Massage Therapy Program Summer 2018

Transcription

1 Massage Therapy Program Summer 2018 Massage Therapy is one of the fastest-growing and most diverse occupations in the healthcare industry. This 854-hour evening program consists of classroom and lab instruction as well as an internship experience. Topics to be covered include Anatomy and Physiology, Pathology, Kinesiology, hands-on techniques, Massage Theory and more. This comprehensive program prepares students to work with a wide variety of clientele in various environments. Students who complete this program will be prepared and eligible to take the national exam The MBLEx (Massage & Bodywork Licensing Examination) is governed by the Federation of State Massage Therapy Boards (FSMTB). It is designed to provide a standard examination for students of Massage for an entry-level professional scope of practice in gaining licensure. This exam is required to obtain a license in the State of Connecticut. Program Requirements: You must be at least 18 years old and complete the following: Fill out the enclosed MT application forms. Mail or bring the application and forms to Continuing Education, located in Building 700 at Tunxis Community College, 271 Scott Swamp Road, Farmington, CT Acceptance: Your application will be forwarded to the Allied Health Coordinator for consideration. Upon acceptance, you will be notified in writing and given further instructions to complete your enrollment. Once you are accepted, tuition must be paid to the College within five business days of notification. Students will not be allowed into class until they have started a payment plan or paid full tuition. Refunds may be obtained ONLY if your written withdrawal is received by the Continuing Education Office three business days prior to the first class session. Uniform: Uniforms are to be worn at all times. See Cost sheet (page 2) for details. Health Form: Each applicant to the program must submit a health form. No one can be permitted to participate in the clinical portion without these requirements. The original form must be submitted to the Allied Health Coordinator and cannot be faxed. Please do not submit the health form until it is fully completed. This form must be in place by the deadline date of November 1 in order for a student to be eligible for the internship experience. Please be advised that if you have been convicted of a felony or misdemeanor, you may not be eligible for clinical experiences, internships, externships or certifications associated with certain Allied Health courses or programs. Those with previous convictions may also find it difficult to secure employment within a health care agency or institution. For more information, contact Sue Passini, LMT, at or spassini@acc.commnet.edu; for registration information, call the Continuing Education Office at (860)

2 TUNXIS MASSAGE THERAPY PROGRAM COSTS SUMMER 2018 $ 9,157 total cost Includes tuition, administrative fee, internship, textbooks, uniforms and licensing examination. Total cost does not include the CT state licensing fee. Books and Uniforms will be handed out the first day of class. Uniform consists of two pair of khaki pants and two burgundy polo shirts. Program cost must be paid or a payment plan started. Payment Plan Option: monthly payment plan available ($25 installment plan fee) To use the payment plan option, contact or visit the Continuing Education office first ( or Bldg. 700); you can then set up your payment plan in person at the Business Office (Founders Hall). Loan Option Connecticut Higher Education Supplemental Loan Authority The CHESLA Loan is a low-cost fixed interest rate student loan available to Connecticut residents attending college in-state or out-of-state and to U.S. students attending college in Connecticut. Key elements of a CHESLA Loan: Low Fixed interest rate with stable and predictable monthly payments Interest-only payments while in school and for a six-month grace period afterwards Graduate and professional students may defer interest and principal while in school An online application and pre-approval process No deadline for application and no application fee A student or co-applicant(s) (if any) must have a minimum $20,000 adjusted gross annual income (AGI). There is no maximum income limit. Loans from $2,000 up to the total cost of education per academic year (less any other financial aid received), to a cumulative maximum total of $125,000 The review and processing of an application takes no longer than 2 weeks. The school will then need to certify the loan and there is a required rescission period. At that point, the school will set a disbursement date with the loan servicer. This program is not eligible for federal financial aid Funding options may be available through CT Works (WIOA) and the CT Department of Labor. To see if you qualify, call New Britain CT Works at For a complete listing of services and locations, please visit: ctdol.state.ct.us

