CNA Testing Updates for Training Programs, Summaries of Statistics

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CNA Testing Updates for Training Programs

Session 1 – March 4, 2019

Session 2 – March 12, 2019

Session 3 – March 13, 2019

Agenda

• Review of the Certification Exam Process
• Review of Informational Materials Available on the Web
• Detailed Overview of Examination Statistics
• Review of Frequently Missed Checkpoints on the Clinical Skills Exam
• Tips for Speeding up the Testing Timelines
• Q&A Session 2

4 NURSE AIDE COMPETENCY ASSESSMENT

Purpose of the examination is public protection

to ensure that individuals added to Louisiana’s Nurse Aide

Registry, who will provide care to nursing home residents,

have met standards of minimal competency.

5 NURSE AIDE COMPETENCY EXAM: WRITTEN OR ORAL KNOWLEDGE TEST

• Questions: 50 operational and 10 pretest
• Time: 1½ hour time allowance
• Language: English
• Questions written at a 4 th to 6 th grade reading level
• Detailed Content Outline in Candidate Information Bulletin, including practice questions

• Role of the Nurse Aide – 20%
• Promotion of Safety – 22%
• Promotion of Function and Health of Residents – 20%
• Basic Nursing Care Provided by the Nurse Aide – 24%
• Providing Specialized Care for Residents with Changes in Health – 14%

• Online National Interactive Practice Exam link on website

7 CLINICAL SKILLS MATRIX Level of Difficulty Personal Care Promotion of Health and Function Measure and Record Skills Most Perineal Care Catheter Care Dressing Change Occupied Bed Positioning Transfer Pulse Moderate Mouth Care–Denture Mouth Care – Brushing Teeth Bedpan Partial Bed Bath Ambulate ROM – hip, knee, and ankle Contents of Urinary Drainage Bag Feeding Least Foot Care Hand and Nail Care ROM – shoulder ROM – elbow and wrist Respirations

8 REMINDER  Instructors should follow state curriculum requirements, regardless of skills included in the test  Skills should be taught in consideration of the different ways care is provided to residents, not based solely on the scenario used in testing the skill  Skills taught should not be limited to the skills included in the Clinical Skills Test

10 In-Facility Testing (IFT)

• Students get to test in the same environment in which they trained

• Familiarity with the location of the facility
• Experienced with the computer used for Knowledge Test
• Familiarity with the lay-out of the skills environment

• Conveniently scheduled on a date requested by the Training Program
• Can test 5 to 16 candidates per event

• Depends on number of computers available for the written exam
• Depends on number of clinical labs/beds

• Contact pro-globalrecruiting@prometric.com for additional information about becoming an IFT site

Regional Testing

• Candidates who don’t test In-Facility are scheduled into the next available appointment at a Regional Test Center.
• Locations will be available throughout the state – site recruitment underway.
• Presently recruiting for Regional Test Centers
  • Get compensated for providing the supplies already needed for IFT testing
  • Flexible dates
• Contact Prometric at pro-globalrecruiting@prometric.com for more information about becoming a Regional Test Center. 11

What’s on the LA Nurse Aide Web Page?

• www.prometric.com/nurseaide, select your state

• Additional links available:
  • www.prometric.com/nurseaide/la
  • www.prometric.com/louisiana

• Important messages from Prometric and/or LDH
• Candidate Information Bulletin – most important resource
• Skills checkpoints and other information about the clinical skills exam
• Online National Interactive Practice Exam
• Up-to-Date Forms

• Applications
• In-Facility Testing Applications and Event Requests 13

14 LACNA Website

Test Volumes 16 Jul '18 Aug '18 Sept '18 Oct '18 Nov '18 Dec '18 Jan '19 Total Jul '18 - Jan '19 9 229 272 400 347 458 623 2338 0 100 200 300 400 500 600 700 800 900 1000

Pass Rates By Month 17 July August September October November December January Clinical Skills 100.0% 61.5% 61.5% 60.8% 59.3% 52.4% 62.6% Written Exam 50.0% 82.7% 67.2% 66.8% 62.9% 68.4% 67.9% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 100.0% Clinical Skills Written Exam

Pass Rate by Skill (Clinical Skills) 19 95 87 72 89 83 98 83 90 92 94 85 82 77 86 93 77 75 75 78 (^9391) 84 0 10 20 30 40 50 60 70 80 90 100

• Training programs need more actionable information about their students’ performance in order to improve training
• Prometric will mail reports to the address of record for each training program with testing candidates on a quarterly basis

• The initial report will cover July 2018 – March 2019
• Subsequent reports will cover a single quarter’s testing data

• Two options are available for LDH’s consideration – decision TBD

• Training Program Report (included candidate-specific data)
• Strength and Weakness By Training Program Report (summarized data) Training Program Reports 20