clinical clearance packet nursing assistant, phlebotomy ......mar 01, 2019 · a basic college...

Allied Healthcare Program

Updated 03/01/2019SF

Clinical Clearance Packet

Nursing Assistant, Phlebotomy Tech, Electrocardiography Tech, Patient Care Tech, and Medical Assistant

Welcome, Thank you for your interest in the Allied Healthcare Program. The majority of the Allied Healthcare courses at NMSU-DACC have a clinical component. This allows students the opportunity to demonstrate the skills they have learned in class with real live patients/residents in a medical facility. To participate in these opportunities, NMSU-DACC students must meet strict health and safety standards regulated by the New Mexico Department of Health’s Health Facility Licensing and Certification (HFL&C) Bureau, the U.S. Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS), and the Centers for Disease Control and Prevention (CDC). COURSE PRE-REQUISITES: At least 18 years of age for clinical courses, NA 105, NA 109, NA 110, NA 205, NA 214 Communication: Health care professionals must document patient care provided in the patient’s chart. The patient’s chart is considered a legal document that is admissible in a court of law therefore students must be able to:

1) Communicate effectively in English, using verbal, non-verbal, and written formats; 2) Read and interpret the English language with-out assistance.

Students will need to be able to communicate with not only patients but various members of the medical staff such as Physicians, Nurses, Therapists, Dietitians, and other health care members. Students will also be required to document the care given to patients in English in the medical chart. Many people in our community speak Spanish, and so it is an enormous benefit to our community for students to also be able to communicate in Spanish. Students that do not speak Spanish are strongly encouraged to take AHS 250 Spanish for Healthcare Providers.



Registration Checklist:

1. Accuplacer of score of 75-120, ACT English 16-24, SAT Writing and Language 23-31, or completion CCDE 110N with at least a C or ENGL 111G with a C or better. The Accuplacer test is free to students. To register for the test go to: http://dacc.nmsu.edu/testing/accuplacer-assessment/

2. A basic college level Anatomy And Physiology course is required for Nursing Assistant

Phlebotomy, EKG/ECG, Patient Care Tech, and Medical Assistant.

BIOL 154 or Equivalent is required (BIOL 225 & 226) Health Checklist: To keep patients safe and protect them from injury or exposure to disease please provide the following documentation.

3. Categories of Essential Functions In order to participate in the Allied Healthcare Program, the student must be capable of performing the following:

Observation: 1) Visually discriminate incremental readings on various medical equipment; 2) Visually discriminate between different colored objects; 3) Discriminate between various auditory stimuli. Motor: 1) Stand for long periods of time; 2) Lift/carry at least 50 lbs; 3) Perform patient-care procedures with finger and manual dexterity. Intellectual: Collect, interpret, and integrate information.

If you have a disability that needs accommodation to perform these functions, you are encouraged to contact: DACC Student Accessibility Services (SAS), section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act Amendments Act (ADAAA) covers issues relating to disability and accommodations. Students who have questions or need an accommodation in the classroom, lab or clinical sites (all medical information is treated confidentially), should contact the SAS office: DACC Student Accessibility Services (SAS) Central Campus — DAMA 117, or East Mesa Campus — DASR 101B Phone: (575) 527-7548 Email: [email protected] Website: https://dacc.nmsu.edu/ssd/ Those living in southern Doña Ana County may obtain additional information by contacting the student services specialists at the Gadsden Center, (575) 882-6809, or the Sunland Park Center, (575) 874-7787.

Provide proof of injections (shots) OR positive blood levels (titer)

4. (2) MMR measles, mumps, rubella doses OR Rubella and Rubeola titers

5. (2) Varicella doses OR titer if you have had chicken pox.

http://dacc.nmsu.edu/testing/accuplacer-assessment/

mailto:[email protected]

https://dacc.nmsu.edu/sas/



6. (1) Dose Tetanus Diphtheria and Pertussis (Tdap), within the last 9 years

(Cannot expire during the semester)

7. (3) Hepatitis B doses OR titer if you have had the shots in the past but cannot find documentation of shots.

