Secrets of Learning at CNA Training Schools

CNA training program is approved by State Nursing Board which is comprised of 75 to 100 hours training depending upon the particular state, where one wants to work. To become eligible for the CNA training one should hold 10th Standard diploma or GDA and physically fit to handle lifting of patients. The success of a CNA depends on strong passion to serve the ailing humanity.

CNA programs are taught at CNA training schools, which are located at all the community colleges, vocational training institutes and some schools also. During the CNA Training period, one learns theoretical part of the Working ambit of CNA. Besides the theoretical learning a CNA is required to get practical Clinical Experience at a real time health care facility. This training can last for few weeks to few months depending on the number of classes one attends in a week.

Most of the CNA training is confined to laboratory training, practical clinical instructions and related to various CNA duties one performs in the healthcare facility. All this training is accomplished through lectures by the faculty, role play demonstrations, training videos, formal discussion actual demonstrations. In the CNA trainings the stress is on the learning and perfection of CNA skills. The CNA skills can be further divided into following categories:

Learning People Skills:

While on the job a CNA has occasion to come across good people and bad people. The efficacy of a CNA therefore depends on to be best at caring, understanding the situations, should not hurriedly arrive at judgments, should be a good empathizer towards patients irrespective of the social status of the patient. A CNA must always attain a helping attitude and supportive to patients relative because they come taking lot of trouble.

Learning Psycho-Social Skills:

It is part of CNA training at Schools, because patients in healthcare facility are emotionally disturbed and needs a specific attempt to ameliorate their emotional status by interacting positively with them so that they recognize the CNA with a different feeling in comparison to other people, who just come and go without touching their hurt feelings. CNA training schools refine the communication skills of a person by developing non-verbal communication most effective to attend critical patients on verge of dying and most his relations gathered waiting eagerly for the event to happen. One learns to manage the stresses caused by busy hectic day of activities.

Learning to Listen only:

One has two ears to listen more and one tongue to talk less, but often reverse happens one refuses to listen and does not stop talking. These are the extremes. There are stages of equilibrium also. If one talks less and listens more, there is better sense of understanding, which is required. One can adjust the equilibrium according to the need of the situation while communicating with patients, his relations, doctors and co-workers.

Learning to be Good Observer:

The useful CNA training program keeps in mind helping the CNA for developing observation pattern relying on which one is in position to locate anything uncommon. At many occasions patients do not knowing where or what is the problem? In such situations the CNA’s responsibility is to find out what is wrong by concentrating on patient’s abnormal actions, injuries, or anything, which is not looking normal.

Learning Deploying Physical Skills:

CNAs are required to perform lot of physical activity, while on duty. As a CNA, one should be adequately strong physically for handling the jobs of moving patients. The CNA also is required to be on the toes rushing from one place to another as a daily routine. Hence one should not feel any physical hindrance to affect the capability to walk all the time performing duty.

Demonstrations Packed CNA Training:

CNA training demonstrates the job related specific physical skills, which are done in an easy manner, without exerting too much so that one can work efficiently during the duty hours. CNA schools training introduces bed making of the patient which is comfortable, assisting the patients to bathe, dress and groom. One learns techniques of dressing wounds, feeding care of the patients including feeding involving food tubes in unconscious patients, techniques related to insertion of catheters and their removal.

There are lessons on nutrition, physiology and anatomy. One gains competence for measuring vital signs i.e. blood pressure, temperature, respiration, and pulse rate.

CNA schools also teach infection control and safety measures like disinfection of patient’s room and articles lying there. Additional care is required in respect of patients having unique requirements as in respiratory diseases, organs impairment and diabetes. CNA training also includes topic related to patient rehabilitation.

CNA training to be summed up relates to learning skills, gaining knowledge and behaving confidently, which all success characteristics in every sphere of CNA job.

CNA Certification Examination:

After the CNA training is completed, one is eligible to appear in state sponsored CNA certification examination, which has two parts one being theoretical part regarding what one has learned in CNA training School and the other is CNA Competency skills test, where one has to demonstrate before an examiner few practical Clinical skills, which the CNA shall be routinely carry out while working at the job.

