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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 556NURSE AIDES
RULE §556.5Program Director, Program Instructor, Supplemental Trainers, and Skills Examiner Requirements

(a) Program director. A program director must directly perform training or have general supervision of the program instructor and supplemental trainers. A NATCEP must have a program director when the NATCEP applies for initial approval by HHSC in accordance with §556.7 of this chapter (relating to Review and Reapproval of a Nurse Aide Training and Competency Evaluation Program (NATCEP)) and to maintain HHSC approval.

  (1) The program director must:

    (A) be an RN in the state of Texas;

    (B) have a minimum of two years of nursing experience, with at least one year of providing long term care services in a facility; and

    (C) have completed a course that focused on teaching adult students or have experience in teaching adult students or supervising nurse aides.

  (2) In a facility-based NATCEP, the director of nursing (DON) for the facility may be approved as the program director, but must not conduct the training.

  (3) A program director may supervise more than one NATCEP.

  (4) A program director's responsibilities include, but are not limited to:

    (A) directing the NATCEP in compliance with the Act and this chapter;

    (B) directly performing training or having general supervision of the program instructor and supplemental trainers;

    (C) ensuring that NATCEP records are maintained;

    (D) determining if trainees have passed the training portion of the NATCEP;

    (E) signing a competency evaluation application completed by a trainee who has passed the training portion of the NATCEP; and

    (F) signing a certificate of completion or a letter on letterhead stationery of the NATCEP or the facility, stating that the trainee passed the training portion of the NATCEP if the trainee does not take the competency evaluation with the same NATCEP. The certificate or letter must include the date training was completed, the total training hours completed, and the official NATCEP name and number on file with HHSC.

  (5) A NATCEP must submit a NATCEP application for HHSC approval if the program director of the NATCEP changes.

(b) Program instructor. A NATCEP must have at least one qualified program instructor when the NATCEP applies for initial approval by HHSC in accordance with §556.7 of this chapter and when training occurs.

  (1) A program instructor must:

    (A) be a licensed nurse;

    (B) have a minimum of one year of nursing experience in a facility;

    (C) have completed a course that focused on teaching adult students or have experience teaching adult students or supervising nurse aides; and

    (D) work under the general supervision of the program director or be the program director.

  (2) The program instructor is responsible for conducting the classroom and clinical training of the NATCEP under the general supervision of the program director.

  (3) An applicant for a NATCEP must certify on the NATCEP application that all program instructors meet the requirements in paragraph (1)(A) - (D) of this subsection.

  (4) A NATCEP must submit a NATCEP application for HHSC approval if a program instructor of the NATCEP changes.

(c) Supplemental trainers. Supplemental trainers may supplement the training provided by the program instructor in a NATCEP.

  (1) A supplemental trainer must be a licensed health professional acting within the scope of the professional's practice and have at least one year of experience in the field of instruction.

  (2) The program director must select and supervise each supplemental trainer.

  (3) A supplemental trainer must not act in the capacity of the program instructor without HHSC approval. To request approval, a NATCEP must submit a NATCEP application to HHSC.

(d) Skills examiner. A skills examiner must administer a competency evaluation.

  (1) HHSC or its designee approves an individual as a skills examiner if the individual:

    (A) is an RN;

    (B) has a minimum of one year of professional experience in providing care for the elderly or chronically ill of any age; and

    (C) has completed a skills training seminar conducted by HHSC or its designee.

  (2) A skills examiner must:

    (A) adhere to HHSC standards for each skill examined;

    (B) conduct a competency evaluation in an objective manner according to the criteria established by HHSC;

    (C) validate competency evaluation results on forms prescribed by HHSC;

    (D) submit prescribed forms and reports to HHSC or its designee; and

    (E) not administer a competency evaluation to an individual who participates in a NATCEP for which the skills examiner was the program director, the program instructor, or a supplemental trainer.


Source Note: The provisions of this §556.5 adopted to be effective September 24, 2018, 43 TexReg 6326

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