Natcep day 1


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  • Federal and state laws and agency policies combine to define the roles and functions of each health team member.
  • The nursing assistant training and competency evaluation program must be successfully completed by nursing assistants working in nursing centers, hospital long-term care units, and home care agencies receiving medicare funds.
  • Some states require more than 75 hours. Students perform nursing care and procedures on another person during the practical training. A nurse supervises this practical training. The written test has multiple-choice questions. The number of questions varies from state to state. The skills test involves performing nursing skills. There is a fee for the evaluation. If you work in a nursing center, the employer pays this fee.
  • States can require: A new competency evaluation Both retraining and a new competency evaluation These requirements help ensure that nursing assistants have current knowledge and skills to give safe, effective care. Each state NATCEP (Nurse Aide Training and Competency Evaluation Program) must meet OBRA (Omnibus Budget Reconciliation Act of 1987) requirements. If you want to work in another state, contact the state agency responsible for NATCEPs and the nursing assistant registry.
  • Natcep day 1

    1. 1. NATCEP Day OneNATCEP Day OneProgram Overview
    2. 2. ObjectivesObjectivesIdentify the purpose of the Training andCompetency Evaluation Program (TCEP)List the role and responsibilities of the PC/PI andNAState the purpose of the TCEP conducted by thedirectorDescribe how to be recorded and maintained inOhio’s NA RegistryDiscuss issues related to abuse, mistreatment,neglect and misappropriation of resident propertyDiscuss title of State Tested Nurse Aide (STNA)Slide 2
    3. 3. Omnibus Budget ReconciliationOmnibus Budget ReconciliationAct of 1987 (OBRA)Act of 1987 (OBRA)◦ The Omnibus Budget Reconciliation Act of1987 (OBRA) is a federal law. Purpose is to improve the quality of life ofnursing center residents. This law sets minimum training andcompetency evaluation requirements fornursing assistants. Each state must have a nursing assistanttraining and competency evaluation program(NATCEP).Slide 3
    4. 4. Omnibus Budget ReconciliationOmnibus Budget ReconciliationAct of 1987 (OBRA)Act of 1987 (OBRA)◦ The training program OBRA requires at least 75 hours ofinstruction. There must be at least 16 hours of supervisedpractical training (clinicals).◦ Competency evaluation The competency evaluation has a written testand a skills test. OBRA allows at least 3 attempts tosuccessfully complete the evaluation.Slide 4
    5. 5. Purposes of the TrainingPurposes of the TrainingProgram in OhioProgram in OhioPrepare the nurse aide (NA) in a long-term care facility (LTCF) to care for theresidentsPrepare the NA in the LTCF to take andpass the competency evaluation programPrepare the NA to function as part of theteamMake the NA aware of the principles ofnursing delegationSlide 5
    6. 6. NATCEP Role & ResponsibilityNATCEP Role & ResponsibilityProgram Coordinator/InstructorProgram Instructors = Mrs. Payne & Ms.Tway◦ Provide classroom & clinical knowledge/training◦ Follow rules of the state program◦ Provide materials and tools for program/testing◦ Facilitate learning◦ Evaluate performance◦ Address specific learning needs of the individuallearnerSlide 6
    7. 7. NATCEP Role & ResponsibilityNATCEP Role & ResponsibilityNA Student = YOU!Classroom◦ Attend class Can miss/makeup 16 hours Must achieve an average score of 75% on allNATCEP Exams All missed work must be made up within 1 weekof return to school. State requirement = 60 days◦ Follow program rules◦ Review all handouts and obtain and reviewskills booklet for testingSlide 7
    8. 8. NATCEP Role & ResponsibilityNATCEP Role & ResponsibilityNA Student = YOU!Long-term Care Facility (LTCF) = Clinicals◦ Occurs at the completion of classroom training◦ Scheduled for March/April◦ Provide care for the LTCF residents under thedirection of the program instructor◦ Protect the LTCF resident◦ Function as part of the team offeringinformation during the care conferencesSlide 8
    9. 9. Purpose of the State TestPurpose of the State TestTest knowledgeTest skills3 failures = must retrain (75 hours)◦ Available through PRCTC Adult Education◦ Total Cost is $572Slide 9