By passing both the above examination one gets certified with registration of particulars at the Registry maintained by the State Health Board.

The certification is valid for a period two years. Once within the period of 24 months one has to again pass a brief test to validate the CNA certification for another period of 2 years.

Having a valid CNA certification, one can work in a health care facility, a hospital or a nursing home as Certified Nursing Assistant under the supervision of a Registered Nurse. A CNA is also called a care giver, Nurse aide, or Home health aide depending on the facility one is working in. The need of CNA is very high, because of increasing number of elderly persons admitted for treatment of various diseases.

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The Patient Protection and Affordable Care Act & Related Reactions

The Patient Protection and Affordable Care Act, which has been signed is viewed by most of nurses as a day of great hopes for nursing profession, while referring to various clauses of the Act, which includes more funds availability to be spent towards nursing education, focused research taking care of safety and quality of service, increased investments towards public health, devising preventive steps required in care management.

It is further observed that the new Act shall be effective after few months or even it can take few years also. The related rules and regulation are yet to be framed. Funds need to be allocated to the pilot project, which also requires to be submitted and approval taken.

There are comments by Rebecca M. Patton “The work has not touched the finish line as yet”, who very vehemently gave support to the reform bill and now feels “Extremely important is what will be the outcome after the bill is passed”?

There are mixed feelings about the bill and there are some resentments, because some think by the passing of the bill insurance companies shall be benefited and there shall be no reformation of the industry, while protecting the consumer. Some of groups feel that the hospitals shall receive reduced repayment of Medicare and Medicaid services offered to more number of patients. The nurse related policy experts express their views that the legislation does not guarantee release of funds, because every year the congress shall be required to provide the funds.

On the whole various nursing association functionaries and policy related special commentators are of the opinion that the legislation shall open the doors to new opportunities in the fields of nurse education and practice. According to the views of Jo Ann Webb “In reality it is brilliant moment in the interest of nurses.” Due to “entire focus is on preventing the unwanted events and creating environment ensuring safe and quality service, which the nurses are famous for. ”

The Community oriented services:

The healthcare reformation legislation has provisions for multiple funds and incentives for the benefit of community oriented caring, which includes nurse operated clinics and school related health centers. The allocation of funds for the purpose is to the tune of $1.5 billion spread over duration of five years involving nurse family partnerships by virtue of which Registered Nurses shall visit first time young mothers located in lower income localities.

According to Jan Towers “There shall be addition of 32 million getting insured to the already insured persons reflecting the increase in the practice”. According to the new legislation the term “Nurse Practitioners” has been defined as primary care providers.

According to Tracy Hayens “Elimination of co-payment and deductible related to screening, vaccines, few types of preventive care inclusive of checking up of Medicare groups, The legislation provides help to ambulatory care nurses for patients, who in the earlier period who were unable to afford these service.”

According to Sheila A. Hass “There shall be necessity of Registered Nurses for managing care services at medical homes and other programs. The Registered Nurses in reality shall face increased role for care of chronically ill population arranging coordination in their care.”

There could be difficulties posed because of initial increase in the demand of primary care than the supply position resulting long waiting period for getting appointments at the clinics or at private practice front.

Affecting Hospital Environment:

Suzanne K. Stone commented that “With more number of persons having insurance cover and beginning to get primary care, there would be very few persons needing emergency care, it shall relieve the crowding taking place at emergency departments”

The law also provides for establishing a new trauma center program to strengthen ED and trauma center capacity and, starting in 2011, provides funds for emergency medicine research and to develop demonstration models for innovative emergency care systems.

Susan Hassmiller commented that “the legislation has provisions for specific granting of funds to hospitals for making available transitional care services or associate themselves with community based organizations for arranging these services. It requires for provision for establishment of pilot project with demonstration capability stressing on patient safety, educating them and quality assurance of the services. These programs shall be requiring nurses, who have acquired skills in these kinds of services, besides nurse researchers and nurse educators for helping in research and training services to be created. Further there shall be need of personnel in hospitals, who can think of improvements in quality care. Particularly the nurses are required to do all the activities they are required to for making preparation in delivering care with utmost safety in mind”

The Environment at Education Front:

The legislation provides for increased loan funds for benefit of under graduate nurses, the nursing schools and the faculty members shall enjoy the eligibility of fellowship for geriatric oriented training programs, offers of scholarships and loan waivers related to graduate students providing teaching service, expansion of work force diversity grant and increase in funds of advance practitioners providing their services in areas, where the care service is deficient.

