Nurse Aide Training and Competency Evaluation Programs (NATP or NATCEP)
The LDH-HSS (Health Standards Section) reviews and approves or disapproves nurse aide training and competency evaluation programs for the state of Louisiana.
Any person or entity that wants to offer a NATP/NATCEP must receive approval from the LDH-HSS.
The Nurse Aide Training Application, along with the information detailed below, are required for approval of an NATP/NATCEP.
What you need to know about the application process:
- Incomplete applications will be returned, and will delay approval of your program
- If the application contains errors or discrepancies, you will be notified and given an opportunity to make corrections. This will delay approval of your program
- Allow at least 20 days from the date you mail your application before inquiring about the status
- Proprietary schools must obtain approval from the Board of Regents prior to conducting nurse aide training. Please review the license application and fee process prior to submission of NAT application to LDH
- Nursing facilities that have been subject to one or more of the following actions in the previous 2 years are not eligible to provide nurse aide training, and may not serve as a clinical training site for other programs
- Waiver for nursing services;
- Extended or partially extended survey;
- Assessed civil money penalty greater than $10,483;
- Denial of payment for new Medicare/Medicaid admissions;
- Termination from Medicare/Medicaid;
- Operated under trustee appointment for resident safety; and/or
- Closure of facility or transfer of residents due to state action.
A Nurse Aide Training Program must include:
- 40 hours of classroom training
- the time devoted to lab (skills) training is considered classroom instruction
- must have at least 16 hours
- must denote lab/skills time in curriculum;
- 4 hours of orientation to the clinical training site (not included in program hours); and
- 40 hours of clinical training (hands-on resident care in a nursing home or skilled nursing facility)
Programs approved after 6/20/12 must use one of 2 approved textbooks:
- How to Be a Nurse Assistant, 4th (or subsequent) edition, by American Health Care Association
- Successful Nursing Assistant Care, 2nd (or subsequent) edition, by Hartman Publishing*
*Please note: subsequent editions are titled Nursing Assisting: A Foundation in Caregiving
A proposed curriculum must be submitted with the application. The prospective NATP may develop a curriculum (based upon the minimum requirements), or may use the curriculum provided by the LDH. The curriculum submitted with the application must include the time allotted for each unit/subject, the time allotted to lab instruction, and should be consistent with the program hours submitted on the application.
Per the CFR 483.152 (a) and (b), the curriculum must include:
- At least 16 hours of in the following areas prior to any direct contact with a resident:
- communication and interpersonal skills
- infection control
- safety/emergency procedures, including the Heimlich maneuver
- promoting residents’ independence
- respecting residents’ rights
- At least 16 hours of supervised practical training (lab/skills training)
- Basic nursing skills
- Personal care skills
- Mental health and social service needs
- Care of cognitively impaired residents
- Basic restorative services
- Residents’ rights
For non-facility based programs, a valid clinical contract (copy) must be submitted for each clinical site to be used. The clinical contract shall:
- Indicate the agreement is for the purpose of nurse aide training
- Indicate the beginning and end date of the contract
- Include printed name and title of individuals entering into agreement
- Include date and signature of individuals entering into agreement
- If the signature page is separate, the name of the entities must be included
Policy and Procedure:
The program’s policies/procedures shall be submitted with the application. The following are the minimum areas that must be addressed for approval. However, please be aware that the program is responsible for meeting all requirements noted in the federal and/or state regulations.
Admission requirements shall include:
- right to review (non-facility based programs); criminal background check (facility-based programs)
- national sex offender public registry check (nsopw.gov)
- CNA registry check
- DSW registry check
- Attendance policy (including make-up work/time, absences allowed, etc.)
- Grading scale
- Skills performance checklist
- Competency exam (at least 70% required to pass, unsuccessful completion, etc.) See LAC 10019, 10021 and CFR 154
- written/oral portion
- skills portion [minimum of 5 randomly selected tasks, drawn from a pool that includes all of the personal care skills listed in CFR152 (b)(3)]
- facility based programs to use tester approved by the LDH
Program Coordinators and Instructors:
Each NATP must have an RN Coordinator, responsible for the general supervision of program. Coordinators may serve as instructors (except DON). Instructors may be RN’s or LPN’s.
- In facility-based programs, the DON may serve as RN Coordinator, but is prohibited from performing actual training.
- May not serve as RN Coordinator for more than 2 programs simultaneously
- Shall be on premises where program is conducted at least 50% of the duration of the program
- Registered nurse with current, unencumbered license;
- Minimum of 2 years nursing experience, including at least 1 year in the provision of long term care facility services; and
- One of the following: VTIE, CTTIE, “train the trainer,” or master’s degree or above.
- Registered or Practical nurse with current, unencumbered license;
- Minimum of 2 years’ experience in the provision of long term care facility services; and
- one of the following: VTIE, CTTIE, “train the trainer,” or master’s degree or above.
Equipment List: Provide a list of all equipment to be used for training, including audio-visual, resident care simulation supplies, etc.
- Approval to provide nurse aide training is granted specifically for the provider who submitted the application. There is no provision for subcontracting the training program.
- Non-facility based programs will be surveyed within one (1) year of initial approval, then every two (years) after.
- Facility-based programs will be surveyed during the annual survey.
- If an approved program ceases to provide nurse aide training for a two (2) year period, the program shall be closed.
- Train the trainer classes are provided by instructors approved by the LDH only. You must contact an approved instructor to schedule a class.
- The competency evaluation for facility-based programs cannot be administered or scored by facility personnel. The facility shall arrange testing by an approved entity.
- Trainees of facility-based programs must complete training and test within 60 days of hire.
- Trainees of non-facility based programs shall take the competency evaluation within 30 days of completion of training. The program must report to the LA Nurse Aide Registry within 30 days all trainees who have successfully passed the competency examination. Certification cannot be withheld due to non-payment of tuition.
- NATCEP’s shall notify trainees of their responsibility to notify the Registry, either written or via LARS, of any changes in contact information (name, address, phone, email). Trainees shall also be provided the website of the LA Nurse Aide Registry, as the answers to most questions can be found there. The address is http://www.ldh.la.gov/index.cfm/page/2257.