Hi Class of 2025!!

I hope you are all enjoying the last few weeks of your junior year... almost a senior year! YAY!!!

If you have not taken the CNA Reading/Math Entrance Exam in the Canvas class titled "CTE Nursing Applicant", you MUST contact your counselor to arrange to take the exam. Please complete this EXAM before May 22, 2024. You have one opportunity to take the exam, have some scratch paper and pencil, and TIME (about 30 minutes) to take this test. It is basic MATH and ENGLISH skills. DON'T PANIC, you got this!

Items REQUIRED for the first week of class, Monday, August 1, 2024. Please bring COPIES only of the following:

Your government-issued photo ID ...example: Drivers License

Immunization Records ...ask your school nurse

Negative TB proof ...done at PCP office or an Urgent care or chest xray

Proof of Health Insurance ...ask parent/legal guardian

Health Provider Signed off saying you are healthy enough to participate in program ...can be DVUSD physical athletic form OR see attached packet the form

Background clearance form signed by your parent ...see attached packet

Supplies...

DVHS Parking Pass (Student parking lot along Union Hills Dr)

1/2" - 1" Three-ring binder with your name on it ...this is your portfolio that you will be building throughout the school year with at least 5-page protectors of file folders

Charged Chrome book

Pen black or blue

And always --> A smile, a positive attitude, and confidence in self

Most Common Questions:

What about my CPR certification?? ... BLS Healthcare Certification will be taken in the first weeks of class to meet this requirement. --> DVUSD CTE $pays$ for this

When and where do I go for my drug screening?? ...all information will be given out after the start of school and you will have a 5-day window to complete it. --> DVUSD CTE $pays$ for this

When and where do I get my DVUSD Nurse Assistant Student Scrubs?? ...Apparel Pro will come out and fit you by August 2, 2024. Only one set of scrubs will be covered by the school with the print on the scrubs. Additional scrubs will be the student's responsibility.

Are scrubs required the first week of school?? ...NO, your instructor will inform you when this will be required.

What items do you recommend for success for the program?? ...On the daily I suggest having a charged iPad/Cyome book, pen, highlighter, and paper for notes (also can be done on your device) ...For the entirety of the program have a positive attitude, ask questions, read your assigned reading, ask questions, communicate with your instructor, and always remember YOU GOT THIS!!

When do clinical rotations start?? ...Not scheduled yet but usually look to have Long Term Care (LTC) in October-ish and Acute Care (hospital) in the Spring February-ish... schedule is subject to clinical facility availability

What is my schedule?? ...This is posted to instructors same time it is posted to you on your POWERSCHOOLs. If you have a special request or preference on your class schedule you need to send it to your counselor. No guarantee that it can be accommodated, but no harm in communicating the need.

Do I come to the first day?? ...YES, attendance is mandatory and all required paperwork must be turned in to ensure your candidate information is loaded for AZBN testing.

If you have any other questions or concerns, please email me at shirley.soden@dvusd.org.

Please have a safe and wonderful summer,

Shirley Soden, DBA, BSN, RN

Deer Valley USD CTE Nursing Assistant Educator

Nursing Assistant Program Coordinator

Introduction to Nursing Profession Instructor

HOSA Advisor

Email: shirley.soden@dvusd.org

Phone Number:

602.467.6865

"Practice makes Permanent"

Arizona Board of Nursing Competencies:

1.0   Competency:  Functions as a member of the health team within the health care facility &/or community. 2.0   Competency:  Demonstrates ethical and legal behavior that maintains resident’s rights. 3.0   Competency:  Assists in identifying the mental health and social service needs of residents. 4.0   Competency:  Demonstrates effective communication. 5.0   Competency:  Maintains a safe environment for the resident and others 6.0   Competency:  Demonstrates general principles of infection control. 7.0   Competency:  Provides basic emergency care. 8.0   Competency:  Applies the principles of basic nutrition to resident care. 9.0   Competency:  Provides the resident with personal care and grooming. 10.0 Competency:  Measures vital signs. 11.0 Demonstrates safe transfers, positioning and turning of residents using effective body mechanics. 12.0 Competency:  Cares for cognitively impaired residents. 13.0 Competency:  Identifies the function, structure, common health problems & normal aging changes of each of                                    the following systems. 14.0 Competency:  Provides for comfort and rest. 15.0 Competency:  Assists with diagnostic tests. 16.0 Competency:  Provides care for the peri-operative resident and/or resident with special needs. 17.0 Competency:  Assists in Admission/Transfer/Discharge of the resident. 18.0 Competency:  Provides care for residents and family when death is imminent

Course Competencies:

1. Describe the role of the nurse assistant in caring for elder clients & those with alterations in health care.
2. Describe the roles and responsibilities of the nurse assistant related to ethical & legal standards of the profession.
3. Use simple problem-solving skills when giving care to elderly clients & clients with alterations in health.
4. Describe professional communication skills specific to the nurse assistant as a member of the health care team.
5. Describe select nurse-assisting interventions designed to meet the holistic needs of clients.
6. Describe basic nurse assisting skills to ensure a safe environment and personal safety for the client.
7. Describe specific caring behaviors that are important when caring for clients and communication with members of the health care team.
8. Describe the signs and symptoms of specific diseases, conditions and alterations in client behavior.
9. Apply the principles of nutrition and fluid balance to client care.
10. Describe the special care needs of elder clients in the acute and long-term care settings.
11. Describe the basic skills and procedures needed for clients in emergencies.
12. Perform basic therapeutic, maintenance and preventative interventions identified in the client’s plan of care appropriate to the nurse assistant role.
13. Function as a member of the health care team within the health care facility.
14. Demonstrate behaviors that are in accordance with accepted standards of practice and ethical guidelines within the role of the nurse assistant.
15. Demonstrate simple problem solving to provide care to clients with alterations in health under the direction of the nursing staff.
16. Demonstrate appropriate communication skills with clients with alterations in health.
17. Demonstrate caring behaviors when interacting with clients in acute and long term agencies.
18. Demonstrate skills necessary to ensure a safe environment and protection of the client.
19. Implement nursing assistant skills that relate to basic and holistic client needs.
20. Communicate client response to appropriate nursing personnel through recording and reporting.
21. Apply common medical terms used for the simple organization of the body, major organs & medical abbreviations.

Semester 1 - Fall

 Week 1 - Welcome collection of all required paperwork

 Week 2 - Unit 1: Nursing Assistant in LTC/ Stop the Bleed Training

Week 3 - Unit 1: First Aide & CPR 

 Week 4 - Unit 2: Ethics & Legal Issues in Nursing

 Week 5, 6 - Unit 3: Safety & Body Mechanics

 Week 7 - Unit 4: Infection Prevention 

 Week 8 - 11: Clinical Rotations 

 Week 12 -  Unit 5: Communication

 Week 14, 15 -  Unit 6: Admission, Transfer, & Discharge & Surgery Preop/Postop & Rehabilitation 

 Week 16 - Unit 8: Vitals Signs 

 Week 17 - Thanksgiving Break 

 Week 18 - Unit 8: Vital Signs

 Week 19 - Comp Final Review

 Week 20 - FINALS Knowledge and Skills 

 

Semester 2 - Spring

 Week 1, 2  - Unit 10: Personal Care

 Week 3, 4 - Unit 11: Nutrition & Fluid Balance 

 Week 5 - Collecting Specimens

 Week 6-12 - Disease Processes

           Unit 12: Sensory, Cancer, Immune, Instrumentary Systems  

           Unit 13: Cardiovascular, Respiratory, & Lymphatic Systems

           Unit 14: Gastrointestinal & Endocrine Systems

           Unit 15: Renal & Reproductive Systems

           Unit 16: Musculoskelatal & Nervous Systems

           Unit 17: Mental Health & Dementia 

 Week 13 - Unit 19: End-of-Life Care

 Week 14-16 - Review & MOCK testing

 Week 17 - State Testing HeadMaster

 Week 18 - Application to AZBN, Resume

 Week 19 - Mock Interview & Pinning

 Week 20 - Graduation

Schedule subject to change 

Nursing Assistant Application

Interested and want to apply for the Deer Valley Unified School District Introduction to Nursing Profession / Nursing Assistant (INP/NA) program? 

Fill out the application and bring back the signed application to your counselor 

The application is SUPER quick and easy. They go here: https://cteapply.dvusd.org/user/login Login and apply.

Link to Deer Valley PARKING Tag. You need this to park on Deer Valley Campus 

https://www.dvusd.org/site/default.aspx?PageType=3&DomainID=42&ModuleInstanceID=10098&ViewID=6446EE88-D30C-497E-9316-3F8874B3E108&RenderLoc=0&FlexDataID=170402&PageID=77

Parking at the Deer Valley Campus is in the Student Parking Lot along Union Hills Rd. Do not park in staff parking along 51st Ave. 

Deer Valley Unified School District HEALTH AND SAFETY REQUIREMENTS

HEALTH AND SAFETY REQUIREMENTS

1. MMR (Measles/Rubeola, Mumps, & Rubella)

MMR is a combined vaccine that protects against three separate illnesses – measles, mumps and rubella (German measles) – in a single injection. Measles, mumps, and rubella are highly infectious diseases that can have serious, and potentially fatal, complications. The full series of MMR vaccination requires two doses.

If you had all three illnesses OR you have received the vaccinations but have no documented proof, you can have an IgG MMR titer drawn, which provides evidence of immunity to each disease. If the titer results are POSITIVE, showing immunity to each disease, submit a copy of the lab results.

Options to meet this requirement:

      OR

2. Varicella (Chickenpox)

Chickenpox is a highly contagious disease caused by the varicella-zoster virus (VZV). Infection with chickenpox also makes people susceptible to develop herpes zoster (shingles) later in life. The best means of preventing chickenpox is to get the varicella vaccine.

Varicella vaccination is required for all healthcare workers who do not meet evidence of immunity by having met any of the following criteria: a). Documentation of receiving 2 doses of varicella vaccine, separated by at least 4 weeks or b). Laboratory evidence of immunity or laboratory confirmation of disease. If you haven't had the varicella vaccine or if you don't have a blood test that shows you are immune to varicella (i.e., no serologic evidence of immunity or prior vaccination) get 2 doses of varicella vaccine, 4 weeks apart.

Options to meet this requirement:

OR

3. Tetanus/Diphtheria/Pertussis (Tdap):

Tetanus, diphtheria, and pertussis are serious bacterial illnesses which can lead to illness and death. Tdap vaccination can protect against these diseases and is recommended for healthcare personnel with direct patient contact who have not previously received Tdap. Tdap vaccination can protect healthcare personnel against pertussis and help prevent them from spreading it to their patients.

The Td vaccine protects against tetanus and diphtheria, but not pertussis. Following administration of Tdap, a Td booster should be given if 10 years or more since the Tdap. Tdap may be given as one of these boosters if you have never gotten Tdap before. Tdap can be administered regardless of interval since the previous Td dose.

To meet this requirement:

Provide documentation of a Tdap vaccination administered after the age of 11 and then a Td vaccination every 10 years thereafter.

4. Tuberculosis (TB)

Tuberculosis (TB) is caused by a bacterium called Mycobacterium tuberculosis which usually infects the lungs, but can attack any part of the body such as the kidney, spine, and brain. Not everyone infected with TB bacteria develops tuberculosis. As a result, two TB-related conditions exist: latent TB infection (LTBI) and TB disease. If not treated properly, TB disease can be fatal.

All students entering a DVUSD program are required to submit documentation showing negative TB disease status. Documentation may include a negative 2-step Tuberculosis Skin Test (TBST) or negative blood test (QuantiFERON or T-Spot) performed within the previous six (6) months. The TBST or negative blood test must remain current throughout the semester of enrollment.

To maintain compliance with annual TB testing requirements, students who initially submitted a 2-step TBST may submit a current 1-step TBST for subsequent annual testing. A TBST is considered current if no more than 365 days have elapsed since the date of administration of the second of the 2-step TBST. Most recent skin testing or blood test must have been completed within the previous six (6) months.

If you have ever had a positive TBST, you must provide documentation of a negative blood test or negative chest X-ray. You will also need to complete a TB Symptom Screening Questionnaire annually.

To meet this requirement:

OR

5. Hepatitis B

DVUSD Nursing students may be exposed to potentially infectious materials which can increase their risk of acquiring hepatitis B virus infection, a serious disease that can cause acute or chronic liver disease which can lead to a serious, lifelong illness. DVUSD Nursing recommends that all students receive the hepatitis B 3-vaccine series administered over a 6 month period. Obtain the first vaccination; the second is given 1 - 2 months after the first dose and the third injection is 4 - 6 months after the first dose.

Effective immunization status can be proven by a titer confirming the presence of anti-Hbs or HepBSab antibodies in the blood. This titer is recommended but not mandatory.

Students may choose to decline the hepatitis B vaccine; however, lack of immunity to hepatitis B means that students remain at risk of acquiring the disease.

Options to meet this requirement:

OR

6. Influenza (Flu Vaccine)

Influenza is a serious contagious respiratory disease which can result in mild to severe illness. Susceptible individuals are at high risk for serious flu complications which may lead to hospitalization or death.

The single best way to protect against the flu is annual vaccination. A flu vaccine is needed every season because: 1). The body's immune response from vaccination declines over time, so an annual vaccine is needed for optimal protection; 2). because flu viruses are constantly changing, the formulation of the flu vaccine is reviewed each year and sometimes updated to keep up with changing flu viruses. The seasonal flu vaccine protects against the influenza viruses that research indicates will be most common during the upcoming season.

Students are required to be vaccinated every flu season and to submit documentation proving annual vaccinations.

To meet this requirement:

Submit a copy of proof of flu vaccine proving annual vaccination.

 7. CPR (Basic Life Support) Certification

CPR is a procedure performed on persons in cardiac arrest in an effort to maintain blood circulation and to preserve brain function. DVUSD Nursing students are required to learn CPR by completing an acceptable Basic Life Support course. CPR certification must include infant, child, and adult, 1-and 2-man rescuer, and evidence of a hands-on skills component.

CPR courses are offered at numerous locations throughout the greater Phoenix area. The American Heart Association provides in-person courses and an online course. Students who complete online courses must complete the hands-on skills training and testing. CPR training without the hands-on skills training and testing component will not be accepted.

Students are required to maintain current CPR certification throughout enrollment in the nursing program.

To meet this requirement:

Submit a copy of the signed CPR card (front and back) or CPR certificate.

8. Health Care Provider Signature Form

Must be completed and signed by a licensed healthcare provider (M.D., D.O., N.P., P.A.) within the past six (6) months.

OR

To meet this requirement:

Submit a copy of the signed Health Care Provider Signature form completed within the past six (6) months.

 9. Proof of Health Care Insurance

Proof of health care insurance. Students are required to maintain current health care insurance throughout enrollment of the nursing program.

To meet this requirement:

Submit a copy of health care insurance card.  

10. Entrance Math/English Exam

All students admitted to DVUSD Nursing are required to show a "Pass" result on the DVUSD Entrance Math/English Exam completed through Canvas. You will need to self-enroll at: https://dvusd.instructure.com/enroll/KPLYR8

To meet this requirement:

Complete the DVUSD Entrance Math/English Exam

 11. Background Clearance Document

All students admitted to DVUSD Nursing are required to show a "Pass" result on the DVUSD -required supplemental background screening completed within the first week of class. Information regarding the background clearance is obtained from DVUSD Nursing following your acceptance into the nursing program.

To meet this requirement:

Submit a completed DVUSD background information sheet

IMPORTANT:

Health and Safety Requirements Student Worksheet

Use this worksheet as a guide to ensure that you have documentation of each requirement. DO NOT submit this document. Only supporting documents (lab results, immunization records, signed healthcare provider form, etc.) for each requirement should be submitted.

 MMR (Measles/Rubeola, Mumps and Rubella) To meet requirement:

OR

Booster: ___________

Measles: ___________ _____________

Mumps: ___________ _____________

Rubella: ___________ _____________

 Varicella (Chickenpox) To meet requirement:

OR

Tetanus/Diphtheria/Pertussis (Tdap) To meet requirement:

Tdap vaccine: Date: ___________

Td booster: Date: ___________

 Tuberculosis To meet requirement:

Initial Test (#1) Date: __________ Date Read: __________ Results: Negative or Positive

Boosted Test (#2) Date: __________ Date Read: __________ Results: Negative or Positive

 Date: __________ Date Read: __________ Results: Negative or Positive

OR

QuantiFERON Date: __________

T-Spot Date:_________

OR

Date: __________

 Hepatitis B To meet requirement:

OR

Hepatitis B vaccine/dates: #1__________ #2__________ #3__________

 OR

 Flu Vaccine To meet requirement:

Documentation of current annual flu vaccine Date: __________

 CPR Card (Healthcare Provider level) To meet requirement:

CPR card or certificate showing date card issued: __________ Expiration date: __________

 Background Clearance Document To meet requirement:

DVUSD Background check form filled out, signed and dated

 Health Care Provider Signature Form To meet requirement:

Healthcare Provider Signature Form signed and dated by healthcare provider. Date of exam: __________

Proof of Health Care Insurance To meet requirement:

Coverage dates: __________

Background Clearance Document

Full Legal Name

First ________________________________ Middle ____________________ Last _________________________

Social Security Number

_________-_____-_________

All students admitted to DVUSD Nursing are required to show a "Pass" result on the DVUSD -required supplemental background screening completed within the first week of class. Information regarding the background clearance is obtained from DVUSD Nursing following your acceptance into the nursing program.

I (student name) ___________________________ understand and allow DVUSD nursing to run a background check. I understand my background check must show “Pass” to be allowed to participate in DVUSD Nursing program.

Student Print Name                                                   Student Signature

___________________________________________      ____________________________________ Date____________

 

Parent / Legal Guardian Print Name                          Parent / Legal Guardian Signature

 __________________________________________      ____________________________________ Date____________

 

 Instructions for Completion of Healthcare Provider Signature Form

A healthcare provider must sign the Healthcare Provider Signature Form within six (6) months of program admission and indicate whether the applicant will be able to function as a nursing student. Health care providers who qualify to sign this declaration include a licensed physician (M.D., D.O.), a nurse practitioner (N.P.), or physician’s assistant (P.A.).

(Please Print)

Applicant Name: _____________________________________ Student ID Number: _______________________

It is essential that nursing students be able to perform a number of physical activities in the clinical portion of the program. At a minimum, students will be required to lift patients, stand for several hours at a time and perform bending activities. Students who have a chronic illness or condition must be maintained on current treatment and be able to implement direct patient care. The clinical nursing experience also places students under considerable mental and emotional stress as they undertake responsibilities and duties impacting patients’ lives. Students must be able to demonstrate rational and appropriate behavior under stressful conditions. Individuals should give careful consideration to the mental and physical demands of the program prior to making application.

I have reviewed the DVUSD Essential Skills and Functional Abilities. I believe the applicant:

______ WILL ______WILL NOT be able to function as a nursing student as described above.

If not, explain:

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

Licensed Healthcare Examiner (M.D., D.O., N.P., P.A.):

Print Name: _____________________________________________ Title: ________________________

Signature: _______________________________________________ Date: ________________________

Address: ______________________________________________________________________________

City: _____________________________ State: _______________ Zip Code: __________________

Phone: _____________________________

Essential Skills and Functional Abilities for Nursing Students

Individuals enrolled in DVUSD Nursing must be able to perform essential skills. If a student believes that he or she cannot meet one or more of the standards without accommodations, the nursing program must determine, on an individual basis, whether a reasonable accommodation can be made. The ultimate determination regarding reasonable accommodations will be based upon the preservation of patient safety.

Functional Ability	Standard	Examples Of Required Activities
Motor Abilities	Physical abilities and mobility sufficient to execute gross motor skills, physical endurance, and strength, to provide patient care.	• Mobility sufficient to carry out patient care procedures such as assisting with ambulation of clients, administering CPR, assisting with turning and lifting patients, providing care in confined spaces such as treatment room or operating suite.
Manual Dexterity	Demonstrate fine motor skills sufficient for providing safe nursing care.	• Motor skills sufficient to handle small equipment such as insulin syringe and administer medications by all routes, perform tracheotomy suctioning, insert urinary catheter.
Perceptual/ Sensory Ability	Sensory/perceptual ability to monitor and assess clients.	• Sensory abilities sufficient to hear alarms, auscultory sounds, cries for help, etc. • Visual acuity to read calibrations on 1 ml syringe, assess color (cyanosis, pallor, etc.). • Tactile ability to feel pulses, temperature, palpate veins, etc. • Olfactory ability to detect smoke, odor, etc.
Behavioral/ Interpersonal/ Emotional	Ability to relate to colleagues, staff and patients with honesty, civility, integrity and nondiscrimination. Capacity for development of mature, sensitive and effective therapeutic relationships. Interpersonal abilities sufficient for interaction with individuals, families and groups from various social, emotional, cultural and intellectual backgrounds. Ability to work constructively in stressful and changing environments with the ability to modify behavior in response to constructive criticism. Negotiate interpersonal conflict. Capacity to demonstrate ethical behavior, including adherence to the professional nursing and student honor codes.	• Establish rapport with patients/clients and colleagues. • Work with teams and workgroups. • Emotional skills sufficient to remain calm in an emergency situation. • Behavioral skills sufficient to demonstrate the exercise of good judgment and prompt completion of all responsibilities attendant to the diagnosis and care of patients. • Adapt rapidly to environmental changes and multiple task demands. • Maintain behavioral decorum in stressful situations.
Safe environment for patients, families and co-workers	Ability to accurately identify patients. Ability to effectively communicate with other caregivers. Ability to administer medications safely and accurately. Ability to operate equipment safely in the clinical area. Ability to recognize and minimize hazards that could increase healthcare associated infections. Ability to recognize and minimize accident hazards in the clinical setting including hazards that contribute to patient, family and co-worker falls.	• Prioritizes tasks to ensure patient safety and standard of care. • Maintains adequate concentration and attention in patient care settings. • Seeks assistance when clinical situation requires a higher level or expertise/experience. • Responds to monitor alarms, emergency signals, call bells from patients, and orders in a rapid and effective manner.
Communication	Ability to communicate in English with accuracy, clarity and efficiency with patients, their families and other members of the health care team (including spoken and non-verbal communication, such as interpretation of facial expressions, affect and body language). Required communication abilities, including speech, hearing, reading, writing, language skills and computer literacy. Communicate professionally and civilly to the healthcare team including peers, instructors, and preceptors.	• Gives verbal directions to or follows verbal directions from other members of the healthcare team and participates in health care team discussions of patient care. • Elicits and records information about health history, current health state and responses to treatment from patients or family members. • Conveys information to clients and others to teach, direct and counsel individuals in an accurate, effective and timely manner. • Establishes and maintain effective working relations with patients and co-workers. • Recognizes and reports critical patient information to other caregivers.
Cognitive/ Conceptual/ Quantitative Abilities	Ability to read and understand written documents in English and solve problems involving measurement, calculation, reasoning, analysis and synthesis. Ability to gather data, to develop a plan of action, establish priorities and monitor and evaluate treatment plans and modalities. Ability to comprehend threedimensional and spatial relationships. Ability to react effectively in an emergency situation.	• Calculates appropriate medication dosage given specific patient parameters. • Analyze and synthesize data and develop an appropriate plan of care. • Collects data, prioritize needs and anticipate reactions. • Comprehend spatial relationships adequate to properly administer injections, start intravenous lines or assess wounds of varying depths. • Recognizes an emergency situation and responds effectively to safeguard the patient and other caregivers. • Transfers knowledge from one situation to another. • Accurately processes information on medication container, physicians’ orders, and monitor and equipment calibrations, printed documents, flow sheets, graphic sheets, medication administration records, other medical records and policy and procedure manuals.
Punctuality/ work habits	Ability to adhere to DVUSD Nursing policies, procedures and requirements as described in the Student Nurse Handbook, college catalog and student handbook and course syllabus. Ability to complete classroom and clinical assignments and submit assignments at the required time. Ability to adhere to classroom and clinical schedules.	• Attends class and submits clinical assignments punctually. • Reads, understands and adheres to all policies related to classroom and clinical experiences. • Contacts instructor in advance of any absence or late arrival. • Understands and completes classroom and clinical assignments by due date and time.
Environment	Recognize the personal risk for exposure to health hazard. Use equipment in laboratory or clinical settings needed to provide patient care. Tolerate exposure to allergens (latex, chemical, etc.). Tolerate wearing protective equipment (e.g. mask, gown, gloves)	• Takes appropriate precautions for possible exposures such as communicable disease, bloodborne pathogens, and latex. • Uses personal protective equipment (PPE) appropriately.

 

 

1. Submit documentation of two MMR vaccinations on separate dates at least 4 weeks apart.
2. Lab documentation of POSITIVE titer results for each disease (measles, mumps and rubella).
3. NEGATIVE or EQUIVOCAL titer results for measles, mumps or rubella shows lack of immunity, meaning you must Submit documentation of one MMR booster (vaccination) dated after negative or equivocal titer.
4. Documentation of two varicella vaccines, including dates of administration.
5. Submit a copy of proof of a POSITIVE IgG titer for varicella. If the titer is NEGATIVE or EQUIVOCAL. Submit documentation of one varicella (vaccination) booster dated after negative or equivocal titer.
6. Proof of a negative 2-step TBST completed within the previous 6 months, including date given, date read, result, and name and signature of the healthcare provider. A 2-step TBST consists of an initial TBST and a boosted TBST 1-3 weeks apart.
7. Submit documentation of a negative blood test (QuantiFERON or T-Spot) performed within the last six months.
8. Submit documentation of a negative chest X-ray if TBST or Blood Testing is positive.
9. POSITIVE RESULTS: If you have a positive TBST, provide documentation of negative chest X-ray or negative blood test
10. Submit a copy of laboratory documentation of a positive HbsAb titer.
11. Submit a copy of your immunization record, showing completion of the three Hepatitis B injections. If the series is in progress, submit a copy of the immunizations received to date. You must remain on schedule for the remaining immunizations and provide the additional documentation. One to two months after your last immunization, it is recommended that you have an HbsAb titer drawn.
12. Submit a copy of your signed Hepatitis B declination noting that by declining the vaccine you continue to be at risk of acquiring hepatitis B, a serious disease.
13. Submit a copy of DVUSD athletic clearance for
14. Submit a copy of DVUSD Introduction to Nursing (CAN) Medical Clearance form

• Healthcare students have a responsibility to protect themselves and their patients and families from preventable diseases.
• Students are responsible for maintaining all health and safety requirements and to submit documentation by due date. Failure to maintain program health and safety requirements will result in inability to continue clinical experiences and may result in withdrawal from the nursing program.
• All immunization records must include student name and the signature of healthcare provider.
• Health and safety requirements are subject to change depending on clinical agency requirements.

1. MMR vaccination: Dates: #1__________ #2__________
2. Date & titer results:
3. Varicella vaccination dates: #1__________ #2__________
4. Date & results of varicella IgG titer: Date: ___________ Result: ______________, Booster: ___________
5. Negative 2-step TB Skin Test (TBST), including date of administration, date read, result, and name and signature of healthcare provider.
6. Annual 1-step TBST (accepted only from continuing students who have submitted initial 2-step TBST)
7. Negative blood test (Either QuantiFERON or TSpot)
8. Negative chest X-ray
9. Documentation of a negative chest X-ray (x-ray report) or negative QuantiFERON result.
10. Positive HbsAb titer Date: __________ Result: _____
11. Proof of 3 Hepatitis B vaccinations
12. Hepatitis B declination- students who choose to decline Hepatitis B vaccine series must submit a HBV Vaccination Declination form.

Student and Parent Orientation Night

AZ NA Skills Test Instructions

AZ NA Knowledge Test Instructions

Chapter 9 - Medical Terminology

Anatomy and Physiology

Anatomy and physiology is the study of the body's systems and structures and how they interact. Anatomy focuses on the physical arrangement of parts in the body while physiology is the study of the inner functioning of cells, tissues, and organs. This section will review the major systems of the body; the musculoskeletal system, the circulatory system, the nervous system, the digestive system, the respiratory system, and the integumentary system. Further detail of these systems will be provided in later units.

The Musculoskeletal System

The musculoskeletal system provides structure to the body, allows for movement, and physically protects the other systems of the body. The anatomy of the musculoskeletal system is complex due to the large number of muscles and bones, for the national registry exams and EMS practice memorizing the exact position and roles of each of these structures is unimportant. An understanding of the general structures the bones and muscles are arranged in (spine, skull, ribcage, limbs, etc.) is what is important, as this will allow for a better understanding of the effects of trauma and medical conditions. 

The anatomy of the musculoskeletal system is based around the larger structures that the bones and muscles create, these structures are the skull, spine, thoracic cage, pelvic girdle, and limbs. 

The skull is made up of multiple flat bones that interlock and form a protective space for the brain, they also create the structure of the face and mouth with many attachments for the muscles that allow for all the movements of the head. 

The spine is made of multiple interlocking vertebrae with a central channel for the spinal cord and exit points for the nerves that come off of it. Like the skull, it serves to both protect the spinal cord and provide attachment points for both muscles and ribs.

The thoracic cage or "rib cage" provides the rigidity of the chest which is vital to the expansion and contraction of the lungs, making the rib cage vital to the respiratory system. It also serves to protect the vital organs within the chest. 

