Everything Nurse Aide – 2012 Update

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

2. Topics of Interest • 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

3. High School Stats in NC

4. Nurse Aide Stats in NC

5. 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/news/explosion-direct-care-workforce-will-cause-industry-change?topic=05,24

6. 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

7. 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)

8. 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. The Need in North Carolina (State Agency Service Plan 2007-11) • Population increase for persons age 85+ will grown from about 135,000 in 2010 to 250,000 in 2030.

9. 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.

10. A Collaboration of the Following Organizations

11. 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 4-phase 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

12. 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 CareNurse 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

14. 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)

15. “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

16. 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.

17. 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.

18. 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.

19. 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

20. 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 Include results from any diagnostic tests that were administered Document the history of your condition and your past use of testing accommodations Include a clear diagnosis Include evidence that you are substantially limited in a major life activity, such as learning, seeing, hearing, or reading Provide information on current functional limitations that are likely to affect your ability to take the tests under standard conditions Provide a specific rationale for each requested accommodation Be printed on the evaluator’s letterhead Be signed by the professional ADA Accommodations Criteria

21. North Carolina Nurse Aide skills above national average

22. North Carolina Nurse Aide skills below national average

23. North Carolina Nurse Aide skills pass rates - 2011

24. North Carolina Nurse Aide skills pass rates – 2011 continued

25. North Carolina Nurse Aide application submission (HS)

26. North Carolina Nurse Aide High School site statistics

27. In-Facility Testing Process All INF approved lists should be directed to Cheryl Anderson at canderson@texasnurses.org

28. Proper Identification

29. Grievance Review Process (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

30. 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.

31. Questions? Thank you for continuing to offer the credentialing courses to your students!