3 Summer 2018 Massage Therapy Program Schedule Module 1 No Classes July 4-19 Anatomy & Physiology June 5 September 4 (T&Th) 5-6PM (W) 5-9PM September 5 (W) 5-7PM Massage Theory and Practice June 5 August 16 (T&Th) 6:15-9PM August 21 (T) 6:15-9:30PM Module 2 Massage Therapy 1 September 4 November 15 (T&Th) 6:15-9PM Pathology 1 September 11 November 1 (T&Th) 5-6PM (W) 5-9PM Module 3 No Classes November and December 25 - January 1 Pathology 2 November 6 January 9 (T&Th) 5-6PM (W) 5-9PM Massage Therapy 2 November 20 January 17 (T&Th) 6:15-9PM January 22 (T) 6:15-7:45PM Module 4 Students will be able to start their clinical on December 15. Pathology 3 January 10 March 14 (T&Th) 5-6PM (W) 5-9PM Massage Therapy 3 January 29 March 26 (T&Th) 6:15-9PM March 28 (Th) 6:15-9:30PM

4 Module 5 Musculoskeletal Anatomy - Upper Body March 19 May 7 (T&Th) 5-6PM March 20 April 10 (W) 5-9PM (no class April 3) April 17 May 8 (W) 5-9:30PM Special Populations April 2 May 28 (T&Th) 6:15-9PM May 30 (Th) 6:15-9:30PM Module 6 Musculoskeletal Anatomy Lower Body May 14 June 25 (T&Th) 5-6PM (W) 5-9PM June 26 (W) 5-8PM Ethics of Massage Therapy June 4 June 18 (T&Th) 6:15-9PM June 20 July 9 (T&Th) 6:15-9:30PM (no class July 4) Module 7 No classes July Kinesiology July 2 August 29 (T&Th) 5-6PM July 3-31 (W) 5-9PM August 7-28 (W) 5-10PM Business of Massage Therapy July 30 September 3 (T&Th) 6:15-9PM Module 8 Eastern Theory September 3 October 24 (T&Th) 5-6PM September 4 October 9 (W) 5-9PM October 16 & 23 (W) 5-10PM Chair Massage September (T&Th) 6:15-9PM September 26 & October 1 (Th&T) 6:15-9:30PM Module 9 Students will do remaining clinical hours in this time if necessary. Clinical (W) 5-9PM Room Theory of Modality September 3 November 7 (T&Th) 6:15-9PM

5 BANNER ID REC D ON CC CRN TUNXIS COMMUNITY COLLEGE MASSAGE THERAPY PROGRAM 2018 Summer Fall Name Date of Birth last first middle Home Address street city state zip Address Phone Work / Cell Phone SSN# Gender: Male Female Primary Language Ethnic/Racial (optional): White Black Hispanic Asian Native American Other Emergency Contact Name Phone # Are you a U.S. Citizen? Yes No If no, are you an alien who has the legal right to work? Yes No Have you ever been convicted of a felony or misdemeanor? No Yes briefly explain below. *An arrest record could affect your ability to obtain employment as a CNA. EDUCATIONAL INFORMATION High School or GED Certification (school attended and year graduated or certified) College or University (school attended, degree and year graduated) Are you competent in reading comprehension and able to do math computation? Yes No If no, please explain. Briefly list employment history below. PAYMENT INFORMATION Tuition Payment Source Self Agency (Agency name, caseworker and phone number required below): MasterCard/Visa/Discover: Exp. Date I understand the refund policy means I must contact the CE office three business days prior to the start of class and that no refunds will be issued after that time under any circumstances. The information provided on this registration form is complete and accurate. Signed Date