The pelvic girdle is one of the most complex anatomical structures in the body, it transfers the weight of the upper body from the spine to the legs and has a massive number of attachment points for various large muscle groups of both the trunk and the legs. 

The limbs, similar to the pelvis, are complex and have many different joints and attachment points to allow for precise and varied movement. 

As a whole, the muscles consist of a bundle of smaller fibers (myofibrils) that are anchored to a bone via a fibrous tendon and are innervated by one or more nerves from the peripheral nervous system that allows for voluntary and involuntary contraction. All bodily movements stem from the muscles pulling against the bones across the joints. This type of muscle is known as "Striated" or "Skeletal" muscle due to the arrangement of the muscle fibers. There is another type of muscle in the body known as "smooth muscle" that is a component of many bodily systems, this form of muscle is loosely arranged and does not have the characteristic striations of the previously mentioned skeletal muscle.

The physiology of the musculoskeletal system is focused on the structure of the muscle cells and the chemical processes that allow them to contract. 

The muscles are made up of bundles of muscle fibers that contain a large number of sarcomeres, these sarcomeres have a specialized protein that contracts in response to the release of calcium from the sarcolemma, a sheath that surrounds the muscle fibers, this release of calcium is stimulated by a signal from a nerve that connects to the muscle. The energy for contraction comes from glucose and oxygen, these are delivered to the muscle by large blood vessels that run into them. 

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The Circulatory System

The role of the circulatory system is the delivery of oxygen and glucose to the cells of the body and the removal of waste, it is comprised of the heart, blood vessels, and the blood itself. The anatomy and physiology of the circulatory system are extremely complex but its essential elements can be broken down into a relatively simple framework.

The anatomy of the circulatory system is simple at a superficial level, it consists of a pump, pipes, and the fluid they carry. 

The heart is a four-chamber pump that fills with blood when it relaxes and propels it through the body when it squeezes. The chambers are separated by valves that prevent the backflow of blood. The coronary arteries run across the surface of the heart and provide oxygen to the muscle. Within the muscle of the heart is a network of modified heart muscle cells that act almost like neurons, transferring electrical signals through the heart in a precise and structured manner. 

The blood vessels not only carry blood but regulate their flow to different areas of the body. The vessels are smooth muscle tubes that can expand and contract based on signals from hormones and the nervous system. Vessels are present in varying sizes, with the largest ones being near the heart and the smallest within the body's various tissues. There are different types of vessels; arteries, arterioles, veins, venules, and capillaries all have unique functions which will be further reviewed in later sections.

The blood is not traditionally considered to have anatomy, but know that it has many parts in the form of different cells, red blood cells, white blood cells, platelets, and a variety of protein/hormones/chemicals all have different roles.

The Physiology of the circulatory system is complicated by the many types of cells in the heart and blood.

The heart's muscle cells (cardiac myocytes) are unique in that they are electrically connected and do not require a nerve signal to contract. This allows them to beat in a rhythmic manner that allows for the effective pumping of blood. A collection of specially modified myocytes known as the SA node act as the pacemaker for the healthy heart, creating the electrical signals that spread through the myocytes and lead to a heartbeat. Other specialized myocytes act as fast pathways for these electrical signals, ensuring that the spread of electricity through the heart results in a coordinated and effective contraction.

As mentioned above the blood is a complex mix of cells and other compounds. The most relevant of these are red blood cells; these cells have a protein known as hemoglobin that allows them to carry large amounts of oxygen from the lungs to the tissue in the body. White blood cells combat infection, and platelets help to block off any holes that form in the system.

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The Nervous System

The nervous system controls the entire body, it has fibers that run across every inch of the body, controlling muscles, organs, and glands; while returning information to the spinal cord and brain to allow it to make decisions. Neurons have several parts, dendrites that receive signals, axons that transmit them, and the cell body which maintains the nerve cell. 

The anatomy of the nervous system is divided into the central and peripheral systems, with the central nervous system acting as the control system for the body and the peripheral as communication lines that relay information to and from the central system. 

The central nervous system (CNS) is made up of the brain and spinal cord, both of these structures are made up of a large number of neurons and support cells, with both large blood vessels and capillaries supplying the large amount of energy the neurons require. 

The peripheral nervous system (PNS) is extensive and covers all areas of the body, these nerves have a myriad of functions controlling movement in the body, controlling the function of the organs, and returning sensory information from all across the body to the spinal cord and brain. The nerves of the PNS branch off of the spinal cord.

The physiology of the nervous system surrounds the ability of nerves to transfer signals. They do so via "action potentials" which allow signals to transfer down the axon of the nerve and to receptors at their end.

The action potentials that neurons send are created by the opening and closing of voltage-sensitive ion channels on the surface of the neuron, this results in a "wave" of electrical energy which travels down the neuron and eventually results in the release of neurotransmitters from the end of the neuron.

The variety of receptors present on neurons and muscles allows neurotransmitters which are released due to an action potential to have an effect on other neurons, by stimulating other action potentials; or causing the release of calcium which causes muscles to contract. 

