CareBridge Academy Administrative Policies1
  • CareBridge Academy Administrative Policies

  • Record retention


    CareBridge will maintain a master copy of the Skills Performance Record and summary of the knowledge that a student is expected to have upon completion of the training program.


    The primary instructor will individually record when a student satisfactorily performs each required task or skill and provide a copy of the student’s performance record to the student. The instructor will document this with the date of completion and place his or her initial in the appropriate box. When a student has satisfactorily completed all required skills and competencies, attained the necessary knowledge, and achieved the stated course completion criteria, the student qualifies to take the state competency test.


    The training program will retain all required records for at least three years, including the student’s:

    1. Grades
    2. Instructor Schedules
    3. Program Evaluations by Students
    4. Course Calendar/Syllabus
    5. Instructor Evaluations by Students
    6. Anecdotal notes concerning Students or Course
    7. Attendance Record
    8. CHRI Report
    9. Verification of Pennsylvania Residency (contact your legal counsel to determine a timeframe beyond three years for the retention of this document)
    10. Attestation of Compliance with Act 14 (contact your legal counsel to determine a timeframe beyond three years for the retention of this document)

    The following must be kept on file ad infinitum:

    1. Pennsylvania Nurse Aide Training Report
    2. Certificate of Completion for each graduate
    3. Copy of Performance Checklist for every student who begins the NATCEP (including those students who withdraw or are dismissed during the program).
  • Grades

    To successfully complete the program, the student must fulfill the following requirements:

    1. Theory—Maintain a 71% or higher on each of the tests and quizzes assigned. A test or quiz grade of less than 71% will have one opportunity to re-test. No resource material will be permitted during each theory test. If a student is absent on the day of a test, they will be required to take the test on the day they return to class. A quiz will be given at the conclusion of each module.

    Grading scale:

    91% - 100% = A

    81% - 90% = B

    71% - 80% = C

    Below 71% = F

    2. Skills Lab—All procedures must be performed at a satisfactory level. A “S” Satisfactory level of achievement is attained if no more than 2 non-critical steps are missed. Each procedure must be satisfactorily demonstrated before it is performed on a resident. Each Procedure will be evaluated as Pass or Fail. Missing more than 2 non-critical steps is “F” fail. Missing a critical step will result in a failure of the procedure.

    3. Clinical—satisfactorily demonstrate a 75% or higher on the Clinical Evaluation Form. If the clinical site staff observes a student performing or behaving unsatisfactorily, the “clinical site” has the right to refuse the student to return to the clinical site.

    To pass the practical (laboratory and clinical) portion of the NATCEP, the individual must be proficient in demonstrating all skills. Proficiency is defined as the ability to perform a skill in a competent and safe manner. Students must be evaluated and deemed proficient in a skill prior to performing that skill in the clinical setting for a resident. Pursuant to the child labor laws issued by the Department of Labor, individuals under 18 years of age cannot operate mechanical lifts/hoists in the long-term care setting. These individuals must have clear identification of their age limitations in their documentation and record. When the students go to clinical, the students who are younger than 18 will observe the other students perform this particular skill(s).

    Skills Performance Record Documentation

    The instructor is responsible for maintaining the Skills Performance Record. A copy may be given to the student, but the instructor is responsible for maintaining the master copy. The instructor completes this document for each student, as directed, and maintains the completed document in the student’s record for a minimum of three years. A completed Skills Performance Record documents proficiency of skills demonstration both in the laboratory and in the clinical settings. The instructor shall keep the master copy updated and current at all times. All skills must be checked off at the time the student demonstrates the task and not at the end of the day.

    Rosters

    There are three types of rosters:

    1. Class roster, often referred to as the initial class roster;

    2. Completion roster; and

    3. Refresher roster.

    All rosters must be typed. Orientation day is considered the first day of class for both the facility-based and the non-facility programs.

    Clinical Requirements In order to successfully complete the classroom requirement, the primary instructor first must document on the skills performance list that the skill was demonstrated and taught in the classroom setting, and that the student performed all skills listed on the Skills Performance Record in a proficient manner, while under the RN’s supervision prior to clinical rotation. Then, in the clinical setting the clinical instructor will allow the student first to practice their skills independently without coming into contact with the residents. Once proficient, students may be issued an assignment and allow them to deliver care to the resident.

