nurse aide candidate handbook - mississippi nursemsdh.ms.gov/msdhsite/_static/resources/6293.pdf ·...

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PEARSON VUEQUICK REFERENCE

Mississippi

NURSEAIDEwritten (or oral) examination& skills evaluation

CANDIDATE HANDBOOKJanuary 2016

ALWAYS LEARNING PEARSON

NACES PLUS FOUNDATION (NACES)Mississippi NNAAp.

8501 North Mopae Expressway. Suire 400Austin. TX 78759(800) 579-3321

Fax: I (866) 95NACES I 1 (866) 956-2237Jioun a/Gpaatian

Monday through Friday7:30 a.m. - 5:30 p.m.(Central Time Zone)

Call NACES Plus Foundation to:

Obtain a Candidare Handbook

Obtain registration information

Obtain an application for testing

Cancd and reschedule a scheduled examination

Inquire special examination requestsand services

Change your current address or namebefore testing

Request an excused absence

MISSISSIPPI STATE DEPARTMENT OF HEALTHBureau of Health FacilitiesLicensure and Certification

P.O. Box 1700Jackson, MS 39215143B LeFleur's SquareJackson. MS 39211(601) 364-1100

Fax (601) 364-5052HOllrs of Operation

8:00 fl.m. - 5:00 p. 11Z.rCmtral Time Zom)

Call the Mississippi State Department of Health to:Obrain information on official regulations andguidelines for nurse aides

Obtain approval to lest if you arc an our-of-stateor foreign RN or LPN

Obtain Training Program and Employer codes

List of MS Approved Training Programs

PEARSON VUE"Mississippi NNAAp.

PO Box 13785Philadelphia. PA 19101-3785

(888) 204-6213Hours 0fOpmttion

Monday through Friday8:00 a. m. - 5:00 p.m.(£asian Time Zon()

Call Pearsml VUE to:Obtain information regarding your Score Repon

Change your current address or name after test in!

Request a duplicate Score Reponor Nurse Aide Cenificate

Obtain a Nurse Aide Registry Renewal Form

Obtain information regarding re-certification

Obtain a Reciprocity Application

Check the current listing on the Mississippi NursAide Registry

Go to loww.pellrsonvlle.com to:Check your status on the Mississippi Nurse AideRegistry

Download a Candidate Handbook

Download an Applicarion for Examination(New Nurse Aide)

Download a Nurse Aide Registry Renewal Form

Download an Application for Reciprocity

Download the Regional Test Sire Schedule

Download the Nurse Aide Practice WrittenExamination

TABLEOF CONTENTS

QUICK REFERENCE.•.........•........•.... inside front cover

INTRODUCTION ..........••.•..•.•.•........••......••................ 1National Nurse Aide Assessment Program IExam Overview 2

Ell GIBILITY ......•.......... 2Eligibility Roures 2-4

APPLICATION AND SCHEDULING 5Filling Out <l.nApplication ~ 5Exam Fees......... 6Exam Scheduling. 7Authorization ro Test Notice 7Testing Locations 7Accommodations........... 7-8

CANCELLATION AND RESCHEDULING ..•.......••..•••••• BRefunds 8Absence Policy 9Weather Emergencies 9

EXAM DAy............................................................... 10Checking In. 10What to Bring 10Proper Identification. 10Security. 11Testing Policies 11Lateness 11Electronic Devices 11Personal Belongings/Study Aids 11Eating/Drin king/Smoking... 12Misconduct/Disruptive Behavior 12Guests/Visitors.. 12

THE WRITTEN (OR ORAL) EXAM ...............••••.....••. 12Written Exam 12Oral Exam 13

WRITTEN (OR ORAL) EXAMCONTENT OUTLINE ......••....•••................................ 14

SAMPLE QUESTIONS............................................... 15

SELF-ASSESSMENT READING TEST •.................... 16-19

continu~d on next pag~

THE SKILLS EVALUATION ...........••...•.•....•......•........ 20\X'har [0 Expect 20Setting ' .. '.. 20Who Will Act as a Client? 20Candidate Volunteer Requirements 20Candidate Dress Requirements 20

The Tasks 21Recording a Measurement 22Sample Recording Sheetfor Measurement Skills 23Tips for the Skills Evaluation 24

SKILLS LISTING ...........••......••..••......••••...........••... 25-40

SCORE REPORTING ••••....•.•...........••••......••••....•....... 41Exam Results , 41Written (or Oral) 41Skills Evaluation 41

Failing.. 41How ro Read a Failing Score Report 42Sample of a Failing Score Report. 43Passing 43Duplicate Score Repan 43

GRIEVANCE PROCESS.......... ..••............••........... ••••••. 44Overview... 44Process 44

THE REGISTRy ..•............•.••..........••....•........••........... 45Online Registry Search 45Change of Address or Name 45Certification by Reciprocity 45Re-certification 46Renewal Notification 46Re-cenification Process 47

MISSISSIPPI NURSE AIDE CERTIFICATIONFREQUENTlY ASKED QUESTIONs.. •............. 49-59

APPENDIX

Appendix A: Request for Duplicate Score Repon,Handscored, or Duplicate Certificate

Appendix B: Change of Address or Name Form

INTRODUCTION

This handbook is designed for candidates seeking nurseaide certification in Mississippi. Ir describes the process ofapplying for and taking the National Nurse Aide AssessmentProgram (NNMP-) Examination. All nurse aide candi-dates and certified nurse aides are responsible for knowingits contents.

The Mississippi State Depanment of Health, Bureau ofHealth Facilities Licensure and Certification, has con-tracted with Pearson VUE, a nationally recognized leadingprovider of assessmem services to regulatory agencies andnational associations, to administer, score, and repon theresults of the NNMP ExamiIlarion for the MississippiNurse Aide Registry. NACES Plus Found<l.tion (NACES)will be working with Pearson VUE to schedule and admin-ister the NNAAP Examination.

NATIONAL NURSE AIDE ASSESSMENTPROGRAM (NNAAP")The Nursing Home Reform Act, adopted by Congress aspan of the Omnibus Budget Reconciliation Act of 1987(OBRA '87), W<l.Sdesigned to improve the quality of carein long.term health care facilities and to define trainingand evaluation st<l.ndardsfor nurse aides who work in suchfacilities. Each state is responsible for following the termsof this federal law.

The National Nurse Aide Assessment Program (NNMp.)is an examination program designed to determine minimalcompetency to become a certified nurse aide in your state.The NNAAP was developed by the National Council ofState Boards of Nursing. Inc., (NCSBN) to meet the nurseaide evaluation requirement of federal and state laws andregulations. Pearson VUE is the authorized administrator ofthe NNAAP in your state.

The NNAAP Examination is an evaluation of nurseaide-related knowledge. skills. and abilities. TIle NNAAPExamination is made up of both a Written (or Oral)Examination and a Skills Evaluation. The purpose of theNNAAP Examination is to test thar you understand andcan safely perform the job of an entry-level nurse aide.

EXAM OVERVIEWThe two pans of examination process, the Weiuen (or Or21)

Examination and the Skills Evaluation, will be administeredon the same day. You must pass both parts in order to becertified and listed on the Mississippi Nurse Aide Registry.

The Written Examination consists of sevemy (70) multi-ple-choice questions wrirtcn in English. Sample examina-[jon questions are provided in this handbook.

An Oral Examination may be taken in place of the WriuenExamination if you have difficulty reading English. The OralExamination consists of sixty (60) multiple-choice questionsand ten (10) reading comprehension questions. If you wantto take the Oral Examination, you must request it whenyou submit your Examination Application.

At the Skills Evaluation you will be asked to performfive (5) randomly selected nurse aide skills. You will begiven twemy.five (25) minutes to complete the five (5)skills. You will be rated on these skills by a Nurse AideEvaluator. A complete listing of the skills is shown onpages 25 to 40.

See Th~ Writun (or OraL)Exam and Th~ Skilis Evaluationfor more details about the NNAAP Examination.

ELIGIBILITY

ELIGIBILITY ROUTESYou are eligible to apply to take the NNAAP Examinationfor certification as a nurse aide in Mississippi if you quali-fy under one of the following eligibility routes:

NURSE AIDE CANDIDATE TRAINED IN MS -NON-FACILITY-BASED ANDPROPRIETARY SCHOOLS AND COLLEGESAn individual who has complered a Mississippi state-approved nurse aide training program and has never beencertified as a nurse aide. A completed examination appli-cation, fees, and a copy of the training program certificateof completion, or an original letter from the trainingprogram stating that training has been completed, mustbe submitted to NACES. If an original letter is sentwith the Examination Application as proof of train-ing, this original letter must be written on the trainingprogram's letterhead and must include: (1) the nurse

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aide candidate's name; (2) the nurse aide's date oftraining program completion; and (3) the signature ofthe instructor, director, or administrator of the train.iog program. You have twenty-four (24) months from thecompletion date of the training program to take and passboth parts of the NNAAP Examination.

NURSE AIDE CANDIDATE TRAINED IN MS -FACILITY-BASED (NURSING HOME)An individual who has successfully completed a Mississippistate.approved facility-based nurse aide training programand has never been certified as a nurse aide. If an originalletter is sent with the Examination Application as proofof training, this original letter must be written on thetraining program's letterhead and must include: (1) thenurse aide candidate's name; (2) the nurse aide's date oftraining program completion; and (3) the signature ofthe instructor, director, or administrator of the trainingprogram. NOTE: You MUST take and pass both partsof the NNAAP Examination and be certified withinfour (4) months (120 days) from your hire date.

