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Test Number : CNA
Test Name : Certified Nurse Assistant
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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 Assistant Dumps

hazard looms in FCT as scavengers, waste collectors storm bio-hazardous dump sites, threaten anti-COVID-19 fight | CNA PDF Dumps and genuine Questions

ADELANI ADEPEGBA writes that the bad management of bio-hazardous substances from COVID-19 medication centres may additionally create a massive fitness disaster in the Federal Capital Territory

The COVID-19 pandemic has devastated families, eroded health systems and generally took a toll on livelihoods.  the appearance of three.92million doses of Oxford-AzraZeneca vaccines within the country has raised hopes that this intervention may support in curbing the spread of the sickness.

besides the fact that children, findings point out that the terrible administration of bio-hazardous substances evacuated from COVID-19 remedy centres might additional deepen the community transmission of the coronavirus sickness within the Federal Capital Territory

Investigations indicate that waste items from COVID-19 medicine facilities and hospitals are finding their method to the Gosa dumpsite, Idu Industrial enviornment, Abuja, the place scavengers, waste collectors and others of doubtful identities handle them with bare hands. The bio-hazardous wastes are trucked day by day to the dumpsite from the countrywide sanatorium, Asokoro and Maitama widely wide-spread Hospitals, other COVID-19 treatment amenities and hospitals in the FCT with the aid of waste collectors. Such gadgets include contaminated own insurance plan equipment corresponding to facemasks, surgical gowns, gloves, gauze, in addition to blades, syringes, vials and different scientific waste.

analysis indicates that the infectious or bio-hazardous waste products additionally consist of blood and blood products, intravenous tubing, cultures, shares, or any laboratory agent that could be contaminated with an infectious sickness (microbiological waste), as well as waste produced in the room of a patient diagnosed with a communicable disorder, discarded vaccines, pathological and sharp waste.

other bio-hazardous materials are soiled robes, bed sheets, or bandages, and any variety of machine that has come into contact with a probably infected individual. medical certified observed such waste items are not to be underestimated as they may well be harbouring bad pathogens.  It has been established that microorganisms inside these waste streams have the abilities to have an effect on health and well being. They thrive in health facility environments, in addition to outpatient clinics, physicians’ places of work, and at dumpsites.

To a first-time traveller, the Gosa dumpsite appears to possess a foreboding aura with the endless column of acrid smoke filling the air with toxic gasoline, and the thick stench of decomposing waste that appears to seize at one’s throat. The hovels dotting the landscape where the scavengers chill out looked forlon like an deserted fishing boat. each minute, waste vans lumber in to discharge their odoriferous cargoes. The double facemasks worn via their correspondent were no suit for the assault on the nostrils from the fetid air.

ratings of scavengers have been observed  sifting in the course of the freshly delivered waste, hunting for constructive gadgets, oblivious of the thick smoke and the pungent smell.   The formative years, on the whole half-bare and donning simplest shorts, sweated heavily as they cherry-prefer objects from the garbage piles with bare hands.

Abubakar Mohammed, who's in charge of the website, disregarded apprehension that the scavengers and refuse collectors can also contract COVID-19 or different illnesses from discarded medical wastes.  He boasted that he has been working at the dumpsite for over 15 years, noting that he hardly fell unwell.

Mohammed changed into having a haircut when their correspondent got there.  Sitting on a mat because the barber in neatly modulated sequence shaved his head with a glinting blade, Mohammed referred to he did not worry COVID-19, assuring that he changed into resistant to the scourge which had claimed hundreds of lives in every single place the realm.

He stated, ‘’I don’t take any drug, it’s God this is helping us. notwithstanding individuals are scavenging for things from the refuse, none of them is unwell. you should definitely had been here when I had a meeting with my worker's, they were greater than a thousand. if they fall unwell or have headache,  they go to the chemist shop for medication.’’

Mohammed noted he had been working at refuse dumps for two decades, starting from area one, Mpape and different places in the FCT.

When instructed in regards to the risks of contracting COVID-19 or different diseases from handling bio-hazardous wastes from hospitals, he said,’’ I’m bored with talking to journalists as a result of I have granted a few media interviews with the hope that the government would at the least provide hospitals and potable water for us here however nothing has been completed.’’

