1. 2013 NYSHOEA Conference Kingston NY October 24, 25, 2013

2. Agenda +Prometric Updates +Most Frequently Missed Skills and Checkpoints +Q& A 2

3. Creation Of The New Prometric Operation Center (POC) +Relocation of Woodlawn, St. Paul and Canton Operations Centers To A New Global Operations Center +U.S. Operations locations were consolidated into one state of the art facility in White Marsh, MD as of 7/1/2013 +Multi-million dollar investment creating 100 new positions +Call Center, Application Processing and Test Event Planning teams relocated to this one location +Client Services was involved with the training of new staff and management 3

4. New Contacts +Contact information +To schedule an event or if you have questions about your event contact: Lauren Garcynski: lauren.garcynski@prometric.com, 1-443- 751-4492lauren.garcynski@prometric.com +To follow up on IFT applications that have already been submitted contact: Lindsay Hart: lindsay.hart@prometric.com, 1-443-751-4612lindsay.hart@prometric.com If she cannot be reached, please contact Lauren Garcynski and you will be directed to another NY IFT application processor. +To become an IFT test site (if you are not one already) contact: Matt Snyder: matt.snyder@prometric.com, 1-443-455-6286matt.snyder@prometric.com 4

5. Testing Accommodations Requests +Complete Testing Accommodations Packet +Submit with candidate application +Please allow 5 to 7 business days for processing. An advocate will contact the candidates to schedule them if they are approved or inform them why they were denied and what is needed to get approved 5

6. Pass Rate By Skill Year to Date 6

7. Frequently Missed Checkpoints on Most Frequently Missed Skills TRANSFER Does the candidate: 5Place nonskid footwear (e.g., shoes) on resident before standing resident for transfer? 8Position resident’s feet flat on the floor before standing to begin transfer? 9Prepare for transfer by positioning wheelchair with front interior wheel close enough to bed so that transfer can be completed as a pivot? 14Brace one or both of resident’s legs during transfer while assisting to stand, turn, and sit? 16Transfer 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? (ROM) exercises to one elbow and wrist Does the candidate: 3Exercise correct joints and correct side when performing range of motion (ROM)? Provide catheter care to a female resident who has an indwelling urinary catheter 4Position towel or underpad under buttocks/thigh area before cleansing, and when care completed remove towel or underpad, or leave resident on a dry underpad? 7Change spot on soapy washcloth for each washing stroke, wiping from front to back when cleansing inside labia? 10Change spot on washcloth for each rinsing stroke, wiping front to back inside labia, and away from body when rinsing catheter? 7

8. Frequently Missed Checkpoints on Most Frequently Missed Skills Provide perineal care to a female resident who is incontinent of urine Does the candidate: 3Wear gloves while providing perineal care, cleaning equipment, and handling soiled underpads, washcloths and towels? 4Remove soiled underpad and replace with dry underpad before beginning cleansing? 7Change spot on washcloth for washing and rinsing strokes when cleansing inside the vulva? 8Wipe from front to back with all washing and rinsing strokes when cleansing the front perineum, to include the genital and skin fold areas of groin? 12Position resident on side to prepare for cleansing of buttocks and rectal area? 13Wash, rinse, and dry buttocks and rectal area? 14Wipe from front to back with all washing and rinsing strokes when cleansing the rectal area? 15Leave resident on dry underpad at completion of procedure? 16Complete skill having rinsed, dried and stored basin, placing soiled linens in hamper, disposing of trash, and leaving overbed table dry? Measure and record a resident’s radial pulse Does the candidate: Record resident’s pulse rate on Measurement Form within +/- 4 beats per minute of nurse’s measurement? Feed a resident who is sitting in a chair Does the candidate: 3Assist or cue resident to sit upright in chair before feeding? 4Offer and assist resident to wash hands before feeding using a damp washcloth, paper towel, or hand wipe? 5Sit while feeding the resident? 6Offer to protect resident’s clothing with a barrier before feeding, and if used, remove barrier at end of feeding? 13Record the amount of the resident’s food intake on the Food and Fluid Intake Form within 25% of the nurse’s measurement? 14Record the amount of the resident’s fluid intake on the Food and Fluid Intake Form within 25% of the nurse’s measurement? 8

9. Clinical Skills Practice Exam +Released New Clinical Skills Practice Exam June 2013 +7 exams released to compliment the current practice written exams Test-Catheter Care, Hand and Nail Care, and Bedpan Test-Handwashing and Indirect Care Test-Measure and Record: Pulse and Respirations, Urine Output, and Feeding Test-Mouth Care, Dressing, Partial Bedbath Test-Occupied Bed, Foot Care and Perineal Care Test-ROM, Ambulation, Transfer and Positioning Test-SUPER PACK-ALL SKILLS +Online, multiple-choice tests that provide an in-depth assessment of candidate knowledge about each skill. +Helps candidate determine areas or skills that they need to review to prepare for their test 9