Nurse Aide Training and Competency Evaluation Program NATCEP

Nurse Aide Training and Competency Evaluation Program (NATCEP) Updates Strategies: Excellence for Health Care Providers October 31, 2019

NATCEP Updates Objectives • List two resources to assist instructors in providing current and effectual nurse aide training • Review teaching considerations in the delivery of Omnibus Budget Reconciliation Act of 1987 and PA Act 14 of 1997 (Act 14) Nurse Aide curriculum and the needs of learner experiences • Review Act 14 regulations and the impact on a NATCEP curriculum in PA 2

NATCEP Updates Definition of Curriculum “A curriculum is a systematically planned, organized, and structured program to achieve the goals of individuals and society, resulting in knowledge, skills, and values in a field of study and a commitment to protect and preserve the culture. ” Imogene King 3

NATCEP Updates Three Basic Concepts for Developing Curriculum • Curriculum • Learners • Teachers/Instructors 4

NATCEP Updates Major Components of a Curriculum • • • Framework Objectives Content Methods/Strategies Evaluation 5

NATCEP Updates Role of the Learner • • • Learning is a self-activity Individualized objectives Whole person development Active involvement Learning must be purposeful 6

NATCEP Updates Role of the Teacher/Instructor • • • Resource Guide Facilitator Implementor Evaluator 7

NATCEP Updates PA Nurse Aide Training Curriculum • Materials organized to provide evidence of compliance with Federal OBRA and PA Act 14 of 1997 • Curriculum is organized to provide evidence of daily instruction according to the program calendar 8

Objectives Federal Regulations Objectives OBRA of 1987 and Act 14 of 1997 • Communication • Respecting Residents’ Rights • Infection Control • Safety/Emergency • Promoting Residents Independence • Basic Nursing Skills • Personal Care • Mental Health and Social Service Needs • Care of Cognitively Impaired Residents • Basic Restorative 9

Nurse Aide Residents Abuse Prevention Training Pennsylvania Act 14 of 1997: Nurse Aide Resident Abuse Prevention Training Act • Identification and prevention of abuse, neglect, exploitation, and improper use of physical or chemical restraints • Procedures for reporting abuse, exploitation, neglect, or improper use of physical or chemical restraints to appropriate supervisory, law official or governmental authorities

Nurse Aide Residents Abuse Prevention Training Pennsylvania Act 14 of 1997 • Options and strategies for responsiveness to abusive behavior directed toward nurse aides by residents • Stress reduction • Conflict management • Improper use of physical and chemical restraints • Abuse education must be part of regular in-service • Criminal history record information

NATCEP Updates Maintaining a PA Nurse Aide Training Curriculum • Daily lesson plans – Organized to support daily instruction and according to program calendar • Evidence of the instruction, demonstration, and evaluation of the NATCEP objectives for Day 1 12

NATCEP Updates NATCEP Student Policies • Teaching-the-Educator manual provides guidelines for creating student policies, including a physical examination and health condition policy - Applicant’s physical and 2 -step Mantoux must be performed within an established timeframe - Established procedure for any student who experiences changes in their medical condition - Physical form 14

NATCEP Updates Identify the Differences between Physical Examination and Health Condition Policies • Established timeframes • Acceptable alternatives • Program developed physical examination form • Designated NATCEP representative for receiving and reviewing physical form and requirements 15

NATCEP Updates Administrative Policies – Policy Makers • Description of the forum responsible for developing and revising policies of the NATCEP • Example - The following individuals will be responsible for revising and updating the NATCEP policies: “said party” – Program Coordinator “said party” – Primary Instructor 16

NATCEP Updates Administrative Policies – Policy Makers • Physical exam and health condition scenario • Problem solving strategy - revise a policy or procedure in conjunction with guidance from the policy committee, consultation with legal counsel, regulatory update, feedback from staff, or students 17

NATCEP Updates Clinical Affiliation Agreement • Be cognizant of the conditions and requirements in your clinical affiliation agreement(s) • More stringent requirements by nursing facility • The long-term care facility has a service responsibility to the resident. 18

NATCEP Updates Basic Equipment for Nurse Aide Training • All pieces of equipment must be available for each nurse aide training class. • Equipment must be in good condition. • There must be a sufficient amount of equipment for laboratory practice. 19

NATCEP Updates Basic Equipment for Nurse Aide Training • One simulated resident unit for every six students • Sufficient pieces of equipment for students to practice procedures in pairs 20

NATCEP Updates Requirements for Participation in Medicare and Medicaid • Requirements that were implemented in longterm care effective November 2016 • Requirements implemented effective November 2017 • Requirements to be implemented effective November 2019 21

NATCEP Updates Per Act 14, Curriculum must provide specific training regarding • Abuse, exploitation, neglect; • Improper use of chemical and physical restraints; and • Responsiveness to abusive behavior directed toward the nurse aide by residents. 22

NATCEP Updates Developing Specific Instruction Content • Collect relevant resources • Create lesson outlines • Create Theory, Laboratory, and Clinical lesson • Identify lessons on NATCEP calendar • Complete Daily Lesson Plans 23

NATCEP Updates Collecting Relevant Resources • Identify the curriculum content area • Extract relevant supplemental content from Model Curriculum – the *asterisk • Collect supplemental instructional materials from other sources 24

NATCEP Updates Create Lesson Outline • Organize curriculum content in an instructional sequence • Organize curriculum content and supplemental materials in the sequence to be taught • Complete a walk though of the lesson to determine if it meets program needs • Revise the sequence as necessary 25

NATCEP Updates Performance Objective 1. 1. 9 “Explains the responsibility to identify, prevent and report abuse, exploitation and neglect as legislated in Act 14 of 1997 (P. L. ), the Nurse Aide Resident Abuse Prevention Training Act” • Not an assessment of PA Act 14 • Assessment must be constructed based on the supplemental materials 26

NATCEP Updates Creating a NATCEP Act 14 assessment: • Develop a goal for the assessment • Determine what type of assessment will be completed • Evaluate the effectiveness of the assessment 26

NATCEP Updates Best Practices • Attendance record • Cornell notes • Study book • Act 14 assessment questions 27

Resources • Model curriculum available at www. ed. psu. edu/tte • Hand in Hand: A Training Series for Nursing Homes. http: //www. cms-handinhandtoolkit. info • Exclusion List https: //www. federalregister. gov/documents/2016/10/04/201623503/medicare-and-medicaid-programs-reform-ofrequirements-for-long-term-care-facilities • Lippincott’s Nursing Center https: //www. nursingcenter. com/evidencebasedpracticenetwork/ home • PA Long-Term Care Facilities www. health. state. pa. us/facility 28

NATCEP Updates Questions? 29

NATCEP Updates For more information on the NATCEP, please visit the PDE website at www. education. pa. gov The mission of the Department of Education is to ensure that every learner has access to a world-class education system that academically prepares children and adults to succeed as productive citizens. Further, the Department seeks to establish a culture that is committed to improving opportunities throughout the commonwealth by ensuring that technical support, resources, and optimal learning environments are available for all students, whether children or adults. 30