Beth Radtke 49 Included in the report: 7/22/2015 11:17:54 AM Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO) Connecticut (CT) Delaware (DE) District Columbia (DC) Florida (FL) Georgia (GA) Guam (GU) Hawaii (HI) Idaho (ID) Illinois (IL) Iowa (IA) Kansas (KS) Kentucky (KY) Louisiana-RN (LA-RN) Maine (ME) Maryland (MD) Massachusetts (MA) Michigan (MI) Minnesota (MN) Mississippi (MS) Missouri (MO) Montana (MT) Nebraska (NE) Nevada (NV) New Hampshire (NH) New Jersey (NJ) New Mexico (NM) rth Carolina (NC) rth Dakota (ND) rthern Mariana Islands (CNMI) Ohio (OH) Oregon (OR) Pennsylvania (PA) South Dakota (SD) Tennessee (TN) Texas (TX) Utah (UT) Vermont (VT) Virgin Islands (VI) Virginia (VA) Washington (WA) West Virginia-PN (WV- PN) West Virginia-RN (WV- RN) Wisconsin (WI) 10 not included in the report due to non-response: Wyoming (WY) Alabama (AL) American Samoa (AS) California-VN (CA-VN) Indiana (IN) Louisiana-PN (LA-PN) Nebraska-AP (NE- APRN) New York (NY) Oklahoma (OK) Rhode Island (RI) South Carolina (SC) Table Contents 1. Terminology 2. Agency Type 3. Regulation Assistive Personnel 4. Reference to Delegation for Assistive Personnel in a Specific Statute/Regulation 5. Approval Assistive Personnel Training Programs 6. Responsibility for Assistive Personnel Initial Competency Evaluation 7. Administration /Type Assistive Personnel Initial Competency Examinations 8. Registry Assistive Personnel 9. Disciplinary Action Authority/Registry Disciplined Page 1 16
Terminology 1.1 Back To Table Contents Member Board Prile Terminology The following terms are used throughout all priles: Board Nursing: Jurisdiction's governmental agency responsible for the regulation nursing practice. Includes any other terminology to refer to the regulatory authority (i.e. commission, examiners, registration, jurisdiction). When referring to board nursing, the reference collectively includes Board Members, Executive Officer and Staff Jurisdiction: Refers to state, territory or district where a board nursing is located. May also be used to refer generally to the board nursing in a particular jurisdiction Board Staff: Staff the board nursing Executive Officer: Person responsible for running the board nursing. Includes any other terminology to refer to that authorized person (i.e. Executive Director) Board Member: Member the governing body the board nursing as outlined by statute Practical Nurse or PN: licensed practical or vocational nurse (LPN/LVN) Assistive Personnel: generic term to identify non-nursing health care personnel Regulation: various levels authority which may include approval educational programs, licensure, examination competence or enforcement adherence to statute and rules Page 2 16
Agency Type 2.1 Back To Table Contents Agency Type: Independent agency within state government Board within an umbrella state agency Independent agency outside state government AR, AZ, CNMI, IA, ID, KS, KY, LA-RN, ME, MN, MO, MS, ND, NH, NM, NV, OH, OR, SD, TX, WV-PN, WV-RN, WY AK, CA-RN, CO, CT, DC, DE, FL, GA, GU, HI, IL, MA, MD, MI, MT, NE, NJ, PA, TN, UT, VA, VI, VT, WA, WI Percentage 23 47% 25 51% NC 1 2% Page 3 16
