CNA Form G-119639-A 2005-2025 free printable template

CNA HEALTH PRO MEDICAL PRACTITIONERS APPLICATION CLAIMS-MADE COVERAGE Carefully read this page and the questions posed in this application. In order for you to be considered for coverage, this application

How to fill out CNA Form G-119639-A

How to fill out CNA Form G-119639-A

1. Obtain a blank CNA Form G-119639-A from the appropriate agency website or office.
2. Read the instructions carefully to understand the requirements for each section.
3. Fill out your personal information in the designated fields (name, address, contact information).
4. Provide details about the purpose of the form, including any relevant dates or references.
5. If applicable, include information about any supporting documents being submitted alongside the form.
6. Review the completed form to ensure all information is accurate and complete.
7. Sign and date the form as required.
8. Submit the form according to the instructions provided, either online or by mail.

Who needs CNA Form G-119639-A?

1. Individuals applying for a specific service or benefit that requires the submission of CNA Form G-119639-A.
2. Anyone needing to verify their eligibility for a program or service listed in the form's instructions.
3. Legal representatives or guardians submitting on behalf of individuals who are unable to fill out the form themselves.

Video instructions and help with filling out and completing cna g 119639 a practitioner application

Instructions and Help about CNA Form G-119639-A

Good morning I'm Kristen I'm here to draw your blood today could you please state your name and date of birth Pat white November 11, 1986, thank you have you had anything to eat or drink in the last 12 hours not since 9:00 last night Thanks do you have any questions all right it will just take me a minute to get everything set blood collection by venipuncture is one of the most common procedures performed in a healthcare setting common but also complex requiring knowledge and skill to assure the accuracy and integrity of the samples drawn and to eliminate risk to both patient and healthcare workers the first step is to accurately ID the patient using at least two forms of identification does the name and date of birth on the requisition form match what the patient is telling you does it match what is on the patient ID wristband as the patient followed special orders such as fasting prior to blood draw address the inconsistency first with a requesting physician or healthcare worker on duty but if the given information does agree it's time to prepare yourself and the patient for a successful blood draw using proper standard precautions the phlebotomist washes and then Don's a clean pair of gloves before proceeding make sure alcohol prep pads gauze tape the correct gauge needles and required to be evacuated collection tubes are with an easy reach for you but out of the reach of the patient then speak reassuringly to the patient as you position him for the draw I'm all set here if you'd please straighten your arm it will just take a moment while I apply the tourniquet applying a tourniquet slows the flow of blood in the veins and increases venous filling thus making the veins more prominent easier to locate and easier to enter however leaving the tourniquet on for longer than one minute may affect laboratory test results and should therefore be removed and reapplied if the procedure will take longer than 1 minute use your fingertip to palpate the antecubital fossa to locate the median cubical vein palpation helps determine the direction of blood flow in the vein to gauge the vein size and depth and to estimate its tendency to roll it also helps differentiate veins from arteries unlike veins arteries have thicker feeling walls and are more elastic to the touch use an alcohol prep pad to cleanse the skin around the site in a fluid circular motion swab from the center to the periphery of the site being careful not to drag the pad back across the cleanse field let the area air dry this prevents contamination of either the patient or the specimen grasp the patient's arm firmly with your hand placing your thumb approximately 2 inches below the intended puncture site with your thumb pull the skin taut over the vein to help anchor it in place than let the patient know you're ready to make the puncture, so the patient won't startle and jump position the needle bevel side up and line it up with a vein position the needle so that it forms a 30-degree angle...

People Also Ask about

What is the highest paying job for a CNA?

High Paying CNA Jobs Nurse Aide Evaluator. Salary range: $106,000-$106,000 per year. Nursing Attendant. Salary range: $37,000-$45,500 per year. Cna Ltc. Salary range: $36,000-$45,000 per year. Hospital CNA. Geriatric Nursing Assistant. Nursing Technician. Nursing Assistant. Nursing Unit Clerk.

Can a CNA make 6 figures?

Yes, you can 100% make six figures as a nurse. The disclaimer is that working in some states may make this easier than working in other states. Geographic location is a huge indicator of starting salary and can be a reason why some of you are not as close to others when looking at raw data.

How much does a CNA make in Maryland?

How much does a Cna make in Maryland? As of May 12, 2023, the average annual pay for a Cna in Maryland is $30,094 a year. Just in case you need a simple salary calculator, that works out to be approximately $14.47 an hour. This is the equivalent of $578/week or $2,507/month.

What does CNA mean doctor?

A CNA or certified nursing assistant is an important position in any hospital setting. CNAs have many responsibilities that make them an integral part of the patient process in healthcare. While being a CNA is often considered an entry-level position, it is a great stepping stone to other healthcare professions.

What is the highest paid CNA?

1. Alaska. With an average annual salary of $43,080, Alaska tops our list of the highest-paying states for CNAs.

Which is better CMA or CNA?

CMAs have a wider range of job opportunities as they can work in medical facilities that don't provide long-term care. CNAs can work in all medical facilities that provide direct patient care and comfort, that includes nursing homes, hospices, and assisted living centers.

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What is CNA Form G-119639-A?

CNA Form G-119639-A is a specific form used for reporting certain financial or operational data as required by regulatory agencies related to insurance and healthcare.

Who is required to file CNA Form G-119639-A?

Entities or individuals that are regulated or involved in insurance and healthcare activities as specified by the regulatory framework must file CNA Form G-119639-A.

How to fill out CNA Form G-119639-A?

To fill out CNA Form G-119639-A, follow the provided instructions, ensuring that all required fields are completed accurately, and relevant data is attached as necessary.

What is the purpose of CNA Form G-119639-A?

The purpose of CNA Form G-119639-A is to collect standardized information that assists regulatory agencies in monitoring, assessing, and ensuring compliance within the insurance and healthcare sectors.

What information must be reported on CNA Form G-119639-A?

CNA Form G-119639-A must report data related to financial transactions, operational metrics, compliance information, and any other specifics required by the governing body overseeing the form.