All nurse aide training programs must comply with the federal
nurse aide training and competency regulations, promulgated pursuant to the
Omnibus Budget Reconciliation Act of 1987, and with federal labor laws,
including but not limited to minimum age requirements. Copies of these
regulations may be obtained from the department.
The Department shall provide or contract
for the provision of nurse aide testing services as follows:
1. Annual publication of testing schedules
2. Test sites shall be
located so that no individual is required to drive farther than thirty (30)
miles to reach a test site.
Scheduled tests shall be administered, except when no individual is scheduled
to test at a particular test site.
4. The number of individuals passing and
failing shall be published following each test.
5. The minimum passing grade for each test
shall be seventy-five percent (75%) for the written or oral component. The
performance demonstration portion of the test shall consist, at minimum, of
five performance tasks, which shall be selected randomly for each registrant
from a pool of skills evaluation tasks ranked according to degree of
difficulty, with at least one task selected from each degree of difficulty.
Registrants are required to pass a minimum of five (5) performance
6. Individuals who fail any
portion of the test three (3) consecutive times shall repeat training prior to
taking the test again.
(b) Applications to take the test shall be
sent by the program coordinator to the appropriate testing agency postmarked no
later than thirty (30) days prior to the test date. Requests for special
testing needs shall be made to the testing agency at this time.
(c) The department shall provide the board
with quarterly reports on the number of individuals passing and failing each
(d) A practical and written
test will be developed to reflect that a trainee has acquired the minimum
competency skills necessary to become a competent and qualified nurse aide. The
Nurse Aide Advisory Committee, composed of twelve (12) members with at least
three (3) members nominated by the Tennessee Health Care Association, will
periodically review testing materials and set criteria for survey visits of the
nurse aide programs.
(e) The test
will be developed from a pool of questions, only a portion of which is to be
used for grading purposes in any one test, not to exceed one hundred (100)
questions. A system must be developed which prevents the disclosure of the pool
of questions and of the performance demonstration portion of the
Requests for approval of a nurse
aide training program shall be submitted to the department and shall include
1. Name, address and telephone
number of the facility, institution or agency offering the program;
2. The program coordinator's name, address,
license number and verification of a minimum of two (2) years nursing
experience, at least one of which must be in the provision of long-term care
3. Statement of
of course content specifying the number of hours to be spent in the classroom
and in clinical settings; and,
In lieu of (3) and (4) above, the fact that the curriculum is previously
Notification of any change to any one of the above five (5) items or
termination of the program must be submitted to the department within 30
Each training program
shall have a pass rate on both written and performance exams of at least 70%.
Annual reviews of Nurse Aide Training Programs shall include:
1. Letter of commendation for exceptional
pass rate as evaluated by the department;
2. Letter of concern for programs having one
year of test pass rates below 70%;
3. Request for plan of program improvement
for programs with two consecutive years of test pass rates below 70%;
4. After the third year of consecutive test
pass rates below seventy-percent (70%), the program shall be closed for no less
than twenty-four (24) months. All students enrolled in the program shall be
allowed to complete the course. Any program closed may appeal the closure to
the Board pursuant to the Uniform Administrative Procedures Act compiled in
Title 4, Chapter 5, Part 3.
Each program coordinator shall be
responsible for ensuring that the following requirements are met:
1. Course objectives are
2. Only persons
having appropriate skills and knowledge are selected to conduct any part of the
3. The provision of
direct individual care to residents by a trainee is limited to appropriately
supervised clinical experiences; a program instructor must be present or
readily available on-site during all clinical training hours including direct
patient care for the seventy-five (75) hour training program. All activities of
daily living (ADL) skills, including but not limited to bathing, feeding,
toileting, grooming, oral care, and perineal care, must be taught prior to
student performing direct patient care;
4. The area used for training is
well-lighted, well-ventilated and provides for privacy for instruction. Such
requirements are not to exceed the requirements for physical space in a nursing
5. Each trainee
demonstrates competence in clinical skills and fundamental principles of
6. Records are kept
to verify the participation and performance of each trainee in each phase of
the training program. The satisfactory completion of the training program by
each trainee shall be attested to on each trainee's record;
7. Each trainee is issued a certificate of
completion which includes at least the name of the program, the date of
issuance, the trainee's name and the signature of the program
8. The program
coordinator shall be responsible for the completion, signing and submission to
the department of all required documentation.
(e) Student to teacher ratio must be as
follows: 25:1 in classroom and 15:1 for direct patient care training.
Nurse Aide Registry. A nursing
home must not use any individual working in a facility as a nurse aide for more
than four (4) months unless that individual's name is included on the Nurse
Aide Registry. A facility must not use on a temporary, per diem, leased or any
basis other than permanent, any individual who does not meet the requirements
of training and competency testing.
nurse aide registry shall include:
individual's full name, including a maiden name and any other surnames
2. The individual's last
known home address;
individual's date of birth; and,
The date that the individual passed the competency test and the expiration date
of the individual's current registration.
(b) The name of any individual who has not
performed nursing or nursing related services for a period of twenty-four (24)
consecutive months shall be removed from the Nurse Aide Registry.
(4) Continued Competency. The
facility must complete a performance review of each nurse aide employee at
least once every 12 months and must provide regular in-service education based
on the outcome of these reviews.
Tenn. Comp. R. &
rule filed September 4, 2003; effective November 18, 2003 Amendment filed March
27, 2015; effective 6/25/2015.
Authority: T.C.A. §§