NATCEP Day OneNATCEP Day One
Program Overview
ObjectivesObjectives
Identify the purpose of the Training and
Competency Evaluation Program (TCEP)
List the role and res...
Omnibus Budget ReconciliationOmnibus Budget Reconciliation
Act of 1987 (OBRA)Act of 1987 (OBRA)
◦ The Omnibus Budget Recon...
Omnibus Budget ReconciliationOmnibus Budget Reconciliation
Act of 1987 (OBRA)Act of 1987 (OBRA)
◦ The training program
 O...
Purposes of the TrainingPurposes of the Training
Program in OhioProgram in Ohio
Prepare the nurse aide (NA) in a long-
te...
NATCEP Role & ResponsibilityNATCEP Role & Responsibility
Program Coordinator/Instructor
Program Instructors = Mrs. Payne...
NATCEP Role & ResponsibilityNATCEP Role & Responsibility
NA Student = YOU!
Classroom
◦ Attend class
 Can miss/makeup 16...
NATCEP Role & ResponsibilityNATCEP Role & Responsibility
NA Student = YOU!
Long-term Care Facility (LTCF) = Clinicals
◦ ...
Purpose of the State TestPurpose of the State Test
Test knowledge
Test skills
3 failures = must retrain
◦ Available thr...
Successful Completion of theSuccessful Completion of the
State Test for OhioState Test for Ohio
Complete 75 hour Nurse Ai...
Omnibus Budget ReconciliationOmnibus Budget Reconciliation
Act of 1987 (OBRA)Act of 1987 (OBRA)
◦ OBRA requires a nursing ...
Omnibus Budget ReconciliationOmnibus Budget Reconciliation
Act of 1987 (OBRA)Act of 1987 (OBRA)
◦ Other OBRA requirements
...
Ohio Nurse Aide RegistryOhio Nurse Aide Registry
Managed through the Ohio Department of
Health
List of all State-Tested ...
Ohio Nurse Aide RegistryOhio Nurse Aide Registry
Entered into registry
◦ Successfully pass all both the written and skill...
Abuse, Mistreatment, Neglect orAbuse, Mistreatment, Neglect or
Misappropriation of ResidentMisappropriation of Resident
Pr...
State Tested vs. CertifiedState Tested vs. Certified
Train vs. Regulate practice
Completed requirements vs. licensed
Mo...
NATCEP Day OneNATCEP Day One
Work Environment
Slide 17
ObjectivesObjectives
Describe his or her role as a STNA on the
interdisciplinary team
Discuss the roles of the other
int...
STNA RoleSTNA Role
NAs spend the most time with residents
Work under the delegation & supervision
of a licensed nurse (R...
Interdisciplinary Team MembersInterdisciplinary Team Members
NursingNursing
Director of Nursing
◦ Responsible for residen...
Interdisciplinary Team MembersInterdisciplinary Team Members
MedicineMedicine
Medical Director
◦ Oversees the quality and...
Interdisciplinary Team MembersInterdisciplinary Team Members
Professional StaffProfessional Staff
Dietician
Social Worke...
Interdisciplinary Team MembersInterdisciplinary Team Members
Other MembersOther Members
Food Service
Secretary/Clerk
Ma...
Interdisciplinary Team MembersInterdisciplinary Team Members
AdministrationAdministration
Administrator
◦ Responsible for...
Interdisciplinary Team MembersInterdisciplinary Team Members
GoverningGoverning BodyBody
Determines the facility’s missio...
Interdisciplinary Team MembersInterdisciplinary Team Members
OthersOthers
Volunteers
Pets
Surveyors
◦ From Ohio Dept of...
Levels of Care: LTCF RolesLevels of Care: LTCF Roles
Acute Care
Subacute Care
Long-term Care
Home Care
Hospice
Assis...
Primary Purpose of the LTFCPrimary Purpose of the LTFC
To assist resident/client to achieve and
maintain a maximum level ...
