Or. Admin. R. 851-061-0090 - Standards for Program Approval: Curriculum

(1) Board-approved curriculum must be used in approved nursing assistant level one, level two, and medication aide education programs.
(2) A nursing assistant level one education program must consist of at least 105 hours divided into:
(a) At least 37 hours of classroom instruction, which may be provided via a live virtual platform;
(b) At least 28 hours of supervised laboratory instruction with return student demonstrations of learned skills to determine comprehension and competency, in addition to facility orientation, preceding the students' care of clients; and
(c) At least 40 hours of supervised clinical experience in a hospital, licensed nursing, residential care, or assisted living facility that has an RN on duty during all scheduled student clinical hours, is in substantial compliance with all standards of licensure, and provides an opportunity for the student to perform the skills taught in the Board's approved curriculum.
(3) An on-line nursing assistant level one education program must consist of at least 105 hours divided into:
(a) At least the equivalent of 37 hours of the on-line didactic portion of the curriculum according to the nationally recognized standard of content to credit ratio;
(b) At least 28 hours of supervised laboratory instruction provided no later than two weeks after the successful completion of the on-line portion of the curriculum. The laboratory portion of the program must include return student demonstration of learned skills to determine comprehension and competency, in addition to facility orientation, preceding the students' care of clients;
(c) At least 40 hours of supervised clinical experience in a hospital, licensed nursing, residential care, or assisted living facility that has an RN on duty during all scheduled student clinical hours, is in substantial compliance with all standards of licensure, and provides an opportunity for the student to perform the skills taught in the Board's approved curriculum;
(d) Ongoing technical support services to sustain the electronically offered program including provisions for staffing, reliability, privacy, and security; and
(e) Ongoing technical support services for students on each required educational technology hardware, software, and delivery system.
(4) A nursing assistant level two education program must consist of:
(a) At least 88 hours of instruction divided into 60 hours of classroom/lab instruction and 28 hours of supervised clinical experience in a hospital, licensed nursing, residential care, or assisted living facility that has a RN on duty during all scheduled student clinical hours, is in substantial compliance with all standards of licensure, and provides an opportunity for the student to perform the skills taught in the Board's approved curriculum. The classroom instruction may include hybrid synchronous didactic model; and
(b) Board approved competency validation.
(5) Medication aide education program must consist of:
(a) At least 84 hours of instruction divided into at least 60 hours of classroom/lab instruction and at least 24 hours of 1:1 supervised clinical experience. The classroom instruction may include hybrid synchronous didactic model;
(b) All clinical hours must be completed at one site (licensed nursing facility, hospital, assisted living facility, or residential care facility); and
(c) All required clinical hours must be in medication administration related activities.
(6) Admission requirements for medication aide education programs must be:
(a) Current, CNA 1 status on the Oregon CNA Registry maintained by the Board;
(b) Documentation of graduation from an approved basic nursing assistant level 1 education program at least six months prior to enrollment in the medication aide education program; and
(c) Documentation of at least six months full time experience as a nursing assistant level 1 or the equivalent in part time experience since graduation from a basic nursing assistant education program.
(7) An on-line nursing assistant level two or medication aide education program must consist of:
(a) At least the nationally recognized standard of content to credit ratio to meet the Board's curriculum policy for the specific education program;
(b) Supervised laboratory instruction that meets the Board's approved curriculum provided no later than two weeks after the successful completion of the on-line portion of the curriculum. The laboratory portion of the program must include return student demonstration of learned skills to determine comprehension and competency, in addition to facility orientation, preceding the students' care of clients;
(c) Supervised clinical experience in a hospital, licensed nursing, residential care, or assisted living facility that has an RN on duty during all scheduled student clinical hours, is in substantial compliance with all standards of licensure, and provides an opportunity for the student to perform the skills taught in the Board's approved curriculum;
(d) Ongoing technical support services to sustain the electronically offered program including provisions for staffing, reliability, privacy, and security; and
(e) Ongoing technical support services for students on each required educational technology hardware, software, and delivery system.
