The forms below are the master list of paperwork required for the course. You can save your submissions at any time by clicking "save" to return to the forms later. The CareBridge Academy paperwork below includes:

 

1. NURSE AIDE TRAINING PROGRAM STUDENT ENROLLMENT AGREEMENT
2. Media Authorization & Release Form – Student
3. Attestation of Compliance with PA Act 14 Nurse Aide Resident Abuse Prevention Training Act, 63 P.S. § 671 et seq.
4. Verification of Residency for Enrollment into a Nurse Aide Training Program
5. CareBridge Academy Nurse Aide Program Student Nurse Aide Policies

I understand and accept all provisions of this Enrollment Agreement and intend to be bound by them.

2. Time, Place and Location of Instruction: The Program consists of classroom, laboratory, and clinical instruction. Day/morning programs: Instruction will commence each day at 8:30 AM until 3:00 PM. The program runs Monday through Friday and lasts 17 days in total, totalling 100 hours. Evening programs: Instruction will commence each day at 4 PM and end at 9:15 PM depending on the program calendar. The program runs Monday through Thursday and lasts 20 school days in total, totalling 100 hours. 

All classroom and laboratory training will take place at the School’s facility located at 448 N. 10th St., Suite 400, Philadelphia, PA 19123. All clinical training will occur at the school’s remote location, which is a long term care facility (nursing home). Please see the calendar for specific dates. 

The program is taught by qualified nurses. All theory training and laboratory training will take place during the times stated for each Program session as listed in the School Student Catalog.

3. Completion of Program: Upon successful completion from CareBridge Academy, LLC, students will receive a Certificate of Completion in the Nurse Aide training program. Successful graduates will then be eligible to take the nurse aide training test as approved by the state of Pennsylvania and distributed by Credentia. Program graduates who attain their Certificate of Completion and subsequently pass the nurse aide training test will then be placed on the state of Pennsylvania’s nurse aide registry.

4. Required Tuition and Fees:

Full Rate and Total Payment is $1845 broken down as follows: 

Enrollment fee $150.00*
Supply fee (Books, Scrubs and materias) $100.00*
Remaining tuition Paid in full $1,595.00*

The cost of tuition includes the cost of materials such as books, handouts, aides, and other methods of instruction and products used as a part of the training program. 

Notes on enrollment fee due to failure to supply all required documentation and forms

Any student enrolled who has not submitted documents required for admissions (Including but not limited to the Physical and Tuberculosis requirements , PA State background check, FBI Fingerprints cleared (if applicable), at least 7 calendar days before class begins will be removed from the class they are enrolled in and the Enrollment fee will be retained based on the Enrollment fee schedule as seen in this agreement.

Confirmation of attendance before class commencement 

Due to very high demand, many classes are full and with waiting lists of students. As a result, administration will be reaching out to students to confirm their start dates on or around 10 days before class starts. If an enrolled student does not confirm their attendance at least 7 days before class begins that student will be dismissed from the class, and students on a waiting list will be offered any available spots that are opened as a result. Enrollment fee will be retained based on the Enrollment fee schedule as seen in this agreement.

Additional Fees and Costs

School-provided Scrubs : We provide one set of Scrubs, if students would like to utilize additional scrubs then Navy Blue scrubs are acceptable. Students can also purchase additional pairs of company-issued scrubs for $40.

Pennsylvania state background check*.................................................. $22
FBI Criminal History background check, if needed*.................................$23.75

Tuberculosis screening test and physical examination: Cost may vary based on the student's current health insurance coverage or site and type of test administration and reading.

Nurse aide training examination fees…………………………………………………….$135
Students who complete the nurse aide training program are then eligible to take the state nurse aide test. This test is required to be placed onto the state of Pennsylvania nurse aide registry. This test can only be taken after successful completion of the nurse aide training program.

Make-up time*
Clock hours for missed required hours of instruction, clinical or lab time $30 per hour There are 5.5 make-up hours built into the program free of charge. Only additional hours beyond this are subject to additional fees.

In order to receive full clock hours from CareBridge Academy, students missing classes’ or portions of classes must make up any time missed. Students who miss more than twelve percent (12%) of the program sessions will be required to restart in the next available class and will not be able to graduate. Students with medical certification may attend a future session at the School at no additional cost to complete the program with School administration approval. Students attaining nurse aide training must complete all 100 clock hours in order to receive a certificate of completion.

All students MUST make up any missed clock hour time. Students can make up as many as 12 hours of missed instruction (12 percent of total program sessions). Students must make an appointment with the Instructor to schedule the make-up work and time. This also includes make up hours included as part of the program (classroom/laboratory instruction for up to 5.5 hours). This can be requested via email or in person. Alternatively, the make-up time can also take place at the school’s location during regular weekday hours if and when no class is in session.

Clinical make up time can occur on any day of the week and at any time, but must be mutually agreed upon by both instructor and student. Any make up time requests for hands-on clinical work at our partner location that occur after 5 PM or on weekends may also require administrator approval by our clinical site partner in advance before approval.

5. Terms/Method of Payment: Students may pay for their tuition and other related fees by cash, money order, and credit/debit cards. All credit/debit card payments are subject to a 3 percent additional processing fee. All checks and money orders must be made payable to “CareBridge Academy.”

6. Payment Due Dates: The enrollment fee is due at the time the Enrollment Contract is signed and submitted by the student.

