Virginia Board of Nursing Nurse Aide Education Curriculum Meeting Agenda September 21, 2017 ...

216 Pages·2017·1.45 MB·English

Virginia Board of Nursing
Nurse Aide Education Curriculum
Meeting Agenda
September 21, 2017

10:00 a.m. Introductions

10:15 a.m. Review of changes from the last meeting (July 18, 2017).
Review and approve minutes. Additional information.

10:30 a.m. Suggested additions to the regulations and/or the curriculum
by each stakeholder and Board staff. Begin at Unit 7.

11:45 a.m. Wrap-up and Next Steps

Noon Adjourn
Virginia Board of Nursing
Nurse Aide Curriculum Committee Sub-group
9960 Mayland Drive - Conference Center Suite 201 – Board Room 2 - Henrico, Virginia 23233
July 18, 2017 – 3:04 p.m.

Minutes
TIME AND PLACE: A subgroup meeting of the stakeholders regarding the Nurse Aide Curriculum of the
Virginia Board of Nursing was called to order by Dr. Joyce Hahn, Board President at 3:04
p.m. on July 18, 2017 in Board Room 2, Department of Health Professions, 9960
Mayland Drive, Suite 300, Henrico, Virginia.
BOARD MEMBERS Joyce A. Hahn, PhD, RN, NEA-BC, FNAP, Board President (Chair)
PRESENT Jennifer Phelps, LPN Board Member, QMHPA
Mark Monson, Citizen Member

STAKEHOLDERS Karen Riley, Sunnyside Retirement Community and Leading Age
PRESENT Tina Thomas, Alzheimer’s Association
Betty DeOrnellas, Virginia Health Care Association
Deborah Lloyd, Virginia Department of Social Services
Dana Parsons, Leading Age Virginia
Paige McCleary, DARS – APS Division
Kathaleen Creegan-Tedeschi, Virginia Department of Health, OLC/LTC
Annie Rhodes, VCU Gerontology & Leading Age Virginia
April Payne, VHCA
Judy Hackler, Virginia Assisted Living Association (VALA)

AUDIENCE PRESENT: Toni Rivers, Virginia School for Nurse Aides and Health Education

DHP STAFF PRESENT: Paula B. Saxby, RN, PhD, Deputy Executive Director, Virginia Board of Nursing
Brenda Krohn, RN, MS, Deputy Executive Director, Virginia Board of Nursing
Vivienne McDaniel, RN, MS, DNP student, Walden University

DISCUSSION: This is the third meeting of the subgroup as a recommendation from the full
stakeholders group from their meeting on July 14, 2016. The focus of the meeting was
to continue to discuss possible changes to the Regulations and the Curriculum
pertaining to Nurse Aide Education Programs in Virginia.
The minutes from the previous meeting on March 21, 2017 were approved.

There was agreement (again) on proposing changes to the regulations for requirements
of the hours of the nurse aide program with the following minimum requirements:
Didactic hours: 60
Skills practice hours: 40
Direct Client Care (Clinical) hours: 40

The group continued to discuss possible changes to the curriculum unit by unit, and
discussed changes to Units 1 through 6.
There was agreement in support of the suggestion of adding dementia content
throughout the curriculum. Vivienne McDaniel and Tina Thomas will work on objectives
for the dementia and cognitive impairment sections.

PLAN FOR FOLLOWUP: Prior to the next meeting, Committee members will send specific language that they
would like to see in their area of expertise and staff will incorporate in the curriculum
for review at the next committee meeting, specifically, Paige McCleary will send
information regarding abuse, neglect, exploitation and reporting to APS staff.
At the next subgroup meeting scheduled for September 21, 2017 (10:00 a.m. to noon),
discussion will focus on continuing with the unit by unit discussion (starting with Unit
VII) and review input regarding possible changes from the committee members.
Vivienne McDaniel will add definitions and resources for the group to discuss.
“Freedom of sexual expression” and “per facility policy” on documentation” will be
added to appropriate sections of the curriculum.

ADJOURNMENT: The committee adjourned at 5:00 p.m.

_____________________________________
Paula B. Saxby, R.N., Ph.D., Deputy Executive Director
COMMONWEALTH OF VIRGINIA

VIRGINIA BOARD OF NURSING

Nurse Aide Curriculum

Revised: July 14, 2015

1
Unit I – The Nurse Aide in Long-Term Care

Unit Objectives:

At the end of this unit, as evidenced by a minimum grade of 80% on the unit test, the student will be able to:
1. Provide an overview of health care organizations and long-term care facilities and the methods used for payment
of the services that clients receive;
2. Discuss the role of the Nurse Aide in long-term care per OBRA requirements;
3. Explain delegation as it relates to the Nurse Aide; and
4. Explain the impact of Guidance Document 90-55 on potential employment for a Nurse
Aide.

