Staff Training and Competency: A Growing Challenge

Among the most difficult challenges facing skilled nursing centers today is ensuring that staff are adequately trained to care for their increasingly frail and medically complex residents. While training requirements are included in the initial phase of the final rule, and much more substantially in Phase 3, training and competency are more than a survey compliance issue.

Providing compassionate person-centered care for frail elders, many with severe cognitive and/or physical disabilities, requires staff to be well trained in understanding and addressing a range of resident needs and behaviors. Basic nursing and nurse assistant training provides a necessary starting point, and “caring” goes a long way, but even the most well-intended of us can benefit from training that builds upon knowledge and practice in eldercare.

Training requirements already included in the new regulations and survey relate to abuse and neglect for all staff, in-service training for nurse assistants on dementia management and abuse prevention, care of those with cognitive impairments, and training of feeding assistants. Training in these areas is essential to prepare staff to better understand the needs of those who are most vulnerable and/or difficult for caretakers to understand.

Phase 3 of the final rule will substantially increase the emphasis on training and competency with requirements relating to communication, resident rights, infection control, compliance, and ethics—especially in regard to person-centered care, behavioral health, and Quality Assurance and Performance Improvement. These specific areas are accompanied by the general training requirement that staff are trained to care for all resident needs identified in the facility assessment.

With competency requirements in these areas a year away (Nov. 28, 2019), nursing centers need to begin designing and implementing a systematic training program today. A combination of training methods is encouraged, including in-person instruction, web-based training, and/or supervised practical training.
Due to the steady evolution in resident care needs and treatment, training is required for both new and existing staff.

For nurse assistants, in-service training of at least 12 hours per year is expected to reflect an assessment of their knowledge and skills and how well they know the resident population. To determine the adequacy of in-service training, providers will be required to demonstrate competencies, not just completion of in-service hours.

Many nursing centers will require investment in training specific to the growing frailty and complexity of the long-stay resident population and the higher acuity of post-acute residents. High staff turnover and shortages of nursing staff with the necessary qualifications to take care of today’s elders will continue to be a challenge. Training programs must therefore be ongoing and sustainable so that they continue and evolve as resident needs change and staff capabilities change.

Balancing these training needs with caring for residents is a daunting task. That said, investments in staff training can make caretaking less challenging and more rewarding for staff members. These not only lead to greater staff satisfaction and retention, but the commitment to excellence will not go unnoticed by residents and families.

For a printable version of this article, go to:

http://www.providermagazine.com/archives/2018_Archives/Pages/1218/Staff-Training-and-Competency-A-Growing-Challenge.aspx

 

Gero Nurse Prep is still on sale – but not for much longer.

Save $100 off the regular registration fee now through November 30 by using promo code REALRN18 (all caps).  AHCA/NCAL Gero Nurse Prep provides tremendous value at this AHCA/NCAL member $590 sale price.   That’s less than $20 per contact hour for outstanding nursing education that makes a measurable difference on so many fronts.

Register now and lock in the discount – then take up to 60 days to pay. For details contact us at concne@unmc.edu

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Gero Nurse Prep dramatically increases gerontological nurse competency scores and positions 96% of RNs to pass the ANCC Board certification exam on their first try!

Save $100 per RN when you use the promo code REALRN18 (all caps) at the time of  registration. Offer valid through 11/30/18.

Find out more by going to geronurseprep.com or email your questions to concne@unmc.edu.

 

NCAL’s 2018 Nurse of the Year Credits Gero Nurse Prep for Helping Her Pass the ANCC Board Certification Exam

Amanda Garcia’s eight-year career as an assisted living RN at The Kensington in Fort Madison, Iowa is filled with accomplishments.  She was the first in her county to become a facilitator and instructor for end-of-life care.  She has trained staff at the local hospital and Iowa State Penitentiary in dementia care.  She also received the Distinguished Director of Nursing in Leadership Award from the Iowa Center for Assisted Living, and, The Kensington received the Silver – Achievement in Quality Award through the AHCA/NCAL Quality Award Program.

In between all that, Garcia studied for and passed the American Nurses Credentialing Center (ANCC) board certification exam in gerontological nursing – the gold standard in demonstrating knowledge and expertise in gerontological nursing.  She credits the AHCA/NCAL Gero Nurse Prep on-line training course in preparing her to pass the exam.

“The course is amazing and prepares you very well to take the exam,” Garcia said.  “It was a real confidence booster that I do know what I’m talking about.”  She said that the Gero Nurse Prep course was more intensive than she expected.  “There is so much that is different and more to learn with the geriatric population.”  The Gero Nurse Prep case studies pushed the envelope in using her critical thinking skills, she explained.

For the complete article go to:

http://www.longtermcareleader.com/2018/11/ncals-2018-nurse-of-year-credits-gero.html

Save $100 off each enrollment between now and 11/30/18 by using promo code REALRN18 at time of registration.

For more information go to geronurseprep.com or email concne@unmc.edu

Free Webinar – Improving Clinical Outcomes Through Competent Gerontological Nurses.

Dr. Heidi Keeler, Director, Continuing Nursing Education at the University of Nebraska Medical Center’s College of Nursing, and AHCA/NCAL staff will be presenting a webinar November 8 at 2 p.m. EST discussing the positive impact competent gerontological nurses have on key outcomes, including:
• Lower re-hospitalization rates
• Reduced use of off-label anti-psychotics
• Less use of restraints
• Higher Overall CMS 5-Star Rating
• Higher Survey 5-Star Rating
• Higher Quality-5-Star Rating
To find out more, and to register – go to http://www.longtermcareleader.com/2018/11/its-not-too-late-to-register-for.html

Are You Ready for PDPM?

The new CMS patient driven payment model (PDPM) takes effect October 1, 2019 for skilled nursing facilities and will dramatically change how Medicare Part A payments are determined. That change moves away from the current system that focuses heavily on therapy minutes to a system that will focus on a wide range of clinical characteristics. This transformation in payment methodology will make having competent, proactive RNs even more vital to a SNF’s financial success.

Boost Your RNs’ Clinical Care Management Skills with Gero Nurse Prep!