State Training Activities to Prepare C.N.A.s

State

# training hours now required for CNAs

Efforts to increase?

Describe

Must some portion of training be offsite?

Specific requirements for trainers?

Does curriculum include communication/critical thinking/organizational skills?

Is there training required specific to Alzheimer/nutrition/ hydration?

Any other required training?

AL

75 hours

N

N

 

?

 

N

AR

75 hours

N

?

 

 

 

Most trg. at facility.

AZ

120 hours

Y

Y

Coordinators must by LPN with 2 yr. Experience, Instructors LPNs with 1 yr. experience. Assistants can be C.N.A. with 1 year exper.

Communication

 

 

CA

150 hrs. for C.N.A.

Y  Add 10 more hrs. for certification.

Y

Y. for RN and LVN

N

6 hours of certification training must be devoted to Alzheimer’s. In residential care, aides must receive 6 initial hours of Alzheimer’s care. and 8 annually.

N

CO

75

N

N

N

N

Y for Alz., N for other

 

D.C.

75

N

DK

DK

DK

DK

For assisted living workers, training program is being designed. Legislation passed, not yet implemented.

DE

75

Y Add 75 hours for certification.

N

N

N

Students can opt for special Alz. training. Y for Nutrition,

N

GA

85 hours

N

 

 

 

 

N

HI

75

N

DK

DK

Am. Red Cross certifies C.N.A.s

C.N.A.s who are care home operators must take special classes on nutrition to admit residents with special food needs.

 

IA

N

 

N

N

N.

N for assisted living or adult day care, respite

 

ID

126 hours for C.N.A.

N

Y

N

 

Y for Alz, and nutrition/hydration

 

IL

120 hours

Y increase hours specific to care to residents with dementia. Training to be developed.

Y

Y. Trainer requirements:

- RN  IL license  no other duties, and – 2 yrs. experience in: teaching CNA program or employment in  ltc,  and

either

IL teaching or DPH certificate,   teaching exper. or college coursework re teaching.

Y – communication, N- critical thinking, organ. skills

Y – Alz, and nutrition/hydration

 

IN

120 hours.

Y--advocates and consumers working to determine needs for  specific trg. in aging, dementia, and behavioral mgt.

 

 

 

 

 

KY

?

 

 

 

 

 

 

LA

80 hours

N

 

Professional and experiential requirements, specific ratios of instructors to trainers

Y – communication, task analysis. N- critical thinking, organ skills

Y – Alz, nutr, hydration

 

ME

150 hours – 

Y . Revised curriculum to add several skills trg. components. – 3/1/00. Ongoing task force looking to coordinate various trainings of PCW, C.N.A.s and RCS into portable system.

Y

follows Fed. law

Y – communication, critical thinking, org. skills

Y  - Alz, and nutr, hydr

Coalition of consumers, advocates, providers, and State agencies studying trg. issues for unlicensed assistive personnel in various settings. 

MA

75 hours

Y

N

Initial and ongoing requirements. DPH revising regs. RN with experience of at least one year in lesson planning, delivery or student eval. in health care setting, or who has attended 24 hr. of continuing ed. can be waived

?

Y for NF, proposed for AL

2000 legislation signed by governor provides $5M for pilot projects in career advancement, $1M for C.N.A. certification scholarships, and $1M for education and job support for current and former welfare recipients who want to become C.N.A.s

MD

75 hours

N

N

Y. RN, 2 yr experience, completed LCA instructors training program.

Communication

Alz, nutrition, dehydration

 

MI

75 hours

Y increase to 120 hours

N

N

 

N, Alz, Y, nutr. and hydr.

Personnel policies, concepts of care, environment, collecting/sharing info. nutrition, elimination, rehab.

MT

96 hours.

N.

 

Follows Federal regs.

Y – all 3

Y :Alz, nutr, hydr.

Discussing mandated training for assisted living workers

NH

100 hours

Discussions to require specialized trg. for Alz. and other special care

N

Y

Y – all 3,

N – Alz, or other specific areas. Proposed in new rules. 

Proposed new rules for res. care aides.

NV

75 hours

?

 

Bd. of Nursing states instructor must be RN with B.S. degree

?

Alz and nutr, hydr.

 

NJ

90 hours

 

Y

Y –NJ license as RN, 3 yrs of FT or FTE experience in health care facility, 1 yr. FT or FTE exper. as RN in ltc facility within 5 yrs. completion of evaluator’s workshop course approved by DHSS.