Enrollment fee : $150.00        Re-enrollment fee (where applicable): $75.00

The student’s enrollment fee is only valid for the date(s) as listed on the enrollment agreement. A student is allowed to change the start date of their classes but the school must have at least 14 calendar days notice of a request to change class start dates. If a student requests to re-enroll in another start date that falls within 14 days of their original class start date, they will be required to complete a new enrollment agreement for the updated date and also be responsible for a re-enrollment fee of $75.

7. Class Size and Teacher to Student Ratio: Each class session shall have minimum and maximum class sizes. In order for a session to be offered, there must be a minimum of six (6) students enrolled. Each session will have a maximum of thirteen (13) students.

Students enrolled in a session that is canceled due to low enrollment will be given the option to either enroll in the next available session or receive a full refund of all tuition and fees (including the Enrollment Fee but not the Criminal Background Check Fee or FBI Background check fee) paid to the School.

9-10. Cancellation, Withdrawal and Termination:

Cancellations
Enrollment fee refund policy upon cancellation: An applicant is entitled to a refund of the Enrollment fee (also known as application fee) under the following conditions after signing the enrollment agreement: A request for cancellation can be done in any matter, including verbally, in person, or in writing to the School Director and/or Program Coordinator. An applicant’s enrollment fee and all other tuition and expenses paid to the School are fully refundable if the applicant requests cancellation of his or her Enrollment Agreement within five (5) calendar days after signing the Agreement and no classes have been attended.

After five (5) calendar days of signing the enrollment agreement and prior to the applicant beginning class, the application/ enrollment fee will be retained by the School. If the applicant begins class within five (5) calendar days of paying the enrollment fee then the enrollment fee becomes non-refundable at commencement of the class.

Tuition fees or any/all other expenses paid to the school besides the Enrollment fee: Students canceling at any point following the date of enrollment but prior to the beginning of classes shall receive a one-hundred percent (100%) refund of all tuition and fees paid up to the date of cancellation (if any). Enrollment fee refunds will be carried out under the previously listed policy above.

Withdrawals (once class begins) 

Withdrawal from school policy: Students completing up to and including ten percent (10%) of the total clock hours of the Program will receive a ninety percent (90%) refund of the total tuition cost of the program minus any book or additional fees paid. This refund will be calculated based on the total amount of tuition paid to the School for the Program up to the point of withdrawal. 

Students withdrawing from or discontinuing the Program after the first ten (10%) of the Program but within the first twenty-five (25%) of the Program will receive fifty-five percent (55%) refund of the total tuition cost of the program minus any book or additional fees paid. This refund will be calculated based on the total amount of tuition paid to the School for the Program up to the point of withdrawal. 

Students withdrawing from or discontinuing the Program after the first twenty-five percent (25%) of the Program but within fifty percent (50%) of the Program will receive a thirty percent (30%) refund of the total tuition cost of the program minus any book or additional fees paid. This refund will be calculated based on the total amount of tuition paid to the School for the Program up to the point of withdrawal. 

Students withdrawing from or discontinuing the Program after the first fifty percent (50%) of the Program will not receive a refund of any kind. 

Withdrawal or discontinuing the Program can be made in any manner, such as in person, over the telephone, or simply through non-attendance. The refund due to a student will be calculated based on the last day of attendance. 

Non-attendance: students can also withdraw and/or be terminated from the program without notification through non-attendance. If the student ceases attending courses, the student will be considered withdrawn and/or terminated from the course after 2 calendar days of instruction. In this case, the refund will still be calculated based on the last day of attendance. 

Additional fees: All additional fees paid to the program (such as make-up hours, books, uniform, or tutoring fees) are non-refundable. 

Rejection: Any student that is rejected or not accepted into initial class enrollment because they did not meet the entry requirements to enroll in the course by the school (such as an unacceptable background check or failing the entrance exam) are entitled to a refund of all monies paid to the school, including the enrollment fee. Please note that rejection is separate from a student failing to complete paperwork and entry requirements (such as a student failing to complete paperwork, background check, or tuberculosis and screening test in a timely manner, etc.), and in this case the regular refund schedule applies and the enrollment fee is kept by the school.

The above stated refund policies will also apply to students who are terminated from the Program including sponsoring agencies. Refund checks will be mailed to the payer of the tuition within thirty (30) days of the last day of recorded attendance by the student.

11. CareBridge Academy, LLC offers job placement assistance; it cannot guarantee employment following graduation from the Program.

12. Grievance/Complaint Procedure: Questions or concerns regarding the School’s satisfaction of the terms of the Enrollment Agreement may be directed to the School Director at (267) 448 0803. The School Director is located at the School (448 N. 10th St., Suite 400, Philadelphia, PA 19123). 

CareBridge Academy, LLC is licensed by the Pennsylvania Department of Education, State Board of Private Licensed Schools. Any grievance not satisfactory resolved by persons listed above or by the school officials may be brought to the attention of the State Board of Private Licensed Schools Private Schools Pennsylvania Department of Education 607 South Drive, Floor 3E, Harrisburg, PA 17120.

