Current through September, 2024
Section 17-1444-4 - Curriculum requirements for a nurse aide training and competency evaluation program(a) A written copy of the facility-based or non-facility based nurse aide training and competency evaluation program's curriculum as specified in this section shall be included with the nurse aide training and competency evaluation program's application for certification.(b) The curriculum requirements, at a minimum, shall include the following: (1) One hundred hours of training. Thirty hours or more shall be spent in classroom activities of which at least sixteen hours shall be in the following areas prior to any direct contact by trainees with residents: (A) Communication and interpersonal skills;(C) Safety and emergency procedures, including Heimlich maneuver;(D) Understanding and promoting resident's independence; and(E) Respecting residents' rights;(2) Basic nursing skills, including recognition of abnormal changes in body functioning and the importance of reporting such changes to a supervisor;(3) Personal care skills;(4) Mental health and social service needs;(5) Care of cognitively impaired residents;(6) Basic restorative services; and(c) Other classroom activities shall include, but shall not be limited to, the following activities:(1) Introduction to the health care delivery system in Hawaii with special emphasis on agencies and facilities that care for the aged;(2) Appropriate professional conduct as a nurse aide;(3) General preventive health care with emphasis on controlling the spread of infections;(4) Basic information about human bodily functions;(5) Interpersonal skills including time and stress management, teamwork, developing relationships with residents, and coping with death and dying; and(6) Basic medical terminology.(d) Seventy hours of the one hundred hours of training specified in subsection (b)(1) shall consist of supervised practical training. Supervised practical training shall include at a minimum, the following: (1) Basic nursing skills that must be taught and directly supervised by a registered nurse for a minimum of thirty hours;(2) Basic personal care skills that must be taught and directly supervised by a licensed practical nurse working under the supervision of a registered nurse for a minimum of thirty hours; and '(3) Basic restorative services that must be taught by a licensed or certified therapist working under the supervision of a registered nurse for a minimum of ten hours.(e) In a non-facility based nurse aide training and competency evaluation program, the supervised practical training shall be conducted in a laboratory setting designed to simulate the nursing facility environment.(f) Trainee activities in a nurse aide training and competency evaluation program are restricted as follows: (1) Trainees shall not perform any services to residents for which the trainee has not been trained and found proficient by the registered nurse instructor; and(2) Trainees providing services to residents shall be under the general supervision of a registered nurse.(g) Instructional techniques may include, but are not limited to, the following: (3) Audiovisual aids; and(h) The nurse aide training and competency evaluation program shall objectively measure the trainee's performance in classroom activities and in supervised practical training that shall include, but not be limited to, the following:(1) Oral and written testing;(2) Trainee assessment forms;(3) Attendance records, including tardiness and absentees;(4) Evaluation of the trainee's understanding and ability to perform each skill correctly; and(5) Evidence that the trainee has achieved competence in all curriculum areas as specified in this section prior to completion of the program.[Eff JUL 12 2013] (Auth: HRS §§ 346-14, 346-46) (Imp: 42 C.F.R. §§ 483.152, 483.154)