Twenty-seven-12 months-old Isa Mahmud who works with a sanitation company, explained that he became aware about the dangers of his job, noting that the resolution to work as a waste collector turned into borne out of desperation. The secondary college graduate disclosed that he came to Abuja in 2015, adding that he all started working as a refuse collector because he couldn't get any other job.

“Going returned to my village in Kogi State became now not an choice therefore my choice to take this job. It has now not been easy as a result of i am uncovered to ailments from the distinctive waste materials they deal with typical but I all the time wear my facemask and hand gloves while on duty and this has helped me as I even have been able to prevent contracting any disease,’’ he stated.

diagnosis via signals, signs and guesswork

reachable to cater to the health of the waste collectors and scavengers changed into Mohammed Shuaibu, a self-acclaimed neighborhood healthcare professional.  The 25-12 months-historical runs a dispensary smack within the coronary heart of the Gosa dumpsite. Shuaibu, who claimed to be a 2017 graduate of Uthman Dan Fodio teaching hospital, Sokoto, talked confidently about his clinical practice. He became also no longer shy concerning the cash he's raking in from his patients.

in line with him, the employees on the website regularly endure from belly considerations, malaria, fever and cuts from dealing with sharp items, adding that he set up the store to store the sufferers from journeying the distance to his pharmacy at Karmo.

He cited, ‘’I promote medicine to americans suffering from abdominal considerations, malaria, fever and minor injuries. anything else that passes my vigour (beyond my advantage), I at all times direct them to hospitals. I schooled at Uthman Dan Fodio instructing hospital, Sokoto,  did my IT at Gwarimpa well-known medical institution. since I couldn’t get a job, I decided to start managing this work here at this dumpsite.

‘’The individuals right here always come to my store at Karmo enviornment for remedy and when they're weak, some could not come there. And transport fare from here to Karmo is about N400, so i assumed it shrewd to open a pharmacy right here,  so i can aid them.  I actually have been here since 2019; I deal with them, supply some individuals drip. i am similar to a primary health care giver. the rest beyond my potential, I forward it to the nearby time-honored hospital.’’

‘’instances that are past my powers consist of tuberculosis, fractures, and convulsions; if I handled the adult for a while and he didn't get more suitable, i might refer him to a nearby health facility widely wide-spread health facility. if you happen to see some thing it's past your powers, you refer it to a prevalent health facility. it really is why we're group medical examiners,’’ he spoke of with a smile.

Shuaibu explained the remedy regimen he adopted in treating quite a few fitness issues whereas reeling off the names of medication. ‘’The ailment the scavengers continuously have is malaria or stomach pain simply as a result of the weather and they have typhoid as a result of the extreme temperature. Some suffer from catarrh because of the smoke they inhaled, so I provide them medicine when they cough. If it’s malaria, I provide them Artemether injection, also ACT (artemether-lumefantrine (Coartem) and artesunate-amodiaquine), which is a malaria drug.’’

Oozing confidence, he further cited, ‘’ I also supply them Ciprofloxacin 500mg, I additionally supply them paracetamol and malaria medicine. after they see that the condition is getting worrisome, they say, ‘go to a different health facility for correct assess up and some tests.’

‘’ Some were having hypertension; after I examine their BP and their a must have sign is come what may excessive. sometimes, I supply them Reverseplus, amlodipine, Lotensin and others but when I see that the circumstance (blood drive)  is not coming down, you (patient) need to go to a medical institution for proper verify up.’’

requested how he detects TB, Shuaibu noted, “i know as a result of I’m a medical expert. we've signals and symptoms that show somebody is affected by TB. How do i do know someone has malaria? It’s from the signals and symptoms. as an instance, somebody is having a  extreme cough for ages, you provide him septrin, cough medication and others, and the cough remains continuing, he has to go to a health center to run a check as a result of it is the sign of tuberculosis.