13. Exclusion from Participation in Federal Health Care Programs notification: Providers who participate in the Medical Assistance (MA) Program must screen their employees and contractors, both individuals and entities, to determine if they have been excluded from participation in Medicare, Medicaid or any other federal health care program. By signing this agreement, attest to never being excluded from Medicare, Medicaid or any other federal health care program. It is my understanding that if I have been excluded from Medicare, Medicaid or any other federal health care program that I will not be able to enroll in the Nurse Aide Program.

14. Applicant Acknowledgement: I have read and understand all of the provisions of this Enrollment Agreement and accept all such provisions and have been given a copy of the Enrollment Agreement for my records. I have also received and read a copy of the School Catalog and understand and accept all of the terms of that Catalog. I acknowledge that no verbal promises or statements contrary to the terms of the Enrollment Agreement or the School Catalog have been made to me by any employee or representative of the School.

15. By signing this Enrollment Agreement, I acknowledge that my responses on the Enrollment Application are true and correct. I understand that the promotional material, School Catalog and any other information received by me from the School are not to be distributed or reproduced and are for my personal use only. I confirm that I am not acquiring information regarding any process or procedure of the School for a competitor nor am I representing an entity or individual other than myself. I understand that I will be held responsible for all costs involved in the replacement or repair of any of the School’s equipment or facilities if and when such damage is the result of my abuse or negligent treatment of such items or facilities.

STUDENT ACKNOWLEDGMENT OF ENROLLMENT AGREEMENT:

• I have read and understand this Enrollment Agreement Form
  
• I acknowledge receipt of an exact copy of this Enrollment Agreement Form
  
• I have read, understand, and been given a copy of the school catalog
  
• I have been advised to keep this document as well as copies of all financial documents.
  
• I understand this contract is legally binding after the school representative and I sign this document.
  
• The enrollment contract may be extended or modified only with the written consent of both parties signing below. (Applicant and School representative)

Intending to be legally bound hereby, the parties have signed this Enrollment Agreement on the dates below written.

A fully executed copy of this Enrollment Agreement will be given to the applicant upon acceptance and signature by CareBridge Academy, LLC.

15.

I hereby grant CareBridge Academy, its representatives, and affiliated entities the right to take, use, publish, and distribute photographs, video recordings, audio recordings, and other media content featuring my image, likeness, voice, and name in connection with promotional, educational, and marketing materials.

I understand and agree that these materials may be used in various media formats, including but not limited to, print publications, websites, social media, and other digital or broadcast platforms, without further notification or compensation.

I acknowledge that CareBridge Academy owns all rights to the media content and that I waive any right to inspect or approve the final materials. I also release CareBridge Academy, its employees, agents, and affiliates from any claims, demands, or liabilities arising from the use of my likeness or media content.

I understand that I may revoke this authorization at any time by submitting a written request to CareBridge Academy. However, I acknowledge that such revocation will not affect materials already produced or published prior to the revocation.

If the participant is under age 18, the parent or guardian must also complete the following:

I am the parent or guardian of the person whose image or voice may appear in the Materials and I give my consent and authorization as set forth above.

I understand if a conviction for any of the criminal offenses set forth in 63 P.S. §§ 675(a)(1)-(3) is present, it is possible I will not be eligible for employment in a long-term care or other health care setting. A potential employer is responsible for reviewing my official Criminal History Record Information report.

By signing this form, I certify under penalty of law that the information I have provided on this application is true, correct and complete. I understand that false statements herein shall subject me to criminal prosecution under 18 Pa. C.S. § 4904, relating to unsworn falsification to authorities.

All candidates must submit an original or copy of an original PA CHRI obtained through the Pennsylvania State Police during the year prior to enrolling in a PA NATCEP as required by Act 14. If a candidate has not been a resident of Pennsylvania for the last two (2) consecutive years, a PA CHRI and an FBI criminal history report are required prior to enrollment.

As evidence you have not been convicted of any of the Prohibitive Offenses Contained in 63 P.S. § 675, check the box then sign and date the Attestation of Compliance with Act 14 below.

Candidates who were convicted of a Federal or out-of-State offense similar in nature to those crimes listed under paragraphs (1) and (2) of the Prohibitive Offenses Contained in 63 P.S. § 675 must provide a PA CHRI and an FBI report to determine eligibility for enrollment in a PA Nurse Aide Training Program.

Attestation

This form represents my request to enroll in a nurse aide training program and is verification of compliance with Act 14 – Nurse Aide Resident Abuse Prevention Training Act, 63 P.S. § 671 et seq.

I have reviewed the list of Prohibitive Offenses Contained in 63 P.S. § 675 and hereby testify that I have not been convicted of any of the criminal offenses set forth in 63 P.S. §§ 675(a)(1)-(3):

an offense designated as a felony under the act known as “The Controlled Substance, Drug, Device and Cosmetic Act”,

an offense under one or more of the following provisions of Title 18, and

a Federal or out-of-state offense similar in nature to those crimes listed under paragraphs (1) and (2).

If you have been convicted of any Prohibitive Offense contained in Act 14 of 1997 you are ineligible to take the program and should stop your application.

Prohibitive Offenses Contained in 63 P.S. § 675
In no case shall an applicant for enrollment in a State-approved nurse aide training program be admitted into a program if the applicant’s criminal history record information indicates a conviction of any of the following offenses:

An offense designated as a felony under the act of April 14, 1972 (P.L. 233, No. 64), known as “The Controlled Substance, Drug, Device and Cosmetic Act.” (See 35 P.S. § 780-101 et seq.). These offenses may be designated as “CS” on a criminal rap sheet.
An offense under one or more of the following provisions of Title 18 of the Pennsylvania Consolidated Statutes below.
A Federal or out-of-State offense similar in nature to those crimes listed under paragraphs (1) and (2).

