Nurse Aide I Orientation
The Nurse Aide curriculum requires advanced English language skills. JCC offers English as a Second Language (ESL) classes free for students who want to improve their speaking, reading, writing and listening skills to increase their college and career readiness.
This course includes basic nursing skills required to provide safe, competent personal care for individuals. Emphasis is placed on person-centered care, the aging process, communication, safety/emergencies, infection prevention, legal and ethical issues, measurements, elimination, nutrition, basic restorative care/rehabilitation, dementia, mental health and end-of-life care. Upon completion, students should be able to demonstrate knowledge and skills and be eligible to test for listing on the North Carolina Nurse Aide I Registry.
The Nurse Aide I (NA I) 160 contact hour class is a Continuing Education class; therefore students will not receive credit hours or be eligible for financial aid. Students can apply for CE scholarships or contact NCWorks for assistance.
The class consists of theory and a clinical experience in the hospital or long-term care facility. The first 100 hours is the theory component (in-class lecture and lab). The last 60 hours consists of a mandatory clinical preparation and orientation, clinical rotation, written and skills mock competency.
JCC students enrolled in NAS 101 curriculum Nurse Aide may also complete this orientation and will receive 6 hours of college credit.
Many employers and lay people use the term CNA or Certified Nursing Assistant. Nurse
Aides work under the supervision of the licensed registered nurse, RN, and do not
have a license. Nurse Aides in North Carolina are regulated and listed on the Nurse
Aide I Registry by the Division of Health Services Regulation, DHSR, which is part
of the NC Department of Health and Human Services. (Health Care Personnel Education
and Credentialing Section; www.ncnar.org)
In order to become listed as a Nurse Aide I, Federal regulations require that all Nurse Aide I candidates pass a state competency exam which consists of a written and skills exam.
Upon Successful Completion of the Program: Students may take the State Competency
Exam, given by Pearson Vue/NACES.
- The State Exam has two parts: A 70-question written exam and five skills.
- Registration for the State Exam is done by on line registration at least 12 days prior
exam date. Payment will be in the form of a debit or credit card.
- The exam cost is $101 (not included in NA I tuition)
- The exam can be taken at Johnston Community College.
- Those who have successfully completed the exam will be listed as a Nurse Aide I on
the NC Nurse Aide Registry.
For more information regarding the NC Competency Exam, visit www.PearsonVue.com.
Students may withdraw and receive:
- 100% refund prior to the 1st date of class
- 75% refund if withdraw is within the 1st 10% of the class
Transfers are dependent on availability in the new class.
In order to receive a refund or transfer to another section, the student must discuss with the instructor, Administrative Assistant or Director.
Administrative Assistant, Public Safety
It is mandatory that the corresponding module's make-up work be completed and turned
into instructor within designated period of time upon return from time missed for
all classes. Failure to turn in make-up work within designated period of time will
result in automatic dismissal from the program and a grade of NG.
Grades earned will not be rounded up or down.
E.g. A 79.9 = a 79.9 and will not meet the requirement of an 80 to progress forward.
- 6 Unit Tests - 80% average required
- Tests must be taken with #2 pencils. Pencils will not be provided.
- Student who miss a scheduled test, must take a make-up test on day of return to class. Failure to arrange a time with the instructor to make-up a test will result in a score of “0” for the test.
- Hybrid until tests are available online during designated dates/times specified in the course calendar. No make-up test extensions are allowed.
- Academic integrity is expected and violations will be reported.
- Tests may be taken orally, with proof of need from JCC Disability Services. Prior notice is required.
- 6 Abbreviation Tests - 80% average required
- Writing assignments - 80% average required
- Final Exam - (MUST SCORE 80 OR BETTER) The student will not be offered a final retake.
- Skills: Pre-mock and Final-mock exams - 80% average required of the non-bolded steps; 100% of the bolded steps for each skill.
In order to go to clinical, the student must have an 80% average on each component. (Unit tests, abbreviation tests, writing assignments, final exam and clinical/lab skills) without the benefit of rounding, pass the Skills Final Exam and have correctly performed all required skills in lab to progress to clinical.
Clinical and skills grade will be Satisfactory or Unsatisfactory. This grade will be based on the student’s performance, professionalism, and paperwork. Failure to respect the rights of patients or jeopardizing the safety of the patient will result in automatic dismissal from the program.
