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PSW INFORMATION CHECKLIST

STUDENT NAME:

**IMPORTANT** Please have photocopies of the items listed below ready to hand in at the orientation session. Please do not submit originals. 1 copy of multiple items will be retained in your student file and all other copies are intended for your clinical and work placement file.

The Orientation Session is offered in five different locations:

REC’D

Location Date and Time Location Details

Brockville Wednesday, August 23rd, 2017 12:00-2:00 p.m.

St. Mary Catholic High School 40 Central Avenue, Brockville, ON

Cornwall

Wednesday, August 30th, 2017 12:00-2:00 p.m.

Cornwall Board Office (South Side – Door B) 835 Campbell Street, Cornwall, ON

Kemptville Thursday, August 24th, 2017 1:00-3:00 p.m.

St. Michael Catholic High School 2755 Hwy #43, Kemptville, ON

Smiths Falls Monday, August 28th, 2017 1:00-3:00 p.m.

Hanley Hall School of Alternative & Continuing Education 30 McGill Street North, Smiths Falls, ON

Vankleek Hill Thursday, August 31st, 2017 1:00-3:00 p.m.

St. Jude Catholic School 5355 Highway 34, Vankleek Hill, ON

Provide 4 photocopies of your IMMUNIZATION RECORD. Needs to be completed to show proof of immunity for some placements. Please note that blood titres must accompany the immunization record.

Provide 4 photocopies of the MEDICAL FORM COMPLETED & SIGNED BY YOUR DOCTOR.

Provide 4 photocopies of PROOF OF CURRENT TWO STEP TB TEST. If step one-skin test-is positive, you must include a chest x-ray showing report of “no active TB”. See your doctor or call your health unit ASAP.

Provide 4 photocopies of INFLUENZA VACCINE. Influenza vaccine is mandatory for clinical and co-op placements.

Provide 1 photocopy of your CANADIAN BIRTH CERTIFICATE. Please note that if you are a non-Canadian citizen, you will need to provide proof of “Citizenship & Immigration Canada Documentation” at the orientation session. A form “Confirmation of Residency and Eligibility” will be completed and signed confirming that the data on the form is accurate. It will be examined to verify eligibility by a school board official.

Provide 1 photocopy of your PROOF OF RESIDENCY. This may include an Ontario driver's license, tax bill, or lease agreement.

Provide 1 photocopy of your SECONDARY SCHOOL TRANSCRIPT. Note: If you have an IEP, please provide us with it, so we can support you accordingly.

Provide 2 photocopies of A CURRENT RESUME OR A LIST OF JOBS YOU HELD ALONG WITH THE DATES EMPLOYED.

PAYMENT: . THE MATERIAL FEE OF $1100.00 IS DUE IN FULL PRIOR TO THE START OF THE PROGRAM, UNLESS PREVIOUS ARRANGEMENTS ARE MADE WITH THE

COORDINATOR OF THE PROGRAM. . IF YOU ARE SPONSORED BY AN ORGANIZATION - NOTIFICATION IS NEEDED FROM THE ORGANIZATION THAT THE FULL AMOUNT OF $1100.00 WILL BE PAID. PLEASE INCLUDE THE NAME OF CONTACT, TELEPHONE #, ETC. PLEASE "√" THE NAME OF THE SPONSORING ORGANIZATION:

___ ONTARIO WORKS ___ ONTARIO DISABILITY SUPPORT PROGRAM ___ SECOND CAREER STRATEGY ___ ONTARIO MINISTRY OF TRAINING ___ EMPLOYMENT INSURANCE ___ JOB ZONE

NAME OF CONTACT PERSON/REPRESENTATIVE: ______________________________________________________ TEL. #: 613-______________________________ EXT. ___________ FAX #: 613-______________________________

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30 McGill St. North Smiths Falls, Ontario K7A 2J4 613-284-2613 www.coned.cdsbeo.on.ca

Hanley Hall School of Alternative and Continuing Education

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PERSONAL SUPPORT WORKER IMMUNIZATION & MEDICAL FORM

PERSONAL INFORMATION:

Student Name: ________________________________________________ Date of Birth: _____/____/_____ mm dd yyyy

Address: _________________________________________________________________________________

City: _______________________________________________________ Postal Code: __________________

Telephone #: _______________________________________________ Start Date: ____________________ _________________________________________________________________________________________ TO THE PHYSICIAN:

The above named individual is planning to participate in the Personal Support Worker Program.