Any two Misdemeanor convictions for offenses CC3901 thru CC3934 in any combination is prohibited.

Below is a verification of your current and previous residency in the state of Pennsylvania. You will need to select one checkbox below, either under "Option 1

Option 2: Nonresidents of Pennsylvania for the last two years

By submitting this form, I certify all the information I provided on this application is complete, accurate, true and correct. I make this declaration subject to the penalties of 18 Pa. C.S. §4904 relating to unsworn falsification to authorities.

 

 

Residency Verification Document

 

In the below section, you must upload one proof of current residency. 

• Current, unexpired picture identification (such as Driver's License or Identification Card)
• Utility bill (electric, water, gas, internet, or phone) issued within the last 90 days
• Lease or rental agreement in the student’s name
• Mortgage statement or property tax bill
• Bank statement or credit card statement issued within the last 90 days
• Pay stub with Pennsylvania address issued within the last 60 days
• Voter registration card
• Official correspondence from a state or federal agency
• Automobile registration or insurance card with Pennsylvania address

I am the Authorized NATCEP Representative who received this completed form and verified the applicant by their physical comparison with an official State issued photo identification" the individual who fills out the information is not the one who signs here, someone who works at the company must review and sign it. Can it be set up to require it to be sent for review and signature by a member of staff (jotform registered user)?

Philosophy

The nurse aide provides direct holistic care with the client.  The nurse aide is an integral member of the healthcare team.  To that end, we believe that the nurse aide must be prepared through completion of a planned course that incorporates written material and skills competencies.  The nurse aide who participates in the course shall recognize achievement as behavioral objectives are met and skill competencies are mastered.

The nurse aide curriculum shall provide classroom, lab and clinical instruction in all areas necessary for competency.  Those areas will include but not be limited to legal and ethical practices, communication skills, safety practices, rights of residents, basic nursing skills, restorative procedures, and mental health and social services.

The curriculum will combine theoretical knowledge and skill practice to prepare the nurse aide for quality direct care in the clinical area.

The nurse aide who successfully completes the planned course will provide the necessary physical care to the client in a competent, efficient manner.  The nurse aide will deliver that care while demonstrating genuine kindness and compassion for the residents and their families.  The care will reflect the nurse aide’s understanding of the resident’s feelings of isolation, loneliness, loss of independence, and fear of the future relative to the continual aging process. The curriculum is developed using the criteria for approval as developed by the Pennsylvania Department of Education.

Student nurse aide policies

a.     Admission requirements

Verification of PA Residency – Applicants are required to attest to their residency in PA for the last two years prior to enrolling in a nurse aide training program.

PA Criminal History Record Information (CHRI) report – Applicants residing in the Commonwealth of PA for the last two years prior to their application will complete and submit a Pennsylvania State Police Criminal History Clearance.  The applicant must submit a CHRI report which was obtained during the year prior to enrolling in the nurse aide training program.

 

PA CHRI and a FBI Report - An applicant who has not resided in the Commonwealth of PA for two full years, prior to the date of application, must complete and submit a PA CHRI and a FBI Report,on or before the first day of class.  (allow 30 days for process)

 

An applicant’s CHRI report (and FBI Report if applicable) must be in compliance on or before the first day of class.  It may not contain prohibitive offenses as cited in Act 14.

The facility administrator designates an appropriate representative(s) for compliance review of Criminal History Record Information reports for enrollment eligibility.

 

Process for Procuring a Federal Bureau of Investigation (FBI) Report for Eligibility to Enroll in a nurse aide training program

POLICY

Pennsylvania Act 14 of 1997 – Title 22 Chapter 701. nurse aide training program Applicant Criminal History Record Information § 701.11 Submission of CHRI Report.

The facility [program] shall require an applicant to submit a CHRI report, which was obtained in the preceding 1-year period prior to enrolling as a nurse aide student into the program according to one of the following:

1. The facility [program] shall require all applicants who have resided in this Commonwealth for a minimum of 2 full years prior to their dates of application to obtain a CHRI report from the State Police.

2. The facility [program] shall require all applicants who have resided in this Commonwealth less than 2 full years prior to their dates of application to obtain a CHRI report from the Federal Bureau of Investigation by contacting the Department for the required process.

Prospective nurse aide applicants who have not resided in Pennsylvania for the last two years must obtain a Pennsylvania State Police CHRI Report and an FBI Report.

The responsibility for review and action on the CHRI is placed on the designated nurse aide training Program Administrator. The Program Administrator will sign and date the FBI report to indicate the evaluation and determination for enrollment in compliance with PA Act 14 was completed and include a legible copy of the FBI report in the individual student’s training file to be available for PDE monitoring review.

If a prospective nurse aide student is currently employed in a long-term nursing facility and plans to enroll in a PDE-approved nurse aide training program, the individual may provide an FBI report secured through the PA Department of Aging (DoA) for review and evaluation of compliance with PA Act 14 as stated above.

