Nursing Home Nurse Aide Training Program for Nurse Aide ...

NURSE AIDE TRAINING PROGRAM FOR

NURSING HOMES

For NEW YORK STATE NURSING HOME

NURSE AIDE CERTIFICATION

NEW YORK STATE DEPARTMENT OF HEALTH DIVISION OF QUALITY AND SURVEILLANCE FOR

NURSING HOMES AND INTERMEDIATE CARE FACILITIES/MR

JANUARY 2006

NYS DOH NATP

JANUARY 2006

NURSING HOME NURSE AIDE TRAINING PROGRAM

For NURSE AIDE CERTIFICATION

THIS DOCUMENT HAS BEEN PREPARED BY THE NEW YORK STATE DEPARTMENT OF HEALTH, DIVISION OF QUALITY AND SURVEILLANCE FOR NURSING HOMES AND INTERMEDIATE CARE FACILITIES FOR USE BY NEW YORK STATE APPROVED NURSING HOME NURSE AIDE TRAINING PROGRAMS.

THE FOLLOWING INFORMATION IS CONTAINED IN THIS PACKAGE:

A. NURSING HOME NURSE AIDE TRAINING PROGRAM - INTRODUCTION

B. NURSING HOME NURSE AIDE TRAINING AND CERTIFICATION PROGRAM

C. DIRECTIONS FOR THE PROGRAM COORDINATOR OF THE NURSE AIDE TRAINING PROGRAM

D. NURSE AIDE TRAINING PROGRAM CONTENT OUTLINE

E. STATE-APPROVED NURSE AIDE TRAINING PROGRAM REQUIRED TRAINING PROGRAM CURRICULUM Unit I Introductory Curriculum ? Must be taught first Unit II Basic Nursing Skills Unit III Personal Care Skills Unit IV Mental Health and Social Service Needs Unit V Care of Cognitively Impaired Residents Unit VI Basic Restorative Services Unit VII Residents Rights

F. STATE-REQUIRED NURSING HOME NURSE AIDE CLINICAL SKILLS CHECKLIST

Questions regarding this material should be submitted in writing to:

NYS Department of Health Division of Q & S for Nursing Homes and ICF/MRs Bureau of Professional Credentialing 161 Delaware Avenue Delmar, New York 12054-1393

Questions may also be submitted electronically to:

PROFCRED@health.state.ny.us

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NURSING HOME NURSE AIDE TRAINING PROGRAM

A. INTRODUCTION

This document contains the new Nursing Home Nurse Aide Training Program for Nursing Home Nurse Aide Certification in New York State. Federal law and regulation requires that every individual used by a nursing home as a nurse aide must complete training in a stateapproved nurse aide training program and/or demonstrate competency to provide such nursing related care and services. Those individuals successfully completing this process are deemed competent and are listed in the State Nursing Home Nurse Aide Registry (Registry). Nursing homes must verify the nurse aide's competency with the Registry prior to employment or use.

Nurse aides provide more than 90% of the hands-on care received by nursing home residents. During the early 1980s, a study conducted by the Institute of Medicine found that nationally, nurse aides receive none, or at most, inadequate training before actually providing care for residents. As part of the national nursing home reform legislation, Omnibus Budget Reconciliation Acts (OBRA) of 1987 (OBRA '87), 1989 (OBRA '89) and 1990 (OBRA '90) mandated specific training and competency evaluation requirements for nurse aides and establishment of a state nurse aide registry of such competent nurse aides.

Effective October 1, 1990, nursing homes are precluded from employing or using an individual as a nurse aide or nurse aide trainee unless that individual is listed, in good standing, in the State nursing home nurse aide registry or the person is concurrently enrolled in a state approved nursing home nurse aide training program [Section 1919(b)(5)]. The State is required to include in the nurse aide registry information pertaining to sustained, after due process, administrative findings and/or criminal convictions for incidents of resident abuse, neglect or mistreatment or misappropriation of resident property. Individuals with such documentation are not permitted to work in any capacity in any nursing home.

Federal statute requires each state to identify, approve and reapprove those nurse aide training programs and competency evaluation programs which meet the federal requirements specified in law and regulation [Section 1919(e)(1) and (2)]. The statute further requires nursing homes to use as nurse aides only individuals who are listed, in good standing, on the state's nurse aide registry. To obtain state certification and listing in the Registry, the individual must first complete a state approved nursing home nurse aide training program and then pass the state-authorized competency evaluation program comprised of the clinical skills examination and the written or oral multiple choice examination.

