(1) An entity that
proctors competency evaluations using both written or oral examinations and
demonstrations of skills to nurse aides must be UNAR-approved.
(a) An individual shall perform the skills
demonstration component in a facility or laboratory setting comparable to the
setting in which the individual will function as a nurse aide, and a
UNAR-approved representative must administer and evaluate the
demonstration.
(b) The examiner
must be a registered nurse (RN) with a current active license to practice
nursing as an RN, who is in good standing with the Division of Occupational and
Professional Licensing (DOPL) in the state of Utah, with at least one year of
experience in providing care for the elderly or chronically ill of any
age;
(c) If the individual fails to
satisfactorily complete the skills or written examination after three attempts
at either, the candidate must be advised of the areas in which the candidate is
inadequate and must retrain at an approved NATCEP;
(d) UNAR shall advise an individual who takes
the competency evaluation that a record of the outcome of the evaluation will
be included in the nursing assistant registry. Further, UNAR shall require the
individual to sign a Release of Information form that indicates the nurse
aide's understanding of information that UNAR requires to be entered into the
registry;
(e) UNAR shall
periodically update and validate the competency evaluations;
(f) UNAR shall establish a written and oral
examination that addresses each requirement as prescribed in OBRA. UNAR must
develop this examination from a pool of test questions, only a portion of which
to use in any one evaluation, under a system that maintains the integrity of
both the pool of questions and individual evaluations;
(g) The competency evaluation must include a
demonstration of the tasks the nurse aide is expected to perform as part of the
nurse aide's function as a CNA;
(h)
For the skills training component of the evaluation, UNAR shall establish a
performance record for each NATCEP of major duties and skills that include:
(i) a list of the duties and skills that UNAR
expects a CNA to learn in the program in accordance with this
section;
(ii) a record that
documents when the nurse aide performs this duty or skill;
(iii) documentation of satisfactory or
unsatisfactory performance;
(iv)
the date of the performance; and
(v) the instructor supervising the
performance.
(2) At the completion of the NATCEP, the
NATCEP shall give the nurse aide a copy of this record.
(3) The demonstration aspect of the skills
training portion of the competency evaluation must have at least five
performance tasks, all of which are included in the performance record. UNAR
shall select five tasks for each nurse aide from a pool of evaluation items
ranked according to degree of difficulty. UNAR shall make a random selection of
tasks with at least one task from each degree of difficulty.