    10. 10. Successful Completion of theSuccessful Completion of theState Test for OhioState Test for OhioComplete 75 hour Nurse Aide Training andCompetency Evaluation Program (NATCEP)Pass the Competency Evaluation Program(CEP) written test with an 80%◦ 79 questions◦ Must have 64 questions correctPass the CEP skills test◦ 5 of 25 possible◦ Handwashing for everyone; 4 skills will be randomlychosen◦ 80% plus all bolded items must be demonstratedSlide 10
    11. 11. Omnibus Budget ReconciliationOmnibus Budget ReconciliationAct of 1987 (OBRA)Act of 1987 (OBRA)◦ OBRA requires a nursing assistant registry ineach state. It is an official record or listing of persons whohave successfully completed that state’s state-approved NATCEP. The registry has information about each nursingassistant. All information stays in the registry for at least 5years. Any agency can access registry information. You receive a copy of your registry information. You can correct wrong information.Slide 11
    12. 12. Omnibus Budget ReconciliationOmnibus Budget ReconciliationAct of 1987 (OBRA)Act of 1987 (OBRA)◦ Other OBRA requirements Retraining and a new competency evaluationprogram are required for nursing assistantswho have not worked for 24 months. Agencies covered under OBRA must provide12 hours of educational programs to nursingassistants every year. Performance reviews also are required.Slide 12
    13. 13. Ohio Nurse Aide RegistryOhio Nurse Aide RegistryManaged through the Ohio Department ofHealthList of all State-Tested Nurse Aides(STNAs) in OhioRules are located athttp://www.odh.ohio.govSlide 13
    14. 14. Ohio Nurse Aide RegistryOhio Nurse Aide RegistryEntered into registry◦ Successfully pass all both the written and skillscomponents of the CEPSTNAs working outside of the LTCF setting mustprovide proof of employment as an STNA to theregistry every 2 yearsName and address changes must be sent inwriting to the Nurse Aide Registry (NAR)Social Security changes must be accompanied by2 pieces of documentation to verifyRegistry cards are issued by the testingcompany; contact them for replacementContact number = 800-582-5908Slide 14
    15. 15. Abuse, Mistreatment, Neglect orAbuse, Mistreatment, Neglect orMisappropriation of ResidentMisappropriation of ResidentPropertyPropertyAllegations of abuse, mistreatment,neglect or misappropriation of a resident’sproperty against STNA◦ Investigation◦ Consequences Reported to registryIf you witness it, report to charge nurse! Findings of abuse are never removed from theregistrySlide 15
    16. 16. State Tested vs. CertifiedState Tested vs. CertifiedTrain vs. Regulate practiceCompleted requirements vs. licensedMonitor vs. renewSlide 16
    17. 17. NATCEP Day OneNATCEP Day OneWork EnvironmentSlide 17
    18. 18. ObjectivesObjectivesDescribe his or her role as a STNA on theinterdisciplinary teamDiscuss the roles of the otherinterdisciplinary team membersDefine levels of care and where LTCF fitsin the health care systemDescribe primary purpose of long-termcareSlide 18
    19. 19. STNA RoleSTNA RoleNAs spend the most time with residentsWork under the delegation & supervisionof a licensed nurse (RN or LPN)Inform the nurse of any changes in theresident’s conditionWorks from the plan of care developed byan interdisciplinary team for each residentSlide 19
    20. 20. Interdisciplinary Team MembersInterdisciplinary Team MembersNursingNursingDirector of Nursing◦ Responsible for resident care; supervisesnursing staff◦ Reports to the AdministratorLicensed Nurse◦ RN – Registered Nurse◦ LPN – Licensed Practical Nurse◦ CNP – Certified Nurse Practitioner (RN)STNASlide 20
    21. 21. Interdisciplinary Team MembersInterdisciplinary Team MembersMedicineMedicineMedical Director◦ Oversees the quality and delivery of medicalcare◦ Maintains surveillance of the employees’ healthstatusPrivate Physician for resident◦ Hired by the resident of other significant other◦ Directs the resident’s medical care includingmedications & treatmentsSlide 21
    22. 22. Interdisciplinary Team MembersInterdisciplinary Team MembersAdministrationAdministrationAdministrator◦ Responsible for the overall operation of thefacility◦ Responsible to the governing board or owner(s)Slide 22
    23. 23. Interdisciplinary Team MembersInterdisciplinary Team MembersProfessional StaffProfessional StaffDieticianSocial WorkerPhysical TherapistActivity DirectorOccupational TherapistSpeech/Hearing TherapistSpiritual Care TeamRespiratory TherapistPsychologistPharmacistSlide 23
    24. 24. Interdisciplinary Team MembersInterdisciplinary Team MembersOther MembersOther MembersFood ServiceSecretary/ClerkMaintenanceHousekeepingLaundryBusiness OfficeMedical RecordsSecuritySlide 24
