Thursday, March 11, 2010

Criminal Background Offenses and the STNA

The types of offenses (plead guilty or convicted) which would disqualify a nurse aide from working in a long term care facility may be found in a list of disqualifying offenses found in the Ohio Administrative Code (OAC) 3701-13-05.

A nurse aide may or may not be eligible to work as an aide in a long term care facility after pleading guilty or being convicted of an offense listed in the Ohio
Administrative Code (OAC) 3701-13-05 depending on that particular facility's decision and the hiring manager's interpretation of the facts and circumstances surrounding the conviction.

So, the decision to hire or not to hire is a matter for the prospective employer. The Ohio Administrative Code (OAC) 3701-13-06 can be used as a guideline in the facility's decision to hire a nurse aide who has plead guilty or been convicted of a listed offense.

Wednesday, March 10, 2010

CNA Nurse Aides Moving to Ohio

If you're a CNA nurse aide who is registered in another state and you move to Ohio and would like to work as a STNA nurse aide in Ohio you'll need to transfer your certificate. In order to do so you should contact the Registry at (800) 582-5908 or (614) 752-9500. To register as an aide in Ohio, the Registry will need the following:

• Name of aide
• Copy of aide’s drivers license or state-issued identification
• Copy of aide’s social security card
• Current street address
• Aide’s date of birth
• Telephone number where Registry can reach aide
• Name of state(s) where aide is registered

You may fax the information to (614) 564-2461 or mail it to:
The Ohio Department of Health
Nurse Aide Registry
246 North High Street
Columbus, Ohio 43215

Tuesday, March 9, 2010

On Losing the Right to Work as an STNA

Once an individual is on the Nurse Aide Registry, he or she can lose his or her
right to work. In order to maintain eligibility to work, an individual must provide nursing and nursing-related services for monetary compensation within twenty-four months after he or she last met the requirements for being listed on the Registry. An approved training program such as Alia Healthcare Services must re-train and re-test an individual who does not meet this requirement in order for the individual to be re-listed on the Registry as being eligible to work.

Furthermore, the individual must provide at least seven and one-half consecutive hours or eight hours in a forty-eight hour period of nursing and nursing-related services during the twenty-four month period in order to maintain eligibility to work as an STNA in the state of Ohio.

The eight hours may be divided up as long as the nurse aide works at least the required eight hours within the twenty-four months. For example, a nurse aide may count the time spent helping to feed residents if the aide generally works in another area of the facility as long as the nurse aide is providing nursing and nursing-related services. However, the facility must provide documentation verifying that the eight hour requirement has been met.

“Nursing and nursing-related services” may include performing services somewhere other than in a long-term care facility. In order to maintain eligibility to work, an individual may provide nursing or nursing-related services for payment in any health care facility, as long as he or she does so for at least seven and one-half consecutive hours or eight hours in a forty-eight hour period within twenty-four months after the individual last met the requirements for being listed in the Registry.

A nurse aide may not use a W-2 form to prove that he or she provided nursing and nursing related services for monetary compensation in the last two years. A W-2 does not tell the Registry what your job duties were; it only states that you worked for compensation. For this reason, the Registry does not accept W-2 forms as proof that an individual provided nursing and nursing related services for monetary compensation.

Monday, March 8, 2010

STNA Transfering to Another State

In all other states outside of Ohio, a nurse aide will most likely be referred to as a CNA (Certified Nurse Aide or Certified Nursing Assistant) versus an STNA (State Tested Nurse Aide). When transferring your nurse aide certificate from Ohio to another state, the Ohio STNA nurse aide certificate may transfer to other states that accept such transfers provided that you are in good standing in Ohio. To initiate the transfer, you should contact the Nurse Aide Registry of the state to which you are moving. Please note that North Carolina will not accept or transfer a nurse aide certificate.

