1. Virginia Health and Medical Sciences Educators Association (VAHAMSEA)
Presented By
Paula B. Saxby, R.N., Ph.D.
Deputy Executive Director
Virginia Board of Nursing

2. Virginia Board of Nursing
* Appointed by the Governor
* Four Year Term – can be reappointed
RN Board Members (8) (two are designated as a nurse practitioner)
LPN Board Members (3) (possible change)
Citizen Board Members (3)
*Full Board meets every other month

3. Nursing Home Reform Act
Omnibus Budget Reconciliation Act
(OBRA)
1987
Regulations for Nurse Aide Education Programs
September 21, 2016
(Revisions underway for 2018)

4. State Certification
State approval of nurse aide education programs approximately 275 statewide;
A State approved competency evaluation program (NNAAP); and
A State maintained Nurse Aide Registry.

5. Nurse Aide Education Programs
Initial approval by Board of Nursing
Approval is for a two year period
Approval is maintained by meeting requirements in Board of Nursing Regulations
On-site review visits every two years
Written program evaluation is due in the interim year

6. NNAAP National Nurse Aide Assessment Program
Pearson Vue and NCSBN
Credentia (April 2017) (RN Evaluators)
20 test sites in Virginia; 1 in North Carolina
In-Facility Testing is Available
Application Fee - $94.00
Written and Skills Sections of Test
Test results sent directly to candidate
Candidate Handbook (July 1, 2018)

7. New Scheduling Process Training
All nurse aide programs are required to view a webinar training. The training manual can be found at Link to the webinar training: For Questions Contact: Aaron Peterson at

8. Format for Uploading Candidate Rosters
123456, 05/01/2017, First, Last,

9. Board of Nursing Regulations
Regulations for Nurse Aide Education Programs (18 VAC et seq)
Nurse Aide Curriculum Regulations
18 VAC
Regulations Governing Certified Nurse Aides (18 VAC et seq)

10. Primary Instructor Qualifications Responsibilities
Current Va. License as R.N. and
2 yrs. experience as R.N. or multistate licensure privilege in last 5 yrs and 1 year of experience in LTC
Responsibilities
Planning of each learning experience
Teaching and evaluation of students – does the majority of the actual teaching
Ensure objectives are met
Ensure students do not perform services not taught or found to be proficient by the instructor******
Maintain records

11. Other Instructional Personnel
Qualifications
R.N.
Valid Va. License or multistate privilege
One year direct care experience as an RN
LPN with valid Va. License or multistate privilege
High school diploma or GED
Graduated from state-approved P.N. program
2 years direct patient care experience as an LPN
Responsibilities
Instructs under supervision of primary instructor

12. All Instructors Complete course in teaching adults
Principles of adult learning; teaching methods and tools; and evaluation strategies; or
Have experience teaching adults or high school students

13. Additional Requirements
Resource persons
1 yr. experience in their field, and under the direct, on-site supervision of the primary instructor
Clinical instructor
Solely on-site to supervise student – may not be involved in other duties
Student instructor ratio no more than 10:1

14. National Nurse Aide Assessment Program (NNAAP)
Pearson VUE-
Eligibility
New nurse aide (first time test taker or previously failed all or part of the NNAAP exam)
Nursing student (must be currently enrolled in an RN or PN nursing education program and have completed one clinical course involving at least 40 hours of direct client care experience)
Nursing graduate
Lapsed certificate holder

15. NNAAP Pass Rates First Time Test Takers
Virginia: Written Skills
90% 67%
National: Written Skills
91% 74%

16. NNAAP Pass Rates Second Quarter 2018
Program Type: Written Skills
Public Schools 93% 75%
Community College 96% 73%
Nursing Home/Hospital 89% 61%
Proprietary Schools 89% 66%

17. NNAAP Skills Pass Rates Programs with 100%
Carroll County High School
Charlottesville-Albemarle Tech Center
Christiansburg High School
Floyd County High School
Floyd S. Kay Vo-Tech Center
Hanover County Public Schools
Jackson River Vocational Center
Louisa County High School

18. NNAAP Skills Pass Rates Programs with 100%
Nelson County High School
Ridgeview Nursing Assistant Program
Russell County Career & Tech Center
Smyth Career & Tech Center
Valley Vocational Technical Center
William N. Neff Vocational Center
Winchester Public Schools

19. CNA Scope of Practice
Based on knowledge, skills, and abilities as outlined in requirements for the curriculum (regulation 18 VAC ). Board approved Curriculum available on our website
A committee of stakeholders has been convened to review and possibly revise the curriculum and the requirements for the nurse aide education programs

20. CNA Scope of Practice Disciplinary Provisions (18 VAC 90-25-100)
Performing acts beyond the scope of practice
Assuming duties without adequate training or when competency has not been maintained
Abuse, neglect, or abandonment (see brochures & videos on Social Media & Professional Boundaries on

21. Possible Changes to Nurse Aide Education Regulations
Use of a Board Developed Curriculum (under development - Projected date of Board approval is January 2019)
Requirements for a train-the-trainer course specifically for the Board Curriculum (minimum of 12 hours over two days)
8 hour refresher course every three years
Requirement for skills lab hours (at least 20)
Requirement of a minimum of 140 hours

22. Virginia Department of Health Office of Licensure & Certification
Licensing authority for nursing facilities
Monitor & enforce requirement that all nurse aides working in nursing facilities must be state certified (CNA) within 120 days of employment
Monitor requirements that all nurse aides receive at least 12 hours of continuing education per year

23. Skills Beyond the Scope of Practice for Nurse Aides
Administration of medications
Rectal suppositories
Sterile technique
IV flow rate
Care of IV sites
Vaginal irrigation
Chest tubes
Postural drainage & cupping
Finger-stick for glucose
Fecal impaction removal
O2 administration
N/G tube feeding & insertion
Colostomy irrigation

24. Skills Beyond The Scope of Practice (continued)
Wound irrigation
Diabetic teaching
Assisting with minor surgery
Suture removal
Transcribing Doctor’s orders
Catheter irrigation
Power spray
Suctioning
Heat lamp
Obtaining cultures

25. Delegation of Nursing Tasks
Definition – 18 VAC
Criteria for delegation
Assessment required prior to delegation
Supervision of delegated tasks
Nursing tasks that shall not be delegated – 18 VAC

26. Advanced Certified Nurse Aide 18 VAC 90-25-110
Hold current certification as a CNA in VA
Has been a CNA for at least three years
Has never had a finding of abuse, neglect, or misappropriation of patient property
No disciplinary actions by Board within five years preceding application
Recommendation from a licensed nurse who has supervised the CNA
Successfully completed a minimum of 120 hours of advanced training in an approved program –
18 VAC & 140
Submit an application with $25 fee

27. Department of Health Professions HTTP://www.dhp.virginia.gov
Board of Nursing
(804)
Nurse Aide Registry
(804)
Paula B. Saxby, R.N., Ph.D.
(804)

28. Quick Reference Pearson VUE Registration and Scheduling Services:
Pearson VUE Exam Services (after the exam):
Website:
Important Information NNAAP Handout
Aaron Peterson (Program Director)