- Students will be considered tardy 1 minute after class or lab starts.
- Dismissal from the program and a grade of NG will result if a student accumulates more than 8 hours of class, lab or clinical absences.
- Absences will not be considered “excused“ or “unexcused”. Failure to be in class, lab, or clinical for any reason is considered an absence. It is your responsibility to complete the classroom make-up work as designated by the instructor. It is not the instructor’s responsibility to ask for make-up work.
- The student must complete all components (theory, lab and clinical) of the class. There are no provisions to retake either component or transfer to another section for either component. Failure of any component will result in a grade of “NG” and the student will be required to re-register and repay to repeat the entire class.
Emergency cancellations and closings
Johnston Community College emergency cancellations and closings are posted on the
College web page and messages are on the main phone line (919) 934-3051. Current students with a JCC email are automatically registered to receive email
alerts from the College emergency alert system.
Students can also sign up with Jaguar Alerts to receive phone text messages and voicemail in the event of an emergency or inclement weather situation.
Nurse Aide classes cancelled in December, January, February and March will have mandatory inclement weather makeup dates. In the event the College closes and an entire class is missed, mandatory makeup dates will be assigned by the instructor. The attendance policy for mandatory makeup dates is the same as a regular class date. If closings result in partial hours of class being missed, these hours may be made up by adding hours to existing class dates.
- The student is expected to behave in a mature manner. Class, lab or clinical disruption will result in dismissal for the day or dismissal from the program.
- Students must follow the JCC and clinical site dress code and this dress code policy will be enforced. The instructor reserves the right to have you leave class to change your appearance.
- Every student is expected to participate in all lab activities. Inability to correctly participate in lab for any reason will result in dismissal for the day or dismissal from the program.
- At the end of the lab session, all students are required to clean the lab and return all materials to their proper places or receive deductions from their attendance grade.
- Fingernails must be clean and short to participate in lab or the student will receive deductions from their attendance grade.
- No eating and/or drinking in the class or lab.
- No use of cell phones or other electrical/musical devices in the classroom, lab or clinical sites.
- No children allowed on campus.
- Mandatory clinical preparation orientation is scheduled at the beginning of the clinical component.
- An 8 hour mandatory mock competency is scheduled at the end of clinical.
- Students are expected to be at the assigned clinical site ready to begin work at the beginning of the clinical day. If the student arrives at clinical and is not prepared to begin work 1 minute after the scheduled clinical start time, they will be considered tardy.
- Tardiness or early departures equates to clinical absence.
- If a student needs to be absent during the clinical component, they must notify the instructor prior to clinical. Failure to correctly notify the instructor of an absence may result in automatic dismissal from the program and a grade of "NG" .
- Students cannot leave the clinical facility for any reason without approval from the instructor.
- Dismissal from the program and a grade of NG will result if the student has more than 8 hours of class, lab or clinical absences without approval from the Director. **Students cannot miss any time from the clincal portion of class or they will be dropped.**
Students must wear approved student uniform to class, lab, and clinical. Must have
white nonskid leather shoes and a stethoscope.
Uniforms can be purchased at:
JCC Barnes and Noble Bookstore. Financial Aid and scholarship vouchers may be used at the bookstore to purchase uniforms.
The following unprofessional or inappropriate behavior will not be tolerated and may result in automatic dismissal from the program:
- Disrespectful, interruptive, disruptive, impatient behavior toward the instructors, fellow students, staff, or clinical staff
- Inappropriate reaction at any time
- If the instructor suspects you are a safety risk in clinical due to a student physical or behavior action or issue
- Cheating, suspected of alcohol or drug use on campus or before class
- Fighting or the use of profanity or demonstrating an attitude that would frighten a patient such as loud, raised, angry voices
- If dismissal occurs for any reason, you are not eligible for a refund
- Cheating, forgery, and plagiarism will not be tolerated and will result in automatic dismissal
- Not submitting make-up work for class time missed within designated time
- More than 8 hours of class, lab or clinical absences
- Absence from Mandatory Clinical Preparation and Orientation
- Failure to submit correctly completed mandatory paperwork by the deadline
- Failure to score 80 or better on unit tests, abbreviation tests, final exam, etc.