Y – all 3,

Y, and psychosocial needs, physical needs, spiritual, and recreational needs.

 

NM

75 hours

Y

N

LPN or more advanced

Communication

 feeding, hydr. required for all workers, Alz only if on special unit.  

Bowel and bladder training

NY

100 hours

Y. add 100 hours

?

Y. Coordinator is RN with 2 yrs experience in NH, competent to teach adults. Instructor is RN with 1 yr. NH exper. Clinical skills evaluator is RN with 1 yr. Experience in NH  and completed eval. Program.

Commun., critical thinking and org skills Nursing Home Comm. Coalition of NYS proposing additional requirements: working as part of team, power relationships, communication skills, manners, compassion, care planning, aging process, assessment of individual needs, values and differences. autonomy and choice, multi-culturalism, time mgt., stress mgt., problem solving and creative thinking, basic English.

Alz, nutr. And hydr

NHCC also proposing that C.N.A. training include: support groups for aides, mentoring, field experience, case studies, role playing, including residents and relatives in training, emphasizing goals and objectives for resident care, visiting resident and family councils. Increasing on-going and in-service training. Beginning work on supervision issues.

NC

75 hours

N

N

N

 

 

Personal care workers, and assisted living

ND

75 hours. -

Y- Health Facilities and LTC assn. jointly sponsoring trg. for C.N.A.s.

N

Take course and have experience teaching adults, with experience supervising C.N.A.s

Y – comm., and interpersonal skills.

Y – alz and nutr, hydr.

Nothing planned for AL workers.

OH

?

Y – attempt to increase orientation from 2 hr. to 6 hrs. and in-service from 12 hrs yearly to 24 hrs . Efforts unsuccessful in 2000. Will try again.

?

?

 

Rules require providing sufficient additional hours of training for staff working on special units. Unsuccessful in changing that to 12 hours annually.

 

OK

75 hours within 120 days of employment for C.N.A.

 

Y –. will include specific Alz. care training

 

N

Y – Set by state health dept. either done by or under general supervision of RN with at least 2 yrs. nursing experience, with 1 yr. in ltc, and completed course in teaching adults or supervising nurse aides.

Y – communication, N – others

 

Y – communication in HHA trg.

Proposed in new legislation for Alz. training. N – Nutr, hydr.

 

 

Assisted living and adult day care aides 45 hrs. classroom and supervised trg. specific to facility pop. RN with 1 yr. experience can train

OR

150 hours

 

 

 

 

 

 

PA

75 hours.

 

N

 

Y – commun., critical think, organ. skills for C.N.A.

Y – nutr and hydr.

 

RI

?

Y

N

Y

Y – commun., critical thinking

Y – Alz, nutr, hydr.

 

SD

75 hours.

N

N

Trg. must be approved by DOH

N

N

 

TN

40 hours. classroom, 60 hrs. supervisor clinical experience

 

 

 

 

 

 

TX

75 hours.

 Y – C.N.A. Proposals being considered by Legis. committees

N

Y

Y – Communication

 

Y – Alz, Nutr. and hydration.

 

UT

Fed. Avg. 20 – 50 hours classroom, 20 – 50 clinical.

Y –hoping for 2 – 4 hr. annual course

Y

Y – must be approved by Bd. of Nursing and must do clinicals in facility that is not sanctioned.

Y – comm., crit. thinking, org skills

Y – alz, nutr, hydr.

Problem that breadth of trg. is great, but depth of study in each topic is limited.

VA

120 hrs.

Y. discussing 40 addtl. hrs. for certif., no change in post-cert.

N

Y. RN, plus 2 yrs. experience

Y – commun., N – crit. think, org skills

Y – Alz, nutr, hydr. 

 

VT

75 hours.–  Most programs between 80 and 100 hours.

N

Y

Trg. administrator must have 2 yrs. experience.

Communic., interpersonal skills, mental health and social service needs.

Alz. care,

 

WA

86 hrs but most trg. programs are 130 to 140 hrs.

Y

Y

Y

Commun.,

Nutr, hydr.,

 

WV

75 hours.

N .

N

 

Commun., critical thinking, organ. skills

Alz, hydr, nutr.

In non-NH setting, specific requirements for person who administers meds