STUDENT NURSECandidate must have successfully completed the funda-mentals/basic nursing skills of a state-approved LPN or RNprogram within the past twenty-four months. Please contactMS State Department of Health to determine if the programis approved. Note: If approved and the student is eligible totest, the application must be signed by the instructor andsubmitted with a training completion certificate.

GRADUATE NURSEAn individual who has completed a Mississippi.approvedRN or LPN program within the past twcmy.four months.Graduate must submir examination application. fees, anda copy of an LPN or RN training completion certificatediploma or certificate to be eligible to take the NNAAPExamination.

OUT-OF-STATE OR FOREIGN LPN OR RNAn individual who has completed an LPN or RN pro-gram outside the stare of Mississippi. You must obtainan application that is signed by the Mississippi StateDepartment of Health, Bureau of Health FaciliriesLicensureand Certification. The signed application and fees must besubmitted to NACES.

(ELigibility routes continue n~xt pag~)

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RECIPROCITY CANDIDATEReciprocity is a process by which a certified nurse aidefrom anmher state may qualify for certification in thestate of Mississippi by virtue of his or her status ill thatother state. You are eligible for reciprocity if you havebeen emered 011 a nurse aide registry in a state other thanMississippi in accordance with the training and compe-tency evaluadon requirements ofOBRA '87. as amended,and if YOll are currently listed on that state's nurse aideregistry as active and in good standing (see Certificationby R~dprocity AppLication for details).

LAPSED NURSE AIDEAn individual whose certification is lapsed on theMississippi Nurse Aide Registry and who must re-test inorder to become active on the Registry. If you fail eitherpart of the NNAAP Examination on the first try, youwill be required to complete a Mississippi-approved nurseaide training program before being allowed to re.test asa new nurse aide.

PETITION FOR REMOVAL OF FINDING OFNEGLECTAn individual whose nurse aide certification has beenrevoked due to one finding of Neglect and whose certi.fication has been revoked for a minimum of one year (12months). Individual must have no additional findings ofneglect during that time, and must submit a completedpetition to become active on the MS Nurse Aide Registry.This includes challenging the NNAAP Examination.If the individual fails either part of the examination, thePetirion for Removal of Neglect will not be reviewed. andconsideration of the removal of the finding of Neglect from[he MS NAR will be denied. The individual will be permit~[cd a second opportunity to challenge the exam as a part ofthe petition to have this finding removed after the findinghas remained on the MS NAR one year (12 months) fromthe date of unsuccessful exam results. If the individual failsto successfully complete the examination the second time,there will be no additional opportunities to challenge rheexamination. No appeal will be permitted. Please providethe MS nurse aide certificate number and the date yourcertificarion was revoked. or the application will not beprocessed. NOTE: If YOll select this Eligibility Route, yourapplication informarion will be forwarded to the MS StateDepartment of Health for review and approval be:fote atesting date is scheduled. The individual may be asked toprovide additional information for review, which couldcause delay in testing,

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APPLICATIONAND SCHEDULING

FILLING OUT AN APPLICATIONYou may get an examination application from your nurs-ing facility employer, your nurse aide training program, orby contacting NACES. You may also print one from rhePearson VUE website (www.pursonvue.com).

You are responsible for completing the appropriateseccions of the examination application. You mayask someone from your nurse aide training programor facility employer for assistance in completing theapplication.If you need help or have any questions abom theapplication, please contact a NACES CustomerService Represemarive at (SOD)579.3321.Mail your completed application. fees, and copy ofyour training program certificate of completion (ifapplicable) together in one envelope to:

NACESMS NNAAP

85tH Nonh Mopac Expressway, Suite 400Austin, TX 78759

"Ihis information must be received by NACES twelve(12) business days before the examination date.

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EXAM FEESThe fees listed below have been established for theNational Nurse Aide Assessment Program in Mississippi.

EXAM COST

Written Examination & both ~xllms $101Skills Evaluation

Oral Examination &both ~xllms $101Skills Evaluation

Written Examination ONLY ~xam r~-tak~ $32

Skills Evaluation ONLY t"xam rt"-tIlkt" $69

Oral Examination ONLY t"xam rt"-takt" $32

Re-ccnificatioll $26

Reciprocity (from anothrr starr) $26

Duplicate Score Rcport/Cerdficate $15

Handscore $15

The first time you test, you mU.ft scheduleBOTH the Written (or Oral) Examination

and the Skills Evaluation.

Payment must be made in the form of a money order,certified check, or company check made payable to"NACES". Even if it is from your employer. the moneyorder, certified check. or company check must displayyour name so it can be applied to YOllrexamination. Ifyou are not currently employed in a nursing home, youmay pay the fee yourself. Company checks may pay formore than one candidate. Personal checks and cash willnot be accepted. Fees arc non-refundable and non-transferable once submitted to NACES.

Under federal and Mississippi state laws. candidatesemployed as nurse aides in nursing homes that participatein Medicaid/Medicare programs arc prohibited from pay-ing their examination fees. Employers must pay the initialexamination fee and any fe-test fee for those candidates intheir employ as nurse aides. Candidates not employed asnurse aides are permitted to pay their own examination fee.

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EXAM SCHEDULINGOnce NACES receives your application. required docu-ments, and fee. they will schedule you for testing. NACESwill mail your Authorization to Test Notice (yellowpostcard) to you at the address listed on your applicationwithin forty~eight (48) hours.

AUTHORIZATION TO TEST NOTICEYour Authodzation to Test Notice (yellow postcard)has important information about the examination. Ifyou do not receive your notice within ten (10) businessdays, call NACES. NACES is not responsible for lost,misdirected, or delayed mail.

TESTING LOCATIONSThe nurse aide examination (both pans) will be given ata Regional Test Site. Please visit www.pearsonvue.comor call (888) 204~6213 to determine the schedule of thetest site most convenient to you. When accessing PearsallVUE's website, click on the second tab labeled ''Test TakerServices" (next to the "Home" tab), and select "MississippiNurse Aides" from the drop down menu. 111en. select"Regional Test Sites and Test Schedules.

ACCOMMODATIONSPearson VUE complies with the provisions of the Americanswith Disabilities Act as amended. The purpose of accom~modations is to provide candidates with full access to thetest. Accommodations are not a guarantee of improvedperformance or test completion. Pearson VUE providesreasonable and appropriate accommodations to individualswith documented disabilities who demonstrate a need foraccommodations.

Test accommodations may include things such as:A separate testing roomExtra testing timeA Reader or Recorder. for individuals Wilh mobilityor vision impairments and cannOI read or write ontheir own

Test accommodations are individualized and consideredon a case-by.case basis. All candidates who are request-ing accommodations because of a disability must provideappropriate documentation of their condition and how

Continues next pag~

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http://www.pursonvue.com.

http://www.pearsonvue.com

it is expected to affect their ability to take the test understandard conditions. 1his may include:

Supporting documentation from rhe professionalwho diagnosed the condition, including the cre~dentials that qualify the professional to make thisdiagnosis

A description of past accommodations the candi~date has received

The steps to follow when requesting test accommodationsvary, depending on your test program sponsor. To begin,go to hup:/Ipearsonvue.com/accommodations, and thenselect your test program sponsor from the alphabetized list.Candidates who have additional quesrions concerning testaccommodalions may contact the ADA Coordinator [email protected].

CANCELLATION ANDRESCHEDULING

If you are unable to attend your scheduled examination,you MUST call NACES at l.a" fiv. (5) bu,iness day'before the examination date to re-schedule. Saturday andSunday and national holidays are not business days. Ifyou do not call NACES at least five (5) business days inadvance of your examination date to re-schedule, and youdo nor show up for your scheduled examination, your fecwill NOT be refunded and cannot be transferred to a newexamination date. You may NOT give your examinationreservation [0 another person.

If you notify NACES in time, there is no penalty and yourfee may be transferred to your new examination date. If youremployer paid your examination fee, you should tell themabout missing the examination. Let them know how you havehandled re.schcduling and when you plan to rc.test.

REFUNDSOnce payment of exam fees is received, NO REFUNDSWILL BE ISSUED.

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ABSENCE POLICYSince unexpected situations occur, NACES will considerexcusing an absence from a scheduled examinalion.

Acceptable reasons for re-scheduling are as follows:

Illness of yourself or a member of your immediatefamilyDeath in the familyDisabling traffic accidentCourt appearance or jury dutyMilitary dutyWeather emergency

Requests for excused absences must be made in writingand received withill ten (JO) bus;lIess days followingthe scheduled examinarion. This request must includeverification of your absence from an appropriate source.For example, if you had jury duty, you must supply a copyof your court notice. Ihc decision of NACES to approve ordeny the excused absence is final.

WEATHER EMERGENCIESThe examination will be delayed or cancelled only inemergencies. If severe weather or a narural disaster makesthe test site inaccessible or unsafe, the examination willbe cancelled. If the examination has been cancelled, youwill be re-scheduled for the next available examinationdate at that site.

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EXAM DAY

CHECKING INYou must arrive 30 minutes prior to your scheduled timefor BOTH Ihe writren and skills examinations. If you arelate for Ihe written examination you will not be allowed [0

test and your fees will not be refunded. If you missed yourwritten examination and are scheduled for a skills evaluation,please arrive 30 minutes prior to your scheduled time. SkillsEvaluation test times are approximate. You will be requiredto present proper identification 10 check in for both (he writ.ten and for the skills examinations.

WHAT TO BRINGYou MUST have the following items with you when youtake the examination:

Two (2) forms of proper identificationThree (3) NO.2 pencils (sharpened)EraserKnow your Social Security numberWatch with a second hand

No otber materials will be allowed.