Objectives Content Outline

Describe the different types of health care organizations. I. Long-term Care & Acute Care
A. Independent Living
B. Home Health Care
C. Adult Day Care
D. Assisted Living Facility
E. Nursing Home
F. Hospice
G. Continuum of Care Facility
H. Rehabilitation
I. Hospital (In-patient & Out-patient)
J. Dementia/Memory Care
Compare various methods that clients use to pay
for long-term care. II. Payment Options for Long-term care
facilities
A. Private pay
1. Client pays for health care from
personal resources
B. Group insurance
1. client’s health care is paid for by
insurance that the client has previously
paid
C. Medicaid
1. medical assistance program for low-
income clients pays for the client’s
healthcare
D. Medicare
1. health insurance program for clients
over the age of 65 pays for client’s
healthcare
2. funded by Social Security
3. Minimum Data Set (MDS) report
required for each Medicaid client

2
Objectives Content Outline

Explain the requirements for Nurse Aides that III. Role of the Nurse Aide in Long-term Care
are contained in the Omnibus Budget Facilities
Reconciliation Act of 1987. A. Ominbus Budget Reconciliation Act of
1987 (OBRA)
1. federal regulation
2. set standards of care for long-
term care facilities
3. requires all nurse aides in long-
term care facilities to:
a. complete training program
b. pass certification exam
4. requires each state to have a
registry of nurse aides (see Unit
XIV)
a. available to the public
b. contains information on
nurse aide’s performance,
including resident abuse
c. information to be kept
minimum of 5 years
5. requires continuing education
a. minimum of 12 hours in-
service each year for nurse
aides
6. requires nurse aide who has not
worked for 2 consecutive years
to retake the certification exam
B. The Health Care Team
1. The Nurse
a. Registered Nurse (RN)
b. Licensed Practical Nurse
(LPN)
Discuss the roles for each member of the Health c. carries out the physician’s
Care team orders
2. The Nurse Aide
a. assist the nurse
b. care for clients
c. Supervised by the
d. RN or LPN
3. Interdisciplinary Team
a. physician
b. dietician
c. physical therapy
d. occupational therapy
e. family member
f. social worker
g. client

3
Objectives Content Outline

Discuss delegation as it relates to the Nurse Aide. C. Delegation (see Regulations Governing the
Practice of Nursing 18VAC90-20-420 to
460)
1. transferring authority to a person
for a specific task
2. RN may delegate tasks to a
Nurse Aide (NA)
3. criteria for delegation
a. nurse aide can properly
and safely perform task
b. client health, safety and
welfare will not be
jeopardized
c. RN retains responsibility
and accountability for care
of client and supervises
the NA
d. delegated task
communicated to NA on a
client-specific basis
e. clear, specific instructions
for performance, potential
complications, expected
results are given to NA
f. NA is clearly identified
with a name tag
g. NA may not reassign a
task that has been
delegated to her/him
Identify tasks that are commonly performed by D. Common tasks for the Nurse Aide
the Nurse Aide. 1. activities of daily living (ADLs)
a. bathing
b. dressing
c. grooming
d. mouth care
e. toileting
f. eating & hydration
g. caring for skin; prevention
of pressure ulcers
2. bed making
3. taking/recording vital signs;
height & weight
4. observing/reporting client
changes to supervisor
5. maintaining safety, including fall
prevention
6. caring for equipment
7. infection control

4
Objectives Content Outline

Discuss behavior characteristics that the Nurse E. Professional behavior of the Nurse Aide
Aide should display. 1. attitude
a. outward behavior
b. disposition
c. positive attitude
1. caring
2. compassionate
3. committed to the job
2. behavior
a. neatly dressed following
facility uniform policy
b. on time to work
c. avoid unnecessary
absences
d. use appropriate language
e. do not gossip about co-
workers
f. keep client information
confidential
g. speak politely
h. follow facility policies and
procedures
Explain how the Nurse Aide can maintain good 3. grooming
grooming. a. wear clean, neat,
unwrinkled uniform
b. attend to personal hygiene
c. do not use strongly
scented fragrances
(perfume, lotions, after-
shave, body wash, hair
spray)
d. keep hair away from your
face
e. long hair should be
secured at the back of the
head or neck
f. keep beards neat and
trimmed
g. use make-up sparingly
h. keep nails short
i. do not wear false nails
j. keep shoes/laces clean
k. jewelry should be minimal
Discuss the importance of work ethic for the Nurse Aide. 4. Work ethic
a. attitude toward work
b. punctual
c. reliable
d. accountable
e. conscientious
f. respectful of others
5
Objectives Content Outline

g. honest
h. cooperative
i. empathetic

F. Applying for employment as a Nurse Aide
Describe considerations when seeking 1. considerations
employment. a. type of facility
b. adequate transportation
c. child care
2. complete resumé and application
3. Guidance Document 90-55
Explain the consequences of criminal convictions, as a. impact of criminal
described in Guidance Document 90-55, on convictions on potential
employment opportunities for the Nurse Aide. employment
b. certain convictions
prohibit employment in
long-term care facilities
c. read and sign personal
copy of Guidance
Document 90-55
4. interview
Role-play a successful interview. a. arrive on time
b. dress appropriately
1.professional attire
2. neat
c. maintain good eye
contact
d. be prepared to answer
questions
e. be prepared to ask
questions
f. Thank the interviewer at
the end of the interview
g. mail short thank you
note the day after
interview

6
NA Curriculum/Unit 1
May2015

7