La. Admin. Code tit. 48, § I-10015 - Training Curriculum /Program Approval
A. Training Curriculum
1. Providers applying to have a training
program after the effective date of this Rule shall use one of the state
approved curriculums or any subsequent editions issued by the publisher or any
future state approved curriculums.
2. The curriculum shall be a minimum of 80
hours in length, which includes 40 classroom hours and 40 clinical
hours.
3. Each additional unit
objective added to the approved curriculum, above the minimum 80 hours, shall
be behaviorally-stated for each topic of instruction. Each objective shall
state performance criteria which are measurable and shall serve as a basis for
the competency evaluation.
a. The unit
objectives shall be reviewed with the trainees at the beginning of each unit so
each trainee will know what is expected of him/her in each part of the
training.
B.
Curriculum Goals and Content
1. The goal of
the nurse aide training and competency evaluation program is the provision of
quality services to residents by nurse aides who are able to:
a. communicate and interact competently on a
one-to-one basis with residents as part of the team implementing resident
care;
b. demonstrate sensitivity to
the emotional, social and mental health needs of resident's through skillful,
directed interactions;
c. assist
residents in attaining and maintaining functional independence;
d. exhibit behavior to support and promote
the rights of residents; and
e.
demonstrate proficiency in the skills needed to support the assessment of the
health, physical condition and well-being of residents.
2. Facility and non-facility based training
programs shall provide at least 16 hours of instruction prior to a trainee's
direct involvement with a resident. The 16 hours of instruction shall be
devoted to areas listed in Subsection C of this Section.
C. The training program shall be conducted to
ensure that each nurse aide, at a minimum, is able to demonstrate competencies
in the following areas:
1. basic nursing
skills including, but not limited to:
a.
bed-making;
b. taking vital
signs;
c. measuring height and
weight;
d. caring for the
resident's environment;
e.
measuring fluid and nutrient intake and output;
f. assisting in the provision of proper
nutritional care;
g. ambulating and
transferring residents;
h. using
body mechanics;
i. maintaining
infection control and safety standards;
j. understanding the protocols in facility
policy for the performance of and attaining/maintaining proficiency in basic
cardio-pulmonary resuscitation including one hour of in-service training that
shall be provided by the facility annually;
k. caring for residents when death is
imminent;
l. recognizing abnormal
signs and symptoms of common diseases and conditions; and
m. caring for residents suffering from
Alzheimer's disease or dementia;
2. personal care skills including, but not
limited to:
a. bathing, including mouth
care;
b. grooming and
dressing;
c. toileting;
d. assisting with feeding and hydration;
and
e. skin care;
3. mental health and social
service needs including, but not limited to:
a. modifying his/her own behavior in response
to a resident's behavior;
b.
identifying developmental tasks associated with the aging process and using
task analysis to increase independence;
c. providing training in and the opportunity
for self-care according to a resident's capabilities;
d. demonstrating principles of behavior
modification by reinforcing appropriate behavior and causing inappropriate
behavior to be reduced or eliminated;
e. demonstrating skills which support
age-appropriate behavior by allowing the resident to make personal
choices;
f. providing and
reinforcing behavior consistent with maintaining a resident's dignity;
and
g. utilizing a resident's
family as a source of emotional support;
4. basic restorative services including, but
not limited to:
a. the use of assistive
devices in ambulation, eating and dressing;
b. maintenance of range of motion;
c. proper turning and positioning in a bed
and a chair;
d. transferring a
resident;
e. bowel and bladder
training; and
f. care and use of
prosthetic devices, such as hearing aids, artificial eyes or artificial
limbs;
5. maintaining a
resident's rights including, but not limited to:
a. assisting a resident to vote;
b. providing privacy and maintaining
confidentiality;
c. allowing the
resident to make personal choices to accommodate individual needs;
d. giving assistance in resolving
grievances;
e. providing needed
assistance in getting to, and participating in, resident and family groups and
other activities;
f. maintaining
reasonable care of a resident's personal possessions;
g. providing care which frees the resident
from abuse, mistreatment or neglect and reporting any instances of poor care to
appropriate facility staff; and
h.
maintaining the resident's environment and care so as to minimize the need for
physical and chemical restraints;
6. communication and interpersonal
skills;
7. safety and emergency
procedures;
8. promoting residents'
independence; and
9. the Heimlich
maneuver.
D. Program
Approval
1. All training programs shall meet
the guidelines established by the department.
2. To get a nurse aide training program
approved, the facility or school shall submit to the department the
application, completed in its entirety, which denotes the state approved
curriculum that shall be used and all required documentation stipulated in the
nurse aide training packet.
3. All
schools applying for approval shall identify the physical locations used for
classroom instruction and for the clinical experience. Non-facility based
programs shall also submit clinical contracts which meet the guidelines
established by the department.
4.
Approval to provide nurse aide training is granted specifically for the
provider who submitted the application. There is no provision for
subcontracting the training program.
5. If an approved program ceases to provide a
nurse aide training and competency evaluation program for a two year period,
the program shall be closed. The provider must reapply if they wish to provide
training at a later date.