PROPER IDENTIFICATIONYou are required (0 bring twO (2) forms of current (notexpired), signature~bearing identification to the test site(one of which must be a photo identification). Photocopiesof identification will NOT be accepted. Examples ofproper identification include:

Driver's licenseSignature-bearing Social Security cardClinic cardCredit cardLibrary cardState-issued identification cardPassportAlien registration card

The name on your identification must be the same asthe name you used on the application to register for tbeexamination. If your name is different, you MUST bringproof of your name change (a copy of an official documentsuch as a marriage license or divorce decree) to the test cemer.

If you do not bring proper identification. you will nolbe allowed to tesl and your examination fee will nolbe refu nded.

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mailto:[email protected].

SECURITY AND CHEATINGIf you give help {O or receive help from anyone during theexamination. rhe examination will be stopped. lhe incidentwill be reponed to the MississippiState Department of Health,Bureau of Health Facilities and Cenification for review, andyour examination will not be scored (see T~tingPolid~).

All examination questions. each form of rhe examination,and all other examination materials are copyrighted by. theproperty of. Of licensed (Q Pearson VUE. Consequently.any distribulion of the examination content or materialsthrough any form of reproduction, or through oral or writ-ten communication, is strictly prohibited and puni~hable bylaw. Anyo"f! who removes or tries to remove examinationmaterials or information from the test site will be pros-ec:uted. Candidates tubo violate sec:urity regulationswill not have their examinations processed or scored.

TESTING POLICIESlhe following policies are observed at each test center.

LATENESSPlan to arrive thirty (30) minutes before the examinationstarts. If you are late for your scheduled examination, ordo not bring the required two forms of identification (seeWhallo Bring), you will NOT be allowed to test and yourexamination fee will NOT be returned. However, if youare late for the written or oral examination but arrive ontime for the Skills Evaluation, you will be allowed to takethe Skills portion of the examination.

ELECTRONIC DEVICESCellular phones, beepers, or any other electronic devicesare not permitted to be used and must be turned off dur-ing testing.

PERSONAL BELONGINGS/STUDY AIDSYou are not permitted to take personal belongings such ashriefcases, large bags, study materials, extra hooks, or papersinto the examination room. No interpreters or translatorsmay be used during the written and/or clinical skills exami.nation. Any such materials brought into the examinationroom will be collected and returned to you when you havecompleted the examination. Pearson VUE is not responsiblefor lost or misplaced items.

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EATING/DRINKING/SMOKINGYou are not permined (0 eat, drink, or smoke during theexamination.

MISCONDUCT/DISRUPTIVE BEHAVIOR

If you cause a dismrbance of any kind or engage in anykind of misconduct, you will be dismissed from theexamination and reported to your state licensing agency.Decisions regarding disciplinary measures are the respon-sibility of this agency.

GUESTSIVISITORS

No guests, visitors, pets, or children are allowed at theRegional Test Sites. NOTE: This includes ProgramInstructors.

THE WRITTEN(OR ORAL) EXAM

WRITTEN EXAMThe Nurse Aide Evaluator will hand out materials andgive instructions for taking the Written Examination. TheWrinen Examination has sixty (60) multiple-choice ques.tions. You will have two (2) hours to complete the WrittenExamination. You will be told when fifteen (I5) minutes areleft to finish. Fill in only one (1) box on the answer sheetfor each question. Markings in the teSt booklet will NOTbe accepted as answers. Your answers must appear on theseparate answer sheet. See Sample Qu~tiom for examples ofthe kinds of questions found on the Wrinen Examination.

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ORAL EXAMIf you have difficulty reading English, you may preferto take the Oral Examination. Just request it whenyou complete your Examination Application. The OralExamination is provided on a cassenc tape. A casseneplayer and earphones are provided at the test site. Youlisten to the cassene tape and follow along in a test book.let as the questions are read aloud on the tape. The OralExamination consists of two (2) parts, and you must passboth parts in order to pass the Oral Examination.

The first part of the Oral Examination has sixty (60)multiple-choice questions. Each of the sixty (60) multiple.choice questions is read twice. As each question is read,you are asked to choose the correct answer and mark it onyour answer sheet.

lhe second part of the Oral Examination has ten (10)multiple-choice questions that test whether you knowcommon words used in long.term care facilities. Each~ord is read three (3) times. You are asked to match theword you hear on tape to the written word in the testbooklet. As you find the match, you mark your answer onthe answer sheet.

You will have up to two (2) hours to take the OralExamination. Youwill be told when fifteen (15) minutes areleft to finish. Fill in only one (I) avalon the answer sheet foreach question. You may write in the test booklet, but mark-ings in the test booklet will not be accepted as answers.Your answers must appear on the separate answer sheet.

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SAMPLE QUESTIONSThe following questions are samples of the kinds of ques~tions that you will find on the Written Examination.Check your answers to these questions in the box below.

1. The client's call light should always be placed:(A) on the bed(B) within the client's reach(e) on the diem's right side(q) over the side rail

2. Which of the following items is used in the pre-vention and treatment of bedsores or pressuresores?

3. When caring for a dying client, the nurse aideshould:(A) keep the client's room dark and quiet(B) allow client to express his feelings(e) change the subject if client talks about death(D) contact the client's minister, ptiest or rabbi

4. What does the abbreviation ADL mean?(A) Ad Lib(B) As Doctor Likes(C) Activities of Daily Living(D) Aftet Daylight

5. After giving a client a back rub, the nurse aideshould always note:(A) the last time the client had a hack rub(B) any change in the c1iem's skin(e) client's weight(D) amount of lotion used

6. How should the nurse aide communicate with aclient who has a hearing loss?(A) face the c1iem when speaking(B) repeat the statement(C) shout so that the client can hear(D) use a high~pitched voice

(A) rubber sheer(B) air mattress(C) emesis basin(D) restraint

3. You use a to write.(A) bow(B) calculator(C) pencil(D) carpenter(E) needle

4. To EXIT a room means to it.(A) enter(B) leave(C) fotget(D) tead(E) interrupt

5. Awedding i5 a joyous '(A) focus(B) vehicle(C) balloon(D) occasion(E) civilization

6. To REQUIRE something means to it.(A) oeed(B) have(C) fotget(D) understand(E) hear go to ntxt pagt

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SELF-ASSESSMENTREADING TEST

PART 1:VOCABULARY1. Circle the best answer to each question.2. When you have finished, check your answers using

the answer key on page 18.3. Count up the number of correct answers.4. If your score is less than 17.you may have difficulty

reading the Written Examination and should con~sider taking the Oral Examination.

I. You go to a doctor when you '(A) feel sleepy(B) need socks(C) feel sick(0) need money(E) need clothes

2. A person who flies an airplane is its '(A) pilot(B) steward(C) mother(0) surgeon(E) director

H'I

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J'~ H'£!>.I3M-SHVuaoUo:)

V'9

Ill. Role of the Nurse Aide

A. Communication 8% 4

B. Client Rights 7% .4

C. Legal and Ethical Behavior 3% 2

D. Member of theHealth Care Team 8% 5

II. Psychosocial Care Skills

A. Emotional andMental Health Needs 11% 6

B. Spiritual and Cultural Needs 2% 2

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#,f% of tT'1rJt;on.'

I. Phy.sicalCare Skills tJ,rr.''lam in thr WI'"

A. ACtivities of Daily Living 14% 9I. Hygiene2. Dressing and Grooming3. Nuttition and Hydration4. Elimination5. Rest/Sleep/Comfort

B. Basic Nursing Skills .39% 23I. Infection Control2. Safety/Emergency3. TherapeuticfTechnical Procedures4. Data Collection and Reponing

C. Restorative Skills 8% 51. Prevention2. Self Care/Independence

2016 WRITTEN (OR ORAL)EXAM CONTENT OUTLINE

The revised content outline is based on the findings fromthe 2014 Job Analysis and Know'~dge,Skill, and AbilityStudy of Nurse Aides published by the National Council ofSt,He Boards of Nursing (NCSBN) in 2015. The examina-rion coment outline will be effective January 2016.

1he NNAAP written examination is comprised of 70muhipJe~choice items; 10 of these irems are pretest (non-scored) items on which statistical information will becollected. 'The NNAAP oral examination is comprised of60 multiple-choice items and 10 reading comprehension(word recognilion) items. lhe candidate is allowed tochoose between a written and an oral examination.

15. Fish live in -- 21.(A) cups(B) houses(C) air(D) water(E) fountains

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PART 2: COMPREHENSION

There are many different kinds of fish. All fish livein water. They use their tails and fins to swim.

Answers

I.C 7. C 13. B 19. C2.A 8. B 14. B 20.A3. C 9. C IS. D 21. B4. B IO.D 16. A 22. C

5. D II. E 17. B6.A 12. D 18. C

This completes theSelf-Assessment Reading Test.

Carolyn has a good job. She is a nurse in a large hos-pital. Every day she can help many people. She enjoysthis very much. She also makes a good salary. Eachmonth she can pay her bills and save some money.

20. Carolyn works in a __ '(A) hospital(B) doctor's office(C) garage(D) school(E) library

One of the things Carolyn enjoys is '(A) working in an office(B) helping people(C) reading books(0) working late hours(E) driving a car

22. With her salary she can pay her bills and __ '(A) buy furniture(8) give to charity(C) save money(0) buy new clothes(E) pay for college

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If your uore is less than 17, YOII may have difficultyrending the Written Examination and shollld considertaking the Oral Examination in place of the WrittenExamination.

to swim.16. Fish use their(A) tails(B) head,(C) gills(D) lungs(E) floats

SELF-ASSESSMENTREADING TEST

Maria grew up on a farm. She loved the work onthe farm. She knew when all of the crops had tobe planted. She would like a job on a farm or in aflower garden.