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7 Tunxis Community College 271 Scott Swamp Road Farmington, Connecticut MASSAGE THERAPY PROGRAM PHYSICAL VERIFICATION FORM Name of Student Address City State Zip Code Check the appropriate answer. Please answer as honestly as possible. If yes is checked, please provide a brief explanation. Allergies? Yes No Pregnant? Yes No On medication? Yes No Please list any medications here: Mental health concerns? Yes No Hearing problems? Yes No Back problems? Yes No Knee problems? Yes No Recent surgeries? Yes No Lifting restrictions? Yes No (i.e. arthritis, injury, surgeries, etc.) Latex allergy? Yes No If you are pregnant, have any back problems/lifting restrictions, or a medical condition that is being monitored by a physician, a form will be provided by the College that must be completed by your physician along with your signature. Please list any other conditions that you feel may present a risk for you or that your Instructor should be aware of to protect your well-being and safety. Student Signature Date:

8 Name (please print): TUNXIS COMMUNITY COLLEGE MASSAGE THERAPY PROGRAM **The administration of therapeutic massage is a physically demanding activity. It requires the therapist to have a good deal of strength, flexibility and stamina. ** Students must have the following abilities: Proficiency in the use of the English language and must possess effective oral and written skills in order to accurately transmit appropriate information to patients/clients, faculty, colleagues, and other healthcare workers. Dynamic Strength The ability to exert muscle force repeatedly or continuously over time. This involves muscular endurance and resistance to muscle fatigue. Manual Dexterity The ability to quickly move your hand, your hand together with your arm, or your two hands to grasp, manipulate, or assemble objects. Trunk Strength The ability to use your abdominal and lower back muscles to support part of the body repeatedly or continuously over time without 'giving out' or fatiguing. Multilimbed Coordination The ability to coordinate two or more limbs (for example, two arms, two legs, or one leg and one arm) while sitting, standing, or lying down. It does not involve performing the activities while the whole body is in motion. Adequate senses hearing and vision to perform the tasks required in the field of Phlebotomy. Fine and gross motor coordination. Intellectual, Emotional and Interpersonal skills to ensure client safety, to exercise independent judgment and discretion in the performance of assigned responsibilities. Interpersonal skills such that you are capable of interacting with individuals from a variety of social, economic and ethical backgrounds. The ability to present a professional appearance, maintain personal health and be emotionally stable. Arm Hand Steadiness The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position. Speech Recognition The ability to identify and understand the speech of another person. Speech Clarity The ability to speak clearly so others can understand you. Stamina The ability to exert yourself physically over long periods of time without getting winded or out of breath. Static Strength The ability to exert maximum muscle force to lift, push, pull, or carry objects. Extent Flexibility The ability to bend, stretch, twist, or reach with your body, arms, and/or legs. Finger Dexterity The ability to make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or assemble very small objects. Near Vision The ability to see details at close range (within a few feet of the observer). Active Listening Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. Speaking Talking to others to convey information effectively. Service Orientation Actively looking for ways to help people. I have read and understand the information above. Sign Date

9 TUNXIS COMMUNITY COLLEGE MASSAGE THERAPY PROGRAM Name: Do you have transportation? Yes No Tell us about yourself. What is your primary language? (Students who are ESL are encouraged to meet with the Allied Health Coordinator to discuss if their language may impede them from completing this course. You should be English proficient.) List five qualities you possess that make you a good candidate for the program: How can Tunxis be assured that you will be committed to the program?

10 Do you have any physical limitations? If yes, please describe. Have you ever been arrested? If yes, please explain. Is there anything we can do to assist you in successfully completing the program? How did you hear about this course? Student Signature: Date:

