1. Nurse Aide II Process and Information for Certification as an NA II while enrolled in a Nursing Program at Vance-Granville Community College Created: October 2015

2. Process while in Nursing Programs Students are eligible to apply for certification as a Nurse Aide II through the North Carolina Board of Nursing upon successful completion of class, lab, and clinical of the following courses: Associate Degree Nursing: NUR 112 (2 nd semester of program) Practical Nursing: NUR 102 (2 nd semester of program)

3. Process (con’t) In order to be submitted for certification as an NA II to the NC BON, the student must do the following: Be listed as a Nurse Aide I on the NC Division of Health Service Regulation- Nurse Aide I Registry with no substantiated findings of abuse, neglect or misappropriation of property Complete 80 hours of classroom and 80 hours of clinical instruction Review NA II PowerPoint and links in PowerPoint Complete VGCC Nurse Aide II application form and submit to Department Chair Complete NA II application (after Department Chair as submitted information to NC BON) and pay NA II listing fee via the NC Board of Nursing within 30 business days of course work completion

4. Objectives Upon completion of this session, the student will be able to: 1.Compare NA I to NA II functions 2.Discuss legal factors related to NAII 3.Describe the supervision of a NA II in health care settings 4.Discuss ethical conduct 5.Identify the most critical technical proficiency components when performing NA II tasks 6.Describe the NA II listing process 7.Describe the renewal/relisting process for NA II

5. Information to Review What is the difference in an NA I & NA II? http://www.ncbon.com/myfiles/downloads/nurse-aide-i-tasks-2010- revisions.pdf http://www.ncbon.com/myfiles/downloads/nurse-aide-i-tasks-2010- revisions.pdf http://www.ncbon.com/dcp/i/nursing-practice-nurse-aides-na-ii-tasks The Nurse Aide I performs basic nursing skills and personal care activities. The Nurse Aide II performs more complex nursing skills with emphasis on sterile technique in the areas of elimination, oxygenation, and nutrition

6. Information to Review Administrative Rules governing the practice of NA II: 21 NCAC 36.0221 (b) http://reports.oah.state.nc.us/ncac/title%2021%20- %20occupational%20licensing%20boards%20and%20commissions/chapter%2 036%20-%20nursing/21%20ncac%2036%20.0221.pdfhttp://reports.oah.state.nc.us/ncac/title%2021%20- %20occupational%20licensing%20boards%20and%20commissions/chapter%2 036%20-%20nursing/21%20ncac%2036%20.0221.pdf 21 NCAC 36.0401 http://reports.oah.state.nc.us/ncac/title%2021%20- %20occupational%20licensing%20boards%20and%20commissions/chapter%2 036%20-%20nursing/21%20ncac%2036%20.0401.pdfhttp://reports.oah.state.nc.us/ncac/title%2021%20- %20occupational%20licensing%20boards%20and%20commissions/chapter%2 036%20-%20nursing/21%20ncac%2036%20.0401.pdf 21 NCAC 36.0403 http://reports.oah.state.nc.us/ncac/title%2021%20- %20occupational%20licensing%20boards%20and%20commissions/chapter%2 036%20-%20nursing/21%20ncac%2036%20.0403.pdfhttp://reports.oah.state.nc.us/ncac/title%2021%20- %20occupational%20licensing%20boards%20and%20commissions/chapter%2 036%20-%20nursing/21%20ncac%2036%20.0403.pdf 21 NCAC 36.0404 http://reports.oah.state.nc.us/ncac/title%2021%20- %20occupational%20licensing%20boards%20and%20commissions/chapter%2 036%20-%20nursing/21%20ncac%2036%20.0404.pdfhttp://reports.oah.state.nc.us/ncac/title%2021%20- %20occupational%20licensing%20boards%20and%20commissions/chapter%2 036%20-%20nursing/21%20ncac%2036%20.0404.pdf

