172 Neb. Admin. Code, ch. 108, § 004 - NURSE AIDE TRAINING PROGRAMS

004.01 NURSING HOME NURSE AIDE TRAINING PROGRAM. Courses of training for all facility types outlined in Neb. Rev. Stat. § 71-6039 except Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) must be given by a single sponsor or organization and include, at a minimum, 75 clock hours of instruction, including at least 16 hours of supervised practical training. In addition, the course must include at least 1 hour of instruction on the responsibility of each nurse aide to report suspected abuse or neglect At a minimum, the curriculum must include:
(A) At least 16 hours of training in the following areas prior to any direct contact with residents:
(i) Communication and interpersonal skills;
(ii) Infection control;
(iii) Safety and emergency procedures, including emergency measures for choking;
(iv) Promoting residents' independence;
(v) Respecting residents' rights;
(B) Basic nursing skills:
(i) Taking and recording vital signs;
(ii) Measuring and recording height and weight;
(iii) Caring for residents' environment;
(iv) Recognizing abnormal changes in body functioning and the importance of reporting changes to supervisors;
(v) Caring for residents when death is imminent;
(C) Personal care skills, including, but not limited to:
(i) Bathing;
(ii) Grooming, including mouth care;
(iii) Dressing;
(iv) Toileting;
(v) Assisting with eating and hydration;
(vi) Proper feeding techniques;
(vii) Skin care;
(viii) Transfers, positioning, and turning;
(D) Mental health and social service needs:
(i) Modifying behavior in response to residents' behavior;
(ii) Awareness of developmental tasks associated with the aging process;
(iii) Responding to resident behavior;
(iv) Allowing resident s to make personal choices, providing and reinforcing other behavior consistent with residents' dignity;
(v) Using residents' family as a source of emotional support;
(E) Care of cognitively impaired residents:
(i) Techniques for addressing unique needs and behaviors of residents with dementia, Alzheimer's and other diseases affecting cognitive functioning;
(ii) Communicating with cognitively impaired residents;
(iii) Understanding behavior of cognitively impaired residents;
(iv) Appropriate responses to behavior of cognitively impaired residents;
(v) Methods of reducing effects of cognitive impairments;
(F) Basic restorative services:
(i) Training resident s in self-care according to their abilities;
(ii) Use of assistive devices in transferring, ambulation, eating and dressing;
(iii) Maintaining range of motion;
(iv) Proper turning and positioning in bed and chair;
(v) Bowel and bladder training;
(vi) Care and use of prosthetic and orthotic devices;
(G) Residents' rights:
(i) Providing privacy and Maintaining confidentiality;
(ii) Promoting the residents' right to make personal choices to accommodate their needs;
(iii) Assisting in resolving grievances and disputes;
(iv) Providing assistance in getting to and participating in resident and family groups and activities;
(v) Maintaining care and security of personal possessions;
(vi) Promoting residents' right to be free from abuse, mistreatment, and neglect and reporting of such treatment to appropriate facility staff; and
(vii) Avoiding restraints in accordance with current professional standards.
004.02 INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES NURSE AIDE TRAINING PROGRAM. Courses of training for NURSE AIDES employed by intermediate care facilities for individuals with intellectual disabilities (ICF/IID) must be given by a single sponsor or organization and include, at a minimum, 15 hours of classroom instruction in basic personal care and 5 hours of classroom instruction in basic therapeutic and emergency procedures. In addition, the course must include at least 1 hour of instruction on the responsibility of each nurse aide to report suspected abuse or neglect. At a minimum, the curriculum must include:
(A) At least 15 hours of basic personal care training in the following areas:
(i) Personal care:
(1) Bathing;
(2) Oral hygiene;
(3) Backrubs;
(4) Nail care;
(5) Shaving;
(6) Hair care;
(7) Dressing;
(8) Bed-making, (both occupied and unoccupied);
(ii) Active range of motion:
(1) Ambulation;
(2) Positioning;
(3) Transfer techniques;
(4) Use of physical restraints;
(iii) Foods and fluids:
(1) Basic nutrition;
(2) Diet descriptions;
(3) Preparation of residents for meals;
(4) Feeding techniques;
(5) Reporting intake and output;
(6) Weighing techniques;
(iv) Elimination:
(1) Appropriate use of urinal and bedpan;
(2) Bowel and bladder retraining;
(3) Incontinent care;
(4) Enemas;
(v) Safety and accident prevention:
(1) Lighting;
(2) Siderails;
(3) Call lights;
(4) Wheelchairs;
(5) Smoking;
(vi) Infection prevention techniques:
(1) Handwashing and gloving;
(2) Care of linen and equipment;
(3) Introduction to isolation techniques;
(vii) Aging process:
(1) Basic principles;
(2) Psychosocial needs;
(3) Communication skills;
(B) At least 5 hours of therapeutic and emergency procedures training in at least the following areas:
(i) Fire and disaster safety and procedures;
(ii) Basic emergency care:
(1) Recognition of signs and symptoms of emergencies including bleeding, burns, convulsions, fainting, falls, and choking;
(2) Procedures for reporting;
(iii) Measuring vital signs:
(1) Temperature;
(2) Pulse;
(3) Respirations;
(4) Blood pressure;
(C) At least 1 hour of training in procedures for reporting suspected abuse or neglect, including:
(i) The requirements of the Adult Protective Services Act and the Child Protection and Family Safety Act; and
(ii) Resident rights as set forth in 175 NAC 12 and 175 NAC 17.
004.03 PROGRAM ADMINISTRATION. Courses must be administered by registered nurses who hold a current license to practice as such in Nebraska or have the authority to practice as such in Nebraska under the provisions of the Nurse Licensure Compact.
004.04 COURSE ADMINISTRATION DOCUMENTATION. A registered nurse administering a nurse aide course must document an individual's successful completion of the course in a document, the original of which must be given to the individual, containing the following information:
(A) Individual's name;
(B) Individual's date of birth;
(C) Date of successful completion of the course;
(D) Course sponsor; and
(E) Course instructor.
004.05 REQUIRED DOCUMENTATION. The information required by 172 NAC 108-004.040 must also be submitted to the Department in A document signed by the administrator that also includes the individual's social security number.


172 Neb. Admin. Code, ch. 108, § 004
Amended effective 9/24/2022

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