8. Annual Flu shot after August 15 of each year. (not needed for summer semester)

9. A Tuberculosis (TB) test is required annually. A TB test must be current thorough the end of semester in which the student is applying. If the TB test is reactive (positive) the student must obtain a chest X-Ray to verify that the student does not have an active case of tuberculosis. A negative chest X-ray and yearly documentation of negative physical signs and symptoms of tuberculosis is required for any reactive TB skin test.

10. 7 Panel Drug Screen annually. Please do drug screens through castlebranch using

package code: DF23dt the cost is $37.00. The results will be posted directly to your castlebranch account. Students with positive drug screenings will not be admitted to clinical or co-requisite courses.

11. BLS for Health Care Providers: AMERICAN HEART ASSOCIATION BASIC LIFE

SUPPORT FOR HEALTHCARE PROVIDERS ONLY no other CPR will be accepted. Cannot expire during the semester in which you will be attending clinical.

12. Personal Health Insurance to cover cost of medical treatments for accidents that may

occur in the Laboratory or Clinical Courses.

13. Submit by uploading all documents online to CastleBranch a medical document management service at https://mycb.castlebranch.com/ There is a fee for annual management of documents

• $20.00 code: (DF23annual) 1 year • Or for unlimited use code: (DF23) for $35.00. • Once all the documents are uploaded email the Data/Records Coordinator for the

Health Science Division ([email protected]) to request for documents to be reviewed and the clinical course to be opened for registration.

14. Caregiver Criminal History Screening Application. This will be done at the time of

registration. Please complete everything else in the packet first. • Cost for Background screening is $73.30. • Please bring a credit card or a cashier’s check to pay for the background check and

fingerprints. • Past felony convictions may prevent a student from being admitted,

completing the program, and gaining employment in the field.

15. Go get fingerprints done and return within 24-48 hours.

https://mycb.castlebranch.com/



Contact Information: Advising at the Espina Campus for pre-health majors: Muhieldin Dupass CTE Academic Advisor 528-7084 [email protected] DASH 115B

Marty Brooks Academic Advisor 527-7683 [email protected] DASH 115E

Audria Lujan Academic Advisor 528-7249 [email protected] DAHL 191B

Clinical documents and background checks:

Nicole Smith Data/Records Coordinator 528-7322 [email protected] DAHL 190D

Program Faculty:

Sheila Fetherlin Program Director 527-7674 [email protected] DAHL 191U

Laura Jarry Clinical Coordinator 528-7217 [email protected] DAHL 191V

Patricia Senter Instructor 528-7093 [email protected] DAHL 191W

Sharon Lashley Instructor 528-7027 [email protected] DAHL 191X











Allied Healthcare Program Student Practice Standards

Minimum abilities expected include but are not limited to:

The following technical standards and essential functions outline reasonable expectations of a student in the Allied Healthcare for the performance of common healthcare provider functions. The student must be able to apply the knowledge and skills necessary to function in a variety of classroom, lab and/or clinical situations while providing the essential competencies of the Allied Healthcare program.

The student must be able to meet the following requirements to apply for admission and continuation in the program:

Categories of Essential Functions

Definition Example of Technical Standard

Observation Ability to participate actively in all demonstrations, laboratory exercise, and clinical experiences to observe, care for, and perform duties as assigned by instructor or preceptor. Such observation and information usually requires functional use of visual, auditory, and somatic sensations.

• Visually discriminating incremental readings on sphygmomanometers (BP), thermometers, and other various medical equipment.

• Visually discriminating between different colored objects or fluids.

• Discriminating between auditory stimuli.

Communication Ability to communicate effectively in English using verbal, non-verbal and written formats with faculty, other students, clients, families and all members of the healthcare team.

Ability to read English and interpret without assistance.

• Patient communication • End of shift reports • Documentation in legal records/

charts • Collaborates with members of

healthcare team • Read and interpret patient’s plan

of care developed by the Nurse or MD.

Motor Sufficient motor ability to execute the movement and skills required for safe and effective care and emergency treatment.

• Standing for long periods of time (8-10 hrs/day)

• Lifting a minimum of 50 lbs. realizing that patients weigh much more than this and will need assistance to the floor if fainting or falling.

• Performing one person and two person transfers

• Turning, log rolling and ambulating another person

• Manipulating equipment • Performing patient care

procedures with finger and manual dexterity (i.e., removing IVs, injections, phlebotomy, dressing changes, catheterization)

Intellectual Ability to collect, interpret and integrate information and make decisions.

