Transcript Slide 1

July 24, 2012
Everything Nurse Aide –
2012 Update
Agnes Moore - Health Occupations Nurse Aide Consultant/ DPI
Kathy Turner - Manager, Center for Aide Regulation and
Education/Division of Health Service Regulation
Diana Brosko-Carelli – Pearson VUE Health and Professional
Services Manager
Kris Winning - Program Director, NACES Foundation Plus
Topics of Interest
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Workforce Statistics
DHSR Nurse Aide Curriculum Revisions
PHCAST Update
Public Health Fundamentals
NNAAP Skill Changes
Special Needs Students/ADA
High School Score Summary
In-Facility Guidelines
Clarification: Grievance and Identification
High School Stats in NC
Type
2009-10
2010-11
2011-12
Approved high
school NAT
programs
218
222
226
Approved high
school clinical
sites
508
495
451
Nurse Aide Stats in NC
Aide Type
2010-10
2010-11
2011-12
Nurse Aide I
115,205
121,233
123,822
Geriatric Aide
----
----
72
Medication
Aide
----
----
2525
Home Care
Aide
----
----
37
Nurse Aide II
----
----
18,230
Workforce is Shifting
“As the federal government continues to push for home
care services to keep patients out of more costly care
settings, a new analysis estimates that the country’s
direct-care workers providing hands-on long-term care
will outnumber healthcare facility workers by more
than two-to-one.”
http://www.healthcarefinancenews.com/n
ews/explosion-direct-care-workforce-willcause-industry-change?topic=05,24
National Workforce Data:
 Demand
for in-home and personal care related
services will increase as a result of the:
 Aging population
 Medical and technological advances
 97% of states that responded to survey
reported “very serious or serious” direct care
workforce shortages. (2007 Nat’l Survey of
State Initiatives on the Direct Care Workforce,
2009)
 The economy – also a factor
National Job Growth 2008-2018
Between 2008-2018, occupational categories Home
Health Aides (#2) and Personal and Home Care Aides
(#4), are among the fastest growing occupations
nationally.
 Projected job growth for Home Health Aides and
Personal and Home Care Aides - approximately 1.7
million in 2008 to more than 2.5 million in 2018
 Job Category: Nurse Aides, Orderlies, and Attendants
ranked #9 for largest projected growth with an expected
increase of 276,000 workers (18.7% increase) from
2008-2018

(US Bureau of Labor Statistics, November 2009 Monthly Labor
Review)
The Need in North Carolina (State Agency
Service Plan 2007-11)
By 2030, 75 of NC’s 100
counties will have more
people age 60 and over
than those age 17 and
younger.
 Population increase for
persons age 65+ will
grow to 2.25 million in
2030.


Population increase for
persons age 85+ will
grown from about
135,000 in 2010 to
250,000 in 2030.
DHSR Nurse Aide Curriculum
Revisions
The curriculum used by most community
colleges and proprietary schools has
been revised and will be rolled out to
programs this fall.
 DHSR will communicate changes to
Agnes and high school instructors will
follow her instructions. As always, high
schools follow DPI course content for
Nurse Aide.

A Collaboration of the Following
Organizations
North Carolina Personal & Home Care
Aide State Training Grant (PHCAST)
Federal Grant from US DHHS Health Resources
and Services Administration (HRSA)
 NC 1 of 6 states selected

--3 year grant- Year 3 contingent upon fund availability
and satisfactory progress

Develop, pilot, evaluate, and implement a 4phase comprehensive training and competency
program for direct care workers
--Training and competency will focus primarily on direct
care workers in home and residential care settings
--Training will be delivered through community colleges
(CC) and high school (HS) allied health programs
PHCAST Components
Phase I-Job
readiness, Literacy/Numeracy, keyboarding and
realistic job previewing skills
Phase II-Non-nurse aide personal care task and soft skills
development
Phase III-Enhanced Nurse aide I curriculum
Phase IV-Advanced Nurse aide I clinical skills- Home Care
Nurse Aide Specialty *- the focus is on the home environment.
This phase will also includes Geriatric aide* and/or
Medication aide career path options for nurse aides in NC.
* - These courses are called Public Health Fundamentals (in
the high schools) and Fundamentals of Gerontology
Public Health Fundamentals

