F tag on CNA inservice

debRN0417 · Sep 8, 2011

F497 Regulation and Interpretive Guidance ( other info at bottom which may not apply to you but added just as additional info)

The facility must complete a performance review of every nurse aide at least once every 12 months, and must provide regular in-service education based on the outcome of these reviews. The in-service training must be sufficient to ensure the continuing competence of nurse aides, but must be no less than 12 hours per year; address areas of weakness as determined in nurse aides' performance reviews and may address the special needs of residents as determined by the facility staff; and for nurse aides providing services to individuals with cognitive impairments, also address the care of the cognitively impaired.

The adequacy of the in-service education program is measured not only by documentation of hours of completed in-service education, but also by demonstrated competencies of nurse aide staff in consistently applying the interventions necessary to meet residents' needs.

If there has been deficient care practices identified during Phase 1 of the survey, review as appropriate training received by nurse aides in that corresponding subject area. For example, if the facility has deficiencies in infection control, review the infection control unit in the facility's inservice nurse aide training program.

Each nurse aide must have no less than twelve hours of in-service education per year. Calculate the date by which a nurse aide must receive annual in-service education by the employment date rather than the calendar year. Section 6121 of the Patient Protection and Affordable Care Act (PPACA) of 2010, amending Sections 1819(f)(2)(A)(i)(I)) and 1919(f)(2)(A)(i)(I) of the Social Security Act, clarifies that nurse aide training includes initial and annual dementia management and patient abuse prevention training for all nurse aides.

Probes:

During an extended or partial extended survey, or during any survey in which nurse aide performance is questioned. (See 483.75(f).)

o Does the facility review the performance of its nurse aides?

o How has in-service education addressed areas of weakness identified in performance reviews, special resident needs, and needs of residents with cognitive impairments?

o How has in-service education addressed quality of care problems including those of special care needs and resident rights?

This is from the state licensure regulations from my state which probably doesnt apply in your state, however, look it up because it could possibly have some of the same things...

B. All resident care staff shall receive annual inservice training commensurate with their function or job-specific responsibilities in at least the following:

1. Special needs of residents as determined by the facility staff;

2. Prevention and control of infections;

3. Fire prevention or control and emergency preparedness;

4. Safety and accident prevention;

5. Restraint use, including alternatives to physical and chemical restraints;

6. Confidentiality of resident information;

7. Understanding the needs of the aged and disabled;

8. Resident rights, including personal rights, property rights and the protection of privacy, and procedures for handling complaints;

9. Care of the cognitively impaired;

10. Basic principles of cardiopulmonary resuscitation for licensed nursing staff and the Heimlich maneuver for nurse aides; and

11. Prevention and treatment of pressure sores.

C. The nursing facility shall have an ongoing training program that is planned and conducted for the development and improvement of skills of all personnel.

D. The nursing facility shall maintain written records indicating the content of and attendance at each orientation and inservice training program.

pixie120 · Sep 11, 2011

Have state inspectors in the building and are going to cite for our CNA inservice training. We provide a minimum of 12 hours of inservice every year but this year we are being cited because not all 12 hours aretient care related. Per surveyors cannot count HIPAA, Hazard Comm, TB, how to do ADL coding, workplace violence, advance directives, or training on our elopement policy as part of the 12 hours. I can't find anything like this in the regs and was wondering if someone out has heard of this before. Thanks.

I would wait for the 2567 and see what they use to quote as this is true, in this state, it's also a state reg, so often times that is where we see the particulars. (I would IDR also, that should be an interesting fight, aren't all of those that you mentioned patient related? ADL coding helps drive the careplan, MDS that pays the building that hires the CNA's and gets better patient care. HIPAA protects all the residents, TB is nationally CDC/Health related.....