• Read and interpret the patient’s plan of care provided by the Nurse or MD.



Categories of Essential Functions

Definition Example of Technical Standard

Ability to read and interpret the English language without assistance.

• Display critical thinking abilities in providing, reporting, and prioritizing patient care.

Behavioral and Social Attributes

• Possess the emotional health and stability required for full utilization of the student’s intellectual abilities, the exercise of good judgment, the prompt completion of all academic and patient care responsibilities and the development of mature, sensitive, and effective relationships with clients and other members of the health care team.

• Possess the ability to tolerate taxing workloads, function effectively under stress, adapt to changing environments, display flexibility, and learn to function in the face of uncertainties inherent in clinical settings with patients.

• Possess compassion, integrity, concern for others, and motivation.

• Possess the ability to demonstrate professional behaviors and a strong work ethic.

• Utilize intellectual abilities • Exercise good judgment and

complete tasks within required time limits

• Demonstrate the emotional health required for full utilization of intellectual abilities and exercise of good judgment to prevent patient harm.

• Show integrity (doing the right thing when no one is watching), honesty, and concern for others, interpersonal skills, interest and motivation.

In general, successful applicants possess qualities such as:

• Interest and aptitude for math and science • A strong motivation to learn • Well-developed study skills • Good problem-solving and decision-making skills • An ability to work with people with diverse backgrounds

It is the desire of the program to provide a safe environment for students and the patients that we serve. Students are expected to notify their instructor or program director immediately if their ability to perform the technical standards and essential functions required for the course changes. A release from a primary healthcare provider may be required to continue in courses. If a release cannot be provided students that have a passing grade may be eligible for an “Incomplete” to extend recovery time for when a release can be obtained. Student Signature Date



Please complete this form and submit to the Data Records Coordinator for the background check. Student information required for Caregiver Criminal History Screening. Please Print Clearly:

Person To Notify In Case Of Emergency: Full Name Relationship Address- Number & Street

City State Zip

Primary Phone Secondary Phone

Confidentiality & Permission Statement All information provided will be kept confidential and is intended solely to ensure that the student can participate in all required activities of the Patient Care Technician Program (PCT). I give my permission for HCA Faculty, Health Agencies, and the Department of Health Improvement Caregiver Criminal History Program as needed for clearance to attend clinical or internships for the HCA courses. The Patient Care Technician Program reserves the right to request additional information if deemed necessary. Student Name (Print)____________________Signature:___________________________________Date: ______

Name on application MUST match the government issued ID for fingerprinting. If spelling does not match you will be required to restart the process.

Last Name Maiden First Name Middle Name Alias/Other Names you have gone by:

Physical Address Street City State Zip County

Mailing Address Street/PO Box City State Zip County

Date of Birth Banner # Primary Phone #: NMSU E-mail

Secondary Phone #: Other E-mail

List the states that you have lived in the last 7 years include the dates resided. If you need more room please use back of form. State Dates From Dates To State Dates From Dates To State Dates From Dates To

Driver’s License Information State Issued In: License Number: Expiration Date:



IMMUNIZATION INFORMATION

Name: Date of Birth

Physician or Approved Licensed Health Professional Information:

Printed Name must be legible: Address: Phone Number: Signature of Primary Care Provider**: Date:

** Validates all information above.

MEASLES (RUBEOLA), MUMPS, RUBELLA: A. Two doses of measles vaccine at least 30 days apart

OR

Date #1 ____________ Date #2 ___________ (mm/dd/yy) (mm/dd/yy)

B. TITER SEROLOGIC test positive for Measles (Rubeola), Mumps, Rubella antibody.

Date Drawn: _____________(mm/dd/yy) Results: Measles: _____________ Mumps: ______________ Rubella: ______________

HEPATITIS B: A. Three doses of vaccine administered over a period of 4-6

months. Initial vaccine followed by 1 at 4-6 months vaccines respectively

OR

Date #1:__________________________ (mm/dd/yy)

Date #2:_________________________ (mm/dd/yy)

Date #3:_________________________ (mm/dd/yy)

B. TITER Serologic test positive for Hepatitis B antibody. TITER

Date: _______________Result:_____________ (mm/dd/yy)

VARICELLA (chicken pox): A. Two doses of Varicella vaccine administered 4-8 weeks

apart OR

Date #1 Date #2 ____________ (mm/dd/yy) (mm/dd/yy)

B. TITER Serologic test positive for Varicella antibody. Date: Result: _________________ (mm/dd/yy)

Current TETANUS, DIPHTHERIA, and PERTUSSIS (Tdap): (good for 10 years) Cannot expire before end of semester.