Regulation Assistive Personnel 3.1 Back To Table Contents Does the Board Nursing perform any regulatory activities for any the following assistive personnel? (Check all that apply) Nursing assistant/aide Peritoneal Dialysis assistant/technician Hemodialysis assistant/technician AK, AZ, CNMI, DC, GU, ID, MD, ME, NC, ND, NH, NV, OR, SD, VA, VI, VT, WA Percentage 18 37% ND, OH, WV-RN 3 6% CNMI, MD, MS, ND, NM, OH, SD, WV-RN 8 16% Home health aide DC, NJ 2 4% Medication aide AR, AZ, DC, ID, MD, MT, ND, NM, NV, OH, SD, TN, UT, VA 14 29% Nutrition or feeding aide Psychiatric aide/technician Community health worker 0 0% KS, ND 2 4% OH 1 2% Other* CO, FL, KY, NC, ND, NH, WY 7 14% Certified Nursing Assistant with Medication Assistant Endorsement Do not regulate assistive personnel Other* CO FL KY CNMI, CO, GU, MD, NH, OR, SD, VT, WA, WY 10 20% CA-RN, CT, DE, GA, HI, IA, IL, LA-RN, MA, MI, MN, MO, NE, PA, TX, WI, WV-PN Certified Nurse Aide without Medication Aide Authority CNA Dialysis Technician 17 35% Page 4 16
Regulation Assistive Personnel 3.2 NC ND NH WY NAII Registry Surgical Technicians, Medical Assistants We license nursing assistants. We have programming oversight for MNA and LNA- MC programs Certified Nursing Assistant w/ Home Health Aide course completion Page 5 16
Reference to Delegation for Assistive Personnel in a Specific Statute/Regulation 4.1 Back To Table Contents Are there specific statutes or regulations that reference delegation for any the following assistive personnel? (Check all that apply) Nursing assistant/aide Peritoneal dialysis assistant/technician Hemodialysis assistant/technician AK, AZ, CNMI, DC, GU, ID, KY, MD, ME, NC, ND, NH, NV, OR, SD, VA, VI, VT, WA, WV-RN Percentage 20 62% KY, ND, OH, WV-RN 4 12% CNMI, DC, KY, MD, MS, ND, NM, OH, SD, WV-RN 10 31% Home health aide DC, KY, ND, NJ, WA 5 16% Medication aide Nutrition or feeding aide Psychiatric aide/technician Community health worker AR, AZ, DC, ID, KY, MD, NC, ND, NM, NV, OH, SD, TN, UT, WV- RN 15 47% AR, KY, ND 3 9% KS, KY, ND, WV-RN 4 12% KY, ND, OH, WV-RN 4 12% Other* CO, FL, ID, MT, NC, ND, NV, WA 8 25% Certified Nursing Assistant with Medication Assistant Endorsement CNMI, GU, KY, ME, ND, NH, OR, VT, WA, WV-RN 10 31% Does not apply WY 1 3% Other* CO FL Statutory Authority for RN delegation nursing functions to both licensed and unlicensed individuals found in CRS 12-38-132 Rule defining assistive personnel Page 6 16
Reference to Delegation for Assistive Personnel in a Specific Statute/Regulation 4.2 ID MT NC ND NV WA Technicial/Technologist UAPs UAP All UAPs are in this category Any other UAPs Medical Assistants-Certificated, Registered, Hemodialysis Technician & Phlebotomist Page 7 16
Approval Assistive Personnel Training Programs 5.1 Back To Table Contents Does the Board Nursing approve training programs for any the following assistive personnel? (Check all that apply) Nursing assistant/aide Peritoneal dialysis assistant/technician Hemodialysis assistant/technician AK, AZ, CNMI, CO, DC, GU, ID, MD, ME, NC, NH, NV, OR, SD, VA, VI, VT, WA Percentage 18 56% OH, WV-RN 2 6% MD, MS, NM, OH, WV-RN 5 16% Home health aide DC, NJ 2 6% Medication aide AR, AZ, DC, ID, MD, MT, NC, NM, NV, OH, SD, TN, UT, VA 14 44% Nutrition or feeding aide Psychiatric aide/technician Community health workers NH 1 3% KS 1 3% OH 1 3% Other* FL, WY 2 6% Certified Nursing Assistant with Medication Assistant Endorsement CO, GU, ME, NH, OR, VT, WA, WY 8 25% Does not apply KY, ND 2 6% Other* FL WY CNA CNA with Home Health Care course completion Page 8 16
