Ohio Admin. Code 5123-6-04 - Qualifications, training, and certification of registered nurse instructors and registered nurse trainers
(A)
Purpose
This rule establishes requirements for registered nurse instructors and registered nurse trainers as well as the curriculum for the registered nurse train-the-trainer program.
(B)
Requirements for registered nurse instructors
(1)
Only a registered
nurse certified by the department as a registered nurse instructor may plan,
develop, coordinate, and deliver the registered nurse train-the-trainer program
that prepares registered nurses to train developmental disabilities personnel
to:
(a)
Perform
health-related activities;
(b)
Administer oral
prescribed medication;
(c)
Administer topical prescribed
medication;
(d)
Administer topical over-the-counter musculoskeletal
medication;
(e)
Administer oxygen and metered dose inhaled
medication;
(f)
Administer prescribed medication through stable labeled
gastrostomy and jejunostomy tubes;
(g)
Administer
prescribed insulin through subcutaneous injection, inhalation, and insulin
pump; and
(h)
Administer prescribed medication for the treatment of
metabolic glycemic disorders through subcutaneous injection.
(2)
Only a
registered nurse who meets the following requirements may be certified as a
registered nurse instructor:
(a)
Current valid licensure as a registered nurse in good
standing to practice nursing in Ohio pursuant to Chapter 4723. of the Revised
Code.
(b)
A minimum of sixty months full-time (or equivalent
part-time) experience in the practice of nursing as a registered nurse, of
which at least twenty-four months have been in the field of developmental
disabilities.
(c)
Knowledge of the current laws and rules which regulate
the practice of nursing, sections
5123.41 to
5123.47 of the Revised Code, and
this chapter.
(d)
Knowledge of and experience with the principles of
adult education.
(e)
Current certification as a registered nurse trainer in
accordance with this rule.
(f)
Successful
completion of the department-provided registered nurse instructor orientation
program and maintenance of registered nurse instructor certification pursuant
to this rule.
(3)
The department will certify a registered nurse who
meets the requirements of this rule as a registered nurse instructor for a
period of two years.
(4)
Registered nurse instructors will make entries in the
medication administration information system database described in rule
5123-6-07 of the Administrative
Code in accordance with procedures established by the department for renewal of
registered nurse instructor certification.
(C)
Requirements for
registered nurse trainers
(1)
Only a registered nurse certified by the department as
a registered nurse trainer may plan, develop, coordinate, and train
developmental disabilities personnel to perform or administer the functions set
forth in paragraphs (B)(1)(a) to (B)(1)(h) of this rule.
(2)
Only a registered
nurse who meets the following requirements may be certified as a registered
nurse trainer:
(a)
Current valid licensure as a registered nurse in good
standing to practice nursing in Ohio pursuant to Chapter 4723. of the Revised
Code.
(b)
A minimum of eighteen months full-time (or equivalent
part-time) experience in the practice of nursing as a registered
nurse.
(c)
Previous experience caring for an individual with
developmental disabilities.
(d)
Computer and
internet access and computer literacy sufficient for entering data in the
medication administration information system database described in rule
5123-6-07 of the Administrative
Code; receiving and sending electronic mail; and creating, saving, and sending
electronic file attachments.
(e)
Successful
completion of a registered nurse train-the-trainer program that has been
authorized by an Ohio board of nursing continuing education approver unit.
Successful completion of the registered nurse train-the-trainer program
requires the registered nurse to:
(i)
Submit a completed application to the registered nurse
instructor;
(ii)
Attend the entire registered nurse train-the-trainer
program;
(iii)
Participate in registered nurse train-the-trainer
program class discussions and activities;
(iv)
Successfully
complete the post-program requirements to demonstrate core knowledge and
preparedness for teaching; and
(v)
Submit a
completed program evaluation to the registered nurse
instructor.
(3)
The department
will certify a registered nurse who meets the requirements of this rule as a
registered nurse trainer for a period of two years.
(4)
To maintain
certification as a registered nurse trainer, the registered nurse will, during
the effective period of the certification complete, at a minimum, four contact
hours of continuing education related to information addressed in the
registered nurse train-the-trainer program or that will enhance the role of the
registered nurse trainer. Training in cardiopulmonary resuscitation, first aid,
or universal precautions for infection control will not count toward the four
contact hours. The four contact hours may be part of the continuing education
required by the Ohio board of nursing to maintain licensure as a registered
nurse.