‘’ Some americans could be telling you they are weak, and they are coughing; out of your intellect, this may tell you here is an indication of tuberculosis since you gave them septrin, it didn’t work, you gave erythromycin, it didn’t work, so you refer them to a clinic for examine up. Some sufferers come with wounds; probably, they stepped  on a broken bottle and a few of them got injuries, so I provide them Tetanus injections, and medicines like Diclofenac, Ampiclox, and Piroxicam and others. they have the one it really is referred to as predixam for anywhere this is swollen and anti-micro organism drugs that they provide to individuals.’’

all over the dry season, Shuaibu spoke of the scavengers undergo belly pain ‘’so i will be able to given them Buscopan injections or drugs,’’ including that some were also handled for gastric complications.

‘’when they complained about abdominal pains, I ask whether it is in higher extremity or decrease extremity. if it is the upper, it might be gastro; probably you have got ulcer. with the aid of mere looking, i might ask you,’ when do you eat in the morning? Do you have issues (historical past) of abdominal pains? If the person says yes, that's ulcer; what they called gastric ulcer. From there, i would offer you ulcer drugs.’’

When requested the explanations of ulcer, he mentioned, “What i used to be informed in faculty is what i would let you know;  ulcer is a sickness. Some individuals consider it is because you change the time of consuming food. probably, you consume food with the aid of 8 O’ clock in the morning, however because you were busy, you changed the time of ingesting, it reasons ulcer as a result of anytime in the morning the enzymes all the time want meals, they might birth biting your intestines. there is hydrochloric acid within the abdominal which would have an effect on that wound and that’s what causes ulcer.”

He denied ever treating a COVID-19 affected person, noting that he could determine the signs having attended COVID-19 working towards in Sokoto.  Shuaibu claimed that he acquired a licence to practise ‘community fitness’ from the affiliation of Chemists, Karmo chapter.

“i will be able to’t register with the Pharmaceutical Council of Nigeria; I handiest registered with the chemists association in Karmo.  In Karmo, they come for monitoring whereas right here, they don’t come for monitoring. My shop in Karmo is registered with the chemists association and the pharmacists, so this one is connected to that one (in Karmo).’’

The chemist stated he usually wear gloves and face masks whereas treating sufferers, just as he noted no affected person had died whereas beneath his care. On the money move, he stated, ‘’Some days, I make N5,000 or N10,000 and that i have made N50,000 in a month and often N7,000 or N1,500 in a day.” The ‘pharmacist’ said his father has a huge drug store in Karmo from where he received medication for the Gosa dumpsite dispensary, including that the medication were sourced from the Kano drug market.

clinic blames poor coping with of COVID-19 waste on collectors

Hospitals are, besides the fact that children, blaming the waste collectors for the negative management and disposal of clinical wastes, especially, COVID-19 materials.  Hajia Aisha Gado,of   Asokoro widely wide-spread medical institution compound office mentioned  medical wastes are carefully packed in red, yellow and black nylons for productive disposal, noting that the waste managers continually lumped everything collectively during evacuation to the dumpsite

Gado explained that the tremendously infectious waste consist of placenta, human elements which have been positioned inside the pink bag whereas the hazardous waste together with injections, syringes, vials, and different chemicals, including that used PEPs such surgical gowns, gloves, face masks and others  are positioned within the infectious luggage and burnt.

She stated, ‘’we now have infectious waste, hazardous waste and sharps. The infectious and unsafe wastes are packed in separate bags for disposal whereas the hazardous wastes are burnt in the incinerator however the waste disposal guys continually lump every little thing collectively all through evacuation. they have educated the (medical institution)  cleaners twice in the remaining three hundred and sixty five days on dealing with of infectious and hazardous materials; they supply them lectures on and off. They understand the way to deal with and dispose it.’’

Ms Dorcas Ereje, a supervisor with the pinnacle fitness and Sanitation capabilities in cost of cleansing and sanitation at the clinic, confirmed that her workforce had been informed on handling medical wastes, adding that one of them, despite the fact, gotten smaller COVID-19 in January.

“The employee was assigned to the toddlers health center the place she shriveled the ailment at some stage in her work. A baby and a nurse were also contaminated but they have been all treated and discharged,’’ she printed.

The spokesman, country wide clinic, Dr Tayo Haastrup, observed his corporation burns the COVID-19 waste in incinerator, noting that it turned into packaged in physique bags. ‘’The waste is easily packaged and disposed in the incinerators. different hospitals have additionally been bringing their waste for us to incinerate. They package them in physique bags. The personnel in charge of waste disposal wear goggles and hand gloves for insurance plan,’’ he brought.

insufficient bio-hazardous waste management, a minus for bio-defense regulations-Virologist

A  Virologist, Dr Solomon Achollom, attributed the terrible management of bio-hazardous waste cloth to infrastructure deficit which he observed is a minus for bio-security laws within the country.