The practical nature of this training program may require the individual to:

Provide support and companionship to vulnerable clients of varying ages. Duties involved may include aspects of lifting, walking, standing, kneeling, bending, twisting requiring a full range of motion.

PLEASE VERIFY THE FOLLOWING:

Date: Given by: Signature:

1. Two Step TB (Mantoux) Test Negative □ Positive □

2. If # 1 positive, Chest X-ray Negative □ Positive □

3. Immunization against: (please note: blood titres must accompany the immunization record)

Date: Given By: Titres Drawn: Signature:

DPT □ Yes Date:_____________

MMR □ Yes Date:_____________

Varicella □ Yes Date:_____________

Hep B □ Yes Date:_____________

Date: Given by: Signature:

4. Flu Shot

5. General physical examination of the above named individual suggests that he/she is physically and mentally fit to perform above duties. □ Yes □ No

6. Other/Comments:

Physician Signature: _________________________________ Dated: ____________________________

Name and Address of Physician: __________________________________________________________ _____________________________________________________________________________________

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Monday, May 1st, 2017 To Whom It May Concern, This letter is to confirm that ________________________________ has expressed interest in registering for the September 2017 Personal Support Worker Program with the Catholic District School Board of Eastern Ontario. All locations have a tentative start date of Monday, September 11th, 2017. Placement and course ends January 2018. Conditional acceptance into the program depends on the student providing all the necessary documentation as per the PSW Information Checklist. Paperwork for the Vulnerable Sector Check will be given in August at the dates outlined in the chart below. In order for us to hold a position for her/him, we will require notification from your agency that the student will be sponsored for the full amount of the course ($1100.00) by the date indicated below (by student’s choice of location).

Location Date and Time Location Details

Brockville Wednesday, August 23rd, 2017 12:00-2:00 p.m.

St. Mary Catholic High School 40 Central Avenue, Brockville, ON

Cornwall

Wednesday, August 30th, 2017 12:00-2:00 p.m.

Cornwall Board Office (South Side – Door B) 835 Campbell Street, Cornwall, ON

Kemptville Thursday, August 24th, 2017 1:00-3:00 p.m.

St. Michael Catholic High School 2755 Hwy #43, Kemptville, ON

Smiths Falls Monday, August 28th, 2017 1:00-3:00 p.m.

Hanley Hall School of Alternative & Continuing Education 30 McGill Street North, Smiths Falls, ON

Vankleek Hill Thursday, August 31st, 2017 1:00-3:00 p.m.

St. Jude Catholic School 5355 Highway 34, Vankleek Hill, ON

Please find attached a copy of the program outline for your perusal. I trust that the information provided is sufficient. Should you have any other questions, or require additional information, please feel free to contact me at your earliest convenience. Regards,

Kevin Dionne Coordinator of Continuing Education and Experiential Learning 613-284-2613

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To Whom It May Concern, The Catholic District School Board of Eastern Ontario’s Personal Support Worker Program (PSW) begins on Monday, September 11th, 2017 (all locations). The PSW is a full-time (36 hours per week) program. Lastly, if hired by the facility, a student may be paid for their co-op placement. Fees associated with the program are as follows:

Item Cost

Text Book/workbook (Mosby’s Canadian) $135.00

First Aid/CPR $135.00

GPA Training $ 25.00

WHMIS $ 30.00

St. Peter Feeding Training $ 15.00

Mobility Training $ 70.00

Safe Food Handling Course $35.00

OLTCA Pin (registry list if they pass the course) – presented at their graduation $ 16.00

Lab supplies per student $ 85.00

Component of facility rental $262.00

Equipment/Supplies Purchase, Replacement, and Repair $242.00

Restorative Therapy Training $ 50.00

Total Cost $1100.00

Additional costs the student needs to pay prior to entering the program or during the program include:

Item Approximate Cost

Scrub Uniforms (three required) $40 each

Non-slip white shoes $75.00-$100.00

Misc Supplies $50.00-$75.00

Doctor’s Note $0-$150.00

Hep B Immunization (three required) $25.00-$75.00 each

TB (Mantoux) test $0-$25.00

Current Vulnerable Sector Screening Check $0-$50.00

Transcript $0-$20.00

Transportation Varies

Parking fees Varies

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PERSONAL SUPPORT WORKER PROGRAM (PSW)