Nurse aide training programs offered in New York State may be approved by either the New York State Department of Health or the State Education Department. The Department of Health (DOH or Department) approves those programs provided by nursing homes as well as training programs provided by other health care entities or community based organizations free of charge to the student or trainee. All nurse aide training programs

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provided by entities under the jurisdiction of the State Education Department (SED) such as secondary or vocational schools, community colleges, proprietary schools, post-secondary schools, or any nurse aide training program that will charge the student or trainee tuition or fees must be approved by the SED.

Each nursing home nurse aide training program taught in New York State, regardless of sponsor, must include all DOH nursing home nurse aide training program curriculum requirements to obtain state-approval. This is necessary to ensure that all New York State nursing home nurse aides are instructed in and obtain the skills and knowledge necessary to provide safe and effective care and services to the nursing home residents. Individuals that successfully complete a state-approved nursing home nurse aide training program and pass the state-authorized nursing home nurse aide competency evaluation program shall be certified by the Department as minimally competent and listed in the state's nursing home nurse aide registry.

Training programs approved by the State Education Department (SED) may have additional requirements beyond the DOH-state approved nursing home nurse aide training program requirements that must be met for SED approval and/or licensure. Such programs should contact the SED for additional information.

The DOH-approved Nursing Home Nurse Aide Training Program (NATP) is comprised of the following components:

1. Introduction and instructions for use of the mandated 100-hour minimum Nursing Home Nurse Aide Training Program curriculum.

2. Content outline for the minimum 100-hour Nursing Home Nurse Aide Training Program. This program includes as part of the 100-hours, 30 hours of supervised clinical training in a New York State licensed nursing home.

3. Nursing Home Nurse Aide Training Program Curriculum Manual. All nurse aide training programs within New York State must teach the content specified in this manual. Programs may add additional content or lessons but can not delete or substitute any of the units, topics or lessons in this manual.

4. Clinical skills checklist each containing the minimum set of clinical skills each nurse aide trainee in the state must successfully demonstrate during the training program.

The New York State nursing home nurse aide training program curriculum could not have been developed without the dedication and hard work put forth by nurses who either teach and/or supervise nursing home nurse aides. These nurses from throughout the state volunteered to work with the department to develop a revised nurse aide training program curriculum that would reflect current practice of today's nursing homes. A group of nurses involved in the teaching and supervising of entry-level nursing home nurse aides began this work during 1997. It was completed during 2003 and 2005 by a second group of nurses also involved in teaching nursing home nurse aides in both nursing home and educational settings. The Department would like to thank each of the following individuals for their dedication to this project and their willingness to openly share their experience and expertise

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in the training of nursing home nurse aides.

1997 Group Barbara Brooks RN, Heritage House; Chris Cameron RN, NYSHFA; Rita

Coddington, River Mede Manor; Barbara Coleman RN, Delaware County Countryside Care Center; Gail Diffey RN, Welsey Health Care Center; Barbara Folks RN, Eden Park Nursing Home; Jeanette Geggelbruch, GNYHFA; Barbara Gerolami RN, Thomson Nursing Home; Ann Gignac RN, Baptist Retirement Center; Mary Guarino RN, Elderwood Affiliates, Inc.; Barbara Jackson RN, Clove Lakes Health Care Center; Adrienne Liander RN, Eger Health Care Center; Diane Moyer RN, Episcopal Church Home; Jessica Locke Richer, HANYS; Pearl Stanford RN, Coler Memorial Hospital; Nancy Tucker RN, NYAHSA; and Karen Zick RN, Eastern Star Home.

2003 and 2005 Group June Barbera RN, Elderwood Affiliates, Inc.; Smyra Clause RN, Consortium

for Worker Education; Gail Diffley RN, Welsey Health Care Center; Mary Guarino RN, Elderwood Affiliates, Inc.; Joyce Long RN, BOCES; Linda Ramono RN, Elant at Goshen; and Patricia Venttiquarttro RN, BOCES.

New York State Staff Department of Health: Nancy Abeel, Denise Dwyer RN, Diane Lenzner Cohen,

Brian Morris, and Curtis Rogers.

State Education Department: Patricia Hodgins, RN

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