Utah Admin. Code R432-45-4 - Competency Evaluation
(1) A candidate
shall pass, according to policy established by UNAR, both the written and
skills portions of the competency evaluation.
(2) For the written portion of the competency
evaluation, UNAR shall ensure that:
(a) each
written test is available with audio narration;
(b) the evaluation addresses each course
requirement as required in Subsection
R432-45-5(6):
(c) the evaluation is developed from a pool
of test questions that:
(i) are maintained in
a system that preserves the integrity of both the pool of questions and the
individual evaluations;
(ii) are
periodically updated and validated; and
(iii) only a portion of the pool of questions
are used in any one evaluation.
(3) UNAR shall use testing software to
randomly select five tasks from the pool of the skills competency evaluation
items and ensure the skills competency evaluation includes:
(a) a pool of skills as required in
Subsection R432-45-5(9)(e);
and
(b) a demonstration of the
tasks the nurse aide is expected to perform as a CNA.
(4) Only a UNAR-approved testing center may
perform competency evaluations.
(5)
UNAR shall approve a testing center if the testing center:
(a) ensures any remote location can provide
security and integrity and promote a positive testing environment;
(b) has any items necessary to simulate a
long-term resident care room;
(c)
has appropriate audio-visual and technology support;
(d) has a comfortable temperature,
ventilation, and lighting;
(e) has
headphones and computer capabilities;
(f) has reliable internet access;
(g) has seating;
(h) has systems to ensure the maintenance of
the security of the examinations;
(i) is ADASAD-compliant;
(j) is available to provide testing for a
qualified candidate from any approved NATCEP;
(k) is in a clean and safe
condition;
(l) provides a quiet
testing environment; and
(m)
provides supervision for monitoring and discouraging cheating.
(6) UNAR shall approve an
application for a testing center if the applicant meets the criteria specified
in each regulation, rule, and UNAR policy.
(7) UNAR shall ensure that the competency
evaluation is available through technical colleges, community colleges, and
universities throughout Utah.
(8)
For testing center approval, UNAR shall ensure:
(a) an RN who has a current, active license
in good standing with the Division of Professional Licensing to practice as an
RN, is the skills observer who:
(i)
administers the examination;
(ii)
attends the UNAR mandatory training sessions; and
(iii) has at least one year of experience in
providing care for the elderly or chronically ill of any age;
(b) each proctor and skill
observer:
(i) recuses themself from observing
any candidate who they have educated or trained in a nurse aide training
program; and
(ii) signs a
confidentiality disclosure and any other mandatory UNAR document; and
(c) there are enough proctors to
ensure the integrity of the written or audio testing.
(9) UNAR shall:
(a) advise the candidate that a record of the
outcome of the competency evaluation will be included in the NAR indicated in
this section;
(b) ensure the NAR
includes a:
(i) name;
(ii) certification number;
(iii) city, state, and zip code;
(iv) certification status, including issue
and expiration dates;
(v) history
of misconduct that is publicly searchable indefinitely; and
(vi) certification history publicly
searchable while certification is active, plus two years;
(c) establish a NAPP record of major skills
and duties for each candidate for the skills component of the evaluation that
includes:
(i) a list of the skills listed in
Subsection R432-45-5(9)(e);
(ii) a record that documents when the
candidate performed each skill;
(iii) a record of satisfactory or
unsatisfactory performance;
(iv)
the date of each performance; and
(v) the instructor supervising each
performance;
(d) inform
each candidate of any area where the candidate was deficient at each exam
attempt and that after three failed attempts on the written, audio, or skills
component of the competency evaluation, the candidate shall complete
re-training with an approved NATCEP; and
(e) provide the candidate an opportunity to
review and consent to the release of information UNAR requires for the
NAR.
(10) At the
completion of the training, the NATCEP shall give the nurse aide candidate a
copy of the NAPP record.
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) An entity that proctors competency evaluations using both written or oral examinations and demonstrations of skills to nurse aides must be UNAR-approved.
(a) An individual shall perform the skills demonstration component in a facility or laboratory setting comparable to the setting in which the individual will function as a nurse aide , and a UNAR-approved representative must administer and evaluate the demonstration.
(b) The examiner must be a registered nurse (RN) with a current active license to practice nursing as an RN, who is in good standing with the Division of Occupational and Professional Licensing (DOPL) in the state of Utah, with at least one year of experience in providing care for the elderly or chronically ill of any age;
(c) If the individual fails to satisfactorily complete the skills or written examination after three attempts at either, the candidate must be advised of the areas in which the candidate is inadequate and must retrain at an approved NATCEP;
(d) UNAR shall advise an individual who takes the competency evaluation that a record of the outcome of the evaluation will be included in the nursing assistant registry. Further, UNAR shall require the individual to sign a Release of Information form that indicates the nurse aide 's understanding of information that UNAR requires to be entered into the registry;
(e) UNAR shall periodically update and validate the competency evaluations;
(f) UNAR shall establish a written and oral examination that addresses each requirement as prescribed in OBRA. UNAR must develop this examination from a pool of test questions, only a portion of which to use in any one evaluation, under a system that maintains the integrity of both the pool of questions and individual evaluations;
(g) The competency evaluation must include a demonstration of the tasks the nurse aide is expected to perform as part of the nurse aide 's function as a CNA;
(h) For the skills training component of the evaluation, UNAR shall establish a performance record for each NATCEP of major duties and skills that include:
(i) a list of the duties and skills that UNAR expects a CNA to learn in the program in accordance with this section;
(ii) a record that documents when the nurse aide performs this duty or skill;
(iii) documentation of satisfactory or unsatisfactory performance;
(iv) the date of the performance; and
(v) the instructor supervising the performance.
(2) At the completion of the NATCEP, the NATCEP shall give the nurse aide a copy of this record.
(3) The demonstration aspect of the skills training portion of the competency evaluation must have at least five performance tasks, all of which are included in the performance record. UNAR shall select five tasks for each nurse aide from a pool of evaluation items ranked according to degree of difficulty. UNAR shall make a random selection of tasks with at least one task from each degree of difficulty.