Board of Nursing
Chapter 851
Division 61
STANDARDS FOR EDUCATION PROGRAMS FOR NURSING ASSISTANTS AND MEDICATION AIDES
851-061-0080
Standards for Program Approval: Faculty Qualifications and Responsibilities
(1) The education program director must:
(a) Hold a current Oregon RN license;
(b) Have at least two years of RN nursing experience that includes at least one year of direct care; and
(c) Have evidence of completion of a course on teaching adults, or one year of experience teaching adults:
(A) As faculty in a nursing education program;
(B) In a staff development role; or
(C) As a nurse administrator.
(2) An applicant for program director whose RN license has been previously disciplined or is under current discipline will be subject to further evaluation by Board staff.
(3) Supervision of level-one nursing assistant education must be done by:
(a) A program director who has at least one year of nursing experience in the provision of long-term care facility services; or
(b) All primary instructors must have at least one year of nursing experience in the provision of long-term care facility services.
(4) Supervision of level-two nursing assistant education must be done by:
(a) A program director who has at least one year of nursing experience in an acute care facility; or
(b) All primary instructors must have at least one year of nursing experience in an acute care facility.
(5) The program director must:
(a) Act as liaison with the Board related to the program's continuing compliance with the required elements of these rules;
(b) Implement and maintain a program that complies with all Board standards contained in these rules;
(c) Assume the ultimate responsibility for the implementation of the Board-approved curriculum;
(d) Have sufficient time provided for carrying out administrative responsibilities. Number of faculty, students, classes in progress, and locations utilized for classroom and clinical training are to be considered in determining appropriate time allocated;
(e) Recruit, supervise, and evaluate qualified primary instructors and clinical teaching associates;
(f) Provide or arrange for the orientation of the primary instructors and clinical teaching associates to their role and responsibilities.
(g) Develop and implement written policies necessary for the operation of the program, including those maintained under OAR 851-061-0123(3)(g);
(h) Ensure that all students have initiated a criminal history check that meets the laws governing the clinical site facility prior to entering the program and all students are determined eligible to participate in the program's clinical experiences.
(i) Coordinate classroom and clinical sites and activities;
(j) Ensure that the classroom, lab, and clinical environment is conducive to teaching and learning;
(k) Assure that the clinical setting provides an opportunity for the students to perform the skills taught in the curriculum;
(l) Ensure that a Board-approved primary instructor or clinical teaching associate is on the premises at all times during scheduled clinical hours;
(m) Supervise or coordinate supervision of students in the clinical setting or assign this responsibility to the primary instructor.
(n) Assess students' reactions to course content, instructional effectiveness, and other aspects of the learning experience through an anonymous and confidential process;
(o) Submit program data upon request of the Board on forms provided by the Board;
(p) Submit required reports;
(q) Verify that the training facility in which the education program is offered or utilized for the clinical experience is licensed under the appropriate licensing agency and is in substantial compliance with all standards for licensure;
(r) Verify that a facility utilized for out-of-state clinical experience:
(A) Has not been found within the preceding two years, by the state survey and certification agency, using the currently applicable Center for Medicare and Medicaid Services regulations, to be categorized as providing substandard quality of care;
(B) Is no more than 50 miles from an Oregon border; and
(C) Has given permission for site visits by Board staff.
(s) For medication aide education programs, determine student eligibility by verifying that the applicant:
(A) Holds a current certificate to practice as a CNA 1 on the CNA Registry prior to starting and throughout the medication aide education;
(B) Has graduated from an approved basic nurse aide education program at least six months prior to enrollment in the medication aide education program; and
(C) Meets the employment requirement of at least six months of full time experience as a nursing assistant or the equivalent in part time experience since graduation from a basic nursing assistant education program unless the applicant is exempt under OAR 851-062-0090.
(t) For level two education programs, determine student eligibility by verifying that the applicant holds a current certificate to practice as a CNA 1 on the CNA Registry prior to starting and throughout the level two education.
(6) Education primary instructor for level one and level two must:
(a) Hold a current Oregon RN license.
(b) Have at least two years’ experience as an RN; and
(c) Have evidence of completion of a course on teaching adults, or one year or experience teaching adults.
(7) Education primary instructor for medication aide must:
(a) Hold a current Oregon RN license;
(b) Have at least two years of RN nursing experience that includes at least one year:
(A) Experience as a nurse educator or in staff development role, or as a primary instructor in a nursing assistant education program; and
(B) Working in the provision of long-term care facility services.
(8) An applicant for primary instructor whose RN license has been previously disciplined or is under current discipline will be subject to further evaluation by Board staff.
(9) A Director of Nursing is prohibited from being the primary instructor.
(10) The primary instructor must:
(a) Implement the required Board-approved curriculum;
(b) Provide effective teaching strategies in an environment that encourages student and instructor interaction;
(c) Supervise and be present in the classroom at least 75% of the time that classes are being taught, or for on-line programs, be available for consultation and additional clarification at least every 72 hours;
(d) Evaluate competency of students; and
(e) The primary instructor of a medication aide program, in addition to the above, must:
(A) Obtain approval from a facility prior to using a facility employee as a clinical teaching associate. The facility has the right to refuse such approval;
(B) Ensure that each student's clinical experience includes administration of medications by all approved routes of administration and includes administration of a variety of medications; and
(C) Supervise the clinical experience for all medication aide students. Clinical teaching associates may be used as appropriate.
(11) Other personnel from the healthcare professions may supplement the instructor in their area of expertise:
(a) For a nursing assistant level one and level two education program, the program director or primary instructor may:
(A) Involve as trainers for a specific portion of the nursing assistant education, other licensed nursing personnel or other licensed health care professionals who have at least one year of experience in their field.
(B) Use an approved clinical teaching associate who must:
(i) Hold a current Oregon RN or LPN license; and
(ii) Have the equivalent of at least one year of experience as a licensed nurse.
(b) For a medication aide education program, the clinical teaching associate must:
(A) Hold a current Oregon RN or LPN license;
(B) Have the equivalent of at least one year full time experience as a licensed nurse and must have six months' nursing experience in a facility licensed the same as the setting in which the medication aide student will be passing medications;
(C) Provide direct supervision of students; and
(D) Have only the responsibility for clinical precepting during the scheduled clinical experience.
(c) An applicant whose nursing license has been previously disciplined or is under current discipline will be subject to further evaluation by Board staff.
(d) Certified medication aides, resident care managers, and directors of nursing are prohibited from acting as clinical teaching associates for medication aide students.
(e) A Board-approved clinical teaching associate may assist the primary instructor in the classroom or lab setting to meet the faculty-to-student ratios.
Statutory/Other Authority: ORS 678.440 & ORS 678.444
Statutes/Other Implemented: ORS 678.440 & ORS 678.444
History:
BN 14-2021, minor correction filed 06/24/2021, effective 06/24/2021
BN 8-2020, amend filed 12/14/2020, effective 01/01/2021
BN 5-2014, f. 12-1-14, cert. ef. 1-1-15
BN 13-2013, f. 12-3-13, cert. ef. 1-1-14
BN 2-2011, f. & cert. ef. 7-11-11
BN 2-2008, f. & cert. ef. 2-25-08
BN 7-2006, f. & cert. ef. 5-8-06
BN 11-2004, f. & cert. ef. 7-13-04
BN 1-2004, f. 1-29-04, cert. ef. 2-12-04
BN 18-2002, f. & cert. ef. 10-18-02
BN 6-1999, f. & cert. ef. 7-8-99