Date: ______________________(mm/dd/yy)

TUBERCULIN SKIN TEST (TB): Required Annually for all Health Care Workers. Must be good throughout entire semester. Cannot expire during clinical course.

If the TB test is reactive (positive) the student must obtain a chest X-Ray to verify that the student does not have an active case of tuberculosis. An initial negative chest X-ray and completion of annual TB health questionnaire form is required for any reactive TB skin test.

Date Given:_________ (mm/dd/yy) Date: Read:___________(mm/dd/yy) Results:______________ Read by:_________ Date of chest x-ray:___________ (mm/dd/yy) Results:__________________________________________________ Seasonal Flu Vaccine: (mm/dd/yy) After August 15th each year when new shots become available. Cannot expire before end of semester. Not required for summer semester.



Annual TB Health Questionnaire Form

All students/employees with positive TB skin tests must complete and sign this questionnaire annually. The questions relate to signs and symptoms of Tuberculosis. Please check "yes" or "no" to each symptom.

If you check "yes" to any item, in the comment section below, describe the symptom, including when it started. Should you have questions, please contact the HCA Program at (575) 527-7674.

SYMPTOM YES NO

1. Fatigue

2. Loss of Appetite

3. Unexplained Weight Loss

4. Low Grade Fever

5. Coughing Up Blood

6. Night Sweats

7. Cough Lasting More Than Three (3) Weeks

8. Cough Combined with Fever, Chills, Sweating, and Weakness (Not Responsive to Treatment)

9. Shortness of Breath

10. Dull Aching or Tightness in Chest

COMMENTS:

_________________________________________________________________________________________________ __________________________________ _______________________________ __________________________ NAME SIGNATURE DATE



DRUG SCREEN INFORMATION Students of New Mexico State University and Doña Ana Community College are considered a valuable asset, and their health and welfare are of serious concern. The University strives to maintain a safe and productive environment free from the influence of illicit drugs and unlawful use of alcohol. As a recipient of federal funds, the University is obligated to inform all students that the unlawful possession, use, or distribution of illicit drugs and alcohol on its property or as part of any of its activities is prohibited, and is a violation of University policy. Students who violate this prohibition will be subject to appropriate disciplinary action, which may include termination of employment or expulsion from school. The health and safety of students and of patients are serious concerns of the Patient Care Technician Program. Health care work environments are safer and more effective without the presence or effect of illegal drugs, controlled substances abuse, or alcohol. Students who abuse alcohol or drugs are a danger to themselves, coworkers, patients, and health care facilities. The adverse impact of illegal drugs, controlled substances abuse, and alcohol in the workplace has been recognized by the federal government. All health care facilities are required by federal law to maintain a drug-free workplace. It is a condition of participation in clinical courses, that students be, and remain, free of illegal drugs, controlled substances abuse, and alcohol while in Patient Care Technician courses. A positive drug screen may prevent a student from completing courses/program and gaining employment in the field. Any student who has been dismissed or suspended for drug or alcohol violations and who has evidence of successful rehabilitation may petition for readmission to NMSU-DACC upon recommendation from relevant psychological or psychiatric professionals. Students who voluntarily seek treatment for drug or alcohol violations before disciplinary action, and students who are readmitted to the NMSU-DACC after rehabilitation, may be assessed and receive after-care counseling from an on-campus counseling center or be referred to an appropriate community resource. Order Instructions for Drug Screening Dona Ana Community College - Patient Care Technician

1. Go to https://mycb.castlebranch.com/ 2. In the upper right hand corner, enter the Package Code that is below.

Package code: DF23dt the cost is $37.00 About Dona Ana Community College - Patient Care Technician has partnered with CastleBranch, to provide you a secure account to manage your time sensitive school and clinical requirements. After you complete the order process and create your account, you can log in to your account to monitor your order status, view your results, respond to alerts, and complete your requirements. You will return to your account by logging into castlebranch.com and entering your username (email used during order placement) and your secure password.