7. Information to Review As an NA II you are responsible for knowing what can be delegated to you: -Delegation and Assignment of Nursing Activities: http://www.ncbon.com/myfiles/downloads/position-statements- decision-trees/delegation-and-assignment-of-nursing-activities.pdf http://www.ncbon.com/myfiles/downloads/position-statements- decision-trees/delegation-and-assignment-of-nursing-activities.pdf -Delegation: Non-Nursing Functions: http://www.ncbon.com/myfiles/downloads/position-statements- decision-trees/delegation-non-nursing-functions.pdf http://www.ncbon.com/myfiles/downloads/position-statements- decision-trees/delegation-non-nursing-functions.pdf -Decision Tree for Delegation to UAP: http://www.ncbon.com/myfiles/downloads/position-statements- decision-trees/decision-tree-delegation-to-uap.pdf http://www.ncbon.com/myfiles/downloads/position-statements- decision-trees/decision-tree-delegation-to-uap.pdf

8. Information to Review Questions to ask yourself regarding delegation: 1.Am I able to do this task? 2.Am I competent at this task? Has someone validated my competency? 3.Have I had the opportunity to ask questions about this task? 4.Is a Nurse supervising and monitoring me? 5.Is a Nurse available if something goes wrong? 6.Have I provided feedback to the nurse regarding completion of the task? 7.Did I report changes in the client’s condition or care? If the answer to any of these is NO then you should not proceed!

9. Information to Review National Council of State Boards of Nursing: Delegation https://www.ncsbn.org/1625.htm

10. Information to Review What are ethical behaviors? Being informed Understand your scope of practice Know the client’s rights and take them into consideration when providing care Showing respect Speak to clients with a considerate tone of voice and address with proper title (Mr., Mrs., Ms.) Work collaboratively with all members of the healthcare team Use facility equipment according to policy and procedure without waste Being honest Be accountable for your actions and take responsibility Report concerns quickly Report errors or near-miss errors Having moral courage Stand up for what is right, even if no one else is Making decisions Use ethics when making decisions Know the difference between right and wrong

11. Information to Review What are the most important components/functions of the NA II? Supervision by a nurse is required (As a nursing student, you cannot function as an NA II at clinical and in employment you cannot function as a nursing student) Know your responsibilities; agency policies, procedures, and protocols Communicate verbally (reporting) and in writing (recording/documenting) Maintain technical proficiency: use the correct technique, be organized, do not compromise dexterity for speed

12. Information to Review Nurse Aide II Registry: Listing and Renewal Completion of the VGCC process will allow you to be submitted for listing on the NA II Registry You must complete the application and pay the listing fee (done via the NC Board of Nursing, not VGCC) Your listing will be valid for 2 years To renew your listing you: Must be listed as a Nurse Aide I on the NC Division of Health Service Regulation-Nurse Aide I Registry with no substantiated findings of abuse, neglect or misappropriation of property; Must have performed nursing care activities for monetary compensation within the past 24 months for at least 8 hours under the direct supervision of a RN; Must submit application on or before the last day of your birth month. You will not need to keep your NA II listing current once you obtain your LPN or RN license.

13. Information to Review If you let your Nurse Aide II listing expire in the past 24 months, you are required to successfully complete the competency evaluation portion of the Nurse Aide II Program to be eligible for renewal. If your Nurse Aide II listing expired in excess of 24 months, you are required to successfully complete a Nurse Aide II Program to be eligible for renewal. For more information on registry listing/renewal visit: http://www.ncbon.com/dcp/i/licensurelisting-nurse-aide-ii-na-ii-na-ii-listing- requirements http://www.ncbon.com/dcp/i/licensurelisting-nurse-aide-ii-na-ii-na-ii-listing- requirements http://www.ncbon.com/dcp/i/licensurelisting-nurse-aide-ii-na-ii-online-na-ii- initial-listing-application http://www.ncbon.com/dcp/i/licensurelisting-nurse-aide-ii-na-ii-online-na-ii- initial-listing-application http://www.ncbon.com/dcp/i/licensurelisting-nurse-aide-ii-na-ii-online-na-ii- listing-renewal-application http://www.ncbon.com/dcp/i/licensurelisting-nurse-aide-ii-na-ii-online-na-ii- listing-renewal-application

14. References National Council of State Boards of Nursing, www.ncsbn.orgwww.ncsbn.org North Carolina Board of Nursing, www.ncbon.comwww.ncbon.com North Carolina Board of Nursing, Nurse Aide II Training Modules, Skill Module 1: Role of the Nurse Aide II