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The Digestive System

The digestive system exists to break down and absorb ingested material, allowing it to be used for energy and the creation of new cells within the body. 

You can divide the anatomy of the digestive system into the hollow organs and solid organs. The hollow organs convey food matter and process it, while the solid organs act as support systems, ensuring the process of digestion can proceed smoothly. 

The hollow organs are the esophagus, stomach, and intestines: The esophagus is the physical tube that connects the mouth to the stomach. The stomach both physically grinds up food and chemically digests it with acid. The intestines then absorb the nutrients and water from the ground up food with help from liver bile and pancreatic enzymes.

The solid organs are the liver and the pancreas: The liver serves the dual purposes of producing bile, which helps with the absorption of fats by the intestines and with detoxification of the blood. The pancreas, like the liver, has a dual role. It produces enzymes that break down protein and hormones which balance the blood glucose. 

The physiology of the digestive system is heavily dependent upon the organ in question and many have multiple roles. The hollow organs tend to be specialized in the mechanical breakdown and absorption of food while the solid organs create and secrete substances that assist with the chemical breakdown of food.

The stomach and intestines have a variety of special cells and receptors that work to detect their contents and absorb them. 

The livers cells, known as hepatocytes, produce bile from the body's waste which helps to absorb fat in the intestines. These same hepatocytes are filled with complex enzymes that break down countless toxins the body produces. 

The pancreas has several types of cells, some secrete enzymes to break down proteins while others are known as "islets" secrete the hormones insulin and glucagon which regulate the balance of glucose within the blood.

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The Respiratory System

The respiratory system is a close counterpart to the circulatory system, its role is to bring oxygen from the air in contact with the blood inside microscopic capillaries. It interacts closely with the cardiovascular and musculoskeletal systems. Some of the largest blood vessels in the body are associated with the lungs and the chest wall is vital in the inspiration and expiration of air.

The anatomy of the respiratory system is divided into the upper and lower respiratory tract, the division occurs at the level of the larynx. The upper respiratory tract consists of the nasopharynx and oropharynx. While the lower respiratory tract is made up of the trachea, bronchi, bronchioles, and lungs. With the movement of air through the system provided by the diaphragm.

The upper respiratory tract is responsible for the initial cleaning and warming of air before it is transmitted to the lower airways. The upper respiratory tract also carries food and fluids to the esophagus and is instrumental in the production of speech.

The larynx is a cartilage "box" that divides the GI and respiratory systems. It has a physical flap "the epiglottis" that protects the airway from food and fluids. The rest of the larynx is specialized to allow for the production of speech; the vocal cords and various cartilages can change shape to allow air passing over them to create speech.

The lower respiratory tract transfers air through a branching inverted tree made up of the trachea, bronchi, and bronchioles until it reaches the alveoli, microscopic sacks who have thin walls that are covered in thin-walled capillaries. These allow for blood to come in close contact with air. 

The diaphragm is a sheet of muscle at the base of the lungs that pulls air into the airways by creating negative pressure in the chest. Remember that when the diaphragm contracts, air is drawn into the chest which is known as inspiration.

The physiology of the respiratory system is best divided into that of the airways and the lungs.

The airways have physiologic mechanisms that protect them from the countless viruses and bacteria in the environment. There are countless mucus-secreting cells that coat the inner nose/mouth, trachea, and bronchi/bronchioles in a protective layer that inhibits bacterial growth and traps inhaled contaminants. These musocal cells are paired with cilial cells in the lower airway (trachea, bronchi, etc). They are mobile and work to push mucus and contaminants up and out of the lower airways.

The lungs chief physiologic function is the exchange of gases between the blood and the air. They do so through the incredibly thin walls of the alveoli, which allow the process of diffusion to naturally move gases from areas of high concentration to those of low concentration.

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The Integumentary System

The integumentary system provides the physical barrier between the inner systems of the body and the outside world. It is vital to the regulation of the body's internal environment, holding in fluids, keeping out bacteria, and providing a regenerating layer that prevents permanent damage to the more fragile cells of the body.

The anatomy of the integumentary system is more complex than it would first appear. It has three main layers, the epidermis, dermis, and subcutaneous layers.

The epidermis is a thick layer of dead cells that acts as a "sacrificial layer" for the body. This layer of cells gradually rubs off and protects the more fragile layers below. The dermis is the living skin layer with cells that continuously multiply and divide; it holds nerves, blood vessels, sweat glands, and oil glands. The subcutaneous layer is one of the main areas of fat storage, also acting as a significant insulating layer for the body. 

The physiology of the integumentary system is based around the continuously dividing stem cells in the dermis that create the thick epidermis. The dermis also contains countless capillaries, nerves, and glands that act to regulate the temperature through the mechanisms of vasoconstriction/vasodilation and diaphoresis (sweating). 

Reference:

Medic Tests. (2022). Basic anatomy and physiology. Retrieved from https://medictests.com/units/introduction-to-a-p#:~:text=Anatomy%20and%20physiology%20is%20the,cells%2C%20tiss