    25. 25. Interdisciplinary Team MembersInterdisciplinary Team MembersGoverning BodyGoverning BodyDetermines the facility’s mission◦ Logan Elm “We remain a leader in health care because of the highstandards we have set for ourselves. We arecommitted to providing the highest quality of carepossible and to preserve the dignity of every personwe serve by effectively meeting his or her medical,social, emotional & spiritual needs.”Sets & approves policy, budget, & capitalexpendituresHas legal & financial responsibility for thefacilitySlide 25
    26. 26. Interdisciplinary Team MembersInterdisciplinary Team MembersOthersOthersVolunteersPetsSurveyors◦ From Ohio Dept of Health: inspect facilities tomake sure that they comply with state &federal standards of careOmbudsman◦ Located in the Ohio Dept of Aging. Works asthe resident’s advocate among the residents,family & facilitySlide 26
    27. 27. Primary Purpose of the LTFCPrimary Purpose of the LTFCTo assist resident/client to achieve andmaintain a maximum level of functioning(Quality of Life) and maintain their senseof individuality (Quality of Life)Slide 27
    28. 28. Levels of Care: LTCF RolesLevels of Care: LTCF RolesAcute CareSubacute CareLong-term CareHome CareHospiceAssisted LivingAdult Day CareAlzheimer/dementia CareMental HealthSlide 28
    29. 29. NATCEP Day OneNATCEP Day OneRoles and Responsibilities of theSTNASlide 29
    30. 30. ObjectivesObjectives State purpose of STNA role in ADLs Describe the STNA’s responsibility in caring for theresident’s unit Describe the STNAs responsibility in providing andrecording residents’ nourishment Describe the STNA’s responsibility with record keeping andcommunication Describe the STNA’s responsibility in promoting residents’rights Describe the STNA’s role in maintaining confidentiality State an understanding of time management as it relatesto resident care Describe the STNA’s role in resident’s safety Identify the STNA’s responsibility for attending in-servicesSlide 30
    31. 31. ActivitiesActivities of Daily Livingof Daily LivingDress and UndressBathe and maintain hygieneMobility/WalkingElimination – ToiletingEating and DrinkingBed mobilitySlide 31
    32. 32. Care of the Resident’sCare of the Resident’s UnitUnitMake bedMaintain a safe and clean environmentSlide 32
    33. 33. NourishmentNourishmentAssure correct dietFeed or assistFill water pitcher and assist in obtainfluidsCalculate and record what is eatenAssist to and from dining roomSlide 33
    34. 34. Recordkeeping &Recordkeeping & CommunicationCommunicationRecord intake and outputRecord vital signsAssist in admission, transfer anddischargeDocument care on flow sheets or otherformsAssignment sheetsComplete assignmentReport on/off dutySlide 34
    35. 35. PromotePromote ResidentResident RightsRightsEstablished within Omnibus BudgetReconciliation Act of 1987 (OBRA)Legal rights of residents as US citizensProtected by state and federal lawCenters cannot interfere with these rights◦ Information◦ Refusing Treatment◦ Privacy & Confidentiality◦ Personal Choice◦ WorkSlide 35
    36. 36. ConfidentialityConfidentialityTrusting others with personal and privateinformationNeed to KnowRecordsAway from workSlide 36
    37. 37. Prioritizing/Prioritizing/TimeTime ManagementManagementOrganize work and set priorities◦ What do you need to do first?◦ Resident condition?◦ Does the resident have any treatmentsscheduled or appointments?◦ What can be done while the residents areeating?◦ What can be done while resident is at therapyor an activity?◦ When are special rooms available (shower)?◦ What do you need help with?Slide 37
    38. 38. Assuring ResidentAssuring Resident SafetySafetyFirst Priority!Guard against accidentsPrevent accidentsKnow what to do in the event of anemergency◦ Fire◦ Falls◦ Drills◦ Medical EmergenciesSlide 38
    39. 39. In-servicesIn-servicesTrainingExpected to attend as required byemployerOBRA requires employer to provide 12hours per year required◦ Examples CPR TrainingSlide 39
    40. 40. NATCEP Day OneNATCEP Day OnePolicy & Procedure ManualsSlide 40
    41. 41. ObjectivesObjectivesIdentify the purpose of the facility’s policyand procedure manualDescribe how to use the policy andprocedure manualsSlide 41
    42. 42. PurposePurposeContains the facility’s position regardingthe implementation/enforcement of aprocedureDescribes how to perform procedureMust know location & how to useSlide 42
    43. 43. Use of Policy & Procedure ManualsUse of Policy & Procedure ManualsLocation: Nursing StationExplains the “why” procedures areperformed as outlinedHow-to guideStep by stepAll caregivers must provide care in sameway following proceduresFoundation for good nursing practice◦ Standard of careSlide 43