17. Maria has had experience as a __ '(A) guide(B) farmer(C) driver(D) nurse(E) teacher

18. She would like to work in __ '(A) an office(B) a library(C) a garden(D) a hospital(E) a supermarket

19. As a child Maria lived __ '(A) in the ciry(B) in an apartment(C) on a farm(0) in a large house(E) on the beach go to mxt pagr

In this part of the reading test you will be provided with aseries of brief paragraphs. You are to read each paragraph andthen answer the questions that appcar after the paragraph.

7. You __ something to find its length.(A) slice(B) lock(C) measure(D) force(E) tape

8. Soup is served in a __ '(A) plate(B) bowl(C) fork(D) chair(E) closer

9. To accompany someone means to __ '(A) disagree with him(B) work for him(C) go with him(D) speak to him(E) choose him

10. A nursing home resident receives __ from thestaff.(A) quality(B) fame(C) interruption(D) cate(E) work

11. Medicine is used to pain.(A) widen(B) conjure(C) enliven(D) increase(E) relieve

12. To DRENCH the flowers means to __ them.(A) stcam(B) drink(C) touch(D) soak(E) aoger

13. A bicycle is a means of __ .(A) nourishment(B) transportation(C) ptediction(D) collision(E) walking

14. When someone speaks in a whisper,it may be difficult to __ '(A) deceive(B) understaod(C) frighteo(0) estimate(E) regulate go to nrxt png~

17

THE SKILLS EVALUATION

WHAT TO EXPECTSETTING1ht: Skills Evaluation is set up (0 resemble an aemal carc-giving situation. The Skills Evaluation area will look similar[0 your work setting. It will have all the equipment neces-sary to perform the assigned skills. 'Jhe Skills Evaluationwill be administered hy a Nurse Aide Evaluator. Beforeyour skills evaluation begins, the evaluator will show youwhere equipment is located and answer questions aboutoperating the equipment. .

Please arrive thirty (30) minutes early. Test times areapproximate. Please plan to spend the day.

See pages 25.40 for thr complrtr skills listing.

WHO WILL ACT AS A CLIENT?1he part of the "client" will be played by a candidate whovolumeers to act as a weakened elderly person. While youperform the skills, speak to the candidate volunteer as youwould speak to an actual dient in a nurse aide work setting.You are encouraged to speak to the candidate volumeer notonly because it is part of quality care, bur also because it willhelp YOlito relax as you perform the skills.

CANDIDATE VOLUNTEER REQUIREMENTSYOliwill need to act as a candidate volunteer for anothernurse aide's Skills Evaluation and play the role of a nursinghome patient (diem). The evaluator will give you verbalinstructions that will describe how you should act in per-forming the role of the client.

CANDIDATE DRESSREQUIREMENTSYou must wear flat, slip-on, non-skid sllOes, a loose-fitting top with short sleeves that can be rolled up to theshoulder, or tank top, and loose fitting pants that canbe rolled up. You will be required to put a gown on overyour clothing. In no case may candidates remove clothingdown to undergarments.

Prior to beginning the exam, you should inform the evalu.ator of any food or latex allergy or sensitivity ro skin soapsor lotion. Any limitations to range of motion must alsobe communicated to the evaluator prior to the start of theskills examination.

For infection comrol purposes, you should not come to the

20

test site with open areas/sores on rhe skin. Candidates withany open areas or sores on their skin should reschedule theirskills test to a later date after their skin fully heals.

THE TASKSThe NNAAP Skills List contains all of the skills that youmay be asked to demonstrate during the Skills Evaluation.Each skill represents a task that you will be asked to per.form in your job and has been broken down into a seriesof steps. Su pages 25.40 for the complete skills listing.

A step that is highlighted in bold type is called a CriticalElement Step. Critical Element Steps are imporram stepsdl<lt must be perfotmed correcdy in ordet for you to passthe skill. If you leave out a Critical Elemem Step or donot perform a Critical Elemem Step properly, you will notpass the skill. However, if you perform only the CriticalElement Step correctly in a skill, you do not automati.cally pass that skill. You must also correctly demonstrateenough steps ro meet the passing standard (or cut scort')for each skill.

Before your Skills Evaluation begins, the Nurse AideEvaluator will give you an instruction card that will list thefive (5) skills selected for you to perform. Hand-washing willalways be one of the skills to be performed. The remainingfour (4) skills are randomly chosen from the complete set ofskills listings on pages 25 to 40 of this handbook. You arestrongly encouraged to perform the skills in the order theyare listed on the instruction card.

If you make a mistake, say so, and you will be instructedto tell the evaluator which step(s) is to be corrected andthen ro perform the step(s). You will not have to redo theemire skill, just the steps you wish ro correct. lltere are,however, some exceptions ro this rule. If you fail to puton gloves or take them off when it is required to do so andthe evaluator reminds you to do so, for infection comrolpurposes, then you will not receive credit for attempting tocorrect this step. If you wish to correct an order-dependentstep (a step stating that an action should be performedbefore or after another step) and you fail to say when thecorrected step should be performed, you will not receivecredit for the correction.

21

Once you begin a new skill, you may not go back tocorrect a previous skill. The Nurse Aide Evaluator willnot answer questions during the Skills Evaluation andwill not tell you whether you performed a skill correctly.You may not receive help from anyone during rhe SkillsEvaluation. If you do have any questions, please ask themhefore the Skills Evaluation begins.One (I) of the four (4) randomly-selected skills will includea measurement skill (see the section below, Ruording AMeasurement, for more information regarding measure-ment skills).

You will be asked to decontaminate your hands (with handsanitizer) before proceeding from skills performed on a liveclient to skills that are not. This is for infection controlpurposes and will not affect the results of your evaluation.

When you have completed your skills evaluation, theevaluator will direct you to wash your hands. Althoughthis will not effect your examination results, for the pur-poses of infection control, you must wash your hands.

You mmt stIccesiful/ycompl~u fil1e (5) out ofth~ five (5) skillsin th~ skill form to pms the Skills Evaluation. You will havetwenty-five (25) minutes to demonstrate all five (5) skills.

RECORDING A MEASUREMENTThe NNAAP Skills Evaluation requires every candidateto perform one measuremem skill, such as blood pressure,radial pulse, respirations, urine output, or weight. Youwill be given a special form, called a Recording Sheet forMeasuremem Skills, to write down, or record, the measure.memo For example, if performing the M~mum and RecordsBlood Pmmre skill, you will write the complete systolic anddiastolic pressures of your blood pressure reading in a boxlabeled Candidate Results.

On the following page is a copy of the recording sheet thatwill be used during the skills exam. The candidare muS[record his/her results in the Candidate Results box on thissheet. This sheet will be used to record the results of thefollowing measurement skills:

Measures and Records Blood PressureMeasures and Records Weight ofAmlmlatory ClientMeasures and Records Urinary OutputCounts and Records Radial PulseCOUntS and Records Respirations

22

CANDIDATE 10

Test Site 10

SKILLS LISTING

Explains procedure, speaking clearly, slowly, anddirectly, maintaining face-ro-face contact wheneverpossible

2 Privacy is provided with a cunain, screen, or door3 Clienr is in supine posirion (lying down in bed) whilestocking is applied

4 Turns stocking inside-out, at leasr to rhe heel5 Places foot of srocking over toes, foot, and heel6 Pulls top of stocking over fi)()r,heel, and leg

lhe 22 skills rhac follow are arranged in alphabeticalorder, except for the Hand Hygien( (Hand Washing) skill.Hand Hygiene is listed first as a reminder of [he impor-tance of performing this skill before all other skills. Thenumbered lines below each skill are the steps needed roperform thar skill. Crirical Element Steps arc in bold type.

HAND HYGIENE (HAND WASHING)1 Address client by name and introduces self to client byname

2 Turns on warer at sink3 Wets hands and wrists thoroughly4 Applies soap to hands5 Lathers all surfaces of wrists, hands, and fingersproducing friction, for at least 20 (twenty) seconds,keeping hands lower than the elbows and thefingertips down

6 Cleans fingernails by rubbing nngenips againsr palmsof the opposite hand

7 Rinse all surfaces of wrists, hands, and fingers,keeping hands lower than rhe elbows and rhefingertips down

8 Uses clean, dry paper towe!lrowels to dry all surfacesof hands, wrists, and fingers rhen disposes of papertowellroweis into waste container

9 Uses dean, dry paper towellrowels to turn off faucetrhen disposes of paper towellrowels into wasrecontainer or uses knee/foor control to (urn off faucer

10 Does nor touch inside of sink at any rime

APPLIES ONE KNEE-HIGHELASTIC STOCKING

You will be expected (Q perform the skills as youwould in a nursing home setting. When water isrequired, you must use running water. All candidateswill be required to perform the Hand Hygime skill.The evaluator will inform you after you have washedyour hands for the first time that you should just tellhim or her when you would wash your hands duringyour performance of the rest of the skills, rather thanactually washing them for each skill. For all stepsot~er than hand-washing, you must actually performthe skill in order to receive credit. You may not simplytell the evaluator what you would do for simulating astep. For example, you may not simply rell the evalua.tor that you would wash the client. You musr actuallydemonstrate washing rhe client. You may not simplytell the evaluator thar you would feed rhe client. Youmust actually demonstrate feeding the client.

Afrer you have introduced yourself to the client forthe first time, it is not necessary for you to introduceyourself each time you begin a new skill.

