Current through Reg. 50, No. 187; September 24, 2024
(1) Each training
program, including online training programs, shall have a governing body which
has authority to conduct the certified nursing assistant training program,
determine general policy, and assure adequate financial support.
(a) A certified nursing assistant training
program shall have a written description of the program that includes purpose,
goals, and objectives/outcomes, and meets applicable federal and state
requirements. The program description must be consistent with the purpose,
goals, and objectives/outcomes of the parent institution, if any.
(b) A certified nursing assistant training
program utilizing external clinical facilities shall have a written agreement
between the program and each external clinical facility. The agreement shall
define the rights and responsibilities of the program and the clinical
facility, including the role and authority of the governing bodies of both the
clinical facility and the program.
(c) A certified nursing assistant training
program shall include clinical experiences in health care facilities with a
standard license or a conditional license without class I or class II
deficiency.
(d) A certified nursing
assistant training program shall have written policies and procedures that are
consistent with its parent institution. The program shall provide a regularly
scheduled review of the policies and procedures governing the following areas:
1. Student attendance,
2. Student grading, including program
progression and completion criteria,
3. Student record maintenance,
4. Student fees and financial aid,
5. Student rights and responsibilities; and,
6. Student
grievance.
(2)
Each certified nursing assistant training program shall appoint a certified
nursing assistant training program coordinator who shall be responsible and
accountable for compliance with these rules.
(a) A program coordinator shall hold an
active, clear Florida license to practice professional nursing, two years of
professional nursing experience, and one year of experience in nursing home
services, i.e., care of the elderly or chronically ill of any age including
supervision of certified nursing assistants.
(b) A director of nursing in a nursing
home-based program may assume the administration and accountability for a
program as the program coordinator but shall not engage in classroom or
clinical teaching in that program.
(c) A program coordinator assumes overall
accountability for the following:
1. Acting as
liaison with the Board related to the program's continuing compliance,
2. Participating in preparing and
administering a financial plan,
3.
Developing, implementing, and evaluating the training program,
4. Arranging for educational facilities,
clinical resources, and faculty development,
5. Recruiting, supervising, and evaluating
qualified instructors who meet criteria in subsection
64B9-15.005(4),
F.A.C., and ensuring there are sufficient instructors to meet clinical ratios
and instructional needs,
6.
Providing admission and program completion requirements in written form to
students prior to admission to the program,
7. Developing and implementing written
policies necessary for the operation of the program,
8. Ensuring that instructors provide
classroom instruction and clinical supervision to students at all times during
scheduled program hours; and,
9.
Providing documentation of program completion to a student within 10 days of
program completion.
(3) Each certified nursing assistant training
program shall have one or more program instructors who shall be responsible and
accountable for the instructional aspects of the certified nursing assistant
training program.
(a) A program instructor
shall hold a clear, active Florida license to practice either practical nursing
or professional nursing, have at least 1 year of clinical experience, and one
of the following:
1. Have completed a course
in teaching adults, or
2. Have at
least 1 year of experience in teaching adults, or
3. Have at least 1 year of experience in
supervising nursing assistants.
(b) A program instructor's responsibilities
for classroom and clinical instruction include:
1. Participating in the planning of each
learning experience,
2. Ensuring
that course objectives/outcomes are accomplished,
3. Requiring a grade of 70% or greater on all
theoretical examinations,
4.
Requiring a passing grade for satisfactory completion of all skills
evaluations,
5. Ensuring that
students do not perform activities for which they have not received instruction
and in which they have not been found competent,
6. Supervising and evaluating students giving
care to clients in clinical areas,
7. Providing direct supervision in the
classroom and in clinical experiences; and,
8. Monitoring health care professionals who
assist in providing program instruction.
(c) A program coordinator may be an
instructor but must meet the standards established in paragraph (3)(a),
above.
(d) Other personnel from the
health professions may supplement the program instructor; these supplemental
personnel must have at least one year of experience in their
field.
(4) The certified
nursing assistant training program shall have sufficient staff, finances,
resources, materials, space, and supplies to meet the purpose of the program
and the needs of students, faculty, administration, and staff.
(a) Classrooms and skill laboratories shall
meet requirements in Chapter 1013, F.S., and Chapter 6-2, F.A.C.
(b) Current reference materials shall be
appropriate to the level of the student population and the
curriculum.
(c) A training program
shall provide a minimum clinical instruction ratio for program instructor to
student of 1 to 15 for students caring directly for residents or
clients.
(d) A training program
shall provide the standardized curriculum under Rule
64B9-15.006, F.A.C., in
compliance with federal guidelines.
(e) A training program shall plan and
schedule clinical experiences according to the course curriculum.
(f) The training program shall include
clinical experience for each certified nursing assistant student.
(g) The training program shall ensure that
certified nursing assistant students are identified and treated as students and
not utilized as staff during the instructional and clinical hours the students
are enrolled in a certified nursing assistant training program.
(h) A training program shall provide
instructional and education materials adequate to meet the needs of the
program, the number of students, and the instructional staff. There shall be an
adequate number of instructional tools and equipment for simulating resident
care to provide ample opportunity for students to develop skill competency
prior to direct care experiences.
(5) If the Board, through an investigation by
the department, finds that an approved program no longer meets the required
standards, it shall place the program on probationary status until such time as
the standards are restored. If a program fails to correct these conditions
within 90 days, the Board shall rescind the approval. Each program's passing
rate will be reviewed every year.
(6) A training program must maintain a
passing rate on certified nursing assistant examination for its graduates of
not less than 10% below the state average as reported annually. If a program's
passing rate drops below the standard for 12 months, the program must be
reviewed by the Board. The Board shall place the program on probation, and if
the passing rate does not meet the standard within one year, the Board shall
rescind the program approval. A one year extension of probation for good cause
may be granted by the Board. Good cause may consist of acts of nature, serious
illness or death of essential faculty or administrator or any other
circumstance which creates an impediment for the program. If a program has no
test takers for two consecutive calendar years, the program shall be considered
abandoned and program approval shall be rescinded.
(7) A training program shall permit the Board
to conduct an onsite evaluation for initial Board approval and renewal of
approval.
(8) The certified nursing
assistant training program must report to the Board any changes in program
coordinator or program location within 60 days.
(9) Certified nursing assistant training
program approval shall not be transferred with a change of ownership. The new
owner must apply per Rule
64B9-15.007, F.A.C.
(10) A certified nursing assistant training
program shall notify the Board of any name change within thirty (30) days of
the change.
(11) All certified
nursing assistant training programs with current approval from the Department
of Education will maintain approval until 180 days after the effective date of
these rules. All programs must comply with the renewal requirements in Rule
64B9-15.007,
F.A.C.
Rulemaking Authority
464.201(1)(a),
464.202,
464.203 FS. Law Implemented
464.201(1)(a),
464.203
FS.
New 5-25-03, Amended 8-10-08, 6-5-12, 9-9-15, 11-28-19,
2-24-21, 3-24-24.