Noting that the COVID-19 medicine facilities have been not adequately fitted to manage bio-hazardous waste because they have been makeshift companies, the lab scientist spoke of it turned into important that proficient gurus address bio-medical waste items and never the junior people or cleaners at the fitness centres.

He stated, ‘’regarding biomedical waste management, it is not being dealt with the style it is meant. part of the rationale is because of infrastructure deficit. They want some type of waste disposal gadget. should you go to medicine centres, for the incontrovertible fact that they are greater or much less makeshift establishments, they aren't correct hospitals; so, they are less geared up to address bio-hazardous waste. it's a large minus in their bio-safety laws.

‘’ The 2d aspect is practising of personnel. You remember that the people that address waste are on the lessen cadre in the system They haven't developed to the stage where they have consultants in waste management.’’

The virologist who works with countrywide Veterinary Institute, Vom, Plateau State, called on the  national Environmental specifications and laws Enforcement  and the Ministry of atmosphere to  perform surveillance on bio-hazardous waste disposal and  convey to booklet those violating environmental rules.

‘’if it is due to infrastructure deficit, they may still let the authorities know that waste disposal is as essential as provision of PPEs for people working in hospitals because if the disposal is unhealthy, they are nevertheless exposed as far as the nation is worried.

‘’If the wastes are incinerated within the premises, it is a special issue but if they are transported somewhere else for incineration, there has to be satisfactory decontamination and the delivery of those in special vehicles using the individuals who were knowledgeable. it's coronary heart-rending to know that even COVID-19 samples are transported in public vehicles. here is putting the lives of Nigerians at stronger possibility,’’ Achollom asserted.

in keeping with him, the indisputable fact that the waste collectors and scavengers at dumpsites back to their homes within the neighborhood after managing all forms of medical waste posed the hazard of deeper penetration of COVID-19 and different infectious ailments among the populace.

The agency in can charge of bio-defense, NESREA pointed out it has developed two guidelines for handling infectious waste in the context of COVID-19; and chemical compounds used for disinfecting surfaces in opposition t coronavirus.

NESREA Assistant Director, Press and Protocol, Mr Waheed Adeleke, talked about  in its effort to the public, particularly people on the direct line of exposure including medical experts and waste managers, the company got here up with instructions on handling of the healthcare waste coming up from the treatment of contaminated men and women as neatly because the chemical compounds used for disinfection.

He mentioned, ‘’in an effort to protect healthcare worker's and the established populace to demobilize the virus within the environment to keep away from spread of COVID-19, NESREA has efficiently finished programmes via public training together with interviews, discussions, press briefings and jingles which were publicised through electronic media with the goal of creating cognizance in particular on the significance of suitable managing of infectious wastes by the healthcare laborers and waste handlers in line with extant regulations.

Adeleke mentioned the programme changed into carried out in the six zonal workplaces, FCT and 30 state workplaces of NESREA, noting that Compliance Monitoring Officers of the agency has launched into compliance monitoring above all at clinical facilities, isolation centres, waste disposal locations and different areas of hobby to ensure that the instructions were adhered to.

On the ignorant coping with of clinical waste by scavengers, he referred to it was the responsibility of  state and native government authorities to manage strong waste but the Abuja Environmental protection company director, Hassan Abubakar referred to there are over one million scavengers in Abuja, noting that his agency cannot cease them from managing bio-hazardous waste.

He referred to, ‘’Scavengers are in every single place in the FCT, it is not handy to remove them, they are more than 1,000,000. in case you go to Uzo Kalu house by means of Banex junction, Torah Borah, Apo roundabout, you could possibly see all of them there; we're doing away with them but it is not effortless and also you be aware of most of them are criminals, they are carrying bad weapons, so you should be cautious with them. in the event that they contact clinical waste, it’s their company. They can not cease them because I can not leave my workplace and go to the dumpsite to inform them not to the touch any (waste) car that comes there.’’

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