426 and leave a message regarding your tardiness or absence. Class Expectations Students are expected to be in their seats and ready to work at the beginning of class and after breaks. All personal business should be conducted before or after class or during break time. Cell phones must be left in cars or lockers. First offense for use in the classroom is a warning; second offense the cell phone will go to CTHS office. Misuse of issued equipment can result in replacement fees. Each student will display consideration & respect for others. Make-up tests and quizzes will be done after school on the day the student returns to class unless prior arrangements have been made. Proficiency in the 22 state mandated skills is required before the student may go onto the clinical rotation. Laboratory Guidelines for Students 7 Students will be expected to wear their smocks and name tags while in the skills lab It will be the team leader’s responsibility to keep the assigned work areas clean, neat and in order. Students will be expected to respect other classmates during skills practice time Students will provide skills in a professional, safe, and polite fashion during practice time Career & Technical High School Dress Code: Wednesday is the Professional/Interview dress day at CTHS. Professional dress is: Men: Dress shirt, tie, dress slacks, and dress shoes. Women: Dress or dress blouse with dress slacks/skirt, and dress shoes. NO JEANS, TENNIS SHOES, FLIP FLOPS, HOODIES, OR COATS can be worn on Professional/Interview Dress Day. In addition to Wednesday the following dress issues are to be met on a daily basis. Headgear is not allowed. Headgear is defined as anything worn on the head or around the neck, including all kinds of hats, caps, hoods, ear phones, headbands, bandannas, and sunglasses. Clothing should be appropriate and should be neat, clean and not reveling. Examples of inappropriate dress are: bare midriffs or clothing that allows undergarments to be visible. Prohibited are the nude look, see-through blouses and revealing fashions without appropriate concealing undergarments. Any wearing of apparel that distracts from the classroom and or skills lab atmosphere will be considered inappropriate. 8 Certified Nursing Assistant Grading Policy A -90-100% B -80-89% C - 70-79% Semester credit: Employability Quizzes/Homework Terminology, critical element, vs, mt Chapter Tests Clinical Experience/Mid-term/Finals 10% 10% 10% 35% 35% * Assignments will be turned in at the start of each class. Failure to do so will result in half credit or no credit depending on the circumstance. Clinical Experience Grading Guidelines Please carefully review the areas that you will be graded on before you go to clinical so you are aware of the expectations. Professionalism - 20 pts: Remember to behave professionally whenever you are at the clinical site, whether you are on the floor working, on a break, eating lunch or in the bathroom. This means that when you arrive to the site, ensure you are ready to work! You have already eaten, your coat is removed, your hair up and/or pinned up, your smock is on, your equipment ready, and your personal items stowed in your bags. This also means you use professional speech, even if you think no one else is around. No slang or foul language should be used. No loud talking or laughing in the hallways. Always speak respectfully about patients and co-workers and students Patient care completed thoroughly and safety - 20 pts: Ensure that you complete all tasks that are assigned (this means not forgetting oral care or cath care, etc). Maintain patient safety at all times (reporting abnormals promptly, ensuring call lights are in place, bed rails up and following instructors completely, clarifying the instructor if her instructions conflict with staff instructions, etc.). Confidentiality and privacy -20 pts: Maintain patient confidentiality at all times. Speak quietly in the hallways when reporting so other patients and family members can’t hear, use room numbers when possible rather than names, don’t give report to RN’s in other patient rooms. Preserve privacy by using curtains and closing doors, etc. Infection control and body mechanics – 20 pts: Always use standard precautions, and any special precautions if ordered. Use good hand-washing and hand hygiene. Remember to protect your back by bending your knees and keeping your back straight when lifting. Don’t work over side rails. Raise the bed to give proper care. Team effort/self-direction/reporting to RN – 20 pts: Complete assigned tasks without instructor reminders, follow the directions on supplied handouts, be a self-starter: find things to do if your assigned care tasks are done, and help each other complete tasks. Complete all charting in a timely manner. 9 STANDARD PUNCTUALITY Do I show up every day? PUNCTUALITY Do I arrive on time? PUNCTUALITY Do I meet deadlines? Do I stay on task during work hours? PRODUCTIVITY PREPAREDNESS INITIATIVE ACCURACY RESPECT INTEGRITY Do I arrive ready to start working? Do I work willingly and share my ideas and skills? Is my work of good quality? Do I work well with supervisors/ colleagues? Am I honest? Deficient Developing Proficient Exemplary I attended 0 to 4 days this week and did not bring a parent-signed note. I was late to a class more than once this week. I attended school 4 full days this week and brought an excuse note. I did not miss any classes this week. I was late to a class one time this week. I attended more than 4 days this week and did my best to make up the lessons. I was on time to class every day. This week, I had two or more late assignments. I accomplished little in class this week. I did not stay on task for most of the work time. I was missing materials for class more than once this week. I did not share my lesson ideas in class and contributed little to partner activities. I was late with one assignment this week. I made some progress but did not do a good job on some tasks because I wasted some class time. All of my work was turned in on time. I used my work time efficiently and did a good job on all of my assignments. I turned in some work early. I produced one or more exceptional products this week. I arrived at class without some needed materials once this week. I had all of my materials for every class this week. I brought extra materials just in case… I shared a few ideas and helped in partner activities, but not as much as other students. I participated in all class activities and did my full share of the work. I gave extra help to others or shared new ideas for better methods or products. Many of my assignments are messy, missing or have poor quality. One or more of my assignments is of poor quality, or I scored less than 80%. My work is neat and complete. I got at least 80% on all scored assignments. I interfered with others’ learning, safety or well being several times this week. I interfered with others’ learning, safety or well being once or twice this week. I worked well with my supervisors and colleagues all week. I produced very well organized work and/or scored 90% or better on some. I gave extra assistance and courtesy to my coworkers. I copied someone else’s work and turned it in as my own, or I lied about my work-related activities. I did not intervene when I knew that a coworker was cheating, but my own work was honest. I have done my own work and have been truthful about all work activities. I have shown integrity by leading other students to value honesty. Employability Standards 10 I arrived early to some classes. Clinical Experience Guidelines for Students Congratulations!! You are now preparing for the clinical portion of the CNA class!! This is a very exciting time as you will be practicing all the skills and techniques you have learned. One word of caution: please remember the seriousness of this endeavor. You will be assigned the care of real patients and residents. In some cases you will have the support of a staff CNA throughout the experience, and in other cases you will only have the support of the instructor. Please take this responsibility seriously and ensure you have the required knowledge and are taking the proper actions at all times! Remember that the instructors of this course can at any time suspend you from completing this course if it is felt that you do not have proper knowledge and ethical behavior to safely take care of these patients/residents. During clinical rotation bring only money, food needed for that day. No purses, IPODs, cell phones are allowed in the work site. Clinical Dress code: Non-negotiable and the same for ALL clinical days. Each piece is required: White scrub uniform, top and bottom pieces. You may wear a white T-shirt or long-sleeved shirt under the scrub top for warmth if necessary, MUST BE WHITE. Burgundy smock—will be issued in class. White shoes—must be at least 75% white and CLEAN! If clog type, should have a back and without holes in them. Must not be canvas. Name tag- will be furnished White, beige, or flesh colored nylons or white/black leggings. Knee highs are not adequate. Ensure uniform is freshly laundered for each clinical day. Do not wash the smock with the whites as it may bleed. Watch with a second hand. A black pen Appearance: Hair must be out of your face and off your collar. Tendrils must be contained so you are not touching your hair while providing care. Short hair may have to be pinned out of your face. Men will either be clean shaven or have a trimmed beard. Hair color must be natural and professional. Nails must be natural and short. No artificial nails or tips allowed. You may wear clear or pastel polish, but it must not be chipped. Makeup should be professional and not too heavy. Absolutely no perfume and avoid heavily scented lotions and hairsprays. No jewelry except one small set of stud sized earrings. No necklaces, rings, or bracelets. No facial piercings –please take them out for the clinical day. Tongue piercings must have a clear post only—a clear ball is not allowed. 11 Locations: Palmer Veterans and Pioneers Home 250 E. Fireweed, Palmer, AK either the 0600-1400 or 1400 - 2200 shift You will be assigned to work with a staff CNA for the entire shift. This means they will be there to show you the resident’s routine and help you with care, but you will be providing the majority of care. Do not park in the driveway – park in the back. Wait in the front large waiting area until the instructor arrives. We will take 30-45 min for lunch/dinner after the residents eat. Ensure you return from your break in a timely manner or have points deducted. You will also receive two other 15 minute breaks according to your staff CNA schedule. On evening shift we will do final bed check and rounds about 2130 and will be offshift around 2200. Providence Extended Care: Shift times will be arranged during the semester as directed by the facility. You will be assigned to work with a staff CNA for the entire shift. This means they will be there to show you the resident’s routine and help you with care, but you will be providing the majority of care. Providence Extended Care is located in Anchorage. Bus transport is the only transportation available to the site, exceptions other than bus transportation pick up must be pre-arranged and approved. Bring your own lunch. For this clinical, you will take breaks at the same time as your assigned CNA. Nor are we responsible for stolen items. FOR ALL CLINICAL SITES: When you arrive to the site, ensure you are ready to work! You have already eaten, your coat is removed, your hair up and/or pinned up, your smock is on, your equipment ready, and your personal items stowed in your bags before the assigned start time. 12 Criminal Background Checks General Information and Purpose The institutions where students perform their clinical experiences are required by state statute to utilize the State of Alaska Department of Health and Social Services Background Check Program for all individuals working on site, including students. In the interest of patient safety, this background check must occur for students to participate in the clinical experiences. The State of Alaska has a list of barrier crimes that may impact a student’s ability to obtain certified nursing assist license. The Alaska State Background Check Program completes the following checks: Alaska Public Safety Information Alaska State Sex Offender Registry Network Certified Nurse Aide Registry Alaska Court System National Sex Offender Registry Juvenile Offender Management Office of the Inspector General Information General Serviced Administration (GSA) Excluded Parties List System Centralized Registry for Employee Misconduct The actual application process and finger prints will be started in class. Actual dates will be announced. 13 Documentation of Health Status Students who will be eligible for the clinical rotation are required to provide documentation of haing met the following health requirements before the first clinical experience. 1. Mumps, Rubeola & Rubella immunity must be demonstrated by TITER OR documentation of the MMR two-shot immunization series. 2. Immunity to chicken pox: immunity must be demonstrated by TITER OR documentation of the varicella two-shot immunization series. 3. Immunization against Tdap (Tetanus, Diphtheria, Pertussis) 4. Documentation of freedom from active tuberculosis: demonstrated by initial negative 2-step PPD. If a student has a positive reaction to the PPD, student must have a chest x-ray and provide written results of the chest x-ray and a statement from their health care provider stating they are free from contagious and communicable disease. 5. Hepatitis B: Provide proof of series of three Hepatitis B vaccines In the event that the student has a positive reaction to the PPD, they must have a chest xray and provide written results of the chest x-ray before being allowed to participate in clinicals. They must also present a statement from their physician stating they are free from contagious and communicable disease. If the results of the chest x-ray are positive, that student will not be allowed to attend clinical until they are released, in writing, by their health care provider. An additional, a hand-out will be given to the student in order to obtain adequate documentation of immunizations in order to be compliant with industry standards and the program. The cost of getting immunizations current is not paid for by the school district. 14 MATANUSKA-SUSITNA BOROUGH SCHOOL DISTRICT STANDARD APPEARANCE RELEASE - MINOR Student Name: Project: C.N.A Class Anticipated Publish Date: ______ In the class room___ Parent or guardian hereby authorizes the Mat-Su Borough School District to use, in whole or part, Minor's name, likeness, image, voice, biography, interview and performance in connection with the Project, in all manner and media, as MSBSD shall determine in its sole discretion. MSBSD shall own all right, title and interest to the Project, to be used and distributed without limitation. I represent that I am a parent or guardian of the Minor and I hereby agree that we shall both be bound thereby. Parent or Guardian's Name: Address: City/State/Zip: Telephone: In connection with Minor's participation in the Project, MSBSD may receive requests from the media or press for Minor's contact information (name, address, and telephone number). By your signature below, you hereby authorize MSBSD to release Minor's contact information to such media. Parent or Guardian's Signature: Date: 15 Program Acceptance of Responsibilities Agreement I have read, understood and will comply with the C.N.A. program as presented in the student handbook and syllabus. According to our National Nurse Aide skills evaluation booklet, our program will be performing a modified bed bath consisting of bathing the: face, one arm, hand, and underarm of a fellow student. By signing below you consent to this skill being performed by your child. The students will be instructed to wear a tank top for this skill. Student Name: Student Signature: Date: Parent Name: Date: Parent Signature: __________ 16