Utah Admin. Code R432-45-2 - Definitions
Terms used in this rule are defined in Rules R380-600 and R432-1. Additionally:
(1) "Applicant"
means an entity applying to the UNAR to request approval to operate a N AT C E
P.
(2) "Candidate" means a student
who is actively enrolled in a NATCEP or an individual who applies for
certification as a nurse aide.
(3)
"CMS" means the Centers for Medicare and Medicaid Services and is a federal
agency that provides healthcare coverage and delegates healthcare oversight to
state entities.
(4) "CNA" means
certified nurse aide and is a person who:
(a)
completes the NATCEP and passes the competency evaluation;
(b) is approved for certification through
reciprocity; or
(c) is approved for
a waiver as outlined in Section
R432-45-3.
(5) "Competency evaluation" means a written
or audio-narrated examination and a demonstration of the skills administered to
verify the knowledge and abilities essential to carry out the duties of a nurse
aide.
(6) "DACS" means the Direct
Access Clearance System that is the Division of Licensing and Background
Checks' (division) online background check system.
(7) "Instructor" means a UNAR-approved
licensed nurse who is employed by a NATCEP that provides supervised and
documented nurse aide training in accordance with state and federal
requirements and UNAR policies to candidates in a classroom or supervised
practical training setting.
(8)
"Instructor-assistant" means a CNA in good standing with UNAR, and in each
state where the individual is certified, who assists candidates with skills
taught by the NATCEP and who works under the direct supervision of an
instructor.
(9) "NAPP" means nurse
aide proficiency performance and is a record maintained by the NATCEP for each
candidate nurse aide to document each candidate's successful demonstration of
competence of tasks generally performed by a nurse aide.
(10) "NAR" means the nurse aide registry that
lists each individual who has completed the Utah certification requirements and
holds active certification in Utah.
(11) "NATCEP" means the UNAR-approved nurse
aide training and competency evaluation program that provides classroom,
laboratory, and in-facility training and experience for a candidate for
certification as a nurse aide.
(12)
"NATCEP loss list" means a list maintained by CMS including the reason for
NATCEP loss, the effective date of the loss, the effective date of any waiver
issued, and the restore date, as applicable.
(13) "NATCEP loss waiver" means a waiver
requested by a nursing care facility and submitted to OL for permission to
allow separately approved training and competency evaluation programs to use
the facility as a site location for supervised practical training.
(14)
(a)
"Nurse aide" means any individual who provides nursing or nursing-related
services to residents in a nursing care facility.
(b) "Nurse aide" does not mean an individual
who:
(i) is a licensed professional;
or
(ii) who volunteers to provide
services without monetary consideration.
(15) "Nursing care facility" means a skilled
nursing facility, or an intermediate care facility, that provides long-term,
24-hour inpatient care and services through utilizing licensed healthcare
professionals and ancillary staff to meet the complex physical, mental, and
psychosocial needs of residents.
(16) "Program director" means a UNAR-approved
registered nurse (RN), employed by a UNAR-approved NATCEP, who:
(a) has the primary responsibility for
assuring the program is conducted in accordance with each regulation, rule, and
UNAR policy;
(b) serves as the
primary administrative contact with the UNAR; and
(c) holds authority over and serves as a
mentor to program instructors.
(17) "Qualified personnel" means:
(a) a dietitian;
(b) a fire safety expert;
(c) a gerontologist;
(d) a licensed practical or vocational
nurse;
(e) a nursing home, or
health care facility administrator;
(f) a pharmacist;
(g) a physical or occupational
therapist;
(h) a
psychologist;
(i) a registered
health specialist or registered sanitarian;
(j) a social worker; or
(k) a speech and language
therapist;
(l) an activities
specialist; or
(m) an RN.
(18) "Renewal" means the process
UNAR conducts every 24 months to verify that each CNA has provided at least 200
hours of compensated nursing or nursing-related services under the direction of
a licensed nurse.
(19) "Resident"
means an individual who resides and receives services in a nursing care
facility.
