10A NCAC 13G .0502       personal care training and competency program approval

(a)  The 25 hour training specified in Rule .0501 of this Section shall consist of at least 15 hours of classroom instruction, and the remaining hours shall be supervised practical experience.  Competency evaluation shall be conducted in each of the following areas:

(1)           personal care skills;

(2)           cognitive, behavioral and social care for all residents and including interventions to reduce behavioral problems for residents with mental disabilities, and;

(3)           residents' rights as established by G.S. 131D-21.

(b)  The 80-hour training specified in Rule .0501 of this Section shall consist of at least 34 hours of classroom instruction and at least 34 hours of supervised practical experience.  Competency evaluation shall be conducted in each of the following areas:

(1)           observation and documentation;

(2)           basic nursing skills, including special health-related tasks;

(3)           personal care skills;

(4)           cognitive, behavioral and social care for all residents and including interventions to reduce behavioral problems for residents with mental disabilities;

(5)           basic restorative services; and

(6)           residents' rights as established by G.S. 131D-21.

(c)  The following requirements shall apply to the 25 and 80-hour training specified in Rule .0501 of this Section:

(1)           The training shall be conducted by an individual or a team of instructors with a coordinator.  The supervisor of practical experience and instructor of content having to do with personal care tasks or basic nursing skills shall be a registered nurse with a current, unencumbered license in North Carolina and with two years of clinical or direct patient care experience working in a health care, home care or long term care setting.  The program coordinator and any instructor of content that does not include instruction on personal care tasks or basic nursing skills shall be a registered nurse, licensed practical nurse, physician, gerontologist, social worker, psychologist, mental health professional or other health professional with two years of work experience in adult education or in a long term care setting; or a four-year college graduate with four years of experience working in the field of aging or long term care for adults.

(2)           A trainee participating in the classroom instruction and supervised practical experience in the setting of the trainee's employment shall not be considered on duty and counted in the staff-to-resident ratio.

(3)           Training shall not be offered without a qualified instructor on site.

(4)           Classroom instruction shall include the opportunity for demonstration and practice of skills.

(5)           Supervised practical experience shall be conducted in a licensed adult care home or in a facility or laboratory setting comparable to the work setting in which the trainee will be performing or supervising the personal care skills.

(6)           All skills shall be performed on humans except for intimate care skills, such as perineal and catheter care, which may be conducted on a mannequin.

(7)           There shall be no more than 10 trainees for each instructor for the supervised practical experience.

(8)           A written examination prepared by the instructor shall be used to evaluate the trainee's knowledge of the content portion of the classroom training.  The trainee shall score at least 70 on the written examination.  Oral testing shall be provided in the place of a written examination for trainees lacking reading or writing ability.

(9)           The trainee shall satisfactorily perform all of the personal care skills specified in Rule .0501(h) and the skills specified in 10A NCAC 13G .0401(j) of this Section for the 25-hour training and in Rule .0501(h), (i) and (j) of this Section for the 80-hour training.  The instructor shall use a skills performance checklist for this competency evaluation that includes, at least, all those skills specified in Rules .0501(h) and .0501(j) of this Section for the 25-hour training and all those skills specified in Rules .0501(h), (i) and (j) of this Section for the 80-hour training.  Satisfactory performance of the personal care skills and interpersonal and behavioral intervention skills means that the trainee performed the skill unassisted; explained the procedure to the resident; explained to the instructor, prior to or after the procedure, what was being done and why it was being done in that way; and incorporated the principles of good body mechanics, medical asepsis and resident safety and privacy.

(10)         The training provider shall issue to all trainees who successfully complete the training a certificate, signed by the registered nurse who conducted the skills competency evaluation, stating that the trainee successfully completed the 25 or 80-hour training.  The trainee's name shall be on the certificate.  The training provider shall maintain copies of the certificates and the skills evaluation checklists for a minimum of five years.

(d)  An individual, agency or organization seeking to provide the 25 or 80-hour training specified in Rule .0501 of this Section shall submit the following information to the Adult Care Licensure Section of the Division of Health Service Regulation:

(1)           an application which is available at no charge by contacting the Division of Health Service Regulation, Adult Care Licensure Section, 2708 Mail Service Center, Raleigh, North Carolina 27699-2708;

(2)           a statement of training program philosophy;

(3)           a statement of training program objectives for each content area;

(4)           a curriculum outline with specific hours for each content area;

(5)           teaching methodologies, a list of texts or other instructional materials and a copy of the written exam or testing instrument with an established passing grade;

(6)           a list of equipment and supplies to be used in the training;

(7)           procedures or steps to be completed in the performance of the personal care and basic nursing skills;

(8)           sites for classroom and supervised practical experience, including the specific settings or rooms within each site;

(9)           resumes of all instructors and the program coordinator, including current RN certificate numbers as applicable;

(10)         policy statements that address the role of the registered nurse, instructor to trainee ratio for the supervised practical experience, retention of trainee records and attendance requirements;

(11)         a skills performance checklist as specified in Subparagraph (c)(9) of this Rule; and

(12)         a certificate of successful completion of the training program.

(e)  The following requirements shall apply to the competency evaluation for purposes of exempting adult care home staff from the 25 or 80-hour training as required in Rule .0501 of this Section:

(1)           The competency evaluation for purposes of exempting adult care home staff from the 25 and 80-hour training shall consist of the satisfactory performance of personal care skills and interpersonal and behavioral intervention skills according to the requirement in Subparagraph (c)(9) of this Rule.

(2)           Any person who conducts the competency evaluation for exemption from the 25 or 80-hour training shall be a registered nurse with the same qualifications specified in Subparagraph (c)(1) of this Rule.

(3)           The competency evaluation shall be conducted in a licensed adult care home or in a facility or laboratory setting comparable to the work setting in which the participant will be performing or supervising the personal care skills.

(4)           All skills being evaluated shall be performed on humans except for intimate care skills such as perineal and catheter a care, which may be performed on a mannequin.

(5)           The person being competency evaluated in the setting of the person's employment shall not be considered on duty and counted in the staff-to-resident ratio.

(6)           An individual, agency or organization seeking to provide the competency evaluation for training exemption purposes shall complete an application available at no charge from the Division of Health Service Regulation, Adult Care Licensure Section, 2708 Mail Service Center, Raleigh, North Carolina 27699-2708 and submit it to the Adult Care Licensure Section along with the following information:

(A)          resume of the person performing the competency evaluation, including the current RN certificate number;

(B)          a certificate, with the signature of the evaluating registered nurse and the participant's name, to be issued to the person successfully completing the competency evaluation;

(C)          procedures or steps to be completed in the performance of the personal  care and basic nursing skills;

(D)          a skills performance checklist as specified in Subparagraph (c)(9) of  this Rule; a site for the competency evaluation; and a list of equipment, materials and supplies;

(E)           a site for the competency evaluation; and

(F)           a list of equipment, materials and supplies.

 

History Note:        Authority G.S. 131D-2.16; 131D-4.3; 131D-4.5; 143B-165;

Temporary Adoption Eff. January 1, 1996;

Eff. May 1, 1997;

Temporary Amendment Eff. December 1, 1999;

Amended Eff. July 1, 2000.