NATCEP APPLICANT PROCEDURES

The fingerprint-based background check is a multiple-step process, as follows:

1. Registration – The applicant must register prior to going to the fingerprint site. This can be completed online or via telephone. The IDEMIA website is https://uenroll.identogo.com/. Call 844-321-2101 to register by phone. When registering, the applicant must use the service code 1KG6NX to ensure fingerprints are processed for the correct agency (Pennsylvania PDE-AVTS). Note: if the applicant uses any other service code, PDE will not be able to access the FBI report and the entire process may need to be repeated. If registering online, select Schedule or Manage Appointment.

2. Payment – The applicant will pay a fee for the fingerprint service. Major credit cards, money orders, or cashier’s checks payable to “MorphoTrust” will be accepted. No cash transactions or personal checks are accepted.

3. Fingerprint Locations – After registering, the applicant proceeds to the location of their

choice for fingerprinting. Locations, days, and hours of operation are available on the

IDEMIA website above.

4. Fingerprinting – At the fingerprint site, the agent will review the applicant’s state or federal photo ID. A list of acceptable ID types can be found on the IDEMIA website. Applicants must show an acceptable photo ID to be processed. After the identity of the applicant has been established, all ten fingers are scanned to complete the process.

5. . Request an official FBI Report from PDE – Training program staff do not retrieve the

applicant’s FBI Report. Official FBI reports must originate from a state agency such as PDE.

Unofficial copies will not be acceptable for enrollment to a nurse aide training and

competency evaluation program (NATCEP). For the designated PDE staff to access an applicant’s official FBI report, the prospective nurse aide trainee must provide a legible request via fax 717.783.6672 or email ra-natcep@pa.gov that includes:

• Applicant’s full name as shown on photo identification
• Current, full mailing address including apartment number, if applicable
• Universal Enrollment Identification (UEID) number provided when you register
• Email address
• Telephone number
• Training program name (CareBridge Academy)
• Training program 7-digit code (3951022)

PDE staff will print the FBI report and stamp each page ORIGINAL in red ink. PDE will

send one copy of the FBI report via certified mail to the applicant within 30 calendar days

of providing a complete written request (items a – g above). Someone must sign for

receipt of the certified letter upon delivery.

The applicant is responsible to provide the FBI report to the NATCEP for review. The

program will determine eligibility to enroll in a NATCEP in compliance with PA Act 14 of

1997 – Title 22 Chapter 701. The FBI report must not contain any offenses listed in PA Act

14 of 1997 or any out of state offenses similar in nature.

Be advised that crime codes differ by state and may require research. If the program

determines additional information is needed to establish enrollment eligibility, it is the

applicant’s responsibility to 

6. Applicants have a one-time opportunity to obtain an unofficial copy of their report via email from the IDEMIA website.  An unofficial copy of the FBI report is not acceptable for

enrollment in a nurse aide class.

CONFIDENTIALITY (SECURITY) OF APPLICANT INFORMATION

Onsite access to the Livescan equipment and the data traveling from the equipment is comprehensively secured and regulated by both IDEMIA and the regulations governing the use of that data. Electronic Security – The computer system is housed within a secured network that is protected by firewall devices configured explicitly to allow only permissible protocols and traffic. IDEMIA ensures that all devices procured under this process continue to adhere to the Commonwealth’s Security requirements. Systems are configured to provide a point of defense with controlled access from both inside and outside the network. Livescan systems are configured to support logging and audit capability. Furthermore, the Livescan solution will support 128-bit encryption.

1. Applicant must sign the Attestation of Compliance with ACT 14.
2. Physical exam, Tuberculosis Test, and  Background Check must be submitted prior to the start of class. The physical exam must include:
   1. Evidence that the applicant is free of communicable disease in a communicable state.
   2. The applicant is able to meet the physical demands of the nurse aide training program.
   3. Documentation of a negative 2-step Mantoux that is dated within a year of starting class.  If unable to provide a negative 2-step Mantoux then a negative chest x-ray or QuantiFERON gold blood test, less than 5 year old, must be submitted.
3. Must have the ability to communicate orally with residents and nursing staff.  Have full use of hands, ability to stand for extensive periods, bend, pull, push and lift a minimum of 50 pounds without restriction.
4. Desire and ability to learn to provide personal care: assist with feeding, bathing, dressing, and toileting the client.
5. Willingness to work as a team member under the direction of the charge nurse.
6. Committed to the principle of providing abuse free care to ensure quality of care for the resident.
7. Must be at least 17 years old.
8. Must be able to provide two forms of official, signature-bearing identification (one of which must be a current photo identification document).  Examples of proper identification include: Driver’s License; Birth Certificate; Credit Card; Passport; Clinic Card; Library Card; Alien Registration Card; Other State-Issued Identification Card.

b.     Attendance

In compliance with Regulation Section 483.152 of the Omnibus Budget Reconciliation Act (OBRA) and Section 3 of Act 14, a student must complete a minimum of 16 hours of instruction in the five (5) content areas listed below before any resident contact. These are as listed below: 

• Communication and interpersonal skills 
• Safety and emergency, including the abdominal thrust 
• Infection control 
• Resident rights 
• Resident independence 

In order to complete the program, students must satisfy the entire 100 hours of instruction. The curriculum includes classroom lecture (theory), skills laboratory and clinical hours at a long-term care facility. Attendance will be documented on a daily basis to reflect the number of theory, lab and clinical hours as per the program calendar. 