To receive full credir for a measurement skill, youmust accurarely make the required measurement andthen wrire rhat measurement on the Rrcording ShutjOrM(asur(ment Skills. The evaluator will provide rheRecording Sheet ro you ar rhe test site. A sample of rheRecording Sheer is shown on page 22 of this hand-book. You are encouraged ro become familiar wirh theRecording Sheer before your scheduled [cst darc.

You must know how to operare both a standing anda non-digiral bathroom scale and musr know how toset both types of scales to z.ero.

You may not bring any of your own equipmenr tothe tesr sire (Le. transfer/gait belr).

It is important for you to place rhc call signal wirhinrhe client's reach whenever you leave rhe client.

Wher( th( word "client" app(ars, it rifrrs to th( prrsonrueiv;ng carr.

TIPS FOR THE SKILLS EVALUATION

PEARSON

EVALUATORRESULTS

o Weight

o Respirations

o Urine Output

EI'(lflill/flr must clwck ,m••bo.~twxt In tbe skiff belnR tested.

RECORDING SHEET FORMEASUREMENT SKILLS

CANDIDATERESULTS

o Radial Pulse

o Blood Pressure

EVALUATOR NAME

CANDIDATE NAME

Date

23 24Skill cont;nun

25

7 Moves foot and leg gently and naturally, avoiding forceand over.extension of limb and joints

8 Finishes procedure with no twists oc wrinkles andheel of stocking, if present, is over heel and openingin toe area (if present) is either over or under toe area

9 Signaling device is within reach and bed is in lowposition

10 After completing skill, wash hands

ASSISTS TO AMBULATE USINGTRANSFER BELT

Explains procedure, speaking clearly. slowly, anddirectly, maintaining face~to.face contact wheneverpossible

2 Before assisting to stand, client is wearing shoes3 Before assisting to stand, bed is at a safe level4 Before assisting to stand, checks and/or locks bed

wheels

5 Before assisting to stand, client is assisted to sittingposition with feet flat on the Roor

6 Before assisting to stand, applies transfer belt securelyat the waist over clothing/gown

7 Beforeassisting to stand. provides instructions to enableclient to assist in standing including prearranged.signal coalert dient to begin standing

8 Stands facing c1iem positioning self to ensure safety ofcandidate and client during transfer. Counts to three(or says other prearranged signal) to alert cliem robegin standing

9 On signal. gradually assistsdiem to stand by gra.~pingtransfer belt on both sides with an upward grasp(candidate's hands are in upward position), andmaintaining stability of diem's leg<;

10 Walks slightly behind and to one side of c1iem for adistance of ten (10) feet, while holding onto the belt

11 After ambulation. assists diem to bed and removestransfer belt


13 After completing skill, wash hands

26

ASSISTS WITH USE OF BEDPANExplains procedure speaking clearly, slowly, anddirectly, maimaining face-to-face contact wheneverpossible

2 Privacy is provided with a curtain, screen, or door3 Before placing bedpan. lowers head of bed4 Puts on clean gloves before handling bedpan5 Places bedpan correctly under client's buttocks6 Removes and disposes of gloves (without

contaminating self) into waste container and washeshands

7 After positioning client on bedpan and removinggloves, raises head of bed

8 Toilet tissue is within reach9 Hand wipe is within reach and client is instructed to

clean hands with hand wipe when finished10 Signaling device within reach and client is asked to

signal when finished11 POlS on clean gloves before removing bedpan12 Head of bed is lowered before bedpan is removed13 Avoids overexposure of client14 Empties and rinses bedpan and pours rinse into toilet15 After rinsing bedpan, places bedpan in designated

dirty supply area16 After placing bedpan in designated dirty supply

area. removes and disposes of gloves (withoutcontaminating self) into wane container and washeshands


CLEANS UPPER OR LOWER DENTUREI rutS on clean gloves before handling demure2 Bouom of sink is lined and/or sink is partially filled

with water before denture is held over sink3 Rinses denture in moderate temperature running

water before brushing them4 Applies toothpaste to toothbrush5 Brushes surfaces of demure6 Rinses surfaces of denture under moderate

temperature running water7 Before placing demure into cup, rinses denture cup

and lid

Skill continues

27

8 Places denture in denture cup with moderatetemperarure water/solution and places lid on cup

9 Rinses toothbrush and places in designated toothbrushbasin/container

10 Maintains clean technique with placement ofwothbrush and denture

11 Sink liner is removed and disposed of appropriatelyand/or sink is drained

12 After rinsing equipment and disposing of sinkliner. removes and disposes of gloves (withoutcontaminating self) into waste container and washeshands

COUNTS AND RECORDS RADIAL PULSEExplains procedure, speaking clearly, slowly, anddirectly, maintaining face.w-face contact wheneverpossible

2 Places fingertips on thumb side of client's wtist tolocate radial pulse

3 Count beats for one full minute4 Signaling device is within reach5 Before recording. washes hands6 After obtaining pulse by palpating in radial artery

position, records pulse rate within plw or minw 4beats of evaluator's reading

COUNTS AND RECORDS RESPIRATIONSExplains procedure (for testing purposes). s~ng clearly.slowly.and directly,maintaining face-ta-faceoontactwhenever possible

2 Counts respirations for one full minute3 Signaling device is within reach4 Washes hands5 Records respiration rate within plus or minus 2

breaths of evaluator's reading

28

DONNING AND REMOVING PPE(GOWN AND GLOVES)1 Picks up gown and unfolds2 Facing the hack opening of the gown places armsthrough each sleeve

3 Fastens the neck opening

4 Secures gown at waist making sure that back of clothingis covered by gown (as much as possible)

5 ruts on gloves6 Cuffs of gloves overlap cuffs of gown7 Before removing gown, with one gloved hand,grasps the other glove at the palm, remove glove

8 Slips fingers from ungloved hand underneath cuffof remaining glove at wrist, and removes gloveturning it inside out as it is removed

9 Disposes of gloves imo designated waste containerwithout contaminating self

10 After removing gloves, unfastens gown at neck andwaist

11 After removing gloves, removes gown without touchingoutside of gown

12 While removing gown, holds gown away from bodywithout touching the floor. turns gown inward and keepsit inside out

13 Disposes of gown in designated container withoutcontaminating self

14 Afier completing skill, washes hands

DRESSES CLIENT WITH AFFECTED (WEAK)RIGHT ARM1 Explains procedure, speaking clearly, slowly, anddirectly, maintaining face-tn-face contact wheneverpossible

2 Privacy is provided widt a curtain, screen. or door3 Asks which shirt he/she would like to wear and dresseshim/her in shirt of choice

4 While avoiding overexposure of cliem, removes gownfrom the unaffected side first, then removes gownfrom the affected side and disposes of gown into soiledlinen container

5 AMiSh to put the right (affected/weak) arm throughthe right sleeve of the sbirt before placing garmenton left (unaffected) arm

6 While putting on shirt, moves body gently andnaturally. avoiding force and over-extension of limbsand joints

Skill cDntinues29

7 Finishes with clothing in place8 Signaling device is within reach and bed is in lowposition

9 After completing skill, washes hands

FEEDS CLIENT WHO CANNOT FEED SELFExplains procedure to client, speaking clearly,slowly, and directly, maintaining face-to~face contactwhenever possible

2 Before feeding, looks at name card on tray and asksclient to state name

3 Before feeding client. client is in an upright sittingposition (75-90 degrees)

4 Places tray where the food can be easily seen by diem5 Candidale deans c1iem's hands with hand wipe beforebeginning feeding

6 Candidate sits facing client during feeding7 Tells client what foods are on tray and asks what clientwould like to eat firsr

8 Using spoon, offers diem one bite of each type of foodon tray, telling diem the content of each spoonful

9 Offers beverage at least once during meal10 Candidate asks dient if they are ready for next bite of

food or sip of beverageII At end of meal, candidate cleans client's mouth and

hands with wipes12 Removes food tray and places tray in designated dirty

supply area13 Signaling device is within client's reach14 After completing skill, washes hands

30

GIVES MODIFIED BED BATH (FACE AND ONEARM. HAND AND UNDERARM)1 Explains procedure, speaking clearly, slowly. anddirectly, maintaining face-to~face contact wheneverpossible

2 Privacy is provided with a curtain, screen, or door3 Removes gown and places in soiled linen container,while avoiding overexposure of the client

4 Before washing. checks water temperature for safetyand comfort and asks diem to verify comfort of water

5 Puts on clean gloves before washing client6 Beginning with eyes,washes eyeswith wet washcloth(no soap), using a different area of the washcloth foreach slroke, washing inner aspect to outer aspectthen proceeds 10 wash face

7 Dries face with towel8 Exposes one arm and places towel underneath arm

9 Applies soap to wet washcloth10 Washes arm, hand, and underarm keeping rest of body

covered11 Rinses and dries arm, hand, and underarm12 Moves body gently and naturally, avoiding force and

over~extension of limbs and joints13 Puts clean gown on client14 Empties, rinses, and dries basin15 After rinsing and drying basin. places hasin in

designared dirty supply area16 Disposes oflinen into soiled linen container17 Avoids contact between candidate clothing and used

linens18 After placing basin in designated dirty supply area,

and disposing of used linen, removes and disposesof gloves (without contaminating self) into wastecontainer and washes hands


31

MEASURES AND RECORDS BLOOD PRESSURE1 Explains procedure. speaking dearly, slowly. anddirecdy, maintaining face-to. face contact wheneverpos.••ible

