Current through all regulations passed and filed through September 16, 2024
(A) An approved
TCEP shall provide a combined total of at least seventy-five hours of
instruction that, at minimum, addresses each of the topic areas listed in
paragraphs (A)(4) and (A)(5) of this rule for at least the specified period of
time and the TCEP curriculum standards prescribed by the appendix to this rule.
(1) Within each topic area, the program shall
address each standard as identified in the appendix to
this rule. The instruction for each standard shall be comparable to the
material specified in the appendix to this
rule.
(2) The curriculum
shall be designed to address the day-to-day attitudes and behaviors that
promote the healthy functioning of residents, both physically and emotionally,
and shall focus on the restoration and maintenance of the resident in as
independent as possible a status. The approved TCEP shall have as its objective
the development of nurse aides who are able to do all of the following:
(a) Form a relationship, communicate, and
interact competently on a one-to-one basis with residents;
(b) Demonstrate sensitivity to residents'
emotional, social, and mental health needs through skillful, directed
interactions;
(c) Exhibit behavior
in support and promotion of residents' rights; and
(d) Demonstrate observational and documenting
skills needed in the assessment of residents' health, physical condition, and
well-being.
(3) The
curriculum content shall address the needs of various populations such as
persons with Alzheimer's disease, dementia, mental illness, or intellectual
disability and non-elderly persons with other disabilities. The curriculum
content also shall include consideration of ethnic, racial, and cultural
factors that affect the provision of care in a long-term care facility.
Facility-based TCEPs shall adapt the content of the classroom instruction and
clinical experience to the facility's specific resident population or
anticipated future population. A facility-based TCEP's curriculum also may
include content relevant to the populations of other facilities if the program
includes trainees from other facilities.
(4) Before the trainees provide any nursing
or nursing-related services involving direct contact with residents, the
program shall provide at least sixteen hours of classroom instruction, which
may include laboratory simulation, addressing the following topic areas for at
least the specified period of time:
(a)
Introduction to the program - one-half hour;
(b) Communication and interpersonal skills -
four and one-half hours;
(c)
Infection control - two and one-half hours;
(d) Safety and emergency procedures - six and
one-half hours;
(e) Promoting
residents' independence - one hour; and
(f) Respecting residents' rights - one
hour.
(5) The fifty-nine
minimum hours of instruction after completion of the instruction required by
paragraph (A)(4) of this rule shall address at least each of the topic areas
listed in this paragraph for at least the specified period of time, and shall
include sixteen to twenty-five hours of clinical experience.
Unless the TCEP
receives a variance from the director under paragraph (I) of rule
3701-18-08 of the Administrative
Code, the clinical experience shall be provided in an Ohio long-term care
facility and shall address each subject matter component, as listed in the
appendix to this rule, within each topic area. The hours of clinical experience
may be allocated among the subject matter components of the topic area in
whatever manner best accommodates the needs of the program's trainees. The
fifty-nine minimum hours of instruction required by this paragraph, including
the clinical experience, shall address the following topic areas:
(a) Basic nursing skills - nineteen hours,
including between six and ten hours of clinical experience;
(b) Personal care skills - twenty-two and
one-half hours, including between seven to eight hours of clinical
experience;
(c) Mental health and
social service needs - eleven and one-half hours, including between two and
four hours of clinical experience;
(d) Basic restorative services - four hours,
including between one and two hours of clinical experience; and
(e) Residents' rights - two hours, including
not more than one hour of clinical experience.
(6) The minimum of seventy-five hours of
instruction required by paragraph (A) of this rule shall not include time spent
in either of the following:
(a) The
orientation program or the in-service education that a long-term care facility
is required to provide pursuant to section
3721.29 of the Revised Code and
paragraph (K) of rule
3701-17-07.1 of the
Administrative Code; or
(b) The
test conducted by the director or the director's designee under division (C) of
section 3721.31 of the Revised Code and
rule 3701-18-22 of the Administrative
Code.
(B) Each
approved TCEP shall establish behaviorally stated objectives and measurable
performance criteria for each standard and subject matter component listed in
the appendix to this rule. The relevant objectives shall be reviewed with the
trainees at the beginning of each portion of the program so that each trainee
will be able to state what he or she will be expected to do to complete that
part of the program successfully.
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