To meet this requirement, students must: 

1. Arrive on time for all clinical and classroom scheduled hours. Students absent are expected to call and inform the coordinator and instructor 1 hour prior to the beginning of class/clinical. Notifying a classmate is not acceptable; instructor or coordinator must be notified. 
2. Inform coordinator and instructor as soon as possible if running late for class/clinical.
3. Refrain from leaving the classroom or clinical site early.
4. Refrain from making any appointments during school hours. If a student leaves class early, for any reason, it is counted towards missed clocked hours. 
5. Refrain from sleeping in clinical/class. Students will be asked to leave, and it will be counted as missed clocked hours. 
6. Remain on the premises for lunch/breaks while at the clinical sites. 
7. Attend scheduled make-up. See specified make-up policy. 

If a student fails to call, and does not show to class or clinical, it is considered a ‘No Call/No Show’. First offense will result in probationary status. Second offense will result in dismissal from the program. Serious, documented extenuating circumstances may be taken into consideration. 

In the event of illness, family emergency, or personal crisis students are expected to: 

Notify coordinator and/or instructor at the appropriate phone number(s). 
Submit documentation for any absence over three (3) days.

c.     Level of Achievement (academic, lab and clinical)

• Student’s will be given a copy of their final grades, performance checklist and if applicable, a certificate of completion.
• To successfully complete the program, the student must fulfill the following requirements:

Theory—All tests and quizzes given up until the Midterm Exam, must have a cumulative average of 75%. If a student has less than a 75% overall average before Clinicals begins the student will be unable to attend clinical and will be considered to have failed the program and be dismissed from the program. 

Retesting policy

Retesting is not permitted in the Nurse Aide Training Program with one exception. The only exception is the Abuse Quiz, which may be retaken only if failed (less than 75 percent). Students who fail the Abuse Quiz must retake it within five (5) business days to meet program requirements. Retesting must be arranged with the instructor.

 

Exams are as follows:

• Abuse Quiz 
• Test 1
• Test 2
• Midterm Exam 
• Final Exam. 

No resource material will be permitted during each theory test. If a student is absent on the day of a test, they will be required to take the test on the day they return to class. A quiz will be given at the conclusion of each module.

Skills Lab—All procedures must be performed at a satisfactory level. A “S” Satisfactory level of achievement is attained if no more than 2 non-critical steps are missed. Each procedure must be satisfactorily demonstrated before it is performed on a resident. Each Procedure will be evaluated as Pass or Fail.  Missing more than 2 non-critical steps is “F” fail.  Missing a critical step will result in a failure of the procedure.

Clinical—Satisfactorily demonstrate a 75% or higher on the Clinical Evaluation Form. If the clinical site staff observes a student performing or behaving unsatisfactorily, the “clinical site” has the right to refuse the student to return to the clinical site. To determine the clinical grade, the total number of satisfactory marks will be summed up and divided by the total number of marks available and graded (satisfactory and unsatisfactory) on the “Student Clinical Checklist.” For example, if a student gets 120 satisfactory (“S”) marks and 20 unsatisfactory (“U”) marks, then their clinical grade will be 86% (120 divided by 140 total marks).

To pass the practical (laboratory and clinical) portion of the NATCEP, the individual must be proficient in demonstrating skills. Proficiency is defined as the ability to perform a skill in a competent and safe manner. Students must be evaluated and deemed proficient in a skill prior to performing that skill in the clinical setting for a resident. Pursuant to the child labor laws issued by the Department of Labor, individuals under 18 years of age cannot operate mechanical lifts/hoists in the long-term care setting. These individuals must have clear identification of their age limitations in their documentation and record. When the students go to clinical, the students who are younger than 18 will observe the other students perform this particular skill(s).

To pass this course you must have a “C”or better

95-100%= A

85-94%  = B

75-84%  = C

74% or below  = F

If a student completes the program with less than a 75% cumulative Average, they have therefore failed the program. They will not receive a certificate of completion from the Academy and will not be eligible to take the Credentia state licensing exam.

d.     Nondiscrimination

In accordance with state and federal laws, participation in the nurse aide training program is governed and administered on individual achievement and mastery of program competencies. Participants will not be discriminated against on the basis of race, color, national origin, sex, age, or disability although some disabilities may preclude a person from being able to perform essential function of the job.  Inquiries should be directed to the school administrator at (570) 784-8040, or by mail at: 5050 Sweppenheiser Drive, Bloomsburg, PA  17815.

e.     Physical Examination/Health Condition

• The program requires that the applicant’s physical, 2-step Mantoux, QuantiFERON-TB Gold, or x-ray to be performed and paperwork submitted at least one business day prior to the start of class.
• The 1st  step of the Mantoux must be read within 2-3 days from given.  The 2nd  step of the Mantoux must be given within 7 to 21 days after the first Mantoux is read and evidenced as negative.
• The physical must certify that the student is free from communicable diseases in a communicable state and has no conditions that would affect the students’ performance.  The physical must be performed and all paperwork submitted at least one business day prior to the start of class.
• Students must be able to lift 50 pounds to waist height
• Any change in physical condition from the original physical during the nurse aide training program will require the student to obtain their prescribers approval to continue participation in the nurse aide-training program.
• The physical must be signed by a Nurse Practitioner, MD, DO, or PA.
• The cost of the physical and testing is the responsibility of the individual student.

f.      Standards of Conduct

• Academic honesty is expected of all nurse aide students.  Dishonesty or cheating will not be tolerated.
• All students MUST wear an identification tag at all times during clinical instruction.  The tag will clearly identify them as a “Student” or “Trainee” until they satisfactorily complete the State competency examination.
• Professional and safe behavior is expected of all nurse aide students.
• It is imperative to demonstrate care that is legally sound and to be held to high, ethical standards to ensure abuse-free communication and care delivery.
• NO CELL PHONE possession during class, lab, or clinical is permitted.
• Violation of these standards of conduct will result in disciplinary action, which may include immediate dismissal from the program.