Skilled Nursing Facilities & the Four-Month Grace Period

The question arises out of the situation when one facility does not know exactly how long another facility used a nurse aide. So the question becomes, What sort of system does the Registry require a facility to have in order to “track” how long other facilities used a nurse aide?

Each long-term care facility is responsible for checking the prior nurse aide service history of every individual it plans to use as a nurse aide. If this check reveals that another long-term care provider used an individual previously as a nurse aide, the facility should question the individual about the prior service. A facility must count any prior service as a nurse aide against the four month grace period. Training and testing, including the clinical portions of the training program, generally do not count toward the four month limit. However, if a facility chooses to use an individual as a nurse aide after he or she has completed the first sixteen hours of training, then the Registry would start calculating the four month grace period when the facility first uses the individual as a nurse aide.

The Registry would consider a facility to be in compliance with the aforementioned requirement if the facility has adequate documentation showing that it made an inquiry about previous service. Such documentation may include, but would not be limited to, a statement from the individual or prior facility-employer showing the length of prior service as a nurse aide with any facility or stating that the individual had no prior service as a nurse aide.

Four-month grace period for the STNA State Exam

If an individual fails the required state test three times, the individual does not receive another grace period. An individual, however, can get another four month grace period according to paragraph (D) of O.A.C. rule 3701-17-07.1 which allows an individual who was previously listed on the Registry, but who has not done nursing and nursing-related services for monetary compensation for twenty-four consecutive months, to get an additional four month grace period to successfully complete training and pass the required state test.

Friday, March 5, 2010

Frequently asked questions about STNA Classes at Alia Healthcare Services

I'd like to address some common questions Alia Heath Career Services gets from the STNAs of our own classes as well as from callers from the outside who would like to get current information about their status on the Nurse Aide Registry. You can call the Nurse Aide Registry at (800) 582-5908 (in-state) or (614) 752-9500 (out-of-state) for status information. You can also fax your request to (614) 564-2461, or perform an online inquiry through the Nurse Aide Registry website at:
https://odhlogin.odh.ohio.gov/nar/nar_registry_search.aspx

Finally, you can write to the Registry at:
The Ohio Department of Health
Nurse Aide Registry
246 North High Street
Columbus, Ohio 43215

Also, we've been asked a lot about the “four month grace period,” and how the Registry calculates the four month grace period?
Paragraph (B) of Ohio Administrative Code (“O.A.C.”) rule 3701-17-07.1 allows a long-term care facility to use an individual who is not listed on the Nurse Aide Registry as a nurse aide for up to four months. However, a facility cannot use an individual as a nurse aide for more than four months unless: a)the individual is competent to provide nurse aide services; b) the individual
has successfully completed an approved training program and passed a required state test, or has otherwise been deemed competent by the Director of Health; and c) the facility has received verification from the Registry that the individual has met the competency requirements. The Registry starts calculating the four month period on the date the facility first uses the individual as a nurse aide, and continues to count each day consecutively (regardless of whether the facility actually utilized the individual as a nurse aide on that particular day) during the period of the individual’s employment as a nurse aide. According to paragraph (G) of O.A.C. rule 3701-17-07.1, the four month “grace period” is cumulative. Specifically, paragraph (G) states that the four month period includes “any time that an individual is used as a nurse aide on a full time, temporary, per diem or other basis by a facility or any other facility.” Thus, no individual may be used as a nurse aide at any facility or facilities for more than a total of four months without successfully completing training and passing the required state test.

Another question we get at Alia Health is what happens if an individual is used as a nurse aide in a facility and quits before the grace period expires? Also, if the same or different facility rehires the individual as a nurse aide, does the individual get another four month grace period?
Well, the short answer is No. Any length of time that an individual is used by a facility as a nurse aide counts toward the four month grace period.

Tuesday, February 16, 2010

Certified Medication Aide CMA classes first in Columbus to be offered by Alia Health Career Services, more info at Alia Healthcare Services at 1-800-490-ALIA