Current through Register Vol. 50, page 114, March 25, 2024
The curriculum of the nurse aide training program shall
address the medical, psychosocial, physical, and environmental needs of the
patients or residents served by the nursing facility. Each unit of instruction
shall include behaviorally stated objectives with measurable performance
criteria. The nurse aide training program shall consist of at least 75 hours of
classroom and clinical instruction, including the following:
(1) Sixteen hours of training in the
following areas before the nurse aide has any direct contact with a patient or
resident:
(a) Communication and interpersonal
skills;
(b) Infection
control;
(c) Safety/emergency
procedures, including the Heimlich maneuver;
(d) Promoting patients' and residents'
independence;
(e) Respecting
patients' and residents' rights; and
(f) Abuse, neglect, and misappropriation of
resident property;
(2)
Sixteen hours of supervised practical training, with enough instructors to
ensure that nursing care is provided with effective assistance and supervision.
The ratio may not be less than one instructor for each eight students in the
clinical setting;
(3) Instruction
in each of the following content areas:
(a)
Basic nursing skills:
(i) Taking and recording
vital signs;
(ii) Measuring and
recording height and weight;
(iii)
Caring for the patients' or residents' environment;
(iv) Recognizing abnormal changes in body
functioning and the importance of reporting such changes to a supervisor; and
(v) Caring for patients or
residents when death is imminent;
(b) Personal care skills, including the
following:
(i) Bathing;
(ii) Grooming, including mouth
care;
(iii) Dressing;
(iv) Toileting;
(v) Assisting with eating and
hydration;
(vi) Feeding
techniques;
(vii) Skin care;
and
(viii) Transfers, positioning,
and turning to include the use of mechanical lift or movement
devices;
(c) Mental
health and social services:
(i) Modifying
aides' behavior in response to patients' or residents' behavior;
(ii) Awareness of developmental tasks
associated with the aging process;
(iii) How to respond to patients' or
residents' behavior;
(iv) Allowing
the patient or resident to make personal choices, providing and reinforcing
other behavior consistent with the patient's or resident's dignity;
and
(v) Using the patient's or
resident's family as a source of emotional support;
(d) Care of cognitively impaired patients or
residents, including the following:
(i)
Techniques for addressing the unique needs and behaviors of individuals with
dementia;
(ii) Communicating with
cognitively impaired patients or residents;
(iii) Understanding the behavior of
cognitively impaired patients or residents;
(iv) Appropriate responses to the behavior of
cognitively impaired patients or residents; and
(v) Methods of reducing the effects of
cognitive impairments;
(e) Basic restorative nursing services,
including the following:
(i) Training the
patient or resident in self-care according to the patient's or resident's
abilities;
(ii) Use of assistive
devices in transferring, ambulation, eating, and dressing;
(iii) Maintenance of range of
motion;
(iv) Proper turning and
positioning in bed and chair;
(v)
Bowel and bladder control care training; and
(vi) Care and use of prosthetic and orthotic
devices;
(f) Residents'
rights, including the following:
(i) Providing
privacy and maintaining confidentiality;
(ii) Promoting the patients' or residents'
right to make personal choices to accommodate their needs;
(iii) Giving assistance in reporting
grievances and disputes;
(iv)
Providing needed assistance in getting to and participating in resident and
family groups and other activities;
(v) Maintaining care and security of
patients' or residents' personal possessions;
(vi) Promoting the patient's or resident's
right to be free from abuse, mistreatment, and neglect and understanding the
need to report any instances of such treatment to appropriate facility
staff;
(vii) Avoiding the need for
restraints.
