Requirements For Clinicals Nurse Assistant

Hawaii Health Care Institute (A division of APEX INTERNATIONAL INVESTMENT GROUP)

Nurse Assistant Training Program 305 Wailuku Drive, Suite 6 Hilo, Hawaii 96720

Tel.: (808) 933-1295 Fax: (808) 933-2722

Student Name: _________________________________ 114 hr Course Dates ______________ Requirements for Clinicals @ Hospital Settings

Date Completed

Remarks

Application for CNA training -100 hours Enrollment Agreement Physical Exam CPR First Aid TB – 2 steps HEALTH RECORD COPIES* *TD (tetanus/diphtheria) *Hepatitis B series *Measles *Mumps *Rubella *Varicella (chickenpox) *Alternate- Antibody test (MMR/Varicella) SCHEDULED BY THE CLINICAL FACILITY Criminal History and Record Check Drug Testing OTHER FORMS: FROM CLINICAL FACILITY Infectious Disease Screening Questions Respirator Medical Screening Questions Latex Sensitivity Questions Hospital HR Orientation – 2 hours to 8 hours depending on clinical facility’s Orientation policy PRIOR TO GRADUATION: Pass 4 quizzes & 1 Final Test Skills Check-off Clinical (24 hours) Pay all Tuition Fees