2 Before using stethoscope, wipes bell/diaphragm andearpieces of stethoscope with alcohol

3 Client's arm is positioned with palm up and upperarm is exposed

4 Feels for brachial artery on inner aspect of arm, atbend of elbow

5 Places blood pressure ruff snugly on diem's upper arm,wim sensor/arrow over brachial artery site

6 Earpieces of stethoscope are in ears and bellI .diaphragm is over brachial artery site

7 Candidate inflates cuff between 160 mm Hg to180 mm Hg. Ifbeat heard immediately upon cuffdeflation, completely deflate cuff. Re-inHate cuff to nomore than 200 mm Hg

8 Defl~tes cuff slowly and notes the first sound (systolicreadll1g), and last sound (diastolic reading) (Ifrounding needed, measurements are rounded UP tothe nearest 2 mm of mercury)

9 Removes cuff10 Signaling device is within reachII Before recording, washes hands12 Aftrr obtaining reading using BP cuff andstethoscopr. records both systolic and diastolicpressures each within plus or minus 8 mm ofevaluator's reading

32

MEASURES AND RECORDSURINARY OUTPUT1 Puts on clean gloves before handling bedpan2 Pours the contents of the bedpan inw measuringcontainer without spilling or splashing urine outsideof container

3 Measures the amount of urine at eye level withcontainer on flat surface

4 After measuring urine, empties contents of measuringcontainer into toilet

5 Rinses measuring container and pours rinse into toilel6 Rinses bedpan and pours rinse into toilet7 After rinsing equipment, and before recordingoutput, removes and disposes of gloves (withoutcontaminating self) into waste container and washeshand>

8 Records contents of container within plus or minus25 mila: of oaIuator's reading

MEASURES AND RECORDS WEIGHT OFAMBULATORY CLIENTI Explains procedure, speaking clearly, slowly, anddirectly, maintaining face~to~facecontact wheneverpossible

2 Client has shoes on before walking to scale3 Before client sreps on scale, candidate sets scale to zero4 While client steps onto scale, candidate stands next toscale and assists client, if needed, onto center of scale;then obrains client's weight

5 While client steps off scale, candidate stands nextto scale and assists client, if needed, off scale beforerecording weight

6 Before recording, washes hands7 Records weight based on indicator on scale. Weightis within plus or minus 2 Ibs of evaluator's reading(If weight recorded in kg weight is within plus orminus 0.9 kg of evaluator's reading)

33

PERFORMS MODIFIED PASSIVE RANGE OFMOTION (PROM) FOR ONE KNEE AND ONEANKLE

Explains procedure, speaking clearly. slowly, anddirectly. maintaining face-to-face contact wheneverpossible

2 Privacy is provided with a curtain, screen, or door

3 Instructs client to inform candidate if pain isexperienced during exercise

4 Supports leg at knee and ankle while performing rangeof motion for knee

5 Bends the knee and then returns leg to client's normalposition (extension/Aexion) (AT LEAST 3 TIMESunless pain is verbalized)

6 Supports foot and ankle dose to [he bed whileperforming range of motion for ankle

7 Pushes/pulls foor toward head (dorsiflexion), andpushes/pulls foot down, toes point down (plantarAexion) (AT LEAST 3 TIMES unless pain isverbalized)

8 While supporting the limb, moves joints gently.slowly, and smoothly through the range of motion,discontinuing exercise if client verbalizes pain



34

PERFORMS MODIFIED PASSIVE RANCE OFMOTION (PROM) FOR ONE SHOULDER1 Explains procedure, speaking clearly,slowly, and directly,maintaining Faee.to.faec comact whenever possible

2 Privacy is provided with a curtain, screen, or door3 Instructs client to inform candidate if painexperienced during exerci.~e

4 Supports c1iem's upper and lower arm whileperforming range of motion for shoulder

5 Raises client's straightened ann &om side po..••itionupward toward head to ear level and returns armdown to side of body (flexion/extension) (AT LFASr3 TIMES unless pain is verbalized). Supporting thelimb. moves joint gently, slowly, and smoothly throughthe range of motion, discontinuing exercise if clientverbalu.es pain

6 Moves client's straightened arm away from the sideof body to shoulder level and returns to side ofbody (abduction/adduction) (AT LEAST 3 TIMESunless pain is verbalized). Supporting the limb.moves joint gently, slowly, and smoothly throughthe range of motion, discontinuing exercise if clientverbalizes pain

7 Signaling device is within reach and bed is in lowposicion


POSITIONS ON SIDEExplains procedure. speaking clearly. slowly. anddirecdy, maintaining face.to-face comact wheneverpossible

2 Privacy is provided with a curtain, screen. or door3 Before tllrning. lowers head of bed4 Raises side rail on side to which body will be turned5 Slowly rolls onto side as one unit [Oward raised siderail

6 Places or adjusts pillow under head for support7 Candidate positions diem so that diem is not lyingon arm

8 SliPPOns [OP arm with sllpponive device9 Places supportive device behind c1iem's back10 Places supportive device between legs with top knee

flexed; knee and ankle supportcd11 Signaling device is within reach and bed is in low

position12 After completing skill, washes hands

35

PROVIDES CATHETER CARE FOR FEMALEExplains procedure. speaking dearly, slowly, anddircctly. maimaining face-to. face contact wheneverpossible

2 Privacy is provided with a amain. screen, or door3 Before washing. checks water temperature for safetyand comfort and asks dient to verify comfort of water

4 Puts on clean gloves before washing5 Places linen protector under perineal area beforewashing

6 Exposes area surrounding catheter while avoidingoverexposure of diem

7 Applies soap to wet washcloth8 While holding catheter at meatus without tugging.cleans at least four inches of catheter from meatu'li,moving in only one direction (i.e., away from meatus)wing a clean area of the doth for each stroke

9 While holding catheter at meatus without tugging.rinses at least four inches of catheter from meatus,moving only in one direction, away from meatus,using a clean area of the cloth for each stroke

10 While holding catheter at meatus without tugging,dries at least four inches of cuheter moving away frommeatus

11 Empties, rinses, and dries hasin12 Mter rinsing and drying basin. places basin in

designated dirty supply area13 Disposes of used linen into soiled linen container and

disposes of linen protector appropriately14 Avoids contact bctween candidate dothing and used

linenIS After disposing of used linen and cleaning

equipment, removes and disposes of gloves (withoutcontaminating self) into waste container and washeshands


36

PROVIDES FOOT CARE ON ONE FOOTI Explains procedure, speaking dearly. slowly. anddirectly. maintaining face-ra.face contact wheneverpossible

2 Privacy is provided with a curtain, screen, or door3 Before washing, checks water temperature for safetyand comfort and asks client to verilYcomfort of water

4 Basin is in a comfortable position for client and onprotective barrier

5 Puts on clean gloves before washing foot6 Client's bare foot is placed into the water7 Applies soap to wet washcloth8 Lifts foot from water and washes foot (includingbetween the toes)

9 Foot is rinsed (including between the toes)10 Dries foot (including between the toes)11 Applies lotion to rap and bottom of foot, removing

excess (if any) with a towel12 Supports foot and ankle during procedure13 Empties, rinses. and dries basin14 After rinsing and drying basin, places basin in

designated dirty supply area

IS Disposes of ll'liedlinen into soiled linen container16 Mter cleaning foot and equipment. and disposing of

used linen, removes and disposes of gloves (withoutcontaminating self) imo waste container and washeshands

17 Signaling device is within reach

37

PROVIDES MOUTH CARE1 Explains procedure, speaking clearly, slowly. anddirectly, maintaining facc.to.face contact whenever

possible

2 Privacy is provided with a a.main, screen, or door3 Before providing mouth care, c1iem is in uprightsining position (75~90degrees)

4 Puts on clean gloves before cleaning mouth

5 Places clothing pcmcctor across chest before providingmouth cue

6 Secures cup of water and moistens toothbrush7 Before cleaning mouth, applies toothpaste to .moistened toothbrush

8 Cleans mouth (including tongue and surfaces ofteeth), using geode motions

9 Maintains dean technique with placement oftoothbrush

10 Candidate holds emesis basin ro chin while c1iemrinses moUth

11 Candidate wipes mouth and removes clothingprotccror

12 Mrer rinsing toothbrush, empry, rinse and dry the.basin and place used tOOlhbrush in designated baslll/container

13 Places basin and (Qorhbrush in designated dirty supplyarea

14 Disposes of used linen into soiled linen container

IS After placing basin and toothbrush in designated clirrysupply area, and disposing of used linen, removes anddisposes of gloves (withom contaminating self) intowaste container and washes hands


38

PROVIDES PERINEAL CARE (PERI-CARE)FOR FEMALE

Explains procedure, speaking clearly, slowly, anddirecdy, maintaining face~to~f.,ce contact wheneverpossible


3 Before washing. checks water temperarure for safetyand comfort and asks client to verify comfort of water

4 Pms on dean gloves before washing perineal area

5 Places pad/linen protecwr under perineal area beforewashing

6 Exposes perineal area while avoiding overexposure ofdiem

7 Applies soap to wet washcloth

8 Washes genital area, moving from front to back,while using a dean area of the washcloth for eachstroke

9 Using dean washcloth, rinses soap from genitalarea. moving from front to back, while using adean area of the washcloth for each stroke

10 Dries genital area moving from from {Q back withtowel

11 After washing genital area, turns to side, thenwashes and rinses rectal area moving from frontto back using a clean area of washcloth for eachstroke. Dries with towel

12 Repositions diem

13 Empties, rinses, and dries basin

14 After rinsing and drying basin, places basin indesignated dirry supply area

15 Disposes of used linen into soiled linen container anddisposes of linen protector appropriately

16 Avoids Contact between candidate clothing and usedlinen

17 After disposing of used linen, and placing usedequipment in designated dirty supply area, removesand disposes of gloves(withom contaminating self)into waste container and washes hands


