1. A. Program Hours.

   1. (1) A training program shall provide a minimum of 100 hours of instruction.

   2. (2) Of the 100 hours, a minimum of:

      1. (a) 60 hours shall be devoted to didactic instruction and classroom laboratory training, with at least 16 hours of in-person laboratory training in the pre-clinical curriculum listed in §B(3) of this regulation; and
      2. (b) 40 hours shall be devoted to supervised clinical training in a clinical facility.
   3. (3) A training program shall have at least 16 of the 40 hours of supervised clinical training in the provision of long-term care facility services or caring for the elderly or chronically ill of any age, which shall be performed under direct supervision.

2. B. Curriculum Content.

   1. (1) The curriculum for a training program shall include the subject matters and skills listed in 42 CFR §483.152(b).

   2. (2) The curriculum for an acute care nursing assistant training program shall include:

      1. (a) The subject matters listed in 42 CFR §483.152(b); and

      2. (b) All basic skills required of a nursing assistant in any acute care practice setting, including:

         1. (i) Caring for patients with acute and chronic medical conditions in a hospital facility;
         2. (ii) Observing and reporting changes in patient condition, including potential emergencies and safety issues, to the licensed nurse;
         3. (iii) Transport of specimens;
         4. (iv) Transport of medications;
         5. (v) Point of care testing;
         6. (vi) Specimen collecting;
         7. (vii) Equipment management;
         8. (viii) Time management in the acute care setting;
         9. (ix) De-escalation of assertive or aggressive patients and family members; and
         10. (x) Electronic documentation of care and basic computer skills.

   3. (3) The pre-clinical curriculum of a training program shall include the following topics:

      1. (a) Role of the CNA;
      2. (b) Infection control;
      3. (c) Safety and emergency procedures, including the Heimlich maneuver;
      4. (d) Communication and interpersonal skills;
      5. (e) Promoting clients’ independence; and
      6. (f) Legal and ethical considerations, including respecting clients’ rights.
   4. (4) A training program shall provide instruction in the pre-clinical curriculum before a student has any direct contact with a client.
3. C. Each training program shall identify the unit objectives and performance indicators for each of the areas in §B of this regulation in its training criteria.

4. D. Laboratory Instruction and Clinical Learning Experience.

   1. (1) Each training program shall provide laboratory instruction in and require students to demonstrate clinical competence in performing skills consistent with the subjects under §B of this regulation.
   2. (2) A training program shall ensure that students may not perform any services during their clinical learning experience for which they have not trained and been found proficient by the course instructor.

Authority: Health Occupations Article, §§8-205, 8-6A-05(a)(6), and 8-6A-14, Annotated Code of Maryland;
Chs. 818 and 819, Acts of 2024; Ch. 416, Acts of 2025

Effective date: April 30, 2001 (28:8 Md. R. 761)

Regulation .02B amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .05A amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .07B amended effective November 7, 2005 (32:22 Md. R. 1756)

Chapter revised as an emergency provision effective April 3, 2026 (53:9 Md. R. 411); amended permanently effective June 8, 2026 (53:11 Md. R. 484)