Virginia Regulatory Town Hall
Department of Health Professions
Board of Nursing
Regulations for Nurse Aide Education Programs [18 VAC 90 ‑ 26]
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2/9/22  5:52 pm
Commenter: Pam Spiker, Warren Memorial Hospital NATP Instructor

Petition- changes related to Nurse Aide Training Programs

I am in full support of having more flexibility related to clinical training environments and instructional personnel requirements.  Regarding the requirement of LTC experience needed for instructors, the viable candidate pool, including nurses with exceptional acute care performance, which may be valuable for students bound for acute care or long term care practice, is limited.  Severe COVID-19 outbreaks in facilities have been problematic and created barriers to training with adequate resident cohorts.  With the frequency and quantity of LTC residents who are hospitalized, the geriatric portion of learning is often experienced adequately outside of the long term care setting.  In addition, many of the skills required for certification testing are very rare in LTC, to include catheter care, bed baths, ambulatory weights with beam scale, bedpans, and recording urinary output.  Emergency care skills and observational procedural experience is even more limited for those who are not able to attend clinical training in a hospital environment.  I am asking that the current regulations be amended and updated to include training options in acute care settings.

CommentID: 119232