The board proposes the rule promulgation to create a new rule to incorporate the requirment of Standards for In-Service Training for Certified Nursing Assistants in Florida.

Board of Nursing

RULE NO.:RULE TITLE:

64B9-15.012Standards for In-Service Training for Certified Nursing Assistants

PURPOSE AND EFFECT: The board proposes the rule promulgation to create a new rule to incorporate the requirement of Standards for In-Service Training for Certified Nursing Assistants in Florida.

SUMMARY: The proposed new rule is necessary to set-forth the requirements of Standards for In-Service Training for Certified Nursing Assistants.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION:

The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the agency.

The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: During discussion of the economic impact of this rule at its Board meeting, the Board, based upon the expertise and experience of its members, determined that a Statement of Estimated Regulatory Costs (SERC) was not necessary and that the rule will not require ratification by the Legislature. No person or interested party submitted additional information regarding the economic impact at that time.

Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

RULEMAKING AUTHORITY: 464.202, 464.203(7) FS.

LAW IMPLEMENTED: 464.203(7), 464.0285 FS.

IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN THE FAR.

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Joe R. Baker, Jr., Executive Director, Board of Nursing, 4052 Bald Cypress Way, Bin #C02, Tallahassee, Florida 32399

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

64B9-15.012 Standards for In-Service Training for Certified Nursing Assistants.

(1) Provider Qualifications. In-Service Training Providers shall:

(a) Be one of the following:

1. A facility licensed by the Agency for Healthcare Administration;

2. An approved provider; or

3. A Certified Nurse Assistant association, as recognized by the Board.

(b) Present evidence, satisfactory to the Board, if requested, that all offerings meet the Standards for In-Service Training as set forth in these rules.

(c) Notify the Board of change of contact person and any significant alterations or changes which may affect the maintenance of standards within 30 days.

(d) Determine whether or not partial credit is appropriate for participants failing to complete the total number of hours for which a specific offering is planned and approved. Determine criteria for “successful completion” of course and make this information available to participants prior to offering.

(2) Learner Objectives. Objectives shall describe expected learner outcomes in behavioral terms, can be evaluated, are attainable, and are relevant to current nursing practice. Objectives shall determine the content, teaching methodology and plan for evaluation.

(3) Subject Matter. The Content shall be specifically designed to meet the objectives and the stated level and learning needs of the participants. The content shall be planned in logical order and reflect input from experts in the subject matter. Appropriate subject matter for In-Service training offering shall reflect the professional educational needs for the learner in order to meet the health care needs of the consumer and consist of content from one or more of the following:

(a) Bloodborne Pathogens, Infection Control;

(b) Domestic Violence;

(c) Medical Record Documentation and Legal Aspects Appropriate to Nursing Assistants;

(d) Resident Rights;

(e) Communication with Cognitively Impaired Clients;

(f) CPR Skills; and

(g) Medical Error Prevention and Safety.

(4) Faculty Qualifications. The faculty shall provide evidence of academic preparation and/or experience in the subject matter. Evidence concerning faculty qualifications shall be presented to the Board upon request.

(5) Materials and Methods. Evidence satisfactory to the Board shall be presented that:

(a) Learning experiences and teaching methods are appropriate to achieve the objectives.

(b) Time allotted for each activity shall be sufficient for the learner to meet the objectives.

(c) Principles of adult education are utilized in determining teaching strategies and learning activities.

(6) Evaluation. Evidence satisfactory to the Board shall be presented that participants are given an opportunity to evaluate learning experiences, instructional methods, facilities and resources used for the offering. The evaluation must include a minimum of 10 questions. The learner must achieve a minimum score of 70% on the evaluation to receive the contact hours. The evaluation must be graded by the provider.

(7) Contact Hour Criteria.

(a) All offerings shall be at least 60 minutes in length or one (1) contact hour.

(b) Increments of 30 minutes will be accepted when the offering extends beyond the one (1) contact hour.

(c) Contact hours shall be awarded for clinical as well as classroom education.

(8) Standards for In-Service training Providers. Providers seeking Board approval shall meet each of the Standards outlined herein:

(a) All educational offerings conducted by the provider shall meet the Standards for In-Service training offerings as outlined in these rules.

(b) Providers shall adhere to guidelines as established by the Board.

(c) There shall be a designated person assuming responsibility for In-Service training offerings for certified nursing assistants. If the contact person is not a nurse, provision should be made for insuring nursing input in overall program planning and evaluation.

(d) Target audience will be identified for each offering.

(e) Currency and accuracy of subject matter will be documented by references/bibliography.

(f) Program shall have stated, long term, coordinated plan for providing In-Service training offerings based on data related to specific characteristics of its learner population including learner needs and methods of assessing these needs. There shall be a tangible plan for ongoing evaluation of the program content, faculty, learning process and evaluation tools. Evaluation data will be analyzed and the conclusions utilized in program planning, design, and continuity.

(g) Providers shall establish written policies and procedures for implementation of the In-Service training program.

(h) Providers shall maintain a system of record-keeping which provides for storage of individual offering information.

(i) Records of individual offerings shall be maintained for four years for inspection by the Board.

(j) Providers shall furnish each participant with an authenticated individual Certificate of Attendance.

(k) Providers shall maintain security of attendance records and certificates.

(9) Provider approval shall be subject to periodic review and may be withdrawn if the Board determines that adherence to the Standards outlined herein is not maintained, or if information submitted to the Board by the provider is found to be a material misrepresentation of fact.

(10) The Board may utilize a representative, expert groups, or individuals as appropriate in implementing these rules.

Rulemaking Authority 464.202, 464.203(7), 464.0285 FS. Law Implemented 464.203(7), 464.0285 FS. History–New________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Board of Nursing

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Board of Nursing

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: April 4, 2013

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: May 17, 2013