High Schools may offer the Home Care Aide (PHF)
course to high school students. Course will undergo
some revisions to better accommodate the learning
needs of the high school student.
--No required clinical
--Can accommodate more than 10 students
 Fundamentals of Gerontology – can be also taught in
high school
High School Pilots - PHF
 Fall and Spring 2011-12 (Career Academy, Kim
Rogers)
 Spring 2012 (CD Owen, Sharon Verdu)
 Fall 2012 (West Craven, Donna Stortz)
“NEW” - Home Care Aide Registry
To be listed on the NC Home Care Aide
Registry, an individual must:
 Have a current listing as a Nurse Aide I
 Complete the state-approved Home
Care Aide or Public Health
Fundamentals course
Congratulations!! History in the
Making!
The very FIRST Home Care Aide listed
on the NC Nurse Aide Registry in
January 2012. This very first Home Care
Aide was a high school student
from Career Academy and Technical
School.
 We currently have Home Care Aide
listings from both the Career Academy
and CD Owen.

NNAAP Skill Changes
The current candidate handbook is
dated June 2011.
 Changes in skills will be announced in
the future.
 NC is involved with the National Council
for State Boards of Nursing regarding
these changes.

Special Needs Students/ADA

NNAAP candidates may request ADA
accommodations with proper
documentation.
 Accommodations should be similar to
those used in the classroom.
 Skills will not be modified, but may be
accommodations may be made.
 Do not assume! Early communication with
NACES is critical and help facilitate a
positive experience for the
student/candidate.
ADA Accommodations
Accommodations Request Form:
Accompanied by supporting documentation from a
qualified professional who diagnosed your
condition.
Supporting documentation
-
School records that show participation in special education
services
» Individualized Education Plans (IEPs)
-
Transcripts from middle school or high school
Other records that show a history of academic difficulties due
to your disability
Pearson VUE Confidential. Do Not Distribute.
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19
ADA Accommodations Criteria
1. Follow documentation currency guideline as noted below:
» Learning and Cognitive Disabilities < 5 years
» Attention-Deficit/Hyperactivity Disorder < 3 years
» Emotional/Psych/Psychiatric Disorder < 1 year
» Physical/Chronic Health Disability < 1 year
2. Include results from any diagnostic tests that were administered
3. Document the history of your condition and your past use of testing
accommodations
4. Include a clear diagnosis
5. Include evidence that you are substantially limited in a major life
activity, such as learning, seeing, hearing, or reading
6. Provide information on current functional limitations that are likely to
affect your ability to take the tests under standard conditions
7. Provide a specific rationale for each requested accommodation
8. Be printed on the evaluator’s letterhead
9. Be signed by the professional
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20
North Carolina Nurse Aide skills above national
average
95%
93%
92%
91%
90%
88%
84%
84%
82%
Donning and removing PPE (gown and gloves)
Feeds client who cannot feed self
NATIONAL
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HIGH SCHOOL
Measures & records Blood Pressure
STATE
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21
North Carolina Nurse Aide skills below national
average
95%
93%
88%
90%
88%
87%
81%
86%
83%
82%
83%
82%
79%
79%
82%
78%
77%
73%
Cleans upper or lower
denture
Dresses client with
Measures and records
affected (weak) right arm
urinary output
NATIONAL
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Provides catheter care
HIGH SCHOOL
Provides mouth care
Provides perineal care
(Peri-Care) for female
STATE"
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22
North Carolina Nurse Aide skills pass rates 2011
National
High School
State
Washes Hands
99%
98%
98%
Applies one knee-high elastic stocking
95%
91%
92%
Assists to ambulate using transfer belt
95%
91%
93%
Assists client with use of bedpan
86%
84%
82%
Cleans upper or lower denture
95%
88%
93%
Counts and records radial pulse
84%
84%
81%
Counts and records respirations
92%
90%
89%
Donning and removing PPE (gown and gloves)
93%
95%
92%
Dresses client with affected (weak) right arm
88%
81%
82%
Feeds client who cannot feed self
90%
91%
84%
Gives modifies bed bath (face, one arm, hand &
underarm)
86%
86%
82%
Makes an occupied bed
96%
96%
96%
Pass Rates by Skill
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23
North Carolina Nurse Aide skills pass rates – 2011
continued
National
High School
State
Measures & records Blood Pressure
84%
88%
82%
Measures and records urinary output
87%
79%
83%
Measures and records weight of ambulatory client
91%
88%
87%
Performs passive range of motion (ROM) for one
knee & ankle
97%
94%
94%
Performs passive range of motion (ROM) for one
shoulder
95%
94%
92%
Positions on side
95%
91%
92%
Provides catheter care
83%
79%
78%
Provides fingernail care on one hand
93%
91%
91%
Provides foot care on one foot
92%
90%
89%
Provides mouth care
90%
82%
86%
Provides perineal care (Peri-Care) for female
82%
73%
77%
Transfers from bed to wheelchair using transfer belt
94%
93%
91%
Overall Pass Rate
79%
73%
73%
Pass Rates by Skill
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24
North Carolina Nurse Aide application submission (HS)
38%
70%
0%
82%
62%
3%
27%
16%
2%
July -Dec 2010
2011
PAPER
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VOUCHER
Jan -June 2012
PORTAL
Copyright © 2012 Pearson Education, Inc. or its affiliate(s). All rights reserved. 800 837 8969.
25
North Carolina Nurse Aide High School site
statistics
2011
2012
INF pass %
81%
81%
RTS pass %
65%
64%
Testing % (INF)
52%
62%
# INF sites
66
63
# approved HS
222
226
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26

