What Is Minimum Hours Required By Obra For Annual In Service Education
Certified Nurse Adjutant Annual In-service Didactics
Module 1: Texas Long-term Care Overview
Certified Nurse Aide
Annual In-service Education
Module 1: Texas Long-term Intendance Overview
System Requirements
| | Before outset this course, ensure that your computer meets the post-obit organisation requirements. |
At the finish of this class, you volition need to verify that you've fulfilled the class requirements and obtain a learning certificate.
To admission the course, your internet browser must exist set to allow popular-ups.
Browser Requirements: Microsoft Border, Google Chrome, Firefox or Safari. Do not employ Net Explorer.
Printer: The ability to print hard copies of your learning document.
In-service Education Requirement
Certified Nurse Aides are not required to take the Health and Human Services Commission computer-based training if they are fulfilling the requirement through a nursing facility or another canonical Nurse Aide Training and Competency Evaluation Program (NATCEP).
Click hither to access available trainings in your region.
More details on Texas nurse adjutant rules and requirements are outlined in the Texas Authoritative Code: TAC, Title 26, Affiliate 556: Nurse Aide
Module 1: Texas Long-term Intendance Overview
Welcome to Module 1 of the required annual in-service education for Certified Nurse Aides (CNAs). This six-part CNA series includes required information regarding geriatric intendance and the intendance of residents with a dementia condition, including Alzheimer's disease.
| 1. Texas Long-term Intendance Overview - 2 hours 2. Resident Rights- 2 hours 3. Quality of Resident Intendance- 2 hours 4. Infection and Infection Control - 2 hours five. Dementia and Dementia-related Disorders - 2 hours 6. Resident Treat Dementia-related Atmospheric condition (including Alzheimer'due south Disease) - 2 hours G The Texas Nurse Aide Registry (NAR) renewal process requires all CNAs to complete 24 hours of approved in-service education over a two-yr catamenia. | |
There is no fashion to create a lost certificate of completion without taking or retaking the course. If y'all practise not keep a copy for your records, you will need to repeat this course.
Objectives
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Federal and State organizations
As an employee of a Texas Long-term Care Facility (LTCF), it'due south important to have basic knowledge of how these organizations are connected.
To sympathize why sure policies and procedures are in place, it is helpful to know who creates and implements the rules. Permit'southward review the history backside the regulation of long-term intendance facilities.
The Charabanc Budget Reconciliation Deed
The Omnibus Budget Reconciliation Act (OBRA) of 1987 is a federal law that establishes regulations for nursing facilities and nurse adjutant preparation in facilities.
The intent of OBRA is to ameliorate the quality of life for residents in nursing facilities.
OBRA facility regulations focus on:
- Resident rights, restorative intendance, psychosocial care and preventive intendance to maintain maximum physical and mental health of residents.
- Surveys of facilities for compliance with regulations with penalties for noncompliance.
OBRA nurse aide training regulations state that:
- A facility must ensure that nurse aides complete an approved Nurse Aide Training and Competency Evaluation Program (NATCEP) and be placed on the Nurse Aide Registry within 4 months of their date of rent by the facility; and
- A state mandated exam that includes written and skill-based components is passed with sufficient competency.
In-Service Requirements
Currently, nurse aides renewing certification after September 1, 2013 must complete 24 hours of in-service education every two years.
HHSC does non recertify nurse aides that are listed on the Employee Misconduct Registry (EMR) or accept been bedevilled of a law-breaking listed in Texas Health and Rubber Code, §250.006.
A finding of corruption, neglect or misappropriation of resident property may exist entered into the registry. If a finding is entered, the nurse aide volition not be employable as a nurse adjutant in LTC facilities.
For more detailed information, see Appendix D: Texas Authoritative Code, Championship 26, Office ane, Section 556.9 and Section 556.12 .