    Criminal Background Check Policy

    It is the policy of CareBridge Academy that Criminal Background Checks will be applied for on Nursing Assistant trainees before class inception. The Criminal Background Check will occur in the following manner:

    1. Prospective students/trainees when completing an application will be advised in writing that a CHRI must be obtained in accordance with the state regulations.
    2. During the selection process, the candidates are advised by the program coordinator that a CHRI must be done.
    3. Before enrollment, a CHRI will be completed for respective nurse aide students who have resided in Pennsylvania for at least two years.
    4. In addition, any prospective students who have not resided in the state of Pennsylvania for at least 2 years will have a CHRI from the Federal Bureau of Investigation prior to class starting will have FBI thru cogent system Department of Education.
    5. In accordance with regulations, all CHRI clearances will be obtained prior to applicant beginning nurse aide training.
    6. The administrator /facility representative reviews the returned CHRI forms for no record or criminal record review attached. The administrator/facility representative signs and dates the forms when received. In absence of the administrator, the director of nursing, the facility representative and/or designee will sign and date the forms.
    7. The facility representative is to ensure CHRI reports are obtained via the patch system having the seal embedded on the report.
    8. The CHRI report will be obtained no longer than 1 year prior to enrolling in the nurse aide training program.
    9. The facility representative will assure that the original or copy of the original CHRI is received, signed, dated and kept on file (copy is to be marked copy of original).
    10. The facility will review an employee or enrolled nurse aide applicant's CHRI report indicating that the applicant has been convicted of any of these offenses designated as a felony under the Controlled Substance Drug Devices and Cosmetic Act or the prohibitive offenses in Act 169 of 1996 amended by Act 14 of 1997.
    11. The candidate will be informed in writing if they have been denied in accordance with the state regulations.
    12. Any applicant’s records, which are rendered not hired because of CHRI results, will be kept by the Personnel Department in a locked file cabinet.
    13. The results of all criminal background checks for employees will be maintained in a secured area.
    14. It is the intent of the law that the REPRESENTATIVE and not FACILITY be held responsible for compliance with these policies and procedures

    Policy Development

    This policy establishes the procedure and line of authority through which policies are established and to promote consistency in the development, modification and presentation of school policies and procedures.

    The Program Administrator and Primary Instructor are responsible for the content development and distribution of policies. All school policies fall within a greater hierarchy of laws, statutes and rules. School policies are subject to compliance with laws and regulations instituted by higher governing authorities as follows:

  • All retained records will be kept on site, in a secure, locked, and inaccessible location to unauthorized individuals. The locked cabinet is kept inside the Program Administrator’s private office.


    The program will provide all students who successfully complete the training course with a certificate of completion. The certificate must have the student’s full name, name of the program and program identification number, instructor’s name and title, number of hours completed and the completion date.

    Skills Performance Record


    The training program shall maintain a skills performance record, or a list of competency skills a student must demonstrate.


    The primary instructor shall verify the student has satisfactorily performed each skill by placing his or her initials and date on the skills performance record. Upon the satisfactory completion of all the required skills and competencies in the course completion criteria, the trainee qualifies to enter a competency evaluation program.


    The primary instructor shall provide a copy of the skills performance record to the student at the conclusion of the training.

    Student Absenteeism Student absences shall be monitored by the instructor. At the instructor’s discretion, a student may be given the opportunity to make up missed assignments and clinical rotations. All students must complete the entire 120 approved program hours. This includes all classroom, laboratory, and clinical times.


    In compliance with Regulation Section 483.152 of OBRA and Section 3 of ACT 14, each student must complete a minimum of 16 hours in instruction in the five content areas as listed below before any resident contact by students. Therefore, if a student is tardy or absent on a day when the following content is taught, they may be asked to re-enroll in a future class. The administration will determine if they will be permitted to attend a future class.


    The five content areas are as follows:

    1. Communication and interpersonal skills
    2. Infection control
    3. Safety/emergency procedures, including abdominal thrust
    4. Promotion of resident’s independence
    5. Respecting resident’s rights
  • Students will sign a daily attendance sheet that will serve as a “time card.” The attendance sheet will reflect the number of classroom/lab/clinical hours, class for class, lab for lab, and clinical for clinical time.