(20) "SSA" means the
state survey agency and is the Office of Licensing (OL) in the division within
the department that is responsible for the certification activities of Medicaid
and Medicare health care providers, including nursing care
facilities.
(21) "Supervised
practical training" means training on individuals or mannequins in a laboratory
setting or on residents in a nursing care facility where the candidate
demonstrates knowledge, skills, and competence while performing tasks under the
direct supervision of a licensed nurse, who is a UNAR-approved
instructor.
(22) "Train-the-trainer
program" means a UNAR-approved program designed to educate instructors on how
to use demonstrations and lectures to educate nurse aide candidates.
(23) "UNAR" means the Utah Nursing Assistant
Registry and is the state agency that:
(a)
approves and monitors test sites;
(b) approves, monitors, and withdraws
approval of NATCEPs;
(c) certifies
nurse aides who have completed a NATCEP and passed the competency
evaluation;
(d) develops, updates,
and validates the competency evaluation;
(e) grants reciprocity to qualified
individuals certified in other states;
(f) maintains the NAR;
(g) maintains an abuse registry for any
substantiated allegations of resident neglect, abuse, or misappropriation of
resident property by a CNA in a nursing care, Medicaid, or Medicare facility;
and
(h) renews certifications of
each qualified CNA.
(24)
"Waiver of NATCEP" means a provision allowing a qualified nursing student,
nurse, or in-state expired CNA to challenge the competency evaluation
requirement.
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.
(1) "Certified nurse aide " means any person who completes a nurse aide training and competency evaluation program (NATCEP) and passes the state certification examination.
(2) "Competency evaluation " means a written or oral examination that addresses each requirement of OBRA for a nurse aide and a demonstration of the tasks the nurse aide is expected to perform as part of the aide's function.
(3) "Nurse aide " means any individual who provides nursing or nursing-related services to residents in a nursing facility , but does not include an individual who is a licensed professional or who volunteers to provide these services without monetary consideration.
(4) "Nurse Aide Training and Competency Evaluation Program" (NATCEP) means any program that the Utah Nursing Assistant Registry (UNAR) approves to offer training to an individual who is interested in becoming a certified nurse aide .
(5) "Nursing facility " means any institution that is licensed and Medicare or Medicaid-certified to provide long-term care.
(6) "Resident " means an individual who resides in and receives medical long-term nursing services in a Medicare or Medicaid-certified nursing facility .
(7) "Renewal " means a two-year renewal for a CNA who has performed paid services for at least 200 hours of nursing or nursing-related services under the direction of a licensed nurse during the 24 months following the completion date of the NATCEP or certification renewal .
(8) "Retraining " means training for a CNA who has not performed paid services for a total of 200 hours of nursing or nursing-related services under the direction of a licensed nurse during the 24 months following the completion date of the state-approved nursing assistant training or certification renewal .
(9) "State survey agency " means the Bureau of Health Facility Licensing, Certification and Resident Assessment, within the Department of Health, which is responsible for nursing facility certification and for conducting surveys to determine compliance with Medicare and Medicaid requirements.
(10) "Supervised practical training " means training in a nursing facility in which the trainee demonstrates knowledge while performing tasks on an individual under the direct supervision of a licensed nurse, who is a UNAR-approved instructor.
(11) "Train-the-Trainer program " means a UNAR-approved program that consists of formal instructions to potential instructors on how to train a CNA candidate who is at least 16 years old through demonstrations and lectures.
(12) "Waiver of CNA Training Program " means a waiver that allows a qualified nursing professional and qualified in-state expired CNA to challenge the state written and skill examination.
(13) "Utah Nursing Assistant Registry " means the state agency that approves nurse aide training programs, monitors all UNAR test sites, maintains an abuse registry for all substantiated allegations of resident neglect, abuse or misappropriation of resident property by a CNA in a nursing, Medicare or Medicaid facility, certifies nurse aides who have completed a NATCEP, and renews certifications of qualified CNAs.