The legislation has also provision for granting funds to schools and education centers, which have competence to make available courses related to advanced degree stressing on essentials of teamwork in relation to public health, dealing with epidemics and meeting challenges of emergency through adequate preparedness.

Suzanne Begeny has commented “Medicare demonstration program related to advanced practitioner training is destined to be set up initially in five selected hospitals, which shall induce great competition. Although there provisions of further expansion in health care and other similar places also”.

In this respect Susan Carlson states “As prevalent in the past traditions, the first place to start is hospitals, there after nursing schools are also likely to be considered”


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Formation of Tri-Council represented by Four Nursing Associations

To look at the Common programs influenced by Health Reforms Legislation Tri-Council has been formed, which in it’s deliberations studied the above legislation and released a Consensus Policy Statement related to the Educational Advancement of Registered Nurses, which is reported as below:

In view of present passing of Health Reform Legislation, the Tri-Council for Nursing acting on the prevailing conditions, has drafted a consensus statement for the Registered Nurses to act timely in respect of advancing their education level so as to meet the increased standards of quality and safety effective in all the healthcare facility locations. The Tri-Council organization includes, American Association of Colleges of Nursing, America Nurses Association, American Organization of Nurse Executives, and National League for Nursing, have expressed solidarity in the situation of crucial need for nursing workers with higher education to succeed in achieving safety and appropriate patient care as expected in the scenario.

Policy Statement of Tri-Council Organizations:

“The present health care reformation steps; expect the nursing workers for inducing integration of clinical experience to be based on viewing the evidences supporting to that effect along with undertaking research work and possess proper communication and leadership characteristics”. To be more competent there is necessity of higher education in all spheres related to nursing. At this juncture the nursing profession has to be ready and in action mode for devising strategically oriented steps, so that the nursing workers posses strong ability and shoulder higher responsibilities, otherwise the nation’s health shall suffer risks.

The present scenario requires numerous Nurses having advanced education standards to perform their roles as faculty, scientific research, becoming primary care servers, fitting in specialized nursing cadres and hold leadership positions and take charge of healthcare delivery system. The Tri-Council is a source of encouragement to all the nurses with no regard to their entry status in the profession and recommend that they should carry on their further education in courses leading to baccalaureate, master’s and doctorate degrees. Fortunately there are great choices in nursing education, which can be advantageously used by the present day nurse workers like achievement of degree in nursing online, accelerated and part time courses.

This statement is issued by the Tri-Council as an act of compulsion after deliberations to assess, how best nurses can be prepared for their present and future practicing proficiency required. The organizations taking part are associated with practicing nurses, nurses involved in research and nurses working in academic sphere. There are many topics on which the discussions were held, which included nurse workers demands and helping nurses prepare themselves to fit in the new model of nursing practice, besides complex healthcare scenario and requirement of patients, addressing the nurse faculty numbers inadequacy, as a result of which the enrolment capacity of a nursing school has limitations imposed on them.

The conclusion of the policy statement makes a call for action, in respect of system changes related to practicing and education of nurses by which the nurses are required for understanding the important role increase in education levels and accept continued learning objective of life. The call of action in respect of policy makers occupying positions at State and Federal level to make arrangements for funds availability for related programs and introduce steps of collaboration, which helps nurses, attempting to enhance their education in the profession.

The Tri-Council for Nursing felt the need for developing this policy statement to bring to the notice of personnel who have stake in these proposed changes regarding enhanced educations of the nursing workers presently in the profession and the new ones who shall become part of the nursing profession and ensure the improved quality of present and future patient care besides proper safety aspects. The message contained in the policy statement is common view expressed by the four nursing organizations performing different roles in nursing care and have collectively collaborated the efforts through Tri-Council.