Dress code:

Students will wear scrub pants and tops of navy blue color. Please note that some individual clinical site partners may require certain scrub colors. If that is the case, students will review and sign a policy manual amendment confirming their understanding of this. The only jewelry permitted is a watch with a second hand.  Hair must be pulled up or back at all times.  No artificial nails permitted.  Natural nails are not to be more than ¼ inch long.  No crocs or croc-like shoes are permitted, Nursing Shoes or Sneakers of any color are permitted.. Students and Uniforms must be neat and clean.  Make-up and perfumes must be kept to a minimum level.  Students get one set of uniforms provided to them prior to the start of clinicals.

• Leaving the clinical area without permission or performing procedures without the instructor present could result in immediate dismissal.
• Noncompliance with established facility rules and regulations (i.e. parking, smoking, food in the classroom, use of facility telephone) will result in disciplinary action.
• Disruptive behavior (i.e. profane language, insubordination, lack of respect to classmates or staff, sleeping or talking in class) will result in disciplinary action.
• Empathy, tact, willingness to learn, self-motivation, discretion, acceptance of criticism, enthusiasm, competence, patience, dependability, and responsibility are necessary for success in health care roles.

g.     Student Grievances

This procedure has been developed to allow the student to express a grievance, complaint or dissatisfaction:

1.    Step One: Student submits the grievance/complaint in written or verbally to the Instructor.  The Instructor reviews and responds to the grievance within three days.  The  Instructor documents in writing the grievance, the review and the resolution.   Instructor meets with the student to share the resolution to the grievance.    The student is entitled to private and confidential counseling; however, another instructor or staff member may be asked to witness the counseling.  If the student and instructor are unable to resolve the issue or if the grievance is against the Instructor, the grievance should be brought to the attention of the Program Coordinator within 72 hours.

2.   Step Two: If the student and instructor are unable to resolve the grievance, a meeting between the Program Coordinator and student will take place within 3 days of the receipt of the complaint.  (The student should place the grievance in writing if it has not to this point been required.)  The Program Coordinator will review the documentation submitted by the  Instructor and conduct an investigation as needed.  The Program Coordinator documents the review process and the resolution to the grievance.  A meeting is scheduled with the Administrative Director, Program Coordinator and student to disclose the resolution.  If the decision rendered by the Program Coordinator is not brought to a satisfactory conclusion, the student may appeal to the Administrator within 48 hours.

3.   Step Three: All documentation is submitted to the administrator for review and consideration. Notification of the administrator’s decision will be given in writing to the involved parties within 72 hours of the hearing.  The decision of the administrator will be final.

h.     Tuition/Reimbursement

• Students are responsible for tuition payments.  The course must be paid in full before training begins.  Uniforms are additional costs and must be purchased prior to the start of class.
• If you personally incurred the tuition cost of the program and successfully completed the nurse aide program, you will be issued one original receipt on school letterhead.  By law, only one original tuition receipt will be given to the graduate student.
• The student is responsible to pay the additional cost for the Credentia State Competency Examination.  Credentia will issue the student a receipt.

i. Refunds

Students completing up to and including ten  percent (10%) of the total clock hours of the Program will receive a ninety percent (90%) refund of the total cost of the program (tuition and any educational service**). This refund will be calculated based on the total amount of tuition/educational services paid to the School for the Program up to the point of withdrawal.

Students withdrawing from or discontinuing the Program after the first ten (10%) of the Program but within the first twenty-five (25%) of the Program will receive fifty-five percent (55%) refund of the total cost of the program (tuition and any educational services**). This refund will be calculated based on the total amount of tuition/educational services paid to the School for the Program up to the point of withdrawal.

Students withdrawing from or discontinuing the Program after the first twenty-five percent (25%) of the Program but within fifty percent (50%) of the Program will receive a thirty percent (30%) refund of the total cost of the program (tuition and any educational services**). This refund will be calculated based on the total amount of tuition/educational services paid to the School for the Program up to the point of withdrawal.

Students withdrawing from or discontinuing the Program after the first fifty percent (50%) of the Program will not receive a refund of any kind.

Withdrawal or discontinuing the Program can be made in any manner, such as in person, over the telephone, or simply through non-attendance. The refund due to a student will be calculated based on the last day of attendance. 

Non-attendance: students can also withdraw and/or be terminated from the program without notification through non-attendance.  If the student ceases attending courses, the student will be considered withdrawn and/or terminated from the course after 2 calendar days of instruction. In this case, the refund will still be calculated based on the last day of attendance. 

Rejection: Any student that is rejected from class enrollment by the school is entitled to a refund of all monies paid to the school, including the registration fee.

