1. Center for Aide Regulation and Education Division of Health Service Regulation State Update - Nurse Aide I, Medication Aide, and Geriatric Aide November 19, 2009

2. Year in Review (FY 7/1/08 – 6/30/09) Candidates Tested Nurse Aides23829* Medication Aides 961 Aides Listed Nurse Aides15226 Medication Aides 660 * Number represents skills, 20,394 written tests given at 96-97% pass rate

3. Year in Review - continued Number of CC candidates tested FY 08-09 Testedwritten10,905 Passedwritten10,724 (98%) 41.3% of candidates are from CC state- approved training

4. Year in Review - continued Number of CC candidates tested FY 08-09 Testedskills12,318 Passedskills 9,953 (80.8%) 39.8% of candidates are from CC state- approved training

5. Year in Review - continued Number of CC candidates tested FY 08-09 W S Refreshers 1.8% 2.2% Schools of Nursing2.5 2.5 Proprietary6.7 6.3 High Schools 11.311.6 Challenge 34.035.7 Other categories < 1% each

6. Year in Review - continued State-Approved Programs Nurse Aide I512* Geriatric Aide 12 * does not include refresher/transition, but does include all others

7. Year in Review - continued Competency Evaluation Stats - statewide Average pass rate FY 2008-09 Written95% Skills72%

8. Year in Review - continued Pass Rates for Community Colleges FY 2008-09 Written98% Skills80.8%

9. Year in Review - continued Skills with Lowest Passing Scores for CC Perineal care83% Provides cather care86% Dresses client/weak R. arm86% Counts/records radial pulse86%

10. Year in Review - continued Skills With Lowest Pass Rates For NC Perineal care75% Catheter care77% Radial pulse80% Assists with use of bedpan81% Assists client/weak r. arm81% Modified bedbath81% BP81%

11. Recent Changes (8-09) Changes in NC Testing Policies/Procedures Eligibility Routes (Handbook pages 2-4) Price Increase (Handbook page 5) Applications (Handbook pages 4-7) Proper Identification (Handbook page 9)

12. Changes for 2009-2010 National Council for State Boards of Nursing (NCSBN) developing knowledge and skill statements and job analysis for nurse aides NNAAP test (written) will be new effective January 2010 New Handbook coming out in December Reviewed/developed test items for Med. Aide exam

13. Testing Update - Miscellaneous Test sites: Data shows that candidates who test INF have significantly higher pass rates --Pass rates at INF85% --Pass rates at RTS68% When removing challengers, rate remains 68% RTS which offer training must offer state- approved training.

14. ADA notes Majority of ADA requests involve deaf/hard of hearing candidates Many modifications can be made Eliminating skill is not an option Modifications usually are aligned with modifications used in training (i.e. interpreters) Digital equipment not allowed

15. Miscellaneous Check website frequently for announcements - www.ncnar.orgwww.ncnar.org Resources will be posted as developed Moving to electronic communication

16. Medication Aide Confusion, confusion, confusion Intent, laws, rules, curriculum not completely aligned Competency exam reviewed New items developed Curriculum is THE source for exam National Council for State Boards of Nursing – competency exam

17. Education Staff Kathy Turner, Manager Teressa Banks, Coastal Region Barbara Branon-Bissette, Piedmont Region Vickie Fore, Triangle Region Gaynelle Rogers, Western Region Brenda Sanders, Educational Support, Raleigh

18. Thank you for all you do for the students and citizens of North Carolina. You are doing a great job and should be proud of your success!