There is requirement of more nurses possessing baccalaureate and high degree education at all the healthcare facilities. The professional leaders are accepting the reality and are presently issuing directions in relation to increased educational capability by attending and qualifying proper courses leading to the advanced degrees in nursing education.

The status at present is that insignificant number of nurses makes their choice for enhancement in their education. The first priority is enhancement in education to baccalaureate in nursing followed by graduation in nursing, which is of utmost importance to become Advanced Practice Registered Nurses (APRNs) and Nurse educating faculty. The present health care reforms insists upon nurse workers with integration of evidence supported clinical experience and participating in researching assignments with possession of excellent communication abilities and leadership roles.

The Tri-Council is supporting educational preparedness of the nurses. The leaders feel nursing profession has several access routes like LPN, progression programs, generalized pre-licensure program, accelerated associate degree, and baccalaureate programs; accelerated baccalaureate programs related to non-nursing functions and entry level master’s courses. Hence the advancement should begin at the individual entry points, so that they are more informed and more knowledgeable. There exists great diversity, which can be utilized for expanding the numbers of Registered nurses in the profession.

Since the requirement is for numerous nurses, having advanced preparedness to satisfy the health caring requirement of increased elder age population, which is practically possible only with expansion in nursing education so that the present nurses can become APRNs, leaders and educators in nursing profession.

Developments Leading to Consensus Position:

Following are the factors, which led to deliberations carried to arrive at a consensus, which can be circulated to the concerned persons in the nursing profession and Government agencies to understand their roles and act in the manner for the best interest of the profession and it’s members getting affected by the legislation.

1.Future Workforce Demands.
2.Complexity of Health Care Environment and Patient Care Needs.
3.The Need to Address the Nurse Faculty Shortage.
4.Call to Action: System Changes in Nursing Practice and Nursing Education at the front of Education providers, Employers where the nurses work with and Professional Associations which govern the profession under their guidelines related to ethics in performing the professional assignments and look after the professional needs for seeking corrective measures for smooth functioning.
5.Individual Responsibilities of Nurses to Access Advanced Education.
6.State and Federal Policy Initiatives to Promote Academic Progression
7.State Initiatives.


merican Association of Colleges of Nursing

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Role of Alcohol Specialist Nurses in Successfully Inducing Alcohol Abstinence

If properly informed and advisory meetings are held by Nurses having Alcohol specialty maintaining regularity, it is observed that 40 % of the persons having alcohol dependence give up consumption of alcohol totally. This is based on a study conducted and reported at the Royal College of Nursing’s 2010 International Research Conference held in Gateshead.

Dr. Kathryn Cobain, Research Fellow at University of Liverpool observed that after carrying out regular intervention sessions in which motivational talks were initiated resulting into 77 % of the participating individuals, who continued in the study group till it’s concluding time achieved remarkable reduction in alcohol addiction and 40 % achieved complete alcohol abstinence.

The research study was comprised of two groups of 100 alcohol depending adults belonging to North West of England. One of the groups just received one intervention motivation sitting in the beginning by alcohol specialist nurse and six follow up sittings with proper regularity spread in a period of 3 months.

The intervention process included motivational sittings, questionnaire response, advisory session, dissemination of related information ad discussion on the feedback received. The control group was given an appointment after lapse of 6 months.

It is observed that none of the control group was in a position to stop drinking after the trial period ended, in comparison to the other group, who were in constant touch with the alcohol specialist nurse, the results were very remarkable 40 % of the group succeeded in abstaining from alcohol consumption altogether. It was brought on record the fact that in the year 2008 there was incidence of 9000 alcohol related deaths in UK, which highlighted the necessity of effective action in regarding helping people to reduce alcohol consumption.

Dr. Cobain commented “About the demonstration derived from the trial study regarding role and prospects of Alcohol Specialist Nurses in effectively reducing alcohol consumption in alcohol dependent patients. The approaching method deployed is very simple and effective for considering as a recognized treatment option for alcohol dependence sufferers.”