NATCEP Day OneNATCEP Day One
Roles and Responsibilities of the
STNA
Slide 29
ObjectivesObjectives
 State purpose of STNA role in ADLs
 Describe the STNA’s responsibility in caring for the
resident’...
ActivitiesActivities of Daily Livingof Daily Living
Dress and Undress
Bathe and maintain hygiene
Mobility/Walking
Elim...
Care of the Resident’sCare of the Resident’s UnitUnit
Make bed
Maintain a safe and clean environment
Slide 32
NourishmentNourishment
Assure correct diet
Feed or assist
Fill water pitcher and assist in obtain
fluids
Calculate and...
Recordkeeping &Recordkeeping & CommunicationCommunication
Record intake and output
Record vital signs
Assist in admissi...
PromotePromote ResidentResident RightsRights
Established within Omnibus Budget
Reconciliation Act of 1987 (OBRA)
Legal r...
ConfidentialityConfidentiality
Trusting others with personal and private
information
Need to Know
Records
Away from wo...
Prioritizing/Prioritizing/TimeTime ManagementManagement
Organize work and set priorities
◦ What do you need to do first?
...
Assuring ResidentAssuring Resident SafetySafety
First Priority!
Guard against accidents
Prevent accidents
Know what to...
In-servicesIn-services
Training
Expected to attend as required by
employer
OBRA requires employer to provide 12
hours p...
NATCEP Day OneNATCEP Day One
Policy & Procedure Manuals
Slide 40
ObjectivesObjectives
Identify the purpose of the facility’s policy
and procedure manual
Describe how to use the policy a...
PurposePurpose
Contains the facility’s position regarding
the implementation/enforcement of a
procedure (WHY)
Slide 42
Use of Policy & Procedure ManualsUse of Policy & Procedure Manuals
Policy Manual explains “why” behind
practices or stand...
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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 One Program Overview
    2. 2. ObjectivesObjectives Identify the purpose of the Training and Competency Evaluation Program (TCEP) List the role and responsibilities of the PC/PI and NA State the purpose of the TCEP conducted by the director Describe how to be recorded and maintained in Ohio’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 Reconciliation Act of 1987 (OBRA)Act of 1987 (OBRA) ◦ The Omnibus Budget Reconciliation Act of 1987 (OBRA) is a federal law.  Purpose is to improve the quality of life of nursing center residents.  This law sets minimum training and competency evaluation requirements for nursing assistants.  Each state must have a nursing assistant training and competency evaluation program (NATCEP). Slide 3
    4. 4. Omnibus Budget ReconciliationOmnibus Budget Reconciliation Act of 1987 (OBRA)Act of 1987 (OBRA) ◦ The training program  OBRA requires at least 75 hours of instruction.  There must be at least 16 hours of supervised practical training (clinicals). ◦ Competency evaluation  The competency evaluation has a written test and a skills test.  OBRA allows at least 3 attempts to successfully complete the evaluation. Slide 4
    5. 5. Purposes of the TrainingPurposes of the Training Program in OhioProgram in Ohio Prepare the nurse aide (NA) in a long- term care facility (LTCF) to care for the residents Prepare the NA in the LTCF to take and pass the competency evaluation program Prepare the NA to function as part of the team Make the NA aware of the principles of nursing delegation Slide 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 individual learner Slide 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 all NATCEP Exams  All missed work must be made up within 1 week of return to school. State requirement = 60 days ◦ Follow program rules ◦ Review all handouts and obtain and review skills booklet for testing Slide 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 the direction of the program instructor ◦ Protect the LTCF resident ◦ Function as part of the team offering information during the care conferences Slide 8
    9. 9. Purpose of the State TestPurpose of the State Test Test knowledge Test skills 3 failures = must retrain ◦ Available through PRCTC Adult Education ◦ Total Cost is $649 Slide 9
    10. 10. Successful Completion of theSuccessful Completion of the State Test for OhioState Test for Ohio Complete 75 hour Nurse Aide Training and Competency 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 randomly chosen ◦ 80% plus all bolded items must be demonstrated Slide 10
