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Medical CNA : Certified Nurse Assistant Exam

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Test Number : CNA
Test Name : Certified Nurse Assistant
Vendor Name : Medical
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CNA test Format | CNA Course Contents | CNA Course Outline | CNA test Syllabus | CNA test Objectives


Tests/Quizzes (Totals make up 25% of your overall grade)
Chapter Tests 100 points ea.
Chapter Quizzes (if given) 25 points ea.

Major Exams (Totals make up 25% of your overall grade)
Mid-term 500 points * Must have a 75% in class to take – must score 75% on test
Skills Final 400 points
Final 500 points * Must have a 75% in class to take – must score 75% on test
Classwork/Homework (Totals make up 25% of your overall grade)
Homework 50 points/week
Skills/Lab 50 points/per skill day
Career Portfolio 100 points
Research papers 100 points
Oral presentations 100 points
Employability (Totals make up 25% of your overall grade)
Weekly class employability grade semester 1 40 pts. /day = 200 points a week)
Weekly class employability grade semester 2 40 pts. / day = 120 points a week)
Weekly clinical employability points semester 2 40 pts / day or 80 pts on Saturday

Major Exams: The Arizona State Board of Nursing has determined that all students must achieve at least 75% or better on all major examinations. In keeping with the BON standard, the EVIT standard for NA students is that students score at least 75% on all major exams as well as maintain a 75% overall class average. Students scoring less than 75% on either the Mid-term or the Final test are considered to have failed and may petition the instructor to re-take the exam. Only one re-take will be permitted. Re-takes will be administered the next school day. The re-take test will address the same competencies as the first test but with different questions. The maximum score that will be posted in the grade book for a re-take test is 75%. Students with a permanent score of less than 75% for the midterm test will be referred to the counseling department. It is the students responsibility to arrange a time with the teacher if they need to re-take a major test due to a failing grade or to make-up a major test due to an excused absence.

Successful Completion Requires:
1. Students must demonstrate 100% accuracy on all skills taught in lab/ clinical setting in order to receive “Pass” for this portion of the Program.
2. Students must maintain 100% attendance rate in class/clinical. (If student misses a class they will have to wait until that class day is offered again and it is not guaranteed it will be available in the next class)
3. All Students must complete 100% of the clinical hours
4. All Students must get at least an 80% or above on all quizzes and exams when given
5. All Financial obligations to school must be satisNied before sitting for CNA State exam or accreditation testing or before receiving a completion of Achievement CertiNicate.

Course Objectives • Communication and Interpersonal Skills • Infection Control • Safety/ Emergency procedures- including, but not limited to the Heimlich maneuver • Promoting Residents independence • Respecting residents rights • Taking and recording vitals signs • Measuring and recording height and weight • Caring for the residents environment • Caring for residents when death is imminent • Recognizing abnormal changes in body function and the importance of reporting such changes to a supervisor • Bathing • Grooming • Dressing • Toileting • Assisting with eating and hydration • Proper feeding techniques • Skin care • Transfers, positioning and turning • Modifying aides behavior in response to residents behavior • Identifying development tasks associated with aging process • How to respond to residents behavior • Allowing the residents to make personal choices • Identifying psychiatric disorders • Techniques for addressing the unique needs and behaviors of individuals with dementia • Communicating with cognitively impaired residents • Understanding the behavior of cognitively impaired residents • Appropriate responses to behavior of cognitively impaired residents • Methods of reducing the effects of cognitive impairments • Training the residents in self care according to the residents abilities • Use of assistive devices in transferring, ambulation, eating & dressing • Maintaining range of motion • Proper turning and positioning in bed and chair • Bowel and Bladder training • Care and use of prosthetic and orthotic devices • Providing privacy and maintenance of conNidentiality • Promoting the residents right to make personal choices to accommodate their needs • Giving assistance in resolving grievances and disputes • Providing needed assistance in getting to and participating in resident and family groups and other activities • Maintaining care and security of residents personal possessions • Promoting the residents right to be free from abuse, mistreatment and neglect, and the need to report any such instance to appropriate facility staff • Avoiding the need for restraints in accordance with current professional standards



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Medical Nurse study tips

POLST useful within the Nursing Facility surroundings, analyze Finds | CNA test Braindumps and test Cram

Nursing facilities that use medical professional Orders for life-Sustaining treatment (POLST) types obtain a much better stage of concordance between orders within the medical listing and resident preferences than amenities that do not use the kinds, a contemporary analyze suggests.

POLST types can be found across the nation. in comparison to dwelling wills and sturdy vigour of lawyer files, POLST forms had been linked with drastically better decreased odds of resuscitation attempts in the field and elevated odds of out-of-sanatorium demise for patients with "comfort measures most effective" directives.

The contemporary analyze, which was posted with the aid of the Journal of conventional inside medication, is in response to counsel gathered from 40 nursing facilities in Indiana. POLST changed into utilized in 29 of the nursing amenities and became not utilized in eleven amenities.