6. All
approved providers shall maintain a current address, telephone and fax number,
and e-mail address. The provider shall report to the department any changes in
this information or other aspects of the approved program within five working
days.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
A. Training Curriculum
1. Providers applying to have a training program after the effective date of this Rule shall use one of the state approved curriculums or any subsequent editions issued by the publisher or any future state approved curriculums.
2. The curriculum shall be a minimum of 80 hours in length, which includes 40 classroom hours and 40 clinical hours.
3. Each additional unit objective added to the approved curriculum, above the minimum 80 hours, shall be behaviorally-stated for each topic of instruction. Each objective shall state performance criteria which are measurable and shall serve as a basis for the competency evaluation.
a. The unit objectives shall be reviewed with the trainees at the beginning of each unit so each trainee will know what is expected of him/her in each part of the training.
B. Curriculum Goals and Content
1. The goal of the nurse aide training and competency evaluation program is the provision of quality services to residents by nurse aides who are able to:
a. communicate and interact competently on a one-to-one basis with residents as part of the team implementing resident care;
b. demonstrate sensitivity to the emotional, social and mental health needs of resident's through skillful, directed interactions;
c. assist residents in attaining and maintaining functional independence;
d. exhibit behavior to support and promote the rights of residents; and
e. demonstrate proficiency in the skills needed to support the assessment of the health, physical condition and well-being of residents.
2. Facility and non-facility based training programs shall provide at least 16 hours of instruction prior to a trainee's direct involvement with a resident. The 16 hours of instruction shall be devoted to areas listed in Subsection C of this Section.
C. The training program shall be conducted to ensure that each nurse aide, at a minimum, is able to demonstrate competencies in the following areas:
1. basic nursing skills including, but not limited to:
a. bed-making;
b. taking vital signs;
c. measuring height and weight;
d. caring for the resident's environment;
e. measuring fluid and nutrient intake and output;
f. assisting in the provision of proper nutritional care;
g. ambulating and transferring residents;
h. using body mechanics;
i. maintaining infection control and safety standards;
j. understanding the protocols in facility policy for the performance of and attaining/maintaining proficiency in basic cardio-pulmonary resuscitation including one hour of in-service training that shall be provided by the facility annually;
k. caring for residents when death is imminent;
l. recognizing abnormal signs and symptoms of common diseases and conditions; and
m. caring for residents suffering from Alzheimer's disease or dementia;
2. personal care skills including, but not limited to:
a. bathing, including mouth care;
b. grooming and dressing;
c. toileting;
d. assisting with feeding and hydration; and
e. skin care;
3. mental health and social service needs including, but not limited to:
a. modifying his/her own behavior in response to a resident's behavior;
b. identifying developmental tasks associated with the aging process and using task analysis to increase independence;
c. providing training in and the opportunity for self-care according to a resident's capabilities;
d. demonstrating principles of behavior modification by reinforcing appropriate behavior and causing inappropriate behavior to be reduced or eliminated;
e. demonstrating skills which support age-appropriate behavior by allowing the resident to make personal choices;
f. providing and reinforcing behavior consistent with maintaining a resident's dignity; and
g. utilizing a resident's family as a source of emotional support;
4. basic restorative services including, but not limited to:
a. the use of assistive devices in ambulation, eating and dressing;
b. maintenance of range of motion;
c. proper turning and positioning in a bed and a chair;
d. transferring a resident;
e. bowel and bladder training; and
f. care and use of prosthetic devices, such as hearing aids, artificial eyes or artificial limbs;
5. maintaining a resident's rights including, but not limited to:
a. assisting a resident to vote;
b. providing privacy and maintaining confidentiality;
c. allowing the resident to make personal choices to accommodate individual needs;
d. giving assistance in resolving grievances;
e. providing needed assistance in getting to, and participating in, resident and family groups and other activities;
f. maintaining reasonable care of a resident's personal possessions;
g. providing care which frees the resident from abuse, mistreatment or neglect and reporting any instances of poor care to appropriate facility staff; and
h. maintaining the resident's environment and care so as to minimize the need for physical and chemical restraints;
6. communication and interpersonal skills;
7. safety and emergency procedures;
8. promoting residents' independence; and
9. the Heimlich maneuver.
D. Program Approval
1. All training programs shall meet the guidelines established by the department.
2. To get a nurse aide training program approved, the facility or school shall submit to the department the application, completed in its entirety, which denotes the state approved curriculum that shall be used and all required documentation stipulated in the nurse aide training packet.
3. All schools applying for approval shall identify the physical locations used for classroom instruction and for the clinical experience. Non-facility based programs shall also submit clinical contracts which meet the guidelines established by the department.
4. Approval to provide nurse aide training is granted specifically for the provider who submitted the application. There is no provision for subcontracting the training program.
5. If an approved program ceases to provide a nurse aide training and competency evaluation program for a two year period, the program shall be closed. The provider must reapply if they wish to provide training at a later date.
6. All approved providers shall maintain a current address, telephone and fax number, and e-mail address. The provider shall report to the department any changes in this information or other aspects of the approved program within five working days.