39

TRANSFERS FROM BED TO WHEELCHAIRUSINC TRANSFER BELT1 Explains procedure. speaking clearly, slowly, anddirectly, maintaining face-to~face contact wheneverpossible


3 Before assisting to stand, wheelchair is positionedalong side of bed, at head of bed facing foot or foot ofbed facing head

4 Before assisting to stand, footrests are folded up orremoved

5 Before assisting co stand, bed is at a safe level

6 Before assisting to stand, locks wheels onwheelchair

7 Before assisting to stand, checks and/or locks bedwheels

8 Before assisting to stand, client is assisted to asitting position with feet Rat on the floor

9 Before assisting to stand, dient is wearing shoes

10 Before assisting to stand, applies transfer belt securelyat the waist over clothing/gown

II Before a.~sisting to stand, provides instructions coenable dient to assist in transfer induding prearrangedsignal to alert when to begin standing

12 Stands facing client positioning self to ensure safety ofcandidate and dient during transfer. Counts to three(or says other prearranged signal) to alen diem tobegin standing

13 On signal, gradually assists cliem to stand by graspingtransfer belt on both sides with an upward grasp(candidates hands are in upward posicion) andmaintaining stabiliry of client's legs

14 Assists diem to tIIrn to stand in front of wheelchairwith back of diem's legs against wheelchair

15 Lowers c1iem into wheelchair

16 Positions dient with hips touching back of wheelchairand transfer belt is removed

17 Positions feet on foorrests

18 Signaling device is within reach


40

Unsatisfactory

Satisfactory

Satisfactory

SCORE REPORTING

EXAM RESUlTSThe Nurse Aide Evaluator may not answer questions aboutyour Score Report. If you have questions about your ScoreReport, or the comem of the examination, call PearsonVUE at (888) 204-6213. Results will not be given overthe telephone.

WRITTEN (OR ORAL) EXAM

After you finish the Written (or Oral) Exa",lination,the Nurse Aide Evaluator will fax your answer sheet forscoring. After the answer sheet is faxed, h will be scoredand you will receive an official Score Report. The ScoreReport will indicate whether you have passed or failed theWritten (or Oral) Examination.

SKILLS EVALUATIONThe Nurse Aide Evaluator will also fax your SkillsEvaluation results for scoring. After the Nurse AideEvaluator evaluates your performance, he or she will faxthe Skills Evaluation answer sheet for scoring. An officialScore Report will be faxed back to the test center andwill indicate whether you have passed or failed the SkillsEvaluation.

Although technical difficulties are infrequent. ScoreReports occasionally may not be received at the tcst cenreron the day of testing. If this happens your answer sheet willbe mailed to Pearson VUE for handscoring. Your ScoreReport will then he mailed to you within 5.7 businessdays after resting. For questions regarding delayed ScoreRepons. please contact Pearson VUE at (888) 204.6213.

FAILINGIf you fail the Wtitten (or Oral) Examination or the SkillsEvaluation. your Score Repon will provide you with infor.mation on re.taking either or both pans. A new examina.tion fee is required each time you re-take any part of theNNAAP Examination. To re-take either or hath pans.you must submit your official Score Report and are-takefee to NACES.For more information concerning re-take fees, refer to theExam Fus section in this handbook.State and federal regulations allow you three (3) attemptsto pass both pans of the NNAAP Examination. If you

41

should fail either pan three (3) rimes, you will be requiredto successfully complete a state-approved training programand fe-takc both parts. You must take and pass both theWritten (or Oral) Examinarion and the Skills Evaluationwithin a twenty-four (24) month period from the comple-tion date of your training program in order to be placed onthe Mississippi Nurse Aide Registry.

HOW TO READ A FAILINGSCORE REPORTIf you do not pass the Skills Evaluation, you willreceive a Failing Score Report. 111c score repon willlist tile 5 skills that you performed and a score ofSatisfactory or Unsatisfactory for each skill. Any skill whhan Unsatisfacwcy resuh is considered a failed skill. Youmust receive a Satisfacwry result on all 5 skills in order topass the Skills Evaluation.

Use your failing Score Report as an aid in studying [Q

re.uke the Skills Evaluation. A failed skill will show thereason for the failure. You may not have performed thesteps of a skill correctly, or you may have forgonen a stcp.especially a Critical Element Step.

The failing Score Repon will list steps that were missed orincorrect-look for numbers printed directly under a skillmarked Unsatisfactory. A list of all rhe skills and the stepsneeded for each skill can be found in this handbook. Findthe skill you failed. and study the steps. especially stepslisted as Unsatisfacwry on the score repon.

In the example on the next page. a candidate received aresult of Unsatisfactory on the skill Hand Hygiene. 1henumbers 1, 5, and 10 printed below the skill refer to stepsthat were missed or performed incorrectly. To study forre.taking the Skills Evaluation, this candidate shouldturn to the Skills Listing in this handbook, look for theHand Hygiene skill. and review all the steps, especiallysteps 1, 5. and 10.

42

Mississippi NNAAP Examination ResultsExam: Skills Result: Fail

Skills Performance:

Hand HygieneI, 5. 10

Assists with Use of Bedpan

Measures and RecordsBlood Pressure

Puts One Knee-High SatisfactoryElastic Stocking on Client

Provides Mouth Care Satisfactory

A sample of a Failing Score Report

PASSINGOnce you have passed both the Written (or Oral)Examination and the Skills Evaluation. your namewill be placed on the Mississippi Nurse Aide Registry.Approximately ten (10) business days from the dayon which you successfully complete both pans of theNNAAp. Examination. Pearson VUE will mail you yourNurse Aide Certificate and Wallet Identification Card.If you have not received your Nurse Aide Certificate andWallet Idenrification Card from Pearson VUE thirty(30) days after the examination. contact Pearson VUE at(888) 204-6213. Please note that your Nurse AideCertificate is valid for twenty.four (24) months fromthe date it was issued.

DUPLICATE SCORE REPORTIf you lose your Nurse Aide Certificate or Score Reportor would like a handscoring of your Written (or Oral)Examination or Skills Evaluation. complete the R~qum forDuplicau Scor~ Report or Handscor~d Answa Shut Formand mail it to Pearson VUE (see Appmdix A).

43

NURSE AIDE TESTINGGRIEVANCE PROCESS

OVERVIEWEach candidate has a right (Q file a grievance to complainor contest the results of their Nurse Aide Exam. TheNACES Plus Foundation, Inc. (NACES) will fnllow-upon each grievance within thirty (30) days of receipt of thecandidate grievance letter.

No grievance will be investigated if it is not received inwriting by the NACES Plus Foundation, Inc.

PROCESSAll grievances MUST be in writing and MUST includea copy of the Failing Score Report. The candidate mustprovide as much derail as possible in a grievance letter andforward it {Q the NACES Plus Foundation, Inc. within 30days of their exam dace.

After receipt of the grievance letter. the appropri;uc RNAssociate Program Director will investigate the complaint.

Once the investigation is complete, the RN AssociateProgram Director will draft a letter back to the candidateinforming him/her of the outcome of the investigation. If anerror was made by the evaluator, NACES, or Pearson VUE,the candidate will be allowed to retest at no additional cost.

44

THE REGISTRY

ONLINE REGISTRY SEARCHYou can check your status and your address on file with theMississippi Nurse Aide Rcgisuy by using the Internet. Goto www.pearsonvue.com and click on "Registry Services."Enter your last name and first name. Social Security num-ber, or cerrification number to search for your Nurse AideRegistry record .. Ihis is a quick and easy way to check yourstarus and address on file with the Mississippi Nurse AideRegistry. There is 110 charge for this service.

CHANGE OF ADDRESS OR NAMEThe Mississippi Nurse Aide Registry MUST be keptinformed of your current name and address. If your nameor address changes at any time after you apply to test, youmust send written notification of this change to PearsonVUE. You may notify Pearson VUE using the Chang~ ofAddms or Ndm~ Fonn in the back of this handbook, or bysending a letter to Pearson VUE (at the address on the insidefront cover) indicating your current name, address, telephonenumber, certification number, and Social Security number.

If you change your name. you MUST provide writtendocumemation of the change along with the Chang~ofAddrw or Namr Form. 1his documentation may be acopy of a marriage license, divorce decree, or other officialdocument.

There is no charge for changing your name or address onthe Registry. When you tenew your certification, yournew name and/or address will appear on [he new WalletIdentification Card issued to you.

CERTIFICATION BY RECIPROCITYReciprocity is a process by which a certified nurse aidefrom another state may qualify for certification in thestate of Mississippi by virtue of his or her status in thatother state.

You are eligible for reciprocity if you have been enteredon a nurse aide registry in a state other than Mississippiin accordance with the training and competency evalua-tion requirements of OBRA 'S7, as amended, and if youarc currently listed on rhat state's registry as active and ingood standing.

4S

Nurse aides from out of state who are eligible for reciproc-ity should complete a Reciprocity Applicarion. You musrmail the complelcd application, a copy of a W2 Formor payswb if you were placed on rhe state's regisuy overtwenty-four (24) months ago, and a $26 fce payable to"Pearson VUE" in the form of a company check, moneyorder. or certified check to:

Mississippi Nurse Aide RegistryPearson VUEPO Box 82274~

Philadelphia, PA 19HQ.2475

lhe lengrh of the reciprocity process depends on the timeit takes your state to provide Pearson VUE with docu-ments verifying your status as a nurse aide. Pearson VUEwill process your request as soon as it receives rhe neces-sary registry verification from the state in which you arecertified (along with the application, W2 Form or paysrub,and fee from you). The entire process takes:l. minimum ofthirty (30) days. You will then receive your Nurse AideCertificate and Wallet Identification Cud and be placedon the Mississippi Nurse Aide Registry, or YOll will receivea denial letter indicaling that additional information isrequired to complete the reciprocity process.