Federal Organizations: Centers for Medicare and Medicaid Services (CMS)
| | The CNA rules and requirements are developed by Centers for Medicare and Medicaid Services (CMS) at a federal level. CMS works in partnership with states to create federal and land rules for nursing facilities that employ federal funding sources. CMS too manages the funding program that pays for eligible people to take Nursing Facility care. In addition, CMS oversees the quality standards for long-term care. Those standards define the rules y'all follow while caring for residents daily. For more information on CMS, use this link: www.cms.gov |
State Organizations: Texas Health and Human being Services-Regulatory Services
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Nursing Facility Complaints and Incidents
| | Complaints (received by HHSC) and incidents (reported by nursing facilities) are regularly reported and investigated. A complaint may come up from several dissimilar sources, including just not limited to:
It'south non unusual for a survey team to go far at a facility for a routine survey or complaint investigation and interview a CNA. The team of surveyors or complaint investigators volition be using rules devised by the state and federal government. |
Texas Health and Human Service Regulatory Services Survey
Nurse Aide Training and Competency Evaluation Programs
In addition to daily rules that you lot follow in caring for residents, HHS also oversees Nurse Aide Training and Competency Evaluation Programs (NATCEPs) and maintains the Nurse Adjutant Registry (NAR).
NATCEP is a program designed to train and evaluate an individual'due south ability to perform nurse aide skills for certification.
The NAR is a land listing of active, revoked or unemployable status of nurse aids.
*Information technology'due south important to sympathize that nurse aides get unemployable based on a finding of having committed an human activity of abuse, neglect, or misappropriation of resident property. That data is found in the NAR.
Purpose of Long-term Care Facilities
Long-term care facilities are designed to meet the needs of persons who cannot care for themselves but do not need hospital care.
Long-term care facilities come across the needs of persons who may exist:
- Alarm and oriented
- Confused and disoriented
- Needing complete care
- Geriatric
- Disabled
- Physically
- Mentally
- Requiring skilled nursing care
- Terminally sick needing hospice care
As the U.S. aging population grows, conditions we know as chronic diseases will probably also be on the rise, because they more normally affect older people.
Some residents in long-term care facilities have had major losses of independence due to chronic disease or other ailments. Regardless of how well their condition is managed, their quality of life may endure.
Your role equally a CNA volition straight impact the quality of life of your residents. It is of import to understand why and how your job is a lifeline to these individuals.
Chronic Disease Trends Among Residents
The three nigh common chronic diseases for crumbling Americans are:
- Dementia;
- Arthritis; and
- Obesity.
Chronic Disease: Dementia
| | Dementia is a brain disorder that can result in cognitive impairment. Cerebral impairment is defined as encephalon function that is either impaired or damaged and is not considered to be a normal role of aging. I example of cognitive impairment is Alzheimer's illness, which is a chronic type of dementia. Information technology is the most mutual chronic blazon of cerebral impairment and progresses in severity until death occurs. Currently, there is no known cure for Alzheimer's illness. Dementia disorders are projected to steadily increase, more than doubling by 2050. This could affect 4.iii million to 11.4 million people. |
Chronic Illness: Arthritis
| | Arthritis is characterized by inflammation of the joints. Arthritis-related conditions involve pain and stiffness in and around one or more joints. According to the Centers for Disease Control and Prevention (CDC), there are over 100 joint related conditions categorized under this definition. Some are considered autoimmune bug, such every bit rheumatoid arthritis or psoriatic arthritis, while many are directly related to wear-and-tear associated with crumbling, like osteoarthritis. Arthritis, every bit an aging-related condition, will increase along with the speedily crumbling population. Arthritis may touch activities in general, contributing to increased instances of disabilities. |
Chronic Disease: Obesity
| | According to the Centers for Illness Control and Prevention (CDC), the term obesity is used to characterization a range of weight that is unhealthy in relationship to the height proportions. Height and weight ratios are used to calculate a "body mass index" or BMI, which translates to an individual'south amount (%) of body fat. These elevation to weight ranges also correlate to mutual chronic diseases that are oftentimes associated with being overweight, such as hypertension, high cholesterol and diabetes. |
Needs Common to Residents
Residents who reside in long-term intendance facilities accept many needs that must be met.
These include:
- Concrete needs;
- Psychosocial needs; and
- Privacy.
Your role as a CNA can assistance residents meet these needs.
