CNA School Open Enrollment Event: February 12, 2019

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The time has come to welcome prospective nurse aide students to Legacy Healthcare Careers CNA School’s Open House /Open Enrollment event located at 7100 Boulevard 26, Suite 205, Richland Hills, Texas 76180. Food will be provided on a first come /first serve basis. This event takes place on Tuesday February 12, 2019 between 2:00pm and 5:00pm.

The staff of Legacy Healthcare Careers will be offering helpful information on healthcare careers, immediate assistance with enrollment in nurse aide training classes on the spot, and tours of the school. Please bring a photo ID, social security card, and a $200 down payment to enroll.

The next CNA classes at this Fort Worth area school will be starting on Monday February 18, 2019 as well as Monday February 25, 2019. Legacy Healthcare Careers offers an affordable 7-day (1-week) CNA program. In addition, the school offers a 2-week CNA program and a 3-week CNA program.

Please RSVP via e-mail to Legacy Healthcare Careers at LegacyHealthcareCareers@ Yahoo.com by Tuesday February 12 to indicate whether you can attend, or feel free to telephone the school’s 24-hour enrollment hotline at (682)313-6404 to confirm your attendance at this open house event.

The staff of Legacy Healthcare Careers hopes to see you at this special open enrollment event. The school owes its success to people like you, so please graciously accept our sincere gratitude for your support. A career in the healthcare industry can be fulfilling and transforming. In addition, a healthcare career can boost your value in the local employment value, so jump-start your legacy today.

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Texas CNA Skills (Part Eight): What to Wear and How to Dress for the CNA State Test

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The broad majority of states in the U.S. have enacted laws that require graduates of nurse aide training programs to pass the respective state-approved examination in order to secure occupational certification as a certified nursing assistant (CNA). Therefore, the CNA state test is extremely important to the future career prospects of countless nursing assistants.

Nonetheless, many nurse aide students remain blissfully unaware that a testing center dress code exists. Well, a dress code certainly does exist for the CNA state test, and more than one rationale for being dressed in a specific way at the testing center site has been presented. The rationales for the dress code have been listed below.

  1. Nurse aide test takers should anticipate the remote possibility of spending all day at the testing center. Therefore, all-day comfort is of the utmost importance.
  2. A nurse aide test taker might be asked to participate in a simulated patient care environment where he or she plays the role of a debilitated elderly patient for one or more other test takers who need to perform hands-on skills. Thus, nurse aide candidates will actually be performing their skills on each other during the skills evaluation section of the CNA state test.
  3. Nurse aide test takers should wear shoes with non-skid soles (bottoms) for safety reasons. The safety of all test-taking candidates needs to be upheld at the testing center.
  4. Any candidate who volunteers to play the role of the patient must wear flat slip-on non-skid closed toe shoes, loose pants or bottoms that are capable of being rolled up, and a loose tank top or loose-fitting shirt with sleeves that can be rolled up to the shoulders (Pearson Vue, 2018).

In general, test takers will never go wrong by dressing the part of an employed nursing assistant regardless of whether or not they opt to volunteer to pose as a patient. The following dress code is more of a basic set of guidelines for appropriate testing center clothing for the CNA state test. Keep in mind that Pearson Vue testing centers are the testing sites where all CNA state tests are conducted in the state of Texas. The following list contains generalities surrounding proper attire in regards to the Texas CNA state test, as well as testing sites in the majority of other states in the US.

  1. Wear closed-toe shoes with flat non-skid soles.
  2. Nurse aide test takers who do not volunteer to play the role of a patient should wear a medical uniform, scrub set, or casual attire. Clothing should be clean.
  3. Nurse aide test takers who choose to wear casual attire should wear jeans, pants, khakis or slacks to comply with the potential need for hands-on skills practice. Dresses and skirts are discouraged with the exception of religious reasons.
  4. Midriffs and abdominal areas should be covered.
  5. Nurse aide test takers should appear clean, groomed, and be free from strong body odor. Perfumes, body sprays and colognes are discouraged.
  6. Nurse aide test takers who wear white bottoms should wear proper underwear since patterned panties, briefs or boxer shorts might be seen through white material.
  7. Long hair should be worn back into a ponytail, bun, contained by a headband, or pinned.
  8. Fingernails should be kept short and trimmed.
  9. Nurse aide test takers must wear a wristwatch with a second hand.
  10. Limit / curtail the amount of jewelry worn to the testing center. The amount of jewelry the nurse aide test taker wears to the testing center site should be minimal.