Dr. Peter Carter said this trial has strengthened various other evidences reflecting the valuable contribution a nurse can provide by effectively reducing the harmful effects suffered by Alcohol dependent patients. This is a real opportunity to make people realize that they are drinking in excess. The warning appearing before persons supported by advice and related information. Based on this trial a training module has been devised for the nurses to enhance their skills in implementing intervention process for reducing alcohol dependence or achieving alcohol abstinence in alcohol dependent patients.


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A Guide to CNA Training

With a shortage in supply of medical professionals such as doctors and nurses and a growing demand for healthcare services, becoming a certified nursing assistant (CNA) is increasingly becoming a lucrative career. Also known as nurse’s aides, orderlies and patient care technicians, certified nursing assistants play an important role in the country’s hospitals, nursing homes and other various health-care facilities.

A certified nursing assistant is usually tasked in undertaking various aspects of patient care, which usually include assisting patients with mobility, hygiene, grooming, and nutrition. A certified nursing assistant is also expected to have knowledge in the use of medical equipment, and basic skills in procedures such as taking blood pressure, temperature, pulse rate, and the like.

Training for cna certification usually entails both theoretical and practical applications of health-care concepts.

What is required?

Cna training and certification can be acquired through various means. This includes campus-based training, in which a candidate learns theoretical knowledge and techniques in a classroom setting. Other options include online courses, which can be particularly useful for candidates who are currently involved in other professions.

Campus training has the advantage of allowing for a hands-on education. Students who take on-campus CNA programs benefit from close contact with instructors and peers, access to laboratories, and greater hands-on experience. On-campus training can usually be taken at a community college or hospital setting.

Meanwhile, those who are considering becoming a CNA as a change of career might find it difficult to attend traditional classroom-based trainings. In this case, online courses are a viable alternative.

What you are expected to learn?

Students training for CNA certification can expect to learn about the various procedures and equipment necessary in implementing patient care. As a certified nursing assistant is also expected to assist with basic personal needs of a patient, such as hygiene, the concepts behind training can be more complex than how the profession is normally viewed.

For example, CNAs are trained on best practices in basic hygiene and patient care, such as bathing, showering, brushing and flossing of teeth, grooming, and even denture care. CNAs are also expected to assist patients in going to the bathroom or using the bedpan. Post-operative care might include emptying of urinary bags or assistance to patients with catheters.

Aside from basic hygienic procedures, CNAs are also expected to perform or assist with some of the tasks that a registered nurse would usually undertake. These include using a thermometer to take temperature, taking pulse and respiration rates, using a sphygmomanometer for taking blood pressure, and the like. More physical tasks would involve helping patients dress and undress, and even transferring patients to and from beds and chairs. Sometimes, this involves the use of mechanical lifts and devices.

How long does training last?

Training for certification usually takes anywhere from three months to a year, depending on the training program. Different certification bodies would require varying minimum training hours in order to become eligible to work as a CNA.

How much does training cost?

Fee-based training is often the norm, and costs can vary depending on the school or hospital. However, some schools and hospitals would usually offer free training programs on becoming a certified nursing assistant. Some programs are even subsidized by the state, under various projects. Most of these are geared toward providing employment opportunities to marginalized sectors of society.

Free programs usually come with a service contract, in which the candidate will agree to work for a hospital or for the state for a certain period after certification. In some cases, free training programs are held in order to meet the demand for CNAs.

What does certification entail?

The National Nurse Aide Assessment Program (NNAAP) is the main exam taken by potential CNAs in the USA. This involves various segments divided into written, oral, and practical skills assessment. The written portion entails a multiple-choice type of questionnaire that covers skills that a CNA is expected to know. The oral portion consists of 10 comprehension questions and some multiple-choice questions. The practical portion, meanwhile, is designed to assess the candidate’s skills in a hospital setting.

Apart from the NNAAP, each state may have its own certification programs approved by the American Nurse Association Commission of Nurse Accreditation. Successfully certified individuals will have their names listed in their respective state’s Nurse Aide registry, and can renew their certification annually.

Apart from certification, a CNA may also be expected to meet certain personal qualities, such as good morals and conduct. A CNA is also expected to be healthy, drug-free and without criminal records.

Certified Nursing Assistants are considered front-line members of a medical team. In most cases, patients will expect to be in close contact with a CNA more than nurses and doctors.

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