(5)
The department may conduct an audit of proof of
completion of continuing education to ensure compliance with paragraph (C)(4)
of this rule. When a registered nurse fails to meet or cannot show proof of
meeting the requirements set forth in paragraph (C)(4) of this rule, the
registered nurse will be required to repeat the registered nurse
train-the-trainer program in its entirety. Until such time that the registered
nurse successfully repeats the registered nurse train-the-trainer program in
its entirety, the registered nurse will not plan, develop, or coordinate the
program of instruction for developmental disabilities personnel to perform or
administer the functions set forth in paragraphs (B)(1)(a) to (B)(1)(h) of this
rule.
(D)
Minimum curriculum for the registered nurse
train-the-trainer program
(1)
The registered nurse train-the-trainer program will be
at a minimum eight hours; one hour equals sixty minutes of classroom
instruction. The registered nurse train-the-trainer program will address:
(a)
Review of
sections 4723.071 and
5123.41 to
5123.47 of the Revised Code,
rules adopted under this chapter, and other applicable sections of the Revised
Code and rules of the Administrative Code pertaining to the functioning of a
county board, nursing delegation, and developmental disabilities
personnel.
(b)
Review of all components required when teaching
developmental disabilities personnel to perform or administer the functions set
forth in paragraphs (B)(1)(a) to (B)(1)(h) of this rule.
(c)
Quality measures
and quality assessment requirements pursuant to this chapter.
(d)
Documentation
requirements for licensed nurses and developmental disabilities
personnel.
(e)
Principles of developmental disabilities personnel
certification and nursing delegation including, but not limited to:
(i)
The scope of
authority granted to developmental disabilities personnel by certification and
the responsibilities of developmental disabilities personnel to acquire and
maintain certification as required for medication
administration;
(ii)
Direct and indirect supervision and determination of
the appropriate type of supervision pursuant to this chapter;
(iii)
Explanation
that nursing delegation requires developmental disabilities personnel to
receive individual-specific training for each individual served;
and
(iv)
Explanation that nursing delegation is expressly
authorized for a specific individual served and does not confer nursing
delegation authority to or for another individual.
(f)
How to provide
indirect supervision, including methods for remaining accessible and training
developmental disabilities personnel how and when to access
help.
(g)
How to evaluate the skills of developmental
disabilities personnel, including developing and using a skills check list in
the training program that teaches developmental disabilities personnel to
perform or administer the functions set forth in paragraphs (B)(1)(a) to
(B)(1)(h) of this rule.
(h)
Responsibility and accountability pursuant to rule
5123-6-07 of the Administrative
Code related to the use of the medication administration information system
database and prohibition of actions by developmental disabilities personnel who
the registered nurse or employer believes have not or will not safely perform
or administer the functions set forth in paragraphs (B)(1)(a) to (B)(1)(h) of
this rule.
(i)
Responsibility and accountability pursuant to Chapter
4723-4 of the Administrative Code relating to standards of competent nursing
practice including but not limited to, demonstration of competence and
accountability in all areas of practice in which the nurse is
engaged.
(j)
General principles of adult basic
education.
(k)
Instruction that health-related activities and
medication administration certification applies only while providing services
in settings under the administrative oversight of the department and that such
certification does not confer authority or apply in any other setting or course
of medication administration.
(l)
Information and
instruction regarding the medication administration information system database
described in rule
5123-6-07 of the Administrative
Code, including required entry of data regarding developmental disabilities
personnel trained.
(m)
Instruction that only a department-approved curriculum
will be used to train developmental disabilities personnel to perform or
administer the functions set forth in paragraphs (B)(1)(a) to (B)(1)(h) of this
rule.
(2)
A registered nurse instructor may engage other licensed
health care professionals to assist with instruction of the registered nurse
train-the-trainer program as long as the other licensed health care
professionals have received instruction on the material and are acting within
the scope of their professional practice as outlined in the Revised Code.
Replaces: 5123:2-6-04
Notes
Promulgated Under: 119.03
Statutory Authority: 5123.04, 5123.44, 5123.45, 5123.46
Rule Amplifies: 5123.04, 5123.41 to 5123.47
Prior Effective Dates: 09/30/1993 (Emer.), 12/29/1993, 05/16/1994 (Emer.), 08/06/1994, 06/30/1995, 02/14/2000, 10/22/2003 (Emer.), 01/08/2004, 06/01/2016, 11/06/2017
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