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Be completely mindful that the CNA state test dress code is different in a handful of states in the US. For example, CNA state test sites in Arizona require all test-taking candidates to adhere to a very specific dress code, and those who do not comply will not be permitted to take the exam.

With regards to the CNA state test in Arizona, Headmaster LLP (2018) asserts that “SCRUBS (which consists of a scrubs top and scrub pants, scrub skirt (long, loose-fitting) or scrub dress (long, loose-fitting) and closed-toed, soft-soled shoes are the required dress code for testing. You will not be admitted for testing if you are not wearing scrub attire and the appropriate shoes. You will be considered a NO SHOW. You will have to pay for another exam date.”

Be sure to dress for success on the day of the CNA state test and beyond. The nurse aide testing site evaluator is the individual who will be observing for competency as the test taker performs the skills evaluation section of the state test. Dressing the part for the CNA state test can go a long way in presenting the image of a candidate who is fully competent, prepared, professional, and serious about his or her future career as a nursing assistant.

Readers have probably heard the olden adage that one never gets a second chance to make a first impression. The point is to present oneself to the testing site evaluator as a nurse aide who deserves to pass the CNA state test. A cleanly nurse aide candidate looks the part, whereas a test taker with 10 gold chains, a tight-fitting cropped top that exposes the torso and dirty blue jeans does not look professional.

REFERENCES

Headmaster, LLP. (2018). Arizona Nursing Assistant Candidate Handbook. Retrieved from http://hdmaster.com/testing/cnatesting/arizona/azformpages/azforms/AZCandidateHandbook%202.1.18.pdf

Pearson Vue. (2018). Texas Nurse Aide Candidate Handbook. Retrieved from https://home.pearsonvue.com/getattachment/73a0c524-4cbe-401a-aa5c-fe1ebf4e2517/Texas

 

 

 

Texas CNA Skills (Part Three): Measuring and Recording Respirations

Screenshot 2018-12-01 at 12.22.36 PMRespiration, also known as breathing, is one of the four main vital signs that nursing assistants, nurses, respiratory therapists, paramedics, emergency medical technicians and other healthcare workers must know how to accurately obtain and record. Of course, the other three vital signs include temperature, pulse and blood pressure.

Alternately worded, a patient’s respiratory rate is his or her breathing rate. It is the number of breaths that he or she takes over the course of one full minute (60 seconds). Generally, a respiration rate that falls between 12 and 20 breaths over the course of one whole minute is considered a normal and expected finding in an adult who is resting.

Remember the concept in this manner for enhanced ease of recollection and lack of confusion: the process of respiration is more commonly known as the process of breathing. Respiration is a very high-priority basic need because a patient who stops breathing will be dead in a matter of minutes without timely outside intervention. Fortunately, taking and recording a patient’s respiratory rate is one of the technically easier procedural skills for a healthcare worker to carry out.

Respiration is an enormously complex activity that is comprised of two differing processes called inspiration and expiration. Through inspiration and expiration, the cells of the body continually exchange two gases called oxygen and carbon dioxide. The body simultaneously breathes in oxygen and expels carbon dioxide. Inspiration is the process of inhaling air into the lungs; likewise, it occurs when a patient breathes in. Expiration is the process of exhaling; therefore, it takes place when a patient breathes out.

Inspiration and expiration are massively important processes to the continual functioning of all human bodies since they are responsible for keeping the blood, organs and tissues rich with oxygen (read: inspiration) while ensuring that excess carbon dioxide leaves the body (read: expiration).

Furthermore, the procedure of measuring and recording a patient’s respiration rate is a testable skill on the Texas CNA state test. It is also a testable procedural skill in most other states. Therefore, a nurses aide who wants to pass the CNA state test to obtain certification as a certified nursing assistant will need to know how to accurately take and record a patient’s respiratory rate in the presence of an examiner at the testing site.

According to Pearson Vue (2018), a patient’s respirations should be counted and recorded using the following listed sequence of steps during the skills portion of the state CNA examination:

  1. The nursing assistant should explain the procedure to the patient in a slow and clearly understandable manner while maintaining regular face to face contact as needed.
  2. The nursing assistant must measure the patient’s respiratory rate for one entire minute (60 seconds).
  3. The nursing assistant should ensure that the patient’s call light or signaling device is within easy reach prior to ending the skill.
  4. The nursing assistant must wash his or her hands prior to recording the patient’s one-minute respiratory rate.
  5. The nursing assistant must document a respiratory rate number that is within two breaths of the examiner’s recorded reading. For instance, the nursing assistant will pass this skill if he or she records a respiratory rate of 16, even if the examiner had  documented a respiration rate of 14.