- Students are expected to use English as the primary language
Performance Standards for Admission and Progression
In compliance with the 1990 Americans with Disabilities Act, the following standards have been established. According to the nature of the work required in nurse aide practice and the educational requirements of the nurse aide curriculum, the student must be able to meet the following:
Communication abilities sufficient for interaction with others in verbal and written form. Collect data. Explain treatment procedures. Document and interpret nurse aide actions and patient and family responses.
Some Examples of Necessary Behaviors
Critical thinking ability sufficient for clinical judgment.
Identify cause and effect relationship in clinical situations; follow nursing care plans/care maps.
Interpersonal abilities sufficient to interact with individuals, families, and groups from a variety of social, emotional, cultural, and intellectual backgrounds.
Establish rapport with patients, families, and colleagues.
Physical abilities sufficient to move from room and maneuver in small spaces.
Moves around in patient’s rooms, workspaces and treatment areas; administer cardio-pulmonary procedures; able to lift/maneuver 30 pounds.
Gross and fine motor abilities sufficient to provide safe and effective nurse aide care.
Move, calibrate, use equipment and supplies; lift, transfer, and position mobile and immobile patients.
Auditory ability sufficient to monitor and assess health needs.
Hears monitor alarm, emergency signals, auscultatory sounds, cries for help.
Visual ability sufficient for physical observation, performance of nurse aide procedures and maintenance of environmental safety.
Observes patient responses, such as skin color, facial expression. Monitors vital signs. Reads records.
Tactile ability sufficient for physical observation and performance of nurse aide procedures.
Perform nurse aide procedures.
Emotional stability and mental alertness in performing patient care.
Maintaining a calm and efficient manner in high stress/pressure situations with patients, staff, supervisors and colleagues.
If a nurse aide student believes that he or she cannot meet one or more of the standards without accommodation or modifications, the college must determine, on an individual basis, whether or not the necessary accommodations or modifications can be made reasonably.
Johnston Community College and the clinical facilities have designated the company Castlebranch as the criminal background check and drug screen provider. JCC will not accept criminal background check results from any company other than Castlebranch.
The criminal background check and drug screen costs $125.00 and must be done after registration and prior to the first day of Nurse Aide I class.
The cost of the criminal background check and drug screen is non-refundable. College costs associated with criminal background check and drug screen are also non-refundable.
Click the following link to access the Castlebranch JCC portal to purchase background, drug screen and medical document manager.
Castlebranch JCC portal
Choose Nursing Assistant, package code OS73 Background Check -Drug Test - Medical Document Manager
Verify correct package code OS73
You will receive a confirmation email from Castlebranch with a receipt of sale once order is placed. This receipt of sale must be turned in on the first day of class.
- Within 48 hours, you will receive a second Castlebranch email with a barcode for the urine drug screen. Take this to any Labcorp location to complete your urine drug screen.
- Once you complete this urine drug screen, Labcorp will give you a urine chain of custody form. You must turn in this form on the first day of class.
The criminal background check is a requirement from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) 2004 revised standard HR.1.20.
All types of felony or misdemeanor convictions, those that are pending, and questionable histories will be reviewed by the clinical site and admittance into the clinical setting will be determined by the clinical facility. You may contact the Human Resource departments at the clinical agencies to discuss background checks.
The clinical facility decision is final.
The following criminal histories will likely disqualify a student from participating in the clinical component:
- Any pending charges
- Convictions/deferred adjudications involving crimes against persons (Physical or sexual abuse, neglect, assault, murder, etc.)
- Convictions related to moral turpitude (prostitution, public lewdness/exposure, etc.)
- Convictions/deferred adjudications related to the sale, possession, distribution, or transfer of narcotics or controlled substances
- Registered sex offenders.
- Positive or dilute drug screens.
- To complete the course, clinical must be completed. Students will be dropped from the program if clinical privileges are denied.
Students must submit a copy of all mandatory paperwork to the instructor by the first
day of class.
Students will not be allowed to enter clinical until all paperwork is submitted and approved.
Please keep the original paperwork for your records.
- Validation of 2 official signature bearing ID’s, with matching names, one of which must be a US government issued, valid photo ID and the other must be a US Social Security card. The Social Security card must be signed. JCC does not accept laminated social security cards.
