james joslin, chief health resources development service lisa mcalister, director nurse aide...

James Joslin, ChiefHealth Resources Development Service

Lisa McAlister, DirectorNurse Aide Registry

ODCTECustomized Business and Industry

Training 

SUMMER CONFERENCESHERATON HOTEL

PLAZA NORTH 

August 6, 2008

AGENDA

• Requirements for Supervisors/Instructors

• Alzheimer’s Curriculum

• Affidavits

• Addendums to training program applications

• CMA renewal requirements

Individuals and Total Certifications Nurse Aide Registry

July 8, 2008

87,261 / 137,338LTCA HHA DDDCA RCA ADCA

77,553 31,952 8,225 1,002 194

CMA CMA-GM CMA-IA CMA-R CMA-G FA

15,053 277 244 1,426 1,412 517

NATCEP Instructors

• 310:677-3-3(c)(7)

• Every Subchapter identifies the instructor qualifications for that category

LTC NATCEP Instructors cont

• 310:677-11-3(a)

• LTC program – By or under the general supervision of a Register Nurse who has: – 2 years nursing experience with at least

one year in LTC facility services.

LTC NATCEP Instructors cont

• Completed a course in teaching adultsor

• Experience in teaching adultsor

• Supervising Nurse Aides

LTC Facility defined by the Code of Federal Regulations at §483.5 and Section 1819 and

Section 1919 of the Social Security Act.

LTC Facility Services

• Skilled Nursing Facility/Nursing Facility

• Skilled nursing care and related services for residents who require medical or nursing care,

• Rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or

LTC Facility Services cont.

• On a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and

LTC Facility Services cont.

• The institution must have had in effect a transfer agreement with one or more hospitals.

• Services may also have been provided in any facility, which is located in a State on an Indian reservation and is certified by the Secretary as meeting the requirements of nursing facilities.

What does this mean?

• Identify education and experience requirements for supervisors and instructors, and the program’s procedure to ensure requirements are met.

• Include on the Addendum to ensure compliance with Federal and State Regulations.

Alzheimer’s Curriculum

• 63 O.S. § 1-1951(A)(3) The Department shall require training to include a minimum of 10 hrs of training in the care of Alzheimer’s patients

Alzheimer’s Curriculum cont.

• State Regulations in Chapter 677 at 310:677-11-4(b)(4) – The training program shall include training in the care of cognitively impaired residents.

• Regulation is general and not specific to training topics.

Alzheimer’s Curriculum cont.

• The Code of Federal Regulations at §483.152(b)(5) requires that the curriculum include:

– Care of cognitively impaired residents:

Alzheimer’s Curriculum cont.

• §483.152(b)(5)(i-v) to include (specifically):

• Techniques for addressing the unique needs and behaviors of individuals with dementia (Alzheimer’s and others);

• Communicating with cognitively impaired residents;

Alzheimer’s Curriculum cont.

• Understanding the behavior of cognitively impaired residents

• Appropriate responses to the behavior of cognitively impaired residents; and

• Methods of reducing the effects of cognitive impairments.

What does this mean?

• Identify time devoted to the curriculum and training topics. (Minimum 10 hours)

• Include on the addendum to ensure compliance with the law.

Affidavits

• HB1804 – Oklahoma Taxpayer and Citizen Protection Act of 2007

• One for age 18 and over

• One for under 18 – guardian signature

• Required for certification and recertification

Affidavits

• Available on website

• New Form http://nar.health.ok.gov

• Forms

• ODH #301, May 9, 2008

What does this mean?

• Identify procedure to ensure that all trainees testing have a signed affidavit PRIOR to or at test administration.

• Include procedure on the addendum to ensure compliance with the law.

• May maintain original copy of affidavit with the testing records for 3 years.

CMA Renewal

• Renew every 12 months

• Requires 8 hours of CEU – Dept approved program

• $5.00 nonrefundable fee

• Copy of Certificate of Attendance

• Recertification Application

CMA Renewal cont

• Have to retest if certification expired more than 1 year

• May retest only 1 time

• Not eligible to attend advanced CMA training if CMA certification expired

CMA Renewal cont

• Not eligible to attend CEU program if basic certification is expired

• May not be eligible to renew basic certification at all

• May not renew CMA if more than 12 months since last attended a CEU program

THANK YOULisa McAlister, BSN, RN

Director, Nurse Aide Registry

Training or Certification Questions

405-271-9444, Extension 56465