Any student enrolled who has not submitted documents required for admissions i.e completing  Physical and Tuberculosis requirements , PA state BackGround Check completed, Fbi Fingerprints cleared (if applicable), 14 days before class begins will be removed from the class they are enrolled in and given the option to be placed in the next available class or receive a refund of their enrollment fee. 

The above stated refund policies will also apply to students who are terminated from the Program including sponsoring agencies. Refund checks will be mailed to the payer of the tuition within thirty (30) days of the last day of recorded attendance by the student.

 

j.     Utilization of Students

• Nurse aide students will not be utilized for any services or functions that they have not been supervised or determined as competent by the instructor.  Learning opportunities will be sought by program instructors to guide student learning.
• Students will be supervised in the performance of resident care tasks, which have been taught in class and/or lab, for which the student has demonstrated competent performance.
• Students may not replace staff or serve as a staff member

k.     Course and instructor evaluation policy

OBRA 1987, Regulation Section #483.154 states that students must evaluate the training program and the instructor(s).

Policy:

All Students completing the nurse aide course will fill out a course evaluation on the last day of the training program.

Procedure:

The instructor will hand out the evaluation form or QR code to all students and explain the rating scale and general instructions.
For confidentiality, the instructor will provide the students with an envelope to put the evaluations in for printed evaluations and electronic submissions go straight to the admin staff.
Once completed, the student will place the evaluation form in the envelope and the last person done will seal the envelope (for printed forms).
The envelope must then be submitted to the program coordinator.
Evaluations will then be reviewed by the program coordinator and the school administrator.

l.    Department of Public Welfare, Medical Assistance Bulletin, 99-11-05, Exclusion from Participation in Medicare, Medicaid or any other federal health program and the implications regarding future employment.

While your CHRI may be acceptable for nurse aide training, you should be aware that Pennsylvania maintains a database by the Department of Health and Human Services’ Office of Inspector General (HH-OIG) that identifies individuals and entities that have been excluded nationwide from participation in any federal health care program.  Health care facilities are required to develop policies and procedures for screening all employees to determine if they have been excluded from participation in any federal health care programs.  If you are on this exclusion list, it is possible you will not be eligible for employment in a health care agency. To see if you are on the list, please go to the following website:

https://oig.hhs.gov/exclusions/exclusions_list.asp

m. Make Up Policy 

In order to ensure students have satisfied all required clocked hours, and are eligible to take their NNAAP Exam, class/lab make-up and clinical make-up day has been incorporated into the program. In order to progress to the clinical portion of the program, all class/lab hours must be satisfied. Students may make-up the following missed time: 

• Up to six (6) clock hours of class/lab time 
• Up to six (6) clock hours of clinical time 

Absence beyond these stated hours will result in dismissal from the program. Prior to the make-up day, students will be required to pay the make-up fee of $30.00/missed clocked hour. This may be paid in the form of check or money order, payable to CareBridge Academy, and delivered to the Nurse Aide Office. 

Please note: make-up fees are non-refundable for a missed scheduled make-up day. Students will not receive their certificate of completion and be eligible for the certification exam if missed hours are not satisfactorily completed on the scheduled make-up day. Documented extenuating circumstances such as hospitalization will be considered. 

n. Health Risk Waiver Policy 

1. During participation in the classroom, lab or clinical rotation experience, the CareBridge Academy student must be aware of the actual and/or potential health risks.
2. The occupational responsibilities of the candidate require having full use of their hands, arms and legs; the ability to stand for extensive periods of time (approximately 5+ hours); the ability to perform tasks that include bending, pushing, pulling, and lifting a minimum of 40 pounds without restrictions. 
3. While in the program, the student will be required to attend clinical practice in a long-term care facility. In case of accidents or illness during a clinical practice experience, if medical treatment should become necessary, the facility is willing to give emergency care. 
4. Please be advised the college and the long-term care facility do not carry medical insurance on students or visitors. Payment for medical treatment, including emergencies, is the responsibility of the student or visitor. 
   1. Students, who have health insurance, must accept financial responsibility for care rendered because of illness/injury that is not covered by their health insurance. 
   2. Students who do not have health insurance must accept financial responsibility for care rendered because of injury/illness. 
   3. CareBridge Academy and the official contracted clinical agencies are not responsible for any treatment or care given to nurse aide students while in the program.

 

A.  Admission
B.  Attendance
C.  Level of Achievement (Theory, Lab, Clinical)

D.  Non-Discrimination

E.  Physical Examination/health condition
F.   Standards of Conduct
G.  Grievances
H.  Tuition/Reimbursement
I.   Refunds
J.   Utilization of trainees
K.  Course and Instructor Evaluation
L.  Medical Assistance Bulletin 99-11-05
M. Make up time policy
N. Health Risk Waiver Policy

I acknowledge that I have received, read, and understand the policies and procedures outlined in the CareBridge Academy Student Policy Manual. I agree to abide by the rules, regulations, and expectations set forth in this manual throughout my enrollment in the program.

I understand that failure to comply with these policies may result in disciplinary action, up to and including dismissal from the program. I also acknowledge that it is my responsibility to seek clarification from school administration if I have any questions regarding the policies contained in this manual.

By signing below, I attest that I have reviewed this manual in its entirety and agree to adhere to the policies as a condition of my participation in the program.