To pass the procedural skill of measuring and recording respirations on the CNA state exam, the test taker’s documented one-minute respiration rate must fall within a predetermined range of plus or minus two breaths of the test site examiner’s recorded reading. Here are a handful of additional tips that can potentially help with obtaining a respiration rate from patients in clinical settings:

  1. Perform the opening procedures before starting the skill.
  2. Count it as one respiration each time the patient’s chest rises.
  3. Count the respirations for one entire minute (60 seconds) to obtain the one-minute respiratory rate.
  4. Record the respiratory rate as indicated.
  5. Perform the closing procedures after ending the skill.

REFERENCES

All About Medical Training. (2015). Count and Record Respirations – CNA Skill Video AAMT. Retrieved from https://www.youtube.com/watch?v=VS0adbHFneA

BioSpine Institute. (2018). Breathing (picture). Retrieved from https://biospine.com/diaphragm-back-pain/

Pearson Vue. (2018). Texas Nurse Aide Candidate Handbook. Retrieved from https://home.pearsonvue.com/getattachment/73a0c524-4cbe-401a-aa5c-fe1ebf4e2517/Texas

Texas CNA Skills (Part One): Hand-Washing, a.k.a. Hand Hygiene Instructions and Video

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Hand-washing is arguably one of the easiest and most effectual methods of infection control in healthcare facilities. Correctly-performed hand hygiene prevents the spread of harmful diseases. In fact, the overarching goal of hand-washing is to remove microbes, dirt, debris and particles from the hands by way of sufficient manual friction along with soap and warm water to prevent the spread of disease-causing germs to vulnerable patients and residents.

In addition, hand-washing happens to be a testable skill on the Texas state examination and skills evaluation test to attain certification as a certified nursing assistant (CNA). During the course of the CNA state test, the test-taker is expected to perform a full hand-washing skill sequence in front of the examiner to ensure that it is being done properly. Thus, a thorough working knowledge of correct hand-washing techniques is imperative in order for a candidate to pass the skills portion of the state exam.

Without satisfactory knowledge of hand-washing techniques, a test taker could quite possibly fail the skills portion of the state test, resulting in a disappointing loss of time, money, effort and confidence. Who wants to continually retake the CNA state exam? Not you! In other words, it would be an excellent idea to know how to perform the skill of hand-washing in the precise manner that the state test examiner wants it completed.

CNAs and other healthcare workers will need to wash their hands multiple times per work shift during the course of performing direct care. The nurse aide must perform proper hand hygiene before entering patients’ rooms, prior to exiting patients’ rooms, before and after feeding residents, after handling unclean bedding and linens, prior to performing procedures on patients, and after coming into contact with skin tears and open wounds.

Again, the rationale for hand-washing is to reduce the likelihood of transmitting infectious germs. The World Health Organization (2009) asserts that five instances are appropriate for hand hygiene: 1) prior to contact with patients and residents; 2) prior to performing clean and/or aseptic tasks; 3) after body fluid exposure risks; 4) after contact with patients and residents; 5) after making contact with patients’ surroundings.

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To successfully complete the hand-washing skill for the Texas CNA state exam, Pearson Vue (2018) asserts that this procedure should be performed utilizing the following steps in the order that has been listed below:

  1. The nursing assistant must refer to the patient by his or her name. The nursing assistant must also introduce himself or herself to the patient by name.
  2. The nursing assistant must proceed to turn on the water faucet at the sink.
  3. The nursing assistant needs to completely wet his or her hands and wrists.
  4. The nursing assistant adds a sufficient amount of soap to his or her hands.
  5. The nursing assistant must ensure all surfaces of his or her hands, wrists and fingers are lathered up for a minimum of 20 seconds while using sufficient friction. While lathering up, make sure the hands remain lower than the elbows. While lathering up, also make sure elbows and fingertips are kept down.
  6. The nursing assistant needs to clean his or her fingernails by rubbing the fingertips against the palms of the opposite hand.
  7. The nursing assistant must rinse off all surfaces of his or her hands, wrists and fingers while being sure to keep the hands lower than the elbows and the fingertips down.
  8. The nursing assistant must use dry paper towels to dry off all surfaces of his or her hands, wrists and fingers while starting at the fingertips. The nursing assistant then must proceed to dispose of the used paper towels into the wastebasket receptacle.
  9. The nursing assistant must use dry paper towels to turn the water faucet off before properly throwing the used paper towels into the wastebasket receptacle.
  10. The nursing assistant must not touch the inside of the sink during any point in time while performing the hand-washing skill in front of the examiner.