    Attendance is mandatory. No absence will be permitted unless it is an extenuating circumstance, such as a death in the family or a court subpoena. A prescriber’s (NP, MD, PA) statement permitting the student to return to class will be required for any excused absences related to a potential contagious disease (e.g. pink eye).

    -Any Absence from class without the Instructor’s authorization will result in immediate termination.

    -The Instructor will provide the method and phone number to contact to report an absence.

    -Attendance is validated by the use of a clock in timesheet the classroom or at the nurse station during clinical. Students should be ready to begin class by “set time” listed in the syllabus. Failure to be in one’s seat, or at the designated site, ready to begin class is considered a tardy.

    -The first offense of tardiness will receive a verbal warning. The second offense will receive a written warning. The third offense will result in termination from class.

    -Absence from class without the Instructor’ authorization will result in immediate termination.

    -Any 100 hours of class, lab, or clinical time that is missed by the student must be made up. Makeup time is to be coordinated with the Instructor and may incur an additional expense to the student.

    If a primary or clinical instructor becomes ill during a session and is unable to continue instruction, another approved NATCEP instructor may substitute and complete the assignment.

    Textbooks

    The use of up‐to‐date textbooks is an important learning resource for students  and it is important that the faculty staff select the most appropriate textbook to meet their students' learning needs. The Textbooks shall be replaced within five (5) years of the publishing date. The course is structured with the use of Mosby's Textbook for Nursing Assistants.

    1. Federal laws and regulations
    2. State laws and administrative rules
    3. Pennsylvania Department of Education
    4. Pennsylvania Department of Health

    Policy Development, Implementation, and Changes/Updates

    The Primary Instructor and Program Administrator maintain all official school policies and make up the “Curriculum Committee.” The policies and procedures in this manual have been approved by CareBridge Academy and the Curriculum Committee. The policy makers will meet annually in the classroom space.

    The Program Administrator will present the data from, but not limited to, the following:

    – Number of classes including the number accepted and the number completed – Number that took and the % passed the Competency Examination

    – Areas of difficulty in the written and skills component using the report from PearsonVUE

    – Grades of completers and Instructors’ evaluations of students

    – Student evaluations of the program

    – Student evaluations of the instructor – Feedback from staff – Department of Health survey of facility as it relates to the NA

    – Department of Education statement of findings and/or updates – Other issues

    The Administrator will meet yearly with the Primary Instructor to review, establish and set goals and assess the strengths and weaknesses of the NATCEP. The Administrator will take and maintain minutes of all NATCEP related meetings.

    Any additions and or revisions are required to be submitted and discussed for review and approval in the curriculum committee. A committee meeting can be held on the recommendation of staff or students as required in consideration of policy development and revision. Staff must follow this same process before the policy and/or procedure is implemented and disseminated to students.

  • Standard:

    OBRA 1987, regulation section § 483.154 states that students must evaluate the training program and the instructor(s).

    Policy:

    All students completing the Nurse Aide Program will fill out an end of program evaluation form on the last day of the training program.

    Procedure:

    The Instructor will hand out the end of the program evaluation form to all students and explain the rating scale and general instructions.

    The Instructor will provide the students with an envelope to provide for anonymity of the completed evaluation forms.

    The instructor and designated staff will review the end of program evaluation forms upon completion of the NATCEP to assess the strengths and areas for improvement in the nurse aide training program.

    The nurse aide training program will retain copies of the end of program evaluation form for review by a representative from the Pennsylvania Department of Education during the on-site compliance review.

  • CareBridge Nurse Aide Training Program

  • Student Nurse Aide Policy Signature Page

    1. Admission
    2. Attendance
    3. Level of Achievement (Theory, Lab, Clinical)
    4. Non-Discrimination
    5. Physical Examination/health condition
    6. Standards of Conduct
    7. Grievance
    8. Tuition/Reimbursement
    9. Refunds
    10. Utilization of trainees
    11. Course and Instructor Evaluation
    12. Medical Assistance Bulletin 99-11-05


    I have read the above policies that are necessary requirements for successful completion of the nurse aide training program

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