Responsibility for Assistive Personnel Initial Competency Evaluation 6.1 Back To Table Contents Is the Board Nursing responsible for the initial competency evaluation any the following assistive personnel? (Check all that apply) Nursing assistant/aide Percentage AK, AZ, CNMI, CO, DC, GU, MD, NV, OR, VA, VI, VT, WA 13 41% Medication aide AR, AZ, DC, ID, MT, NM, NV, SD, TN 9 28% Certified Nursing Assistant with Medication Assistant Endorsement Peritoneal dialysis assistant/technician Hemodialysis assistant/technician CNMI, CO, GU, ND, OR, VT, WA 7 22% WV-RN 1 3% CNMI, MD, MS, NM, WV-RN 5 16% Home health aide DC, NJ 2 6% Nutrition or feeding aide Psychiatric aide/technician Community health workers 0 0% KS 1 3% 0 0% Other* FL, ND, NH 3 9% Does not apply KY, ME, NC, OH, UT, WY 6 19% Other* FL ND NH CNA Vendor for NNAAP Examination Competency is determined via program and testing Page 9 16
Administration /Type Assistive Personnel Initial Competency Examinations 7.1 Back To Table Contents Does the Board Nursing administer or outsource assistive personnel initial competency examinations? (Check all that apply) Percentage Administer AK, CNMI, CO, DC, GU, NM, VI 7 22% Outsource AR, AZ, CNMI, CO, DC, FL, ID, KS, MD, MS, MT, NH, NV, OR, TN, UT, VA, VT, WA, WV-RN, WY 21 66% Does not apply KY, ME, NC, ND, NJ, OH, SD 7 22% Page 10 16
Administration /Type Assistive Personnel Initial Competency Examinations 7.2 Which type exam is required by the Board Nursing for assistive personnel initial competency examinations? Board Nursing constructed exams Standardized exams Does not apply Board Nursing constructed exams Standardized exams Does not apply Board Nursing constructed exams Standardized exams *PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below. Percentage AR, DC, NM 3 9% AK, AZ, CNMI, CO, FL, GU, ID, KS, MD, MS, MT, NH, NV, OH, OR, TN, UT, VI, VT, WA, WV-RN, WY 22 69% Does not apply KY, ME, NC, ND, NJ, SD, VA 7 22% Page 11 16
Registry Assistive Personnel 8.1 Does the Board Nursing maintain a registry assistive personnel employed in nursing homes? Back To Table Contents *PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below. AR, AZ, CNMI, CO, DC, ID, KS, ME, MS, MT, NC, ND, NJ, NM, OH, TN, UT, WA, WV-RN, WY Percentage 20 62% AK, FL, GU, KY, MD, NH, NV, OR, SD, VA, VI, VT 12 38% Page 12 16
Registry Assistive Personnel 8.2 Does the Board Nursing maintain a registry assistive personnel employed in home health care agencies? *PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below. AR, AZ, CNMI, CO, DC, ID, KS, ME, MS, MT, NC, ND, NM, OH, OR, SD, TN, UT, VA, WA, WV-RN, WY Percentage 22 69% AK, FL, GU, KY, MD, NH, NJ, NV, VI, VT 10 31% Page 13 16
Disciplinary Action Authority/Registry Disciplined 9.1 Back To Table Contents Does the Board Nursing have the authority to take disciplinary action on assistive personnel licenses? *PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below. Percentage KY, ME, NC, SD, WA, WV-RN 6 19% AK, AR, AZ, CNMI, CO, DC, FL, GU, ID, KS, MD, MS, MT, ND, NH, NJ, NM, NV, OH, OR, TN, UT, VA, VI, VT, WY 26 81% Page 14 16
Disciplinary Action Authority/Registry Disciplined 9.2 Does the Board Nursing maintain a database disciplined assistive personnel? *PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below. Percentage CNMI, ME, NC, WA, WV-RN 5 16% AK, AR, AZ, CO, DC, FL, GU, ID, KS, KY, MD, MS, MT, ND, NH, NJ, NM, NV, OH, OR, SD, TN, UT, VA, VI, VT, WY 27 84% Page 15 16
Disciplinary Action Authority/Registry Disciplined 9.3 Does the Board Nursing maintain a database assistive personnel disciplined for patient abuse? *PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below. Percentage AR, CNMI, ID, ME, MT, NC, ND, TN, UT, WA, WV-RN 11 34% AK, AZ, CO, DC, FL, GU, KS, KY, MD, MS, NH, NJ, NM, NV, OH, OR, SD, VA, VI, VT, WY 21 66% Page 16 16