11 Tunxis Community College Non Credit Allied Health Programs Health Form Requirements Checklist Please use this checklist to guide you through the process of submitting an accurate and fully completed health form. Fill out Page 1 Check which program you re in Last 4 digits of your Social Security Number Under personal history, if you check yes, please explain. Banner ID# on EVERY PAGE SUBMITTED Check Check Page 2 must be filled out by your physician, PA or APRN All students are required to provide either proof of immunization or laboratory results of immunity. TITERS chosen for proof of immunization MUST BE POSITIVE and the LABORATORY REPORT MUST ACCOMPANY THE HEALTH FORM. 1. MMR dates of immunization or blood titer that shows immunity written on health form attach document to show proof. 2. Polio date(s) of immunization or blood titers that show immunity written on health form attach document to show proof. 3. Chickenpox dates of immunization, date of illness, or lab report that shows immunity written on the health form attach document to show proof. 4. Tetanus booster must be within the last 10 years, written on health form, attach proof of injection to the health form. 5. Flu vaccine (spring and fall applicants only) date of vaccine written on the health form. If declination, your health care provider must provide a note. Attach document to show proof. 6. Hepatitis B series date(s) of injection or lab report written on the health form. If a student hasn t received all 3 injections or refuses the series, a Hepatitis B waiver form (included in application packet) must be signed. Attach document to show proof. 7. Tuberculin Test/PPD (Mantoux or QF G) date given, date read, and results written on the health form. Attach document to show proof. A positive PPD or previous inoculation of BCG, must be accompanied by a chest x ray with the appropriate follow up. (OVER) Page 1

12 Health Form Requirements (continued) Physical Examination All areas must be filled out in this section. Heart rate and Blood Pressure must be done. Nothing can be deferred. A Urinalysis and Hematocrit or Hemoglobin must be documented with a number on the health form. Attach document to show proof. _ Date, Examining MD, PA, or APRN s signature must be completed along with the address completely filled out and a phone number. Submit to the classroom instructor or Allied Health Coordinator Cheryl Conaty, R.N. (Room 6 216). **Please make sure the entire health form is completed before submitting it. ** **Make a copy of your health form for your own personal records before handing it in.** **Please do not staple forms together; paper clip them or use an envelope. ** Thank You. Cheryl Conaty, RN Allied Health Coordinator Tunxis Community College Continuing Education and Workforce Development Page 2

13 STUDENT HEALTH FORM Board of Regents for Higher Education TUNXIS COMMUNITY COLLEGE, Attention: Cheryl Conaty, RN 271 Scott Swamp Road Farmington, Connecticut APPLICANT: Please print. Complete this side. EXAMINING PHYSICIAN: Please print. Complete reverse side ASAP and return to address above. Name (last, first, middle) Banner ID: MAA MA CNA PHLEBOTOMY MASSAGE THERAPY Social Security # APPLICANT Permanent Home Address (number & street, city or town, state, zip code) Telephone # (include area code) Sex Marital Status Date of Birth (month, day, year) Male Female Single Married Widowed Divorced Name (last, first, middle) Relationship IN CASE OF EMERGENCY Address (number & street, city or town, state, zip code) Telephone # (include area code) FAMILY HISTORY Has any family member ever had the following: CANCER TUBERCULOSIS DIABETES ALLERGY OR ASTHMA EPILEPSY OR CONVULSIONS STROKE HEART DISEASE NERVOUS OR MENTAL ILLNESS MIGRAINE HEADACHES HIGH BLOOD PRESSURE Have you ever had: YES NO 1. MEASLES 2. MUMPS 3. CHICKEN POX 4. GERMAN MEASLES 5. WHOOPING COUGH ITEMS 6-15 All Yes answers must be explained below. Have you ever had: YES NO Have you ever had: YES NO 6. RHEUMATIC FEVER 11. CONVULSIONS 7. HEART DISEASE 12. HIGH BLOOD PRESSURE 8. HEART MURMUR 13. ALLERGIES 9. DIABETES 14. FAINTING SPELLS 10. TUBERCULOSIS 15. HEPATITIS PERSONAL HISTORY QUESTION YES NO If YES, please explain: 1. Have you ever had any operations and/or significant injuries? 2. Do you have any physical impairment? (eg., paralysis, loss of hearing, vision) 3. Have you had any emotional problems requiring treatment? 4. Do you take any medications regularly? 5. Have you reacted unfavorably to any medication? (eg., penicillin, aspirin) 6. Has your physical activity ever been limited? SIGNATURE(S) Date Student s Signature (if under the age of 18, parent or guardian must also sign) PERMISSION TO TREAT MINOR INJURY OR ILLNESS I hereby grant permission to the medical staff of the college to render or secure proper treatment for my daughter, son or ward (named above). It is my understanding that I will be notified in case of any illness or injury of major proportion. In addition, I grant permission to the college physician to hospitalize this student in case of a surgical emergency requiring the administration of anaesthesia provided that the physician is unable to communicate with me and that, in his/her judgement, delay might endanger the life of the student. Date Parent s or Guardian s Signature PAGE 1 0F 2 StudentHealthForm: rev. 4/20/18