Program Outline

This intensive training program is intended to provide individuals with the theoretical, clinical and practical knowledge and skill sets needed to perform personal support tasks, as a collaborative member of a client’s health care/ support team. Whether applying these skills in the community and/or facility based setting, our program philosophy incorporates the principles of promoting client independence, dignity, safety and the delivery of compassionate care. The School of Alternative and Continuing Education is currently registered in a program accreditation process to maintain accreditation under the PSWPA (Personal Support Worker Program Accreditation) standards and sponsored by the Ministry of Education. This program follows the training standards set out by the MAESD (Ministry of Advanced Education and Skills Development) and graduates must demonstrate competency in fourteen (14) vocational learning outcomes, (VLO) and essential employability skills (ESS) learning outcomes, divided between 7 program courses. Program Duration: 6 hours for the Orientation and Registration session, 330 hours of in-class instruction, 90 hours of supervised clinical workplace experience, 270 hours of coop workplace experience, and 7 senior secondary school credits towards the Ontario Secondary School Diploma requirements. Program Courses: Health Care, Grade 11, College (TPJ3C – 110 hours/1 credit) This course includes but is not limited to the training elements to have the student reliably demonstrate the ability to work within the personal support worker role in community, retirement homes, long-term care homes and/or hospital care settings; act responsibly and be accountable for one’s own actions while recognizing the boundaries of knowledge and skills within the personal support worker role and participate as a member of the inter-professional care/service team. PSW modules included in this course:

Orientation/Study Skills - 6hrs

Roles and Responsibilities

Interpersonal Skills

Overview of the Canadian Health Care System

Infection Control

Mobility

Individuality

Introduction to Human Body Structures and Functions

Optimal Support Health Care, Grade 12, College (TPJ4C – 110 hours/1 credit) This course includes but is not limited to the training elements to have the student reliably demonstrate the ability to provide client-centred and client-directed care that is based on ethical principles, sensitive to diverse client and family values, beliefs and needs, and which follows the direction of the of care/service plan. Promote and maintain a safe and comfortable environment for clients, their families, self and other; assist clients across the lifespan with routine activities of daily living.

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PSW modules included in the course:

Personal Hygiene;

Client Care Planning;

Ongoing Conditions and Diseases;

Rehabilitative Care;

Assisting the Family;

Core Elements of a Helping Relationship;

Continuation of Human Body Structures and Functions;

Safety of Client and Worker.

Child Development and Gerontology, Grade 12, College (TOJ4C – 110 hours/1 credit)

This course includes but is not limited to the training elements to have the student reliably demonstrate the ability to identify and report situations of neglect and potential, alleged or witnessed actual incidents of abuse; assist in the provision of culturally relevant palliative and end-of-life care; and use identified approaches and best practices to support positive and safe behaviour in clients experiencing cognitive impairment, mental health challenges and /or responsive behaviors. PSW modules included in the course:

Cognitive Impairment and Mental Health Issues;

Continuation of Human Body Structures and Functions;

Household Management and Meal Preparation;

Assisting the Family;

Assisting with Medications;

End of Life Care;

Responding to Abuse.

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Health Care: Support Services, Grade 12, Workplace . TPJ4E - Supervised Clinical (90 hours - 1 credit) Long Term Care Placement Part One . TPJ4EC – Cooperative/Consolidation Placement (270 hours - 3 credits) Long Term Care Placement Part Two & Community Setting Placement (Minimum of 100 hours)

These courses enable the student to develop the basic skills needed for careers in a range of health care support settings. Students will have the ability to reliably demonstrate the transfer of theoretical and laboratory learned skills and procedures while gaining an understanding of various employer policies and expectations while under the guidance of the clinical instructor and a PSW mentor. Note: Placements and course ends late January 2018. Grading:

Students must attain 70% in each credit course (80% in laboratory, supervised clinical and co-op).

Students who are at risk re: grades and/or attendance will be notified immediately, or in a timely manner by the instructor.

Students who do not attain a passing grade of 70% in the theory component, cannot continue with the Clinical and Co-op Placements since a candidate needs to receive a minimum of 70% in order to obtain PSW Certification. In the case of not obtaining the required minimum of 70% in the theory component, the student will have to reapply and pay for the course again.

Upon successful completion of all components, students will receive an Ontario Long Term Care Association Pin and a Personal Support Worker Certificate.

If a student does not finish the Co-op portion for a legitimate reason, they can complete it within the year, with a refresher of clinical skills. This will entail one week attendance of clinical, prior to starting Co-op placement.

