(a)

1. (1) Pursuant to 42 C.F.R. § 483.152, a nurse aide training and competency examination program must include, at a minimum, a combination of classroom (in-person or virtual) and clinical instruction.
2. (2) The requirement for state certification shall include a minimum of ninety (90) hours of training which consist of no less than seventy-four (74) clock hours of training, including sixteen (16) hours of supervised practical training, for a total of ninety (90) hours.

(c)

1. (1) A minimum of sixteen (16) hours initial classroom, in-person or virtual, instruction is required in Part I.
2. (2) This will include both theory instruction and skills demonstration in the classroom lab.
3. (3) During Part I, the trainee is not allowed on the floor as part of a facility’s staffing pattern.
4. (4) After completion of Part I, a trainee may be used in a facility’s staffing pattern but only assigned to duties for which they have demonstrated competency.
5. (5) Documentation of acceptable performance of all skills and duties shall be on file with the primary instructor (see 20 CAR § 403-204, nursing assistant trainee activities).

(d)

1. (1) Parts II and III require the completion of the remaining seventy-four (74) clock hours of training consisting of theory, classroom lab, and clinical skills training.
2. (2) Clinical skills training must include at least sixteen (16) hours of supervised practical training in a facility, performing tasks on an individual under the direct supervision of the instructor.
3. (3) Clinical skills training assignment or supervision by another nursing assistant is prohibited.

(f)

1. (1) Staff in training can be employed after completing lessons one through eleven (1 – 11) for a total of sixteen (16) hours of course work and may continue to work on the floor while they are actively progressing through the Long-Term Care Facility Nursing Assistant Training Program (NATP).
2. (2) However, they cannot be included in the staffing ratio if they are actively participating in class instruction.

(g)

1. (1) Each program shall issue a written statement to each trainee upon successful completion of the program in the form of a certificate of completion which shall include the:

   1. (A) Program’s name;
   2. (B) NATP license number;
   3. (C) Student’s name and a numerical identifier such as a driver’s license number or identification number from a valid government-issued document that contains a current photo, such as:

(i) State or national identification card;

1. (ii) Alien registration card;

   1. (iii) Military identification; or

      1. (iv) Passport;
   2. (D) Begin date and end date; and
   3. (E) Signature of the primary instructor.
2. (2) Such certificate, or copies thereof, shall serve as evidence of successful completion of a training program to be eligible to take the state competency examination.