    11. 11. Omnibus Budget ReconciliationOmnibus Budget Reconciliation Act of 1987 (OBRA)Act of 1987 (OBRA) ◦ OBRA requires a nursing assistant registry in each state.  It is an official record or listing of persons who have successfully completed that state’s state- approved NATCEP.  The registry has information about each nursing assistant.  All information stays in the registry for at least 5 years.  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 Reconciliation Act of 1987 (OBRA)Act of 1987 (OBRA) ◦ Other OBRA requirements  Retraining and a new competency evaluation program are required for nursing assistants who have not worked for 24 months.  Agencies covered under OBRA must provide 12 hours of educational programs to nursing assistants every year.  Performance reviews also are required. Slide 12
    13. 13. Ohio Nurse Aide RegistryOhio Nurse Aide Registry Managed through the Ohio Department of Health List of all State-Tested Nurse Aides (STNAs) in Ohio Rules are located at http://www.odh.ohio.gov Slide 13
    14. 14. Ohio Nurse Aide RegistryOhio Nurse Aide Registry Entered into registry ◦ Successfully pass all both the written and skills components of the CEP STNAs working outside of the LTCF setting must provide proof of employment as an STNA to the registry every 2 years Name and address changes must be sent in writing to the Nurse Aide Registry (NAR) Social Security changes must be accompanied by 2 pieces of documentation to verify Registry cards are issued by the testing company; contact them for replacement Contact number = 800-582-5908 Slide 14
    15. 15. Abuse, Mistreatment, Neglect orAbuse, Mistreatment, Neglect or Misappropriation of ResidentMisappropriation of Resident PropertyProperty Allegations of abuse, mistreatment, neglect or misappropriation of a resident’s property against STNA ◦ Investigation ◦ Consequences  Reported to registry If you witness it, report to charge nurse!  Findings of abuse are never removed from the registry Slide 15
    16. 16. State Tested vs. CertifiedState Tested vs. Certified Train vs. Regulate practice Completed requirements vs. licensed Monitor vs. renew Slide 16
    17. 17. NATCEP Day OneNATCEP Day One Work Environment Slide 17
    18. 18. ObjectivesObjectives Describe his or her role as a STNA on the interdisciplinary team Discuss the roles of the other interdisciplinary team members Define levels of care and where LTCF fits in the health care system Describe primary purpose of long-term care Slide 18
    19. 19. STNA RoleSTNA Role NAs spend the most time with residents Work under the delegation & supervision of a licensed nurse (RN or LPN) Inform the nurse of any changes in the resident’s condition Works from the plan of care developed by an interdisciplinary team for each resident Slide 19
    20. 20. Interdisciplinary Team MembersInterdisciplinary Team Members NursingNursing Director of Nursing ◦ Responsible for resident care; supervises nursing staff ◦ Reports to the Administrator Licensed Nurse ◦ RN – Registered Nurse ◦ LPN – Licensed Practical Nurse ◦ CNP – Certified Nurse Practitioner (RN) STNA Slide 20
    21. 21. Interdisciplinary Team MembersInterdisciplinary Team Members MedicineMedicine Medical Director ◦ Oversees the quality and delivery of medical care ◦ Maintains surveillance of the employees’ health status Private Physician for resident ◦ Hired by the resident of other significant other ◦ Directs the resident’s medical care including medications & treatments Slide 21
    22. 22. Interdisciplinary Team MembersInterdisciplinary Team Members Professional StaffProfessional Staff Dietician Social Worker Physical Therapist Activity Director Occupational Therapist Speech/Hearing Therapist Spiritual Care Team Respiratory Therapist Psychologist Pharmacist Slide 22
    23. 23. Interdisciplinary Team MembersInterdisciplinary Team Members Other MembersOther Members Food Service Secretary/Clerk Maintenance Housekeeping Laundry Business Office Medical Records Security Slide 23
    24. 24. Interdisciplinary Team MembersInterdisciplinary Team Members AdministrationAdministration Administrator ◦ Responsible for the overall operation of the facility ◦ Responsible to the governing board or owner(s) Slide 24