In-Facility Registration Process
Frequently encountered issues
Candidates MUST register a minimum of 12 business days prior
to the test date, otherwise they will be scheduled at a Regional
Examination
 Candidates register online before NACES receives
an INF approved list, resulting in candidates
being scheduled at a Regional Examination
 Training Programs must email only one final list of approved
candidates no later than 12 business days prior to the exam date
and before candidates start registering online.
 Candidates who register before the list is received by NACES
will be scheduled at a Regional Examination
 Candidates who are not on the list will be scheduled at a
Regional Examination
 Candidates who are on the In-Facility list but request to test
at a Regional Test Site will be scheduled at a Regional
Examination and will not be allowed to reschedule into the
INF test date
 Training Programs are only able to remove candidates
from the original INF list but not add additional names to it

Candidates’ full names must be sent and spelled correctly on the
submitted list to ensure they are properly and accurately
scheduled
 Incomplete INF approved lists are sent.
 Candidates who are not on the list
request to test at INF
 Training Programs trying to add candidates after
original list is submitted to NACES
 NACES will not accept a second or
updated approved list
 Candidates who are not on the original
approved list will be scheduled at a
Regional Examination
 Candidates names on the approved list are
misspelled or incorrect (e.i. listed with nick
names, married or maiden name)
 If candidates cannot be properly identified,
they may not be scheduled for INF testing
and sent to a Regional Test Site
All INF approved lists should be directed to Cheryl Anderson at
[email protected]
Identification Requirements
Acceptable Identifications
Candidates are required to bring two (2) forms of current, not expired,
official signature-bearing identification to the test site
 One MUST be an original U.S. government-issued Social
Security Card, signed and non-laminated
 U.S Military I.D. can be used in lieu of SS card (if
not used as photo ID) if candidate is enlisted in
the Armed Services. Must have SSN and signature
on it
 Sponsor or Dependent Military I.D. are NOT
acceptable

Second must be an official original signature-bearing
photo identification
 Driver’s license
 If DL is expired, candidate must present the
20 day temporary permit AND their expired
license
 U.S. Government-issued Military I.D. (if not used in
lieu of Social Security Card)
 State-issued identification card
 Passport (U.S or foreign, non-expired)
 Alien Registration card
 Student I.D. (HS or College)
(Nurse Aide Testing Grievance Process
Page 44 of the NC Nurse Aide I Candidate Handbook)
 Grievance received
 Investigation conducted by PD/APD


Nature of Complaint
Where


Site problem?
Who
Incident Report received?
 Evaluator pass/fail statistics



Candidate Score Report/Measurement Sheet
Conduct candidate Surveys as indicated
 Official and Final written response to candidate within 30 days of grievance
receipt date
One Last Point to Consider
Nurse aides must obtain at least 8 hours of
qualified work experience prior to the end of
their first 24 months on the Registry (and from
that time on). Students who test as young
juniors may not be able to obtain this
experience prior in time to renew their listing.
Please make students/parents/administrators
aware of this requirement.
For more information, please visit our
website at www.ncnar.org.
Questions?
Thank you for continuing to offer the
credentialing courses to your
students!