2014 NYSHOEA Conference Troy NY October 23-24, 2014

Written Exam Pass Rates YOY 2

Clinical Skills Exam Pass Rates YOY 3

Pass Rate By Skill Year to Date 4 The most frequently missed checkpoint (20%) for Measure and Record Pulse: Record resident's pulse rate on Measurement Form within +/- 4 beats per minute of nurse's measurement?

Frequently Missed Checkpoints 2014 Dress Resident With Weak ArmPercentage Missed Apply clothing correctly (e.g. front of shirt in front), adjust clothing for comfort, neatness, alignment, and close fasteners?16% Indirect Care Use Standard Precautions and infection control measures when providing care? Bedbath18% Use Standard Precautions and infection control measures when providing care? ROM elbow/wrist18% Use Standard Precautions and infection control measures when providing care? Measure and Record Contents of Urinary Drainage Bag16% Use Standard Precautions and infection control measures when providing care? Perineal Care19% Use Standard Precautions and infection control measures when providing care? Catheter Care18% Use Standard Precautions and infection control measures when providing care? Mouthcare Brush Teeth19% Use Standard Precautions and infection control measures when providing care? Mouthcare With Dentures19% Promote resident's rights during care? Mouth care With Dentures20% Measure and Record Pulse Record resident's pulse rate on Measurement Form within +/- 4 beats per minute of nurse's measurement?20% Bedbath Protect bed linen from becoming wet during washing and rinsing of body (non-face)?20% Catheter Care Position towel or underpad under buttocks/thigh area before cleansing, and when care completed remove towel or underpad, or leave resident on a dry underpad?18% Change spot on soapy washcloth for each washing stroke, wiping from front to back when cleansing inside labia?17% Change spot on washcloth for each rinsing stroke, wiping front to back inside labia, and away from body when rinsing catheter?19% Measure and Record Contents Urinary Drainage Bag Empty urine in graduate into toilet after measuring, rinse and dry container, pouring rinse water into toilet?17% Record output as urine and indicate the correct time on the I&O form?19% Perineal Care Remove soiled underpad and replace with dry underpad before beginning cleansing?18% Wash, rinse and dry buttocks and rectal area?19% Wipe from front to back with all washing and rinsing strokes when cleansing the rectal area?22% Change of Position Place device/padding or pillow positioned to support the resident's upper arm, supporting both the shoulder and arm?16% Bedpan Raise the head of the bed after positioning the resident on the bedpan, and lower the head of the bed before removing bedpan?23% Empty contents of bedpan into toilet, rinse bedpan pouring contents into toilet, and dry bedpan?17% Offer resident damp washcloth or paper towel, or hand wipe, to cleanse hands after bedpan used, before end of care?20% Feeding Assist or cue resident to sit upright in chair before feeding?23% Offer and assist resident to wash hands before feeding using a damp washcloth or paper towel, or a hand wipe?37% Record the amount of the resident's fluid intake on the Food and Fluid Intake Form within 25% of the nurse's measurement?16% MouthCare With Dentures Protect resident's clothing before providing mouth care and remove protective cover when care is completed?18% Transfer Brace one or both of resident's legs during transfer while assisting to stand, turn, and sit?19% Transfer resident as a pivot completed without having resident take step(s) to reach wheelchair, and before assisting resident to sit in wheelchair, positions with the back of resident's legs against the seat of wheelchair?31%

Enhanced Security At Testing Sites in Deployment of Lockdown Shell +Publishing exams with a Lockdown Shell Prevents candidates from accessing any applications or websites while taking the test Prevents the use of remote desktop applications The lockdown shell needs to be downloaded onto each testing computer Active only when exams are being administered Inactive otherwise +New Contracts Required Before Testing Will Occur Site representatives will be contacted by Prometric with additional information DocuSign will be utilized to expedite the process Meeting with operations on 2/10/2014 to determine opportune time to implement (before or after Peak) 6

New Application

Important Updates in Requesting In- Facility Testing Events +All sites are now required to use the Event Application Cover Letter located on the Prometric website, when mailing candidate applications and test fees to Prometric. This will assist when placing candidates to their requested testing dates.Event Application Cover Letter +All IFT Event Requests will no longer be accepted by fax and all dates must be requested using the approved Prometric IFT Event Request Form,located on the Prometric website. In order for Prometric to process the request, the form must be completed accurately and in its entirety.Prometric IFT Event Request Form +Please submit all forms by mail to: +Prometric, Attn: NY NA IFT Processing; 7941 Corporate Drive, Nottingham, MD Contact Information: +Urgent issues/inquiries: option 2, option 1, option 2 +Non-Urgent requests/ inquiries: +Missing information on candidate application, please have the candidate call option 1 and respond to prompts.

NY IFT Request Form

NY-IFT COVERLETTER

In-Facility Updates +Tips for properly completing the IFT Event Request form +A separate IFT Event Request form must be submitted for each test date your facility is requesting. +3 test date options must be provided to Prometric, including the preferred date and two alternative dates. +Provide the Prometric issued site code for the IFT site you are requesting to test at. +The IFT Event Request form must arrive 10 business days or greater in advance of the requested event date. +**Note**If the Event Request form arrives within 10 business days of the requested event, another IFT Event Request form must be submitted.

In-Facility Updates +Moving a candidate +All candidate applications must arrive 10 days prior to an event. +Prometric recommends that you use UPS or another private delivery provider. USPS may cause a delay in the receipt of your paperwork. +If a candidate needs to move to a sooner testing date and the application arrived in the appropriate timeline, you may add the candidate to an event up to five Business days prior to the exam. +If you have sent in all the applications for an event but you need to add an additional candidate. You may send the candidate application and payment to Prometric to be added to the testing date. The application must arrive 10 days prior to the testing date and include with the application a copy of the date request form so registration and scheduling knows what site and date to schedule the candidate into. Otherwise, the candidate risks being scheduled regionally or on another upcoming In-Facility test date. +Any cancellations that occur must be done at least five business days before testing. Cancellations must be made by calling the Prometric Candidate Services at , then option 1 for Candidates +Exceptions to this would be in the event a candidate has a medical or family emergency. However, the candidate will need to provide proof of hardship to cancel and reschedule without penalty of fees.