NDAC 33-03-10.1-18 — Home Health Aide Training and Competency Evaluation

What this rule requires your agency to do

• 1The agency must maintain sufficient documentation demonstrating the aide training requirements are met (subsection 1, subdiv c).(NDAC 33-03-10.1-18 — Home Health Aide Training and Competency Evaluation)
• 2An aide with an unsatisfactory rating in more than one required area has not passed; an aide may not perform any unsatisfactorily-evaluated task except under direct supervision of a licensed nurse until retrained and re-evaluated satisfactorily, and the agency must maintain documentation of competency evaluation for each aide (subsection 2, subdivs c-d).(NDAC 33-03-10.1-18 — Home Health Aide Training and Competency Evaluation)
• 3Agencies with state or federal enforcement action (other than citation of deficiencies) filed against them in the past two years are not eligible to operate a home health aide training program (subsection 1, subdiv d).(NDAC 33-03-10.1-18 — Home Health Aide Training and Competency Evaluation)
• 4An individual may provide aide services only after successfully completing a competency evaluation conducted by an RN addressing each curriculum item, with specified items (3, 10, 11, 12) completed by direct observation with a patient or live individual (subsection 2, subdivs a-b).(NDAC 33-03-10.1-18 — Home Health Aide Training and Competency Evaluation)
• 5The training program must at minimum include the fourteen enumerated curriculum topics (communication, observation/reporting/documentation, vital signs, infection control, body functioning, safe environment, emergencies, patient needs, patient rights, personal hygiene/grooming, safe transfer/ambulation, range of motion/positioning, nutrition/fluids) (subsection 1, subdiv b).(NDAC 33-03-10.1-18 — Home Health Aide Training and Competency Evaluation)
• 6The training program must total at least seventy-five clock hours, with at least sixteen hours of classroom training prior to supervised practical training, and at least sixteen hours devoted to supervised practical training (subsection 1).(NDAC 33-03-10.1-18 — Home Health Aide Training and Competency Evaluation)
• 7Training, including supervised practical training, must be performed under the general supervision of an RN with at least two years of nursing experience, at least one year of which is in home health care services (subsection 1, subdiv a).(NDAC 33-03-10.1-18 — Home Health Aide Training and Competency Evaluation)
• 8Any individual employed to provide home health aide services (directly or by contract) must complete a nurse aide training and competency evaluation program or a competency evaluation program meeting this section (33-03-10.1-18 intro).(NDAC 33-03-10.1-18 — Home Health Aide Training and Competency Evaluation)