    25. 25. Interdisciplinary Team MembersInterdisciplinary Team Members GoverningGoverning BodyBody Determines the facility’s mission ◦ Logan Elm  “We remain a leader in health care because of the high standards we have set for ourselves. We are committed to providing the highest quality of care possible and to preserve the dignity of every person we serve by effectively meeting his or her medical, social, emotional & spiritual needs.” Sets & approves policy, budget, & capital expenditures Has legal & financial responsibility for the facility Slide 25
    26. 26. Interdisciplinary Team MembersInterdisciplinary Team Members OthersOthers Volunteers Pets Surveyors ◦ From Ohio Dept of Health: inspect facilities to make sure that they comply with state & federal standards of care Ombudsman ◦ Located in the Ohio Dept of Aging. Works as the resident’s advocate among the residents, family & facility Slide 26
    27. 27. 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 Health Slide 27
    28. 28. Primary Purpose of the LTFCPrimary Purpose of the LTFC To assist resident/client to achieve and maintain a maximum level of functioning (Quality of Life) and maintain their sense of individuality (Quality of Life) ◦ Person-centered care ◦ Restorative/rehabilitative care ◦ End-of-Life care  Comfort  Palliative Slide 28
    29. 29. NATCEP Day OneNATCEP Day One Roles and Responsibilities of the STNA Slide 29
    30. 30. ObjectivesObjectives  State purpose of STNA role in ADLs  Describe the STNA’s responsibility in caring for the resident’s unit  Describe the STNAs responsibility in providing and recording residents’ nourishment  Describe the STNA’s responsibility with record keeping and communication  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 relates to resident care  Describe the STNA’s role in resident’s safety  Identify the STNA’s responsibility for attending in-services Slide 30
    31. 31. ActivitiesActivities of Daily Livingof Daily Living Dress and Undress Bathe and maintain hygiene Mobility/Walking Elimination – Toileting Eating and Drinking Bed mobility Slide 31
    32. 32. Care of the Resident’sCare of the Resident’s UnitUnit Make bed Maintain a safe and clean environment Slide 32
    33. 33. NourishmentNourishment Assure correct diet Feed or assist Fill water pitcher and assist in obtain fluids Calculate and record what is eaten Assist to and from dining room Slide 33
    34. 34. Recordkeeping &Recordkeeping & CommunicationCommunication Record intake and output Record vital signs Assist in admission, transfer and discharge Document care on flow sheets or other forms Assignment sheets Complete assignment Report on/off duty Slide 34
    35. 35. PromotePromote ResidentResident RightsRights Established within Omnibus Budget Reconciliation 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 ◦ Work Slide 35
    36. 36. ConfidentialityConfidentiality Trusting others with personal and private information Need to Know Records Away from work Slide 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 treatments scheduled or appointments? ◦ What can be done while the residents are eating? ◦ What can be done while resident is at therapy or 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 an emergency ◦ Fire ◦ Falls ◦ Drills ◦ Medical Emergencies Slide 38
    39. 39. In-servicesIn-services Training Expected to attend as required by employer OBRA requires employer to provide 12 hours per year required ◦ Examples  CPR Training  Slide 39
    40. 40. NATCEP Day OneNATCEP Day One Policy & Procedure Manuals Slide 40
    41. 41. ObjectivesObjectives Identify the purpose of the facility’s policy and procedure manual Describe how to use the policy and procedure manuals Slide 41
    42. 42. PurposePurpose Contains the facility’s position regarding the implementation/enforcement of a procedure (WHY) Slide 42
    43. 43. Use of Policy & Procedure ManualsUse of Policy & Procedure Manuals Policy Manual explains “why” behind practices or standards set by the facility Procedure Manual: how-to guide ◦ Step by step ◦ All caregivers must provide care in same way following procedures ◦ Foundation for good nursing practice ◦ Standard of care Location: Nursing Station Slide 43

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