Payment Information Your payment options include Visa, Mastercard, Discover, Debit, electronic check and money orders. Note: Use of electronic check or money order will delay order processing until payment is received.

Accessing Your Account

To access your account, log in using the email address you provided and the password you created during order placement. Your administrator will have their own secure portal to view your compliance status and results.

Contact Us For questions contact the Service Desk at 888-723-4263 or visit https://mycb.castlebranch.com/help for further information.

https://castlebranch.com/

https://mycb.castlebranch.com/help



CPR COURSES

BLS for Healthcare Provider

AMERICAN HEART ASSOCIATION

BASIC LIFE SUPPORT FOR HEALTHCARE PROVIDERS

Dona Ana Community College Take it for College Credit!

Contact: Ann Bellows Program Director

To register for OEEM 101 CPR BLS for the Health Care Professional 1 credit hour

Phone: (575) 527-7645 East Mesa Campus DASR 220K

Email: [email protected]

OR

Virginia Durant, Director Respiratory Program Non-Credit Course

Please Text (575) 640-5480 to sign-up for next available class.

Certification course Cost $50.00 Recertification if you already have a current card $30.00

OR

Region II Ems Inc.

125 N. Main

Las Cruces (575) 524-2167 Enroll on line at:

http://www.trainingcentertechnologies.com/Region2EMS/CourseEnrollment.aspx

Cost $60.00

Sign up for the BLS for Healthcare Provider course do not take “Heartsaver” it is the wrong course and will not be accepted


http://www.trainingcentertechnologies.com/Region2EMS/CourseEnrollment.aspx



UNIFORM POLICY

Patient Care Technician Program students are required to wear the DACC uniform for all clinical experiences. The uniform, or components thereof, including the name tag may not be worn at any time other than those for which permission has been granted.

Uniforms and accessories must be clean and neat at the beginning of each clinical experience.

Fingernails • Fingernails must be clean. • No nail polish may be worn. • Fingernails must be no longer than the finger pad or short enough that they cannot cause an injury and harbor infection. • No artificial nails

The clinical instructor will determine if an individual’s fingernails are too long. Student may need to shorten nails to an acceptable length before continuing into clinical site.

Hair

• Hair must be clean, worn neatly back from the face and off the collar in such a manner that it cannot swing around into the face or fall into a patient’s food.

• Facial hair must be short and neatly trimmed. • No do rags

Jewelry

• One small pair of studs in ears. • No bars. No hoops. Hoops can catch on patient clothing, dangle in their face, carry infection, or can be pulled out by patients. • No facial jewelry of any kind • Rings: one band type ring or a wedding set. • Consider wearing a wedding band instead of a set, as the stones in sets can be lost, harbor germs, and may tear the patient’s

skin. • A watch with second counting capability is required to count pulse and respirations and cannot require the use of your other

hand. No other jewelry should be visible. The student will be asked to remove it, if cannot be removed students will be asked to leave clinical.

Tattoos

• All visible tattoos must be covered.

Name Tags • Nametags must be worn during all clinical rotations. • Each student will be issued one nametag. Replacement cost is $5.00, even if misplaced or mutilated. • Please return all nametags to your clinical instructor at the completion of the semester.

Shoes

• Shoes must be white, clean, and in good repair • Uniform shoes are encouraged. • No sandals, open toes, open heels, or clogs

Allergies Many patients are allergic to perfumes or have difficulty breathing. Please do not wear

• perfume • scented talcum/lotions • colognes

I have received a copy of this policy and agree to be dressed as described during my clinical experiences.