If you are denied reciprocity in Mississippi, you musttake and pass the NNAAp. Examination in order [0

be added (Q the Mississippi Nurse Aide Registry. If youfail either the Written (or Oral) Examination or theSkills Evaluation on the first uy, you will be requiredto complete a Mississippi-approved nurse aide trainingprogram before being allowed to re-test under EligibilityRoute E1 as a new nurse aide.

If you have been denied reciprocity because you havenegative findings on the registry of another state, you arenot eligible to take the NNAAp. Examination for certifi-cation in Mississippi.

RE-CERTIFICATIONRENEWAL NOTIFICATIONThe original Nurse Aide Certificate from the MississippiState Department of Health, Bureau of Health FacilitiesLicensure and Certification, is valid for twenty-four (24)months from the date of issue. Approximately sixty (60)days before the expiration of your Nurse Aide Certificate,Pearson VUE will send a reminder notice (known as

46


MS NURSE AIDE CERTIFICATION -FREQUENTLY ASKED QUESTIONS

-QUESTION-jl------ ANSWER- -- -

renewal notification) to the mailing address listed on theRegistry. You may also print a Registry Renewal Formfrom the Pearson VUE web site (www.pearsonvue.com).

It is essential for you to update your mailing addresswith Pearson VUE by calling (888) 204-6213 if yonhave a change of address. This will ensure that you receiveyour renewal notification in a timely manner. To be eligiblefor re-certificarion, you must have worked as a nurse aideperforming nurse aide services for monetary compensationfor at least eight (8) hours in a nursing home or other healthcare setting during the previous twenty-four (24) monthcertification period.

RE-CERTIFICATIONPROCESSUnder federal and Mississippi state laws, candidatesemployed as nurse aides in nursing homes that participatein Medicaid/Medicare programs are prohibited from pay-ing for their own re-certification.

When you receive your renewal notification from PearsonVUE, contact your current employer (which must be anursing home, hospital, hospice, home health agency orICF/MR facility). Your employer is required to completethe employer section of the Re-certification Form. If youare working for an employment agency, and are placedin a long-term care facility, you must have the facility fillout the employer section of the Re-certification Form. Anemployment agency cannot fill out the employer sectionof the Re-certification Form. Employment as a private-duty aide. doctor's office aide, laboratory aide, personal carehome assisted living aide, or personal care home residentialliving aide does not qualify for re-certification.

If you are not employed as a nurse aide at the time of re-certification, your last nurse aide employer must completethe employer section of the Re-certification Form, attest-ing to your employment within the last twenty-four (24)months. Nurse aides who are not employed in a Medicaid/Medicare nursing home at the time of re-certificationare permitted to pay the re-certification fee of $26. lhefee may be paid by certified check or money order andmade payable to "Pearson VUE," Personal checks are notaccepted,

Upon re-certification, you will receive a new WalletIdentification Card indicating the new certification peri-od, Make sure that your address and name are current onthe Registry. If your address and name are not correct,

47

Pearson VUE will NOT be able to notify you when yourcertification is about to expire. You must remember tonotify the Registry whm~vuyour address or name chang-es (include official documentation for any name change).

Nurse aides whose certification is lapsed on the MississippiNurse Aide Registry are required to re-test. These nurseaides must pass both parts of the NNAAp. Examinationin order to become active on the Registry, If you faileither the Written (or Oral) Examination or the SkillsEvaluation on the first try, you will be required to com-plete a .Mississippi state-approved nurse aide trainingprogram before being allowed to re-test under EligibilityRoute £1 as a new nurse aide.

48

1. How doI becomea certifiednurse aide inMississippi?

I. There arc two (2) ways to becomecertified in Mississippi. You can takeand pass the certification test or youcan transfer your certifkation fromanother state (reciprocity),

Testing:

You must successfully complete astate-approved nurse aide trainingprogram and pass both the writtenand skills portions of the certifica-tion test, A list of state-approvednurse aide training programs maybe obtained upon request fromthe state regulatory agency respon-sible for certifying nurse aides inMississippi which is the MississippiState Department of Health, Bureauof Health Facilities, Licensure andCertification. For more informationabout the test, print and read the can-didate handbook. Testing applicationsare available from Pearson VUE'swebsite at www.pearsonvue.com.or by calling 1-888-204-6213.

Reciprocity:

If you have been entered on a nurseaide registry in a state other thanMississippi in accordance with thetraining and competency evalua-tion requiremems of OHRA '87, asamended, and if you are currently listedon that state's registry as aaive and ingood standing, you can request reci-procity. Applications for reciprocity areavailable from Pearson VUE's websiteat www.pearsonvue.com. or bycalling 1-888-204.6213.

49

http://www.pearsonvue.com.




~~


= QUESTION .. --~ -- ANSWER ---.


"QOEsTiONl1~ -::--""2. Can I hetested at atesting site inMississippi ifI successfullycomplete aNurse AideTrainingprogramapproved inanother Stare?

3. How canI find restil1f~)rll1dtion?

4. Can I behired by along~term carefacility if I amnot alreadycertified?

5. Is therea lime limitwithin whichImust passmv exam afterI complete mytraining?

2. No. Only those srudems that suc-cessfully complete a State ApprovedNurse Aide Training Program inMississippi are eligible to be testedin Mississippi. However. you maytake the test in the State where youwere trained and once you becomecertified. you may then apply forreciprocity in Mississippi.

3. All information about Mississippi'stc,sring program is available in theMississippi Nurse Aide CandidateHandbook. You can find and down-load this handhook hy calling I~~OO.204-6213 or from Pearson VUE'swebsitc a[ www.peanonvut.com.

4. It is State Policy that a long-term care facility participating inMedicaid/Medicare must not hire anindividual as a nurse aide unless rhatindividual is already certified and/or is enrolled in a nurse aide [rain.ing program being conducted by thenursing home.

5. You h.tve twenty-four (24)momhs from the complction dateof the training program to takeand pass both parts of the NNAA PExamination. However, if you arecmployed by a long.tcrm care facilitypanit:ipating in Medicaid/Medicare.you must be certified within four (4)months of being hired.

50

6. How do Iarrange spe-cial .tecam-modations formy disability?

7. My nativelanguagt'isnor English.Arc'ipecialaccommoda.rions available£0 me?

6. Pearson VUE certifies that itcomplies with the provisions of thcAmerican Disabilities Act (42 USc.Seerion 12101, er. seq.). If you havea disability, you may ask for specialarrangements for testing wben youapply. All requests must be receivedin advance by NACES. Be sure toexplain thc specific type of help youneed and enclose proof of tbe need(diagnosed disability) from yourhealth care provider. Nurse AideEvaluators administering the SkillsEvaluation will be prepared to meetthe needs of nutse aide candidateswho have disabling conditions.

7. Ntl. Bmh examinations areavailable in English nnly. An OralExamin:uinll may be taken in placeof rhe Written Examina(inn if YOllhave difficulty reading English.No imerprclcrs or rranslawrs mavhe used during the written and!l:rclinical skills examination.

51

8. How canI cancel orreschedule myexamination?

9. At whattime should Irepon to theTest Center?

8. If you are unable 10 attend yourscheduled examination. you MUSTcall NACES at least (5) business daysbefore the examination date to repschedule. Saturday and Sunday andnational holidays are not business days.If you do not call NACES at least five(5) business days in advance of yourexamination date to re-schedule, andyou do not show up for your scheduledexamination, your fee will NOT berefunded and cannot be transferred to anew examination date. You may NOTgive your examination reservarion toanother person.

If you notify NACES in time there isno penalty and your fee may be trans.ferred to your new examination dare.If your employer paid your examina-rion fee, you should tell them aooutmissing the examination. Let themknow how you have handled re~sched~uling and when you plan to re.test.

9. Plan to arrive thirty (30) minutesbefore the examination starts. If youare late for your scheduled examina~tion, or do not bring proper idC'nti~fication, you will NOT be allowedto test and your examination fee willNOT be refunded.

52

http://www.peanonvut.com.


'QUESTION/,ll ,~wEH'-- ~MS NURSE AIDE CERTIFICATION -FREQUENTLY ASKED QUESTIONS

QUESTION-li . ~SWER ---

10. Whereare test centerdirectionslocated?

11. Whatshould I bringwith meto the TestCenter?

12. I missedmyexamina-tion. CanI get my feewaived whenI reschedule?

13. I rookmyexami-nation andpasse({ ollepart hut notthe other.Do I have toretake bothparts of theexamination?

10. Once NACES receives yourexamination application, requireddocuments, and fee, they will sched.ule you for testing at the site selectedon your application. NACES willmail you an Authorization to TestNotice to {he address lined on yourapplication. The Authorization toTest Notice has imponanr informa-tion about the examination to includespecific directions to the testing site.

11. You must presenr rwo (2) formsof identification. one of which mustbe a photo identification. The nameon the Candidate Roster MUSTmatch the name on your identifica-tion. If it doesn't, you must furnishproof to the Evaluaror that yourname has changed (i.e.• marriagelicense. divorce degree, etc.).

12. The rules regarding excusedabsences can be found in theCandidare Handbook. In somecases, such as illness, a car accident,weatheHeiated problems. or othercircumsrances. you may be eligiblefor an Excused Absence. The deci-sion ofNACES regarding an excusedabsence will be final.

13. No. You may retake onlythe part that you failed. A newexam inarion fee is required eachtime you re.rake any part of rheNNAAP Examination. Refer ro theCandidