Certified Nursing Assistant

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Certified Nursing Assistant

The Mingus Union High School Certified Nursing Assistant [CNA] program including Camp Verde and Sedona Red Rock High School is offered with limited enrollment each semester. This course will prepare the student for employment in:

• A long term care facility • Assisted living

• Home care

• Acute care hospital

Classroom instruction includes but is not limited to: • Introduction to healthcare and medical terminology • Basic nursing skills

• Understanding body structure and function

• Understanding and working with infection control standards • Cardio Pulmonary Resuscitation [CPR] certification

• The job seeking process and much more

Emphasis is on the students’ personal qualities, knowledge and skills needed by a nursing assistant to give quality nursing care under the supervision of a registered nurse. Students learn to provide and meet the patient's physical and psychological needs and promote a spirit of restoration and

independence in a safe, efficient and competent manner.

Students participate in clinical skill training under the supervision of the instructor in both the skills lab and in the clinical healthcare setting.

The course includes a minimum of:

• 160 hours [minimum] of theory and lab practice

• 40 hours [minimum] of clinical training at a long term care facility and acute care hospital Once the student has met the above criteria and tested with a grade of 75% or greater, they are eligible to apply for the certification exam to become certified nursing assistants. The information required in the application to test for the Arizona State Board of Nursing to become CNA’s are:

• Certificate of Completion [provided by the instructor]

• Finger print card for criminal background check which checks for felony convictions. Note, a felony must be discharged for a period of 5 years prior to certification [fingerprinting is done during class time and requires a social security number]

• Proof of legal residency

• Application for certification as a CNA to the Arizona Board of Nursing • Application to test [fee’s paid by VACTE]

This class meets at Verde Valley Medical Center from 7:00 am till 10:00 am. Personal transportation is required.

The Arizona State Board of Nursing has approved this program

.

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Each student applying to the Certified Nursing Assistant [CNA] program must complete an application packet and submit the following:

• Application form

• A letter or essay describing why the CNA program would benefit the student • Summary of previous semesters grades and attendance – assistance by counselor • Obtain recommendations from 3 teachers, administrators and/or counselors

• Current up-to-date immunizations including MMR, Tdap, Hep B, Varicella [History of Chicken pox or immunization] – Your school should have this information on file – please request a copy from counselor and submit

• Must be 16 years of age or older – Seniors are preferred

• Score of 705 or higher on AIMS reading – Your counselor will have copy – please submit. [If your AIMS reading score is less than 705, you may take the Compass reading test at Yavapai College – your counselor or CNA instructor will assist with this process as needed]. All students are considered for the CNA program. In the event of greater than 12 applying per semester, the instructor could interview students to determine the most appropriate students for the program. Interviews will be done only to determine the best suited student / applicant.

Application Packet Instructions: Please

Please

_{complete the packet per the following:}

1. Make sure your name, date and grade level are on the application. Please fill out every page and every blank! Please indicate preferred semester.

2. Please read the application and questions carefully and answer completely.

3. Request letters of recommendation from three teachers or administrators. Use the forms provided identifying the teacher and the class they taught that you are requesting a reference from and sign and date each form

4. YOU must write in the teachers’ name – legibly!

5. Return the application, your essay, grade summary, immunization documentation and AIMS reading score to Mingus Union High School office and request it is placed in Mrs. Cooper’s mailbox. Sedona and Camp Verde – your counselor or front office staff will assist by mailing but please specify “Attention Mrs. Cooper” on envelope.

6. Please turn in your packet only when it is completed.

You will be notified

if

an interview with the instructor is requested.

You will be notified by the CNA Instructor when you are accepted into the program.

CNA is a DUAL ENROLLMENT class! Each student will be enrolled at Yavapai College at the beginning of the semester with Instructor assistance. Upon successful completion of the

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Certified Nursing Assistant Program Application

School Year: 2013-2014

AFTER ENROLLING IN THE CNA PROGRAM WITH YOUR

COUNSELOR – PROCEED COMPLETING THE PACKET

Student: _ Email: _

Address: __________________________ Phone

[Prefer your cell]

: __________________

City: ______ Zip:

Semester Preferred: 1

st

____________________

2

nd

____________________

Academic Preparation:

List all of the SCIENCE classes you have taken:

• ________________________ Term/Year: ________Semester grade: ___________ • ________________________ Term/Year: ________Semester grade: ___________ • ________________________ Term/Year: ________Semester grade: ___________ • ________________________ Term/Year: ________Semester grade: ___________ • ________________________ Term/Year: ________Semester grade: ___________ • ________________________ Term/Year: ________Semester grade: ___________ List all of the MATHEMATICS classes you have taken:

• ________________________ Term/Year: ________Semester grade: ___________ • ________________________ Term/Year: ________Semester grade: ___________ • ________________________ Term/Year: ________Semester grade: ___________ • ________________________ Term/Year: ________Semester grade: ___________ • ________________________ Term/Year: ________Semester grade: ___________ • ________________________ Term/Year: ________Semester grade: ___________

Activities/Interests:

List high school, community service, volunteer, and/or religious activities

in which you are involved. Indicate how many years. Include leadership roles, clubs and any special achievements of honors. Use back if more space is needed.

• _________________________________________________________________________ • _________________________________________________________________________ • _________________________________________________________________________ • _________________________________________________________________________ • _________________________________________________________________________ • _________________________________________________________________________ • _________________________________________________________________________ • _________________________________________________________________________ • _________________________________________________________________________ • _________________________________________________________________________ • _________________________________________________________________________ • _________________________________________________________________________ • _________________________________________________________________________

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Certified Nursing Assistant Program Application

Year: 2013-2014

Name (

Please Print

): ___________________ Current Grade: _

Your Essay: You may write on this paper or type your comments and staple them to this page.

1. First paragraph: Describe what interests you most about the healthcare field. Discuss the careers that are most interesting to you.

2. Second paragraph: Explain how your enrollment in the C.N.A. Program will benefit you. What are you hoping to gain from successfully completing this course?

________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________

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CERTIFIED NURSING ASSISTANT [CNA] PROGRAM:

LETTER OF RECOMMENDATION

YEAR: 2013-2014

Student – please fill out all pertinent information including teacher’s name, class, your signature and date – then forward or deliver to the teacher or administrator you are requesting a recommendation from.

Student Name (printed):

_____________________________

Grade:

___________

Recommendation Sent to:

M

r./Mrs./Ms.

______________________

Class

:___________

_____________________________________________________ ____________________

Student’s Signature Date

Teachers: Please take a few minutes to complete the following letter of recommendation for this

student applying for the CNA Program. The student signing above understands that this information is confidential and waives any right to viewing or requesting this information.

The following characteristics are required in health occupations. Please rate this student in the following areas: 4 – excellent 3 – good 2 – satisfactory 1 – unsatisfactory

ATTITUDE 4 3 2 1 unsure SENSITIVITY TO OTHERS 4 3 2 1 unsure RELIABILITY 4 3 2 1 unsure WILLILNGNESS TO LEARN 4 3 2 1 unsure INITIATIVE 4 3 2 1 unsure ACCEPTANCE OF CRITICISM 4 3 2 1 unsure ASSIGNMENTS COMPLETED ON TIME 4 3 2 1 unsure # late or missing _____________________

COMMUNICATION SKILLS-VERBAL 4 3 2 1 unsure COMMUNICTION SKILLS-WRITTEN 4 3 2 1 unsure COOPERATION IN GROUPS 4 3 2 1 unsure ABSENCES to date: _________________ ___________________

TARDINESS to date: ________________ Date

GRADES to date: ___________________ ____________________________________ Instructor’s Signature

RECOMMENDATION TO PROGRAM OVERALL:

_____ Recommended with enthusiasm _____ Recommended _____ Not recommended

COMMENTS:

School Staff: Thank you for your assistance with this students’ application. Please return as soon as complete to Kay Cooper’s mailbox at MUHS or return to CVHS or SRRHS counselor/front office staff and they will forward. Thank You.

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CERTIFIED NURSING ASSISTANT [CNA] PROGRAM:

LETTER OF RECOMMENDATION

YEAR: 2013-2014

_____________________________

Grade:

___________

M

r./Mrs./Ms.

______________________

Class

:___________

_____________________________________________________ ____________________

COMMENTS:

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CERTIFIED NURSING ASSISTANT [CNA] PROGRAM:

LETTER OF RECOMMENDATION

YEAR: 2013-2014

_____________________________

Grade:

___________

M

r./Mrs./Ms.

______________________

Class

:___________

_____________________________________________________ ____________________

COMMENTS:

Certified Nursing Assistant

Certified Nursing Assistant

Certified Nursing Assistant

Certified Nursing Assistant

Certified Nursing Assistant

The Arizona State Board of Nursing has approved this program

The Arizona State Board of Nursing has approved this program

The Arizona State Board of Nursing has approved this program

The Arizona State Board of Nursing has approved this program

Application Packet Instructions: Please

Please

Please

Please

complete the packet per the following:

if

Certified Nursing Assistant Program Application

School Year: 2013-2014

AFTER ENROLLING IN THE CNA PROGRAM WITH YOUR

COUNSELOR – PROCEED COMPLETING THE PACKET

Student: ___________________________ Email: ___________________________

Address: __________________________ Phone

: __________________

City: ________________________________ Zip: __________________________

Semester Preferred: 1

____________________

2

____________________

Academic Preparation:

Activities/Interests:

Certified Nursing Assistant Program Application

Year: 2013-2014

Name (

): ___________________________ Current Grade: _________

CERTIFIED NURSING ASSISTANT [CNA] PROGRAM:

LETTER OF RECOMMENDATION

YEAR: 2013-2014

_____________________________

___________

M

______________________

:___________

CERTIFIED NURSING ASSISTANT [CNA] PROGRAM:

LETTER OF RECOMMENDATION

YEAR: 2013-2014

_____________________________

___________

M

______________________

:___________

CERTIFIED NURSING ASSISTANT [CNA] PROGRAM:

LETTER OF RECOMMENDATION

YEAR: 2013-2014

_____________________________

___________

M

______________________

:___________

_{complete the packet per the following:}

Student: _ Email: _

City: ______ Zip:

): ___________________ Current Grade: _