Strategies to Implement Temporary Waivers Temporary Waived Training and Certification of Nurse Aides To assist with potential staffing challenges After employed for 4 months the CNA must meet the training and certification requirements under 48335d ID: 1006753
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1. CMS 1135 Waivers to Enhance Workforce StaffStrategies to Implement Temporary Waivers
2. Temporary Waived Training and Certification of Nurse Aides To assist with potential staffing challengesAfter employed for 4 months, the CNA must meet the training and certification requirements under §483.35(d). CNAs must demonstrate competency in skills and techniques necessary to care for residents’ needs, as identified through resident assessments, and described in the plan of care.CNAs can be recruited and rehired who retired and/or their2-year certification lapsedAnnual performance reviews and training based on the outcome reviews are waved at this time
3. Reach out to former employees: RN, LPN, CNAFor example: recruit CNAs who did not renew their 2-year CNA certification. Renewal is waived during the pandemic.Reassess unit tasks that can be reassigned to other staff including the Social Workers, PT, OT and SpeechRecruit nursing students and available health care assistants Reassign employees in non-clinical departments to feed residents with training and supervision provided Reach out to people in the community competent to provide basic care to residents with training providedStrategies to Enhance Workforce
4. Strategies to Enhance Workforce Set up Huddle at the beginning of each shift to communicate any changes with staff such as changes in policies, PPERecognize and support staff who can lead other staff and affect overall positivityEngage Pharmacist to review unnecessary medicationsEngage IDT to work together to eliminate/reduce treatmentsProvide daily review and demonstration of Infection Control practice and correct use of equipmentRecognize when staff need to take a break or need emotional support to deal with death, dying and grief.Post the Emotional Support Helpline 1-844-863-9314Open 8 AM - 10 PM, 7 days/week for staff support
5. Additional Waivers to Alleviate Workforce StressRelief of 3-Day prior hospitalization requirementKeep accurate logs for admissions, transfers and dischargesRelief of timeframe requirements for submission of: MDS assessments Payroll-Based Journal (PBJ staffing data) Maintain accurate staffing recordsSuspension of Pre-Admission Screening and Annual Resident Review (PASRR) Assessments for 30 days Get specific discharge information re to mental illness Suspension of requirement for resident group participation and physician in-person visits
6. American Health Care Association TrainingOne Hour On-Line Feeding Assistant ProgramCan be used for current ancillary staff and new staff temporary staff Post-test is included Utilize competencies demonstration checklistshttps://educate.ahcancal.org/products/temporary-feeding-assistantTemporary Nurse Aid ProgramCan be used for current non-CNA or new temporary nurse aid staff 8-hour online course: additional time for competency demonstrationhttps://educate.ahcancal.org/products/temporary-nurse-aideProblems accessing links above? Copy and paste URL site address to your browser.
7. American Health Care Association Training ProgramsAHCA Instructions to Access Training Programs: https://www.nyshfa-nyscal.org/files/2020/04/AHCA-How-to-Create-and-Register.pdfhttps://www.nyshfa-nyscal.org/american-health-care-association-training-programs/
8. Competency Checklists: Use the provided checklists or facility checklists through your NATP or Paid Feeding Assistant Programshttps://www.nyshfa-nyscal.org/american-health-care-association-training-programs/American Health Care Association Training Programs
9. How To Get StartedReview the training programs neededReview the competency checklists for each programIf your facility currently uses an approved NATP or Paid Feeding Program:Compare your competency lists with the two new AHCA programsUse the program and checklists that works best for your facility.Assign ancillary staff you have in house that could be trainedDetermine best method to train your staff: Onsite: instructor led small group and/or online Online: at home with instructor support
10. What Are the Next StepsSet up your plan for training and educationAppoint a Coordinator to track onboarding requirements Reassign staff capable of feeding residentsRecruit workers in the community who have lost their jobsInclude access to computers for on-line coursesEnsure new staff receive an on-boarding programProvide instructor(s) to assist staff completing courseConduct demonstrations, observations and competency checksOversight: monitor and supervise program with accurateand timely documentation
11. QUESTIONS?Connect with Us by Email or Social!jpappalardi@nyshfa.orglvolk@nyshfa.orgnleveille@nyshfa.orgJackie PappalardiExecutive Director, Foundation for Quality CareLisa VolkDirector, Clinical & Quality ServicesNancy LeveilleDirector, Special Projects and Education Development