Student Signature: Date:

Uniform Nursing Assistant Scrubs: Turquoise top and dark gray pant. DACC Name Tag Shoes: White, non-skid close toe and heel. Socks: white

Uniform Patient Care Tech Scrubs: Lime green top and dark gray pant. DACC Name Tag Shoes: White, non-skid close toe and heel. Socks: white

Uniform Medical Assistant Scrubs: Black top and dark gray pant. DACC Name Tag Shoes: White, non-skid close toe and heel. Socks: white

Uniform Phlebotomy Scrubs: Red top and dark gray pant. DACC Name Tag Shoes: White, non-skid close toe and heel. Socks: white

Uniform Electrocardiography Tech Scrubs: Dark purple (eggplant) top and dark gray pant. DACC Name Tag Shoes: White, non-skid close toe and heel. Socks: white



Electronic Submission of Clinical Clearance Packet

The Patient Care Technician Program has over 200 students apply for clinical courses each semester. That is a lot of paperwork! Therefore we are now requiring all documents to be uploaded on-line to a secure Medical Document Manager. The Medical Document Manager will review your records for completeness then send you an e-mail if you have successfully uploaded all the correct forms, or need additional forms. It will also notify you if one of your documents are about to expire such as your TB test or your CPR card. You can also use it when applying for a new job, or other college programs that require the same information. You just grant them permission to look at your documents. No more hunting for your records when you need them they are all stored in one place. Many other colleges are also using CastleBranch for documentation for their clinical courses as well including NMSU, UTEP, and ENMU. We have two packages for you to choose from:

1. DF23annual: This packet is $20.00 and stores your documents for one year. 2. DF23: This packet is $35.00 and stores your documents for an “unlimited” amount of time.

They are pretty quick so no need to pay addition fees for to rush or expidite the review of your documents. CastleBranch is an independent company from DACC. Please read all of their information for changes in costs, and storage terms etc.

Order Instructions for Dona Ana Community College - Patient Care Technician Program

1. Go to https://mycb.castlebranch.com/ 2. In the upper right hand corner, enter one of the Package Codes below:

• DF23annual: This packet is $20.00 and stores your documents for one year. • DF23: This packet is $35.00 and stores your documents for an “unlimited” amount of time. • DF23dt for the drug screen only the cost is $37.00

Payment Information Your payment options include Visa, Mastercard, Discover, Debit, electronic check and money orders. Note: Use of electronic check or money order will delay order processing until payment is received. Accessing Your Account To access your account, log in using the email address you provided and the password you created during order placement. Your administrator at DACC will have their own secure portal to view your compliance status and results. Contact CastleBranch For additional assistance, please contact the Service Desk at 888-723-4263 or visit https://mycb.castlebranch.com/help for further information. To Submit Documentation Under the To Do list and click on the “Browse” button, and attach your document. Click the “Add Another” to attach each additional document. Click the “Submit” button when all documents have been uploaded.

https://mycb.castlebranch.com/

https://mycb.castlebranch.com/help



IMMUNIZATIONS

Where can I find my shot record?

Check first for your immunization (shot) records with • Your parent • Your high school nurses’ office. • The county health department for the county in which you grew up. • Your family physician

Immunization records state of New Mexico Call: 800.280.1618 Web: New Mexico Statewide Immunization Information System Email: [email protected]

Where can I get the shots I need? If you cannot find your records or they are incomplete your family Physician may be able to provide you with the required injections (shots) or titers (blood levels). Some insurance companies cover the costs of immunizations and titers.

If you do not have a family physician here are just a few ideas where you can go DACC makes no recommendations.

NMSU Student Health Center – Corner of Stewart & Breland - Phone: 575-646-1512. Payment is due at time of services. Call to schedule an appointment. Take a copy of the program requirements and your shot records to the appointment. Please call for current prices on immunizations. Some insurance companies cover the costs of immunizations and titers. Please be aware that if your titer results show equivocal or negative you will be required to take the shots. Walgreens Check to see which Walgreens carries the immunization you need and schedule an appointment on line at: https://www.walgreens.com/pharmacy/immunization/immunization_index.jsp Ben Archer (575) 382-9292, 1600 Thorpe Rd, Dona Ana or (575) 541-5941, 1998 Motel Blvd, Las Cruces, north of the Field of Dreams parking lot. North Main Family Health Center (575) 525-3531 2611 N Main St La Clinica De Familia Inc LCDF - (575) 556-0200 East Mesa Medical, (575) 373-9202 8600 Bataan Memorial

http://www.immunizenm.org/


https://www.walgreens.com/pharmacy/immunization/immunization_index.jsp

http://www.cdc.gov/Other/disclaimer.html

clinical clearance packet nursing assistant, phlebotomy ......mar 01, 2019 · a basic college...

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