NEW YORK STATE NURSING HOME NURSE AIDE TRAINING PROGRAM ...

NEW YORK STATE NURSING HOME

NURSE AIDE TRAINING PROGRAM

AND CERTIFICATION

NEW YORK STATE DEPARTMENT OF HEALTH

DIVISION OF NURSING HOMES

AND ICF/IID SURVEILLANCE

JANUARY 2017

NYS DOH NATP

JANUARY 2017

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 NURSING HOMES AND ICF/IID SURVEILLANCE FOR

NURSING 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 ¨C 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 Nursing Homes and ICF/IID Surveillance

Bureau of Professional Credentialing

875 Central Avenue

Albany, New York 12206

Questions may also be submitted electronically to:

PROFCRED@health.

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NURSING HOME NURSE AIDE TRAINING PROGRAM

A. INTRODUCTION

This document contains the 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 Romano RN, Elant at

Goshen; and Patricia Venttiquarttro RN, BOCES.

New York State Staff

Department of Health: Beth Dichter, Ph.D., Director, Nancy Abeel and Melanie

Welch.

State Education Department: Joanne O¡¯Brien, RN

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