Section 156.220 - Qualifications of the Primary Instructor(A) Primary instructors for nurse aides training courses must: (1) Be a registered nurse with current licensure with at least two years' nursing experience, one of which must have been in a level II or level III long-term care facility; and(2) Be able to effectively train students as demonstrated:(a) at least one year's experience in lesson planning, lesson delivery, student evaluation and remediation in a health care setting as an in-service coordinator, staff educator, or other health personnel instructor; or the equivalent of 24 contact hours in programs that meet continuing education standards currently set forth in 244 CMR 5.00: Continuing Education and that provide instruction in curriculum development, use of teaching strategies for adult learners and student evaluation; or(b) Meet all of the following qualifications: 1. A written agreement for consultation with a registered nurse who has the qualifications set forth in 105 CMR 156.220(A)(1) and (2);2. Obtain such consultation prior to each course, midway through the course and at the end of the course prior to final evaluation. This consultation shall include lesson plans, teaching strategies, resource materials, evaluation procedures, and remediation methods;3. Document the dates and recommendation of the consultations; and4. Attend program(s) that meets continuing education standards set forth in 244 CMR 5.00: Continuing Education consisting of not less than 24 contact hours of adult education within the first year as instructor.(3) The Commissioner may waive the qualifications of the instructor imposed by 105 CMR 156.210(A)(2) upon finding that:(a) The proposed instructor has obtained sufficient experience in the care of long-term care residents and teaching adults how to provide such health care to ensure that he or she may train nurse aides to perform the objectives outlined in the minimum standard curriculum described in 105 CMR 156.000; and(b) The training provider provides to the Commissioner written documentation supporting the request for a waiver.(B) Other health care professionals such as dieticians, social workers, physical therapists, occupational therapists, and others may teach lessons or modules of a nurse aides training course.Amended by Mass Register Issue 1340, eff. 6/2/2017.