16 Del. Admin. Code § 3220-3.0

Current through Register Vol. 28, No. 5, November 1, 2024

Section 3220-3.0 - CNA Training Program Requirements

3.1 Program approval must be obtained from the Department prior to operating a CNA program.

3.2 All training must be done by or under the general supervision of an RN.

3.2.1 The RN must possess a minimum of two years of RN experience, at least 1 year of which must be in the provision of nursing home facility services that meets federal skilled nursing home requirements.

3.2.1.1 The required one year of full-time nursing facility experience can be met by work experience in, or supervision or teaching of students, in a Delaware licensed nursing facility.

3.2.1.2 The RN supervisor shall:

3.2.1.2.1 Be available to all instructors;

3.2.1.2.2 Assist in developing lesson plans based on experience in taking care of nursing facility residents;

3.2.1.2.3 Ensure that instructors are qualified and proficient in teaching the CNA curriculum;

3.2.1.2.4 Evaluate and document the proficiency of instructor every 6 months; and

3.2.1.2.5 Ensure that the program is operating in accordance with all state and federal regulations.

3.3 All instructors (classroom and clinical) must have:

3.3.1 Completed a Department approved course in teaching adults; or

3.3.2 Experience teaching adults in a group classroom/clinical setting; or

3.3.3 In the case of high school programs, met the requirements for teaching as required by the Department of Education.

3.4 LPN instructors can assist the supervising RN instructors in laboratory skills, but are otherwise limited to instruction of students during the clinical phase of the CNA training program.

3.4.1 LPN instructors must have at least three years of LPN experience; and

3.4.2 LPN instructors must work under the general supervision of an RN.

3.5 Clinical instructors shall provide general supervision of students at all times during clinical instruction.

3.5.1 Clinical instructors shall provide direct supervision to students in the clinical setting while the student is learning a competency until proficiency has been both demonstrated and documented.

3.6 Personnel from other health professions may assist the nurse instructor as supplemental personnel.

3.6.1 Supplemental personnel must have at least 1 year of experience in their respective fields.

3.6.2 Supplemental personnel may include: RNs, LPNs, pharmacists, dieticians, social workers, sanitarians, fire safety experts, nursing home administrators, gerontologists, psychologists, physical and occupational therapists, activity specialist, speech/language/hearing therapists, resident/patient rights experts and others.

3.7 Programs must notify the Department in writing at least 30 days prior to implementing permanent and/or substantial changes to the program or the program's personnel.

3.7.1 Substantial changes include, but are not limited to: instructor(s), clinical or classroom site, major revision of course structure, change in textbook.

3.7.2 The program may request a waiver of the 30-day time period for good cause.

3.8 Classroom ratios of student to instructor shall not exceed 24:1.

3.9 Clinical and laboratory ratios of student to RN or LPN instructor shall not exceed 8:1.

3.10 Minimum equipment required:

3.10.1 Audio/Visual

3.10.2 Teaching Mannequin, Adult, for catheter and perineal care

3.10.3 Hospital Bed

3.10.4 Bedpan/Urinal

3.10.5 Bedside commode

3.10.6 Wheelchair

3.10.7 Scale

3.10.8 Overbed Table

3.10.9 Sphygmomanometer

3.10.10 Stethoscope

3.10.11 Resident/patient gowns, linens and at least four (4) pillows

3.10.12 Thermometers

3.10.13 Crutches

3.10.14 Canes (Variety)

3.10.15 Walker

3.10.16 Gait Belt

3.10.17 Miscellaneous supplies: i.e., bandages, compresses, heating pad, hearing aid, dentures, toothbrushes, razors, bath and emesis basins and compression stockings.

3.10.18 Foley Catheter and Drainage Bag

3.10.19 Mechanical lift

3.10.20 Adaptive eating utensils/equipment

3.10.21 Personal protective equipment

3.11 Curriculum Content and Competencies

3.11.1 The curriculum content for the CNA training programs shall meet each of the following requirements:

3.11.1.1 The material will provide a basic level of both knowledge and demonstrable skills for each individual completing the program.

3.11.1.2 The total, minimum clock hours of classroom instruction and clinical training required for certification shall be determined by the Department through written order signed by the Department Secretary. At no time may the number of clock hours be less than those required by the Centers for Medicare and Medicaid Services.

3.11.1.2.1 Additional hours may be added by the training program in either or both of the classroom instruction or clinical training components.

3.11.2 Specific curriculum content and expected competencies are outlined in APPENDIX A.

3.12 Students must master each skill competency as observed by the RN instructor prior to performing the skill on a resident/patient in a nursing facility. All demonstrable competencies for each student must be documented by the RN instructor as the competency is mastered by the student in order for a student to qualify as successfully having completed that section of programming.

3.13 A student may not work in a facility as a CNA until he/she has completed a CNA training program and passed the CNA competency test.

3.14 Immunizations requirements

3.14.1 The provisions of the State of Delaware, Department of Education, 14 DE Admin. Code 804, are hereby adopted as the regulatory requirements for CNA Training programs in Delaware and are hereby referred to, and made part of this regulation, as if full set out herein.

3.14.2 The provisions of the State of Delaware, Department of Health and Social Services, Division of Public Health, 16 DE Admin. Code 4202 are hereby adopted as the regulatory requirements for CNA Training programs in Delaware and are hereby referred to, and made part of this regulation, as if fully set out herein.

3.14.3 Students that do not meet the minimum vaccination requirements shall not be permitted to participate in clinical training.

3.15 Minimum requirements for tuberculosis (TB) testing of clinical instructors and students are those currently recommended by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services:

3.15.1 A baseline testing must be completed before providing clinical services and, thereafter, as determined by a TB risk assessment.

3.15.2 No person found to have active TB in an infectious stage shall be permitted to participate in clinical training.

3.15.3 Any person having a positive skin test, but a negative chest X-ray must complete a statement annually attesting that they have experienced no symptoms which may indicate active TB infection.

16 Del. Admin. Code § 3220-3.0

26 DE Reg. 107( 8/1/2022) (Final)