Attendance Policy: Since every day includes critical skill development and information, attendance is MANDATORY at all sessions. Being absent for more than 2 classes, without a medical note, may result in a failing grade. As well, lateness is unacceptable. Material Fee: The $1100.00 course fee covers the costs of: academic counseling, textbook, classroom and laboratory instruction, CPR and First Aid certificate, WHMIS training, Gentle Persuasion Approach (GPA) certification, St. Peter’s Hospital Dining Feeding certification, Safe Food Handling certification, Ontario’s Just Clean Your Hands certificate, Restorative Therapy Certification and Palliative Care Certification. All programs will offer these certificates and each individual program may offer other training as per their area. Each program will have guest speakers that may cover the following topics: ALS, Mental Health, Heart and Stroke, Diabetes, etc. Also, included in this fee is a name tag that you will be required to wear daily. The material fee of $1100.00 is due in full prior to the start of the program. We accept cash, money orders, and certified cheques. Please make cheques payable to: Catholic District School Board of Eastern Ontario. Late fees will not be accepted unless approved in advance by the Coordinator of Continuing Education.

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Refund Policy: In accordance with the Ministry of Advanced Education and Skills Development, formally the Ministry of Training, Colleges and Universities Tuition Fee Operating Procedures (2012), students must submit formal written notification of withdrawal within 10 business days of the beginning of a course to receive refund of fees for the current term. Students who withdraw prior to and including the 10th day of the term must contact Hanley Hall School of Alternative and Continuing Education and their instructor or coordinator. Students who withdraw by the 10th day will then be refunded for:

a) all term tuition and ancillary fees assessed and paid, less $500.00 administrative fee and any service charges (e.g. installment fee, late fee, deferral fee, etc.)

Students who withdraw after the 10th day of the term will not receive a refund for the current term. Students may be able to re-embark with us for the following semester program. Important Notes: -Students who withdraw after the 10th day of the term, and who have outstanding fees for the current term, are and may be held liable for those outstanding fees upon the discretion of the Principal and Department of Finance. -Students who do not officially withdraw will be liable for all fees assessed. The following actions DO NOT constitute Official Withdrawals: -Non-attendance -Verbally or electronically notifying your instructor, coordinator of the program or Hanley Hall School Staff Admission Requirements (A complete CDSBEO PSW package is needed for admission.)

Be able to commute to classes and clinical/work placements.

Have the fitness level necessary to perform the duties required of a PSW.

Be nineteen years of age or older, unless you have your Ontario Secondary School Diploma (OSSD)

Be an Ontario resident - provide 1 photocopy of proof of residency (please provide one of the following; driver’s license, tax bill, lease agreement, cable bill, etc.).

Provide 4 photocopies of a current vulnerable sector screening check. This screening must indicate no convictions. (Forms to be given at the orientation sessions)

Provide 4 photocopies of your immunization record (needs to be completed to show proof of immunity for some placements; blood titres must accompany the immunization record).

Provide 4 photocopies of your medical form completed and signed by your doctor.

Provide 4 photocopies of proof of current Two Step TB test (if step one-skin test-is positive – you must include a chest x-ray showing report of “no active TB”).

Provide 4 photocopies of influenza vaccine (influenza vaccine is mandatory for clinical and co-op placements).

Provide 1 photocopy of your Canadian Birth Certificate. Please note that if you are a non-Canadian citizen, you will need to provide proof of “Citizenship & Immigration Canada Documentation” at the orientation session. A form “Confirmation of Residency and Eligibility” must be completed and signed confirming that the data on the form is accurate. It will be examined to verify eligibility by a school board official.

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Provide 1 photocopy of your Secondary School Transcript (note: if you have an IEP, please provide us with it, so we can guide you accordingly).

Provide 2 photocopies of a current resume or a list of jobs you held along with dates you worked.

NOTES: 1 photocopy of multiple items will be retained in your student file, two photocopies are intended for your clinical and work placement files, and the other one is for your files. All applicants must undergo a literacy assessment and interview and will be notified of acceptance into the program by phone. Students are required to purchase the following items (please ensure that you have these items for your first class)

➢ 2-4 sets of scrubs will be needed. The exact colour will be advised to you by your program instructor at the orientation session (see dates on first page). They are to be worn for first day of class, when guest speakers visit, during clinical, at co-op placements and at graduation or to the discretion of your instructor.

➢ 3-hole binder, 3-hole lined paper, small note pad and pen for work placement.

➢ Shoes – Closed toe, closed heel, white nursing type shoe or white running shoe. Crocs or shoes with holes are not permitted to be worn.

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