(8) Classroom and clinical faculty/student ratios for nursing assistant level one, level two, and medication aide education programs:
(a) Classroom:
(A) The ratio of students per Board-approved faculty in the classroom must be such that each trainee is provided with RN assistance and supervision and be no more than 30 students per instructor for nursing assistant level one, medication aide, and CNA level two education programs.
(B) The amount of students assigned per Board-approved faculty with self-directed, on-line instruction must be such that each student is provided with consultation and additional clarification by Board-approved faculty within 72 hours of a student's inquiry.
(C) The ratio of students per Board-approved faculty with faculty-directed, on-line instruction must be such that each student is provided with consultation and additional clarification by Board-approved faculty within 72 hours of a student's inquiry, and the class size must be no more than 30 students per Board-approved faculty per on-line classroom.
(b) Lab: The ratio of students per Board-approved faculty in nursing assistant level one, level two, and medication aide education programs must be no more than 10 students per Board-approved faculty at all times during the lab experience.
(c) Clinical:
(A) The ratio of students per Board-approved faculty in a nursing assistant level one and level two education program must be no more than ten students per Board-approved faculty at all times during the clinical experience.
(B) The ratio of students per Board-approved faculty in a medication aide education program must begin with a ratio of one clinical teaching associate to one medication aide student during the first 24 hours of the clinical experience. Less intensive supervision (either more students per Board-approved faculty or less direct supervision by Board-approved faculty) may occur after the first 24 hours, with satisfactory evaluation and approval of the primary instructor and clinical teaching associate.
(9) Clinical experience and demonstration of competency for nursing assistant level one and medication aide education programs:
(a) A clinical schedule must be prepared by program faculty for all students prior to the course start date, and provided to the clinical facility director of nursing, the clinical teaching associate, and the student.
(b) Student practice and demonstration of competency for nursing assistant level one and medication aide education programs:
(A) Students may provide direct client care within their authorized duties under the supervision of a Board-approved faculty member.
(B) Students must be identified as students at all times while in the clinical area.
(C) Students must not be counted as staff or utilized as staff during the hours that are scheduled for clinical experience.
(D) Students may be on a unit, floor or wing of a facility only under direct supervision of a qualified faculty member.
(E) Students must not be on a unit, floor, or wing without a CNA or licensed nurse.
(F) Students must provide care only to the level they have been taught and determined competent by the approved clinical teaching associate.
(c) In addition, for medication aide education programs, the clinical experience must be progressive with the Board-approved clinical teaching associate observing the medication administration and gradually increasing the number of clients to whom the student is administering medications;
(10) Program completion:
(a) Completion of a nursing assistant level one or medication aide education means that:
(A) The student has successfully completed 100% of the required classroom and clinical hours and content in the curriculum;
(B) The student has successfully demonstrated the required skills on the laboratory and clinical skills checklist;
(C) The student has achieved a score of 75% or higher on the program's final examination;
(D) The student has successfully completed the clinical portion of the program no later than four months following the last date of classroom instruction or within four months after the successful completion of the on-line portion of the program; and
(E) In addition, for nursing assistant level one education programs, the student has successfully completed current, adult CPR certification in accordance with Board-approved curriculum.
(b) Completion of a nursing assistant level two education means that:
(A) The student has successfully completed 100% of the required classroom and clinical hours and content in the curriculum; and
(B) The student has successfully completed the competency validation.

Notes

Or. Admin. R. 851-061-0090
BN 6-1999, f. & cert. ef. 7-8-99; BN 15-2002, f. & cert. ef. 7-17-02; BN 1-2004, f. 1-29-04, cert. ef. 2-12-04; BN 11-2004, f. & cert. ef. 7-13-04; BN 12-2005, f. & cert. ef. 12-21-05; BN 7-2006, f. & cert. ef. 5-8-06; BN 2-2008, f. & cert. ef. 2-25-08; BN 1-2009, f. & cert. ef. 5-15-09; BN 10-2009, f. & cert. ef. 12-17-09; BN 2-2011, f. & cert. ef. 7-11-11; BN 13-2013, f. 12-3-13, cert. ef. 1-1-14; BN 5-2014, f. 12-1-14, cert. ef. 1/1/2015; BN 8-2020, amend filed 12/14/2020, effective 1/1/2021; BN 1-2023, amend filed 04/27/2023, effective 5/1/2023; BN 1-2024, amend filed 02/23/2024, effective 3/1/2024

Statutory/Other Authority: ORS 678.440 & ORS 678.444

Statutes/Other Implemented: ORS 678.444

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