Soooo'You Want to Start a CNA Program, eh

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Soooo.You Want to Start a CNA Program, eh?

• OrWhat Rabbit Hole Did You Fall Down????

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Certified Nursing Assistant Program

• Why would I choose to do this?
• CATEs big emphasis is on certifications (in all
  upper level programs).
• Can use Perkins Funds to build new programs
• Gives some kids a way to afford college
• Work way thru school (pays
  more than flipping burgers)
• Some hospitals pay tuition for CNA ? RN for
  employees.

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Certified Nursing Assistant Program

• What may feel overwhelming is actually
  quite do-able.
• Major questions
• When in HSTE sequence
  should it be done?
• HT2
• HT3
• What do we need to do it?

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Certified Nursing Assistant Program

• Done during HT2
• Do during 1st semester
• Will be CNA for 2nd semester at
  hospital
• Makes HIPAA happy
• Might be able to do more in clinical rotations

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Certified Nursing Assistant Program

• Done during HT3
• Might have older/more mature students
• Might do
  Pharmacy Tech or
  Phlebotomy program alternate
  semester

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What do we need?

• A program director
• Must be RN with long term care or skilled nursing
  facility unit experience Rehab unit in hospital
  is not sufficient.
• Can elicit help of RN outside of school
• After couple of years, RN in school can take over
• Several schools may share a program director, but
  each classroom location needs a separate
  application.
• Non-RN HT teachers may ONLY teach in areas of
  expertise (ie Dental Hygienist may teach
  about mouth care). They must also be
  licensed HC professionals.

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What do we need?

• Clinical facility
• Nursing Home
• Need letter of agreement signed by CEO or
  Administrator (with application)
• Curriculum is on internet
• Textbook helpful,
  but not essential
• Videos

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What do we need?

• Go to http//www.dads.state.tx.us/business/ltcr/c
  redentialing/index.html and click on FORMS

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What do we need?

• Scroll down to NATCEP forms click on NATCEP
  Application/Change form

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CHANGES THAT ARE GOOD TO KNOW ABOUT..

• The form being used now asks for professional
  title information.
• MUST be an RN or an LVN doing actual classroom
  instruction. Even if you have been teaching this
  program for years, if you are not a nurse, your
  program may be discontinued.
• If you are submitting an application to begin a
  new program or a renewal, DADS now requires a
  resume with previous employment. They want to
  make sure youve had long term care experience.

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Send in Completed Application

• Include letter of agreement, which must be signed
  by the nursing facility administrator or CEO of
  the nursing home facility.
• If you are
  HS-based, you
  
  are Non-facility
  based program
• Get Notarized

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Curriculum

• Go back to original website
• Click on curriculum
• 254 pages

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Sections of Curriculum

• Changes (pg. 8-10) from 2000 edition
• Part I course outline (content)
• Each section gives hours must spend on it
• NACES

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Course Requirements Stated

• 1st 16 hours completed before any
  direct client contact
• 51 hours classroom / 24 hours clinical 75

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Sections of Curriculum

• Part II Procedural Guidelines (54)
• Taught 1st in class, 2nd in lab, 3rd in clinical
• Part III Skills Checklist (37 skills)
• Skills that could be on practical exam
• Required steps all listed as required
• Part IV Appendix
• Program Requirements stated
• Required suggested hour distribution for 51
  classroom hours
• Skills Performance Record

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Classroom Hours per Curriculum

• Section I Introduction to LTC
  16 required hours
• Section II Personal Care Skills 17
  suggested hours
• Section III Basic Nursing Skills 8
  suggested hours
• Section IV Restorative Services 4
  suggested hours
• Section V Mental Health Social Service Needs
  6 suggested hours
• Total Class Hours 51

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Performance Record

• Make 2-3 copies
• Keep on file (audited q2 years)
• Student receives copy
• Must have S on all
• Note are tested skills

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Further Requirements

• Students to wear IDs stating they are
  students
• Meticulous records
• Attendance must make up hours if fall
  short!
• Performance Records
• Lesson Plans showing hours spent in
  classroom and lab

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NACES

• Separate company that has been given contract to
  test students
• Call 800-444-5178
• Request booklets to give students
• Obtain name of examiner
• Usually one examiner per region
• Call directly to schedule exam

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NACES

• Must send in to NACES
• Completed forms
• Copy of picture ID SS card
• Fee (76 may increase)
• If not received 10 business days before exam date
  will be canceled without notice

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EXAM

• Must pass skills exam 1st
• 5 skills
• 1 is handwashing
• 1 is communication
• Other 3 random
• Go 1 at a time
• No more than around 7-8/day
• Must have cart of equipment
• Written exam 70 multiple choice

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EXAM

• Scheduling
• Pick 2 days in a row to do skills test
• Written exam in afternoon of both days or some
  examiners want to do all written testing on last
  afternoon.
• If skills test failed may not take written test
• Reschedule test with another group

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AUDIT

• Program will be audited (on-site review) every
  two years
• You will usually receive phone call to set up
  appt. Auditor comes to your school.
• Need to show records, equipment used, examples of
  student work, Performance Records, your resume,
  etc.
• Website to check for names of students who had
  license revoked elsewhere.

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A Word About the Dreaded Peri-Care

• Yes, they are young
• Yes, most have not seen naked member of opposite
  sex (at least of older age group)
• And, yes, they may pull that skill for the exam
  (will specify sex)
• Worse to avoid it
• Videos
• Give them lots of opportunities to do it in
  clinical (watch 1st, assist, then do it with
  back-up)
• May feel less embarrassed with nursing home
  employee 1st couple times
• Try to avoid letting them buddy up every time

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KEEP YOUR SENSE OF HUMOR AT ALL TIMES!