14 IMMUNIZATION HISTORY ALL students are required to provide proof of either immunization or laboratory results of immunity. TITERS chosen for proof of immunization MUST BE POSITIVE and the LABORATORY REPORT MUST ACCOMPANY THIS FORM. MEASLES 1st dose: or Titer Immune? YES NO date/given on or after 1st birthday & after Jan. l, 1969 THIS SIDE TO BE COMPLETED BY EXAMINING PHYSICIAN ONLY MEASLES 2nd dose: date/given after Jan. 1, 1980 MUMPS: or Titer Immune? YES NO date/given on or after 1st birthday RUBELLA: or Titer Immune? YES NO date/given on or after 1st birthday POLIO: or Titer Immune? YES NO date(s) of immunization VARICELLA (Chicken Pox): or Titer Immune? YES NO date(s) of immunization IMPORTANT! Td (TETANUS booster): Attach lab reports or immunization date/must have been given within the last 10 years records for everything listed. FLU VACCINE (spring and fall applicants only) date given HEPATITIS B SERIES: Risk Form date/1st dose date/2nd dose date/3rd dose intial *TUBERCULIN TEST/PPD (Mantoux or QFT-G):. HEIGHT WEIGHT COMMENTS and RECOMMENDATIONS EYES EARS NASOPHARYNX TEETH NECK CHEST ABDOMEN VISION (R) (L) CORRECTION (R) (L) DRUMS HEARING (R) (L) SEPTUM TONSILS OCCLUSION CARIES GINGIVITIS CERVICAL NODES BREASTS date given date read results PHYSICAL EXAMINATION THYROID LUNGS HEART (Rate) (Rhythm) (Murmurs) (Blood Pressure) LIVER SPLEEN HERNIA SKELETAL CNS SPINE JOINTS FEET REFLEXES LABORATORY URINALYSIS (Lab Reports Required) HEMATOCRIT OR HEMOGLOBIN (Lab Reports Required) I believe this student is able to participate in a full academic and clinical program (unless otherwise noted above). DATE EXAMINING PHYSICIAN S SIGNATURE ADDRESS TELEPHONE M.D. PAGE 2 OF 2 StudentHealthForm(3): Rev. 10/17

15 For Office Use Only BANNER HEPATITIS B RISK FORM I understand that due to my potential exposure to blood, body fluids and other potential infectious materials I may be at risk of acquiring Hepatitis B virus (HBV) infection. I understand that because I have either waived or not completed the Hepatitis B vaccination series, I continue to be at risk of acquiring Hepatitis B, a serious disease. I understand that if I experience an exposure to blood, body fluids or other infectious materials, I must notify my preceptor and/or instructor immediately. I will be directed to the Emergency Department where I will be offered the Hepatitis B virus immune globulin (HBIG), an injection(s). This injection provides temporary passive immunity from Hepatitis B. I will need to continue or start the Hepatitis B vaccination series. By my signature below I acknowledge understanding that I (the student) am solely responsible for payment of all services, injections, vaccinations and other costs associated with my exposure to blood, bodily fluids or other infectious materials while in the Program even though I have not completed the Hepatitis B vaccination series. I further understand that the College, its employees and clinical sites, will not be responsible for any services, injections, vaccinations or other costs associated with my exposure to blood, bodily fluids or other infectious materials while in the Program even though I have waived or not completed the Hepatitis B vaccination series. I have received information about Hepatitis B and the risks of exposure to blood, body fluids and other potential infectious materials and my responsibility in reporting any incident of possible exposure. Student s name please print Student s signature Date