The analysis article includes two key findings:

  • At nursing facilities the use of POLST, concordance between orders within the clinical record and residents' preferences changed into fifty nine.3%. At nursing facilities that didn't use POLST, concordance became 34.9%. 
  • When compared to nursing facility residents devoid of POLST, residents with POLST have been three.05 times more more likely to have orders for all times-sustaining treatment healthy their latest care preferences.
  • POLST fundamentals

    The lead writer of the research article advised HealthLeaders that POLST is a medical form this is used to document care preferences as orders, together with orders about cardiopulmonary resuscitation, medical interventions, and synthetic foodstuff.

    "The choices that are most emergency-oriented are the orders for CPR and selections round intubation, which is an intervention that's used when a person is having problem respiration and frequently leads to using a ventilator. So, it is essential that preferences about these interventions be accepted in strengthen as a result of there's hardly ever time in the moment to bear in mind what a resident wishes," stated Susan Hickman, PhD, director of the Indiana tuition core for aging analysis at Regenstrief Institute in Indianapolis.

    POLST is a helpful care device because it may also be followed by way of scientific personnel each within a nursing facility and outside of the facility, she observed. for instance, a copy of a resident's POLST kind is constantly covered within the packet of substances that accompany a resident if she or he is taken to an acute care sanatorium.

    "Emergency scientific functions play a vital part during this manner as a result of they're a hyperlink between settings. So, if a resident begins to journey a clinical emergency, EMS might be referred to as to transport the resident to a health center, and EMS is a crucial part of the procedure to make certain a resident's preferences are honored. When the resident arrives at a hospital, the POLST orders are crucial when it comes to making choices about what care should be given in that environment," Hickman spoke of.

    Nursing amenities use a couple of strategies to be sure that POLST care preferences are honored, she mentioned.

  • Nursing facilities that use digital medical records typically have code fame on the face web page of the scientific list 
  • Code reputation is frequently communicated with a coloured sticker on a resident's door or chart in their room 
  • besides having a POLST form scanned into the scientific checklist, some nursing facilities have a binder for each patient with a replica of the POLST kind in it
  • In nursing amenities, POLST has taken on heightened significance all over the coronavirus pandemic, Hickman said. "Nursing domestic residents and team of workers were hard hit with the aid of COVID-19. For residents, this potential that they are a good deal greater prone to imminently face decisions about hospitalization, ventilatory help, and cardiopulmonary resuscitation. choices that have been made previously may additionally range in the context of the pandemic."

    Rising to POLST challenges

    The fresh research article and prior stories have found that two of the basic challenges of working with POLST in nursing amenities are staff difficulties with figuring out and explaining the form as well as lack of time to have the POLST conversation.

    These difficulties reflect both practising gaps in addition to superior care planning often being an afterthought rather than being described as a part of staff contributors' roles, Hickman pointed out.

    "Nursing domestic amenities and corporations can address these difficulties by means of creating policies and methods that help advanced care planning in addition to recognizing that advanced care planning is part of body of workers members' jobs. This may additionally sound glaring, but it is regularly not. advanced care planning is often brought on without any clear responsibility or goals. There should be guidelines for how regularly staff contributors focus on advanced care planning with residents and the way group of workers members share what they gain knowledge of," she pointed out.

    staff schooling and practicing is critical, Hickman said. "training needs to be supplied on a daily foundation—not only for the staff individuals keeping the POLST conversations however additionally for everyone within the facility. advanced care planning is a crew recreation—everybody has a job in honoring resident preferences."

    moreover, nursing facilities robotically interact in pleasant growth activities, and superior care planning needs to develop into a spotlight of exceptional development initiatives on a regular foundation, she spoke of.

    while acknowledging nursing amenities are "extremely busy areas," Hickman talked about time spent managing POLST types is time smartly spent.

    "one of the crucial issues they right here from staff is that when a facility invests the time upfront to have superior care planning conversations, it helps shop time and power in the long run. advanced care planning must be viewed as an investment, with the payout coming over time. It must be a precedence—no longer just for particular person team of workers contributors but additionally for the business or standalone amenities. There must be management engagement and buy-in," she mentioned.

    advanced care planning conversations

    In healthcare settings, there are a few talents that group of workers individuals should still should cling superior care planning conversations, Hickman spoke of.

    "One critical a part of the skill set is talents about basic selections that we're asking residents and surrogates to make. So, staff members need to take into account the risks, benefits, and options, and they should be able to explain that tips. team of workers individuals need to understand where there are materials to aid the dialog. moreover, it's vital for team of workers to have working towards to ask questions in value-neutral ways that aid to be aware the resident's preferences rather than what the staff member's preferences may well be."

    other knowledge encompass being in a position to ask questions that are open-ended to discover preferences and to help residents and family members to connect values to medication, she said.

    connected: 5 Keys to Honoring POLST Directives in Emergency Departments

    Christopher Cheney is the senior medical care​ editor at HealthLeaders.


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