NATCEP Curriculum Enhancement Strategies & Compliance Updates

1. Nurse Aide Training and Competency Evaluation Program (NATCEP) Updates Strategies: Excellence for Health Care Providers November 1, 2018

2. NATCEP Updates Objectives • Review teaching considerations in meeting the needs of learner experiences • Identify NATCEP curriculum enhancements that supports compliance with Federal regulations - Omnibus Budget Reconciliation Act (OBRA) and PA Act 14 • Review Act 14 regulations and its impact on a NATCEP curriculum in PA

3. NATCEP Updates 2018 NATCEP Model Curriculum Revision Summary • Enhancement of abuse education in the identification, prevention, and reporting of abuse, neglect, exploitation, reduction of physical and chemical restraints, integration of strategies that assist with stress management, conflict reduction and responsiveness of the nurse aide when abuse is initiated by the resident.

4. NATCEP Updates 2018 NATCEP Model Curriculum – Revision Summary • Eliminated the objective “applies a non-sterile dressing, such as a band-aid”. • Assimilated two objectives in Identify and Report Conditions of the Body Systems • Reduced instructional time for Identify and Report Conditions of the Body Systems and increased instructional time for Role and Function.

5. NATCEP Updates 2018 Model Curriculum – Program Consideration Benner’s Framework for Program Planning • Novice • Advanced Beginner • Competent • Proficient • Expert

6. NATCEP Updates Question Active engagement is essential for learning? True – A False – B

7. NATCEP Updates Question? Underlining or highlighting text is an effective study strategy. Agree – stay seated Disagree – stand

8. NATCEP Updates Engagement through questions • Self study – flash cards • Instructional text with periodic assessment and feedback • Practice test or restudy • Unit exam and final exam

9. NATCEP Updates Engagement in learning through • Scenario-based learning • Procedure evaluation checklist • Clinical evaluation

10. NATCEP Updates Scenario While getting supplies from the supply closet, a nursing assistant sees another nursing assistant handle a resident roughly during a transfer. Which of the following actions is the nursing assistant legally required to take?

11. NATCEP Updates • The nursing assistant should confront the other NA about the abuse after she leaves the resident’s room. • The nursing assistant should contact the Residents’ Council. • The nursing assistant should report the abuse immediately to the nurse. • The nursing assistant should comfort the resident about what has happened after the other NA leaves the room.

12. NATCEP Updates Engagement in learning through • Scenario-based learning • Procedure evaluation checklist • Clinical evaluation tool

13. NATCEP Updates Procedure evaluation checklist • Applies an incontinence brief (2.4.26) • what do the students know about the urinary system • what do the students know about hydration • what are the students perceptions about incontinence briefs

14. NATCEP Updates Procedure evaluation checklist • Applies an incontinence brief (2.4.26) - video - instructor demonstration without reference to the procedure evaluation checklist - hand the student a evaluation checklist - instructor demonstration as each step is read students refer to the procedure evaluation checklist

15. NATCEP Updates Evidence-based training methods when using a procedure evaluation checklist • The power of feedback • Evidence of learning Self-study booklet - NATCEP provides evidence that procedure evaluation checklists are used by students

16. NATCEP Updates Engagement in learning through • Scenario-based learning • Procedure evaluation checklist • Clinical evaluation

17. NATCEP Updates Self-study booklet Class records • Evidence that procedure evaluation checklists are used to teach skills Student records • Act 14 a graded exam to assess students understanding of Act 13 and Act 14 • Copy of reimbursement letter or sponsor invoice

18. NATCEP Updates PA Criminal History Record Information (CHRI) report • processed prior to the start of class • original or copy of original • exhibits the state seal • signed and dated • reviewed for prohibitive offenses • volunteer background clearance is NOT acceptable for enrollment in a NATCEP

19. NATCEP Updates CHRI determinations • § 701.13. Nonacceptance of certain applicants. The facility and its designated representative may not enroll a nurse aide applicant whose CHRI report indicates the applicant has been convicted of any of the prohibitive offenses. • Consult your solicitor for advise. In compliance with PA Act 14, PDE is not permitted to review a CHRI to determine enrollment in a NATCEP.

20. NATCEP Updates Effective January 1, 2019 • FBI report evaluation for enrollment eligibility • Quarterly compliance review selection process Due December 20, 2018 • FINAL OPPORTUNITY for RN/PN students to submit Application for Eligibility to Take the Nurse Aide Examination

21. NATCEP Updates The Nurse Aide Resident Abuse Prevention Act of June 9, 1997, P.L. 169, No. 14 Curriculum must provide specific training regarding • Abuse, exploitation, neglect 2. Improper use of chemical and physical restraints 3. Responsiveness to abusive behavior directed toward the nurse aide by residents

22. NATCEP Updates • What curriculum elements satisfy the specific training required for nurse aides? • What methods and techniques to further prevent resident abuse from actually occurring can a training program provide a nurse aide? • What options and strategies for responsiveness to abusive behavior directed toward nurse aides by residents is included in the curriculum?

23. NATCEP Updates • PA Act 14 NATCEP curriculum documentation • Program calendar • Lesson plans • Copies of instructional source materials • Copies of the graded PA Act 14 written assessment provided to your students

24. NATCEP Updates How to incorporate PA Act 14 instruction - In classroom theory instruction - In laboratory skill practice and instruction - In clinical environment

25. NATCEP Updates Questions?

26. NATCEPUpdates For more information on the NATCEP, please visit PDE’s website at www.education.pa.gov The mission of the Department of Education is to ensure that every learner has access to a world-class education system that academically prepares children and adults to succeed as productive citizens. Further, the Department seeks to establish a culture that is committed to improving opportunities throughout the commonwealth by ensuring that technical support, resources, and optimal learning environments are available for all students, whether children or adults.