REFERENCES

All About Medical Training. (2015). Hand Hygiene (Hand Washing) CNA Skill Video AAMT. Retrieved from https://www.youtube.com/watch?v=6ae0eODZyNQ&t=2s

Pearson Vue. (2018). Texas Nurse Aide Candidate Handbook. Retrieved from https://home.pearsonvue.com/getattachment/73a0c524-4cbe-401a-aa5c-fe1ebf4e2517/Texas

World Health Organization. (2009). Hand Hygiene: How, Why & When? Retrieved from http://www.who.int/gpsc/5may/Hand_Hygiene_Why_How_and_When_Brochure.pdf

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Nursing Career Ladder (Part Four): the Advanced Practice Nurse

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This post is the fourth and final one in this four-part installment series that has aimed to put a spotlight on the diverse nursing career ladder in the United States.

The first post in this particular series discussed certified nursing assistants, known as CNAs, and the second post elaborated on the unique importance of licensed practical nurses (LPNs), also known as licensed vocational nurses (LVNs) in the states of California and Texas. The third post highlighted the significance of registered nurses. This fourth post will shed light on advanced practice nurses.

An advanced practice nurse, or APN, is also known as an advanced practice registered nurse (APRN). The APN is a registered nurse (RN) with additional educational attainment, specialized training and a wide knowledge base that soars above and beyond the customary bedside RN role.

According to the American Nurses Association (2018), APNs include nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives. Additionally, all APNs possess a vital place in the future of the entire healthcare system in the United States. APNs routinely serve as patients’ primary care providers. They are placed at the forefront of the provision of preventative healthcare to the public as a whole.

APNs treat and diagnose disease processes, possess the authority to write prescriptions in most states, advise the general public on health issues, and manage chronic disease processes in strict accordance with high quality evidence-based practices. APNs also obtain continuing education to remain abreast of the continual, technical, methodological, and other emergent changes in the nursing profession.

All APNs have attained a minimum of a master of science degree in nursing with an advanced practice specialization. This educational attainment is in addition to the initial nursing education and licensing that is mandated for all RNs. A number of APNs hold doctoral degrees (PhD or DNP). The PhD degree is the doctor of philosophy in nursing science, and the DNP is a doctor of nursing practice degree.

Many APNs started their glorious careers as nursing assistants before ascending the healthcare career ladder through hard work, education, persistence and the pursuit of lifelong learning. Legacy Healthcare Careers is a Dallas/ Fort Worth CNA school in the Mid-Cities/HEB area of Texas that offers coursework to become a nursing assistant in four short weeks.

Feel free to place a telephone call to Legacy Healthcare Careers’ office line at (682)626-5266 or the school’s 24-hour hotline at (682) 313-6404 for enrollment information that might possibly change lives for the better.

Nursing Career Ladder in the United States (Part Three): the Registered Nurse (RN)

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This post is intended to be the third in a four-part installment series that aims to illuminate the dynamic, ever-evolving nursing career ladder in the United States.

The first post in this particular series discussed certified nursing assistants, known as CNAs for short. The second post in this series elaborated on the unique importance of licensed practical nurses (LPNs), also known as licensed vocational nurses (LVNs) in the states of California and Texas. This post will shed some light on registered nurses.

A professional registered nurse, known as an RN for short, is a multi-faceted healthcare professional who is entrusted with the delivery of both direct and indirect nursing care duties and responsibilities. During the course of providing nursing care, the RN observes, assesses and records objective signs and subjective symptoms that patients experience.

RNs document additional findings such as reactions to treatments, progress and patient outcomes. The RN’s keen observations and clear documentation serve as the the hardcore foundation for the planning of patient care, initiation of interventions, and overall evaluation of the patient care that is being provided.

RNs routinely report changes in patients’ conditions to the physician and carry out physicians’ orders as indicated. Moreover, RNs promptly respond to subtle and overt changes in condition to prevent further deterioration of patients’ health statuses. RNs work work in bedside or clinical settings may perform a wide repertoire of procedural skills such as medication administration, complex wound care, respiratory ventilator management, and so forth.

RNs plan all aspects of the care of their patients. In fact, RNs continually formulate and revise nursing plans of care. RNs also teach and educate patients and families on the provision of appropriate care techniques. They also help different individuals, groups and populations to sustain and/or improve their various health statuses.