- Copy of Castlebranch Criminal Background Check receipt of sale.
- Receipt of urine chain of custody.
- Correctly completed Medical form in Castlebranch.
- Copy of High School Diploma or transcript or equivalency or college diploma or transcript or reading placement sit scores.
- Proof of the following immunizations:
- Annual physical examination (PDF) (Must be valid throughout the course)
- TDAP vaccine: Tetanus, Diptheria and Pertussis.
- Tetanus: included in TDAP vaccine; must be current within last 10 years.
- TB Skin test (TST): 2 step method required (receive first injection, obtain result within 48-72 hours, wait 7-21 days and get second injection, obtain second result within 48-72 hours); Upload both TB (TST) skin test results to Castlebranch at the same time.
- Hepatitis B Series (or sign declination form (PDF))
- Varicella (Chicken Pox) a positive titer result or evidence of 2 vaccines.
- MMR (Measles, Mumps, Rubella) a positive measles, mumps and rubella titer result or evidence of 2 vaccines.
- Influenza vaccine for current year.
- Covid vaccine(s) required by the clinical agencies. (You may file a medical exemption or religious exemption. However, the medical exemption has to be signed by a medical provider (Physician/PA or Nurse Practitioners). Clinical agencies are responsible for clearing a student with exemption filed.
- Copy of CPR/BLS certification must be uploaded to Castlebranch. You must obtain your BLS provider CPR certification to be enrolled in this class.
If you are already CPR certified, the certification must be valid through clinical.
Online CPR is not accepted as you must actually demonstrate CPR on a manikin in front
of an instructor for your CPR certification to be accepted. Johnston Community College
offers CPR classes. (See list of available JCC CPR classes.)
*Heartsaver certification is not accepted.
Log in to your Mycb account on Castlebranch
Medical Document Manager
When you placed your background check package order, you received a myCB account. Once you log in, choose TO-DO LISTS. You will see your personalized list of items and if they are complete.
Click the blue plus signs to expand your item requirements, attach proof of immunizations or download a fax/mail requirement cover page.
How To Print Your “To-Do List Summary Report”
Please complete the following steps to print out your To-Do List Summary Report:
- Log in to your Certified Profile account.
- From the main page, navigate to the left panel and choose "Document Center" and then select "My Documents" from the drop-down list. This will show you a list of folders.
- Click on the folder labeled “Clinical Requirements ____” (Following the Clinical Requirements will be two letters followed by two numbers. These will be different for each program.)
- Locate the file named "Results_901...........pdf" (Every student's number in this file name will be different). Click on the file name.
- Click on the orange DOWNLOAD button on the right under the file name (You may need to scroll the window over to the right to see the button).
- You will then need to save and print the summary report.
- Give the To-Do List Summary Report and give it to your instructor on the first day of class.
- First, bring copies of the following to Health Education/Nurse Aide Faculty in the Public Safety Building for review:
- Your completed Registration Form (PDF)
- A copy of your High School diploma or equivalent*
- Valid Driver's License
- Current HealthCare Provider CPR card**
- Social Security Card
- *If you have not completed high school or have a GED, you must take a reading placement test (PDF).
- (High School students must complete a dual enrollment form.)
- You must complete the Orientation Post-Test before registration.
With faculty approval, you will then register for a class, complete the background check, urine drug screen and immunizations.
Please note: Class space is limited and enrollment is on a first-come first-served basis.
Once you have registered and submitted your payment, you have secured a seat in the class. Then you must complete the following:
Purchase the required textbook, handbook, skills pack and NA nametag listed below.
These materials may be purchased at the JCC Bookstore located in the Wilson Building. (Taxes not included)
- Hartman’s Nursing Assistant Care: $52.04
- Nurse Aide I Handbook, $27.70
- Nurse Aide I Skills Pack, $11.42
- NA nametag, $4.25
Purchase the required uniform.
These items are to be purchased at Johnston Medical Surgical Supply in the Medical Mall across from UNC Johnston Health –Smithfield and must be worn at all times – class/lab/clinical.
- Caribbean Blue scrub top
- Caribbean Blue scrub pants/skirt
- White leather shoes (no open toes or heels)
If you have any questions or concerns about the orientation or registration process, please email Connie Grady, or call Lori Collier (919) 464-2355.