Students enrolled in a nurse assistant program must learn and pass off all skills associated with the program prior to attending clinicals. A clinical rotation allows a student to ‘shadow’ a working CNA in a long term care facility for the purposes of ‘practicing’ what you have learned on a real patient. This is considered part of your training – but you can’t participate in this level of training if you are not proficient in all skills. Students must complete and document attendance and skills performed for a minimum of 24 hours of the program. Skills Pass Off sheets must be completed prior to clinicals.
- Clinical hours are scheduled. If you cannot make a scheduled clinical shift it is your responsibility to contact the school in advance. Leave a voice mail on the school’s answering system BEFORE your clinical is scheduled to start. There is a $50 rescheduling fee for each rescheduled clinical rotation unless there is a good, valid and documented reason for missing.
- Attendance is mandatory for the entire 24 hours. You must be on time. This means that you are standing in the designated meeting area in the facility at the start of your shift. Think about this as you would making an airline flight. The plane will not wait for you if you are late. When the plane is set to leave, it leaves. If you are not at the clinical site on time, the plane will leave, you will be sent home and you will have to make up the clinical again at an additional cost. Call the office on the next available business day to reschedule. We will reschedule you as timely as possible. Set several alarms, set out your clothes, pack a lunch the night before, and know how to get to the site, leave in plenty of time to arrive on time.
- Bring a cold lunch and/or money for the vending machines. Breaks and lunch are arranged by the clinical instructor. You may not leave the facility for lunch.
- Professional behavior is a part of your clinical grade. Confidentiality, respecting patient rights, having a positive attitude, being self-motivated, communicating effectively, following proper techniques and protocol, and dependability are expected. Professional behavior includes following directions and adhering to the chain of command. You are required to follow all instructions of the clinical supervisor. Do not argue. Do not complain. Do not discuss issues with anyone else except the supervisor. If you have any issue, raise it with the office during regular business hours. We are here to help you!
- Do not stand around or hide-out. If you do not have something to do, ask your instructor. There are no breaks save for a short lunch. You must stay busy all day or evening. Be sure to mark off your activities on your clinical activity sheet. Turn this in to your instructor after your last clinical.
- Strict adherence to Standard Precautions and Safety rules is mandatory.
- Do not lift, move, transfer, or perform a procedure without direct ASSSITANCE from a facility nurse or CNA. You assume complete responsibility for your own safety. Working as a CNA student poses a risk of injury – or even death. Back, knee and joint injuries are the most common but avoided if you do not lift, transfer or move a patient by yourself. Students with a history of back problems or other previous injuries of any kind must be particularly diligent about body mechanics – move safely, slowly and deliberately. If you ARE injured on the scene you are responsible for your own medical transport and medical care. The school is NOT responsible – so make sure you perform your tasks safely. If you are not confident you can lift, transfer, or move a patient do NOT do so. Instead inform your aide that you can’t perform that task and find something else to do. You must be able to perform MOST tasks and obviously you must know how to perform them well enough to pass the state skills exams. If you don’t practice you will have a harder time passing. If you can’t perform all 72+ skills including safely transferring a patient you should not become a Certified Nurse Assistant. Not all careers are right for everyone. If you cannot perform in clinicals safely, you cannot be recommended for testing. Be careful.
- Be aware that you may see interactions and skills completed that appear wrong. Report any incidents or problems only to your clinical instructor, not to other students, or the facility staff. If you see an employee doing something incorrectly do not point it out to the employee, but discuss it with your clinical instructor. Do not complain, judge, ridicule the facility, the staff, the other aids or patient care. Do YOUR best and mind your own business. If there is a serious issue (abuse) report it immediately and ONLY to your clinical supervisor. You are prohibited from directly communicating with the staff or other employees, save working with your CNA.
- Stay with your assigned CNA or where the clinical instructor assigned you. You may not leave the facility without permission. If you lose track of the CNA you are assigned to shadow, let the clinical supervisor know immediately – do not perform any skill or task alone.
- Before leaving it is your responsibility to have the clinical instructor sign off your hours and performance. Let your residents know that you are leaving. Thank your CNA.
- Upon completion of both clinical shifts turn in your clinical paper to the appropriate instructor. If you were unable to complete a clinical shift follow the rules for making up a missed clinical.
- Park only in designated areas. Safety of your personal items is your responsibility. Keep valuables at home or locked in your car (cars can be broken into so leave valuables home).
- You are responsible for your clinical skills/hours sheet. You must bring it to every clinical shift and turn it in to get your UNAR application. This is your confirmation of clinical hours completed. Do not lose it!!
PROPER CLINICAL ATTIRE
Failure to be in proper attire will result in being sent home
- Scrubs with a white T-shirt underneath
- No cleavage or visible bottom cracks
- Name tag (name tags are mandatory!)
- Comfortable shoes – Clean!
- Watch with a second hand
- Hair and bangs pulled or pinned back
- Facial hair short and trimmed
- No visible tattoos
- No jewelry except 1 pair stud earrings
- Nails clean and short – Artificial nails clean, short, rounded edges
- Small notebook and pen
- No perfume, cologne or scented shampoo or other products, this may cause allergies or reactions from patients.