The basic skills and responsibilities assigned to the CNA working in a nursing facility setting will be reviewed using these primary areas:
- CNA essential job skills
- CNA responsibilities to the resident
- CNA responsibilities to the facility
Essential Job Skills of the CNA
| As a certified nurse aide, your main office is to provide care to residents. You will provide companionship, as well as providing support to activities of daily living. Because of the personal nature of the job, a certified nursing assistant chore description must include people skills and the ability to be compassionate and bask helping others. In nursing or long-term care facilities, a CNA is often a patient'south main caregiver. CNAs report to either registered nurses or licensed practical or licensed vocational nurses. | |
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Foundational Care Role of the CNA-Resident Responsibilities
As mentioned, the Motorbus Budget Reconciliation Deed (OBRA) of 1987 was established to create specific regulations for nursing facilities and nurse aide grooming in facilities.
The intent of OBRA is to meliorate the quality of life for residents living in nursing facilities. OBRA regulations focus on both physical and mental wellness for residents including:
- Resident rights
- Restorative intendance
- Psychosocial care
- Preventive intendance
CNAs serve as the daily "optics" for recognizing and monitoring multi-level health and safe related events.
The CNA's care role is foundational, meaning that the CNA often has the first opportunity to notice a change in a resident due to the frequent contact with a resident on whatsoever given day.
CNA contact with residents is regular and frequent, making the CNA one of the nigh essential roles in the daily care of residents.
Basic, common needs for residents can be grouped into two main areas of fus:
Foundational Care Role of the CNA-Facility Responsibilities
A CNA has the responsibility to review, sympathize and follow the policies and procedures of the nursing facility, the state and the federal government.
As an employee of the nursing facility, the CNA must uphold the highest standards of ethical and professional behavior.
CNA'south are legally and ethically responsible for:
- Reporting actual or suspected abuse, neglect, or misappropriation (stealing and/or fraud) involving resident property.
- Reporting suspected findings to the designated facility contact and providing facts requested for filing reports
- Reporting to the Complaint Hotline at HHSC at (800) 458-9858.
CNA duties that involve the facility may include:
- Protecting the resident records and confidentiality;
- Adhering to professional standards, facility policies and federal, land, and local rules and regulations;
- Completing educational opportunities to improve knowledge and skills
- Documenting required forms, reports, logs, and records; and
- Maintaining required certification.
Many of the areas covered in a standard survey involve areas that overlap CNA job responsibilities. Surveyors may look at whether the room is prophylactic for a resident, whether residents are receiving good intendance with hygiene, or other conditions.
CNAs can strongly touch on the nursing facility'south survey results.
Listed are several common areas of deficiencies that nursing facilities receive:
- The facility did not have a program to keep infection from spreading.
- The facility did non go along accurate and advisable records.
- The facility did not make certain that nurse aides show they accept the skills to be able to treat residents.
Making a Difference
| What habits could you lot develop that will contribute to improving the quality of treat your residents? What contributions volition improve the prophylactic of the environment for everyone, especially your residents? Check your respond hither! | |
Objectives Review
In module 1, we take:
- Recognized federal organizations for long-term care
- Recognized land organizations for long-term care
- Described the role of the CNA in long-term care
The following slide will include a short knowledge check to help y'all demonstrate your understanding of the content provided.
Noesis Bank check
Enter your proper name on the side by side page to generate your Document of Completion for Module 1: Texas Long-term Care Overview.
Course Complete
Yous take successfully completed Module i.
| | Remember to go on your own tape of all six in-service certificates. To verify 2 credit hours for Module 1:
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There is no way to create a lost certificate of completion without taking or retaking the course. If you do not keep a copy for your records, you will need to echo this course.
For issues with the class certificate, ensure that yous have completed the module in Microsoft Edge or Google Chrome, and that you take scored 70% or higher.
For questions regarding rules, please contact the nurse aide registry at NurseAideRegistry@hhsc.state.tx.us
What Is Minimum Hours Required By Obra For Annual In Service Education,
Source: https://apps.hhs.texas.gov/providers/NF/credentialing/cna/module1/CNA_Inservice_Mod1_Texas_long-erm_Overview_print.html
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