Professional registered nursing practice regularly draws upon an amazingly large fund of knowledge in order for the nurse to deliver appropriate assessment, planning, nursing diagnoses, intervention and evaluation. These actions, collectively referred to as the nursing process, are executed in a timely fashion to promote patients’ health statuses, prevent devastating illnesses and help clients manage their varied disease processes.

RNs can be found working in varied healthcare settings such as hospitals, extended care facilities, hospices, clinics, doctors offices, home health companies, colleges, universities, occupational health centers, private duty cases, and psychiatric facilities. RNs also work for insurance companies, research firms, governmental agencies, jails, prisons, public health centers, parishes, pharmaceutical corporations, and an array of other workplace settings.

While state laws tend to dictate nursing’s breadth and scope of practice, it is often the specific needs of the patient load on a particular day that determine the RN’s duties for that day. To become an RN, a prospective candidate must graduate from a state-approved nursing program at a community college, diploma school of nursing, trade school, technical college, or university. The graduate must also pass a national exam to secure state licensure as a registered nurse.

Many certified nursing assistants (CNAs) continue their education to become LPNs and/or RNs, thereby ascending the nursing career ladder. Legacy Healthcare Careers offers four-week CNA classes in the Dallas/Fort Worth area that are affordable and will fit in with prospective pupils’ budgets and lifestyles. Call (682)626-5266 or the 24-hour hotline at (682)313-6404 to enroll at our Mid-Cities / HEB area location.

Be sure to look for the fourth and final post in this information-packed four-part series on the dynamic nursing career ladder in the United States. Also, do not forget to place a quick telephone call to Legacy Healthcare Careers at (682)626-5266 or the 24-hour hotline at (682)313-6404 to enroll in fast-track certified nursing assistant (CNA) training coursework.

Nursing Career Ladder in the United States (Part One): Certified Nursing Assistants

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This post is the first of a four-part series that will aim to elucidate the nursing career ladder in the United States. The certified nursing assistant (CNA) is the core foundation and backbone of the nursing career ladder in the United States. Without the hard work and merit-worthy contributions of CNAs, most nurses who work in direct patient care capacities would have extreme difficulty accomplishing the myriad of duties and tasks.

CNAs are vital allied healthcare workers who deliver basic nursing care to patients, residents and clients under the supervision of licensed nurses and physicians. CNAs assist patients and residents with the care tasks that the patient might be unable to do on his or her own due to weakness, debility, illness, cognitive impairment, fluctuations in mentation, or a variety of other reasons.

In essence, CNAs are supervised by licensed nurses while assisting patients with basic nursing care tasks. These basic nursing tasks include routine care duties such as getting dressed, making occupied and unoccupied beds, taking showers, helping with feedings at mealtimes, taking baths, using the toilet, performing incontinent care, taking and documenting vital signs, and observing and reporting changes in patients’ conditions.

CNAs often spend more time with the patient than any other member of the healthcare team. Their insights and observations are often utilized to formulate patients’ plans of care. In addition, CNAs report their observations and suspected changes in patients’ conditions to the nurse. Therefore, the role of a CNA is vital to the functioning of the healthcare industry in the United States.

CNAs can be found working in hospitals, home health companies, private duty cases, skilled nursing facilities, group homes, clinics, psychiatric facilities, rehabilitation centers, hospices, adult daycare settings, prison infirmaries, the military, and a number of other types of workplace settings.

CNAs, also known as nurse aides, are the premier backbones of the majority of hospitals, healthcare centers and skilled nursing facilities in the United States.  Legacy Healthcare Careers LLC provides low-cost, high-quality certified nursing assistant classes that will prepare prospective pupils for a dynamic career in allied healthcare as a Dallas/Fort Worth nurses aide in just a few weeks. Telephone (682)626-5266 or the 24-hour hotline at (682)313-6404 to enroll in CNA classes in the Mid-Cities / HEB area.

While the CNA occupies an amazingly important role in the nursing profession, many nurses aides opt to utilize the CNA career as a foundation-like springboard into other higher-paying nursing career pathways such as the licensed practical / vocational nurse (LPN / LVN), professional registered nurse (RN), and the advanced practice nurse (APN). In other words, many CNAs choose to climb up the nursing career ladder for increased pay and employment opportunities filled with more complexities.

Please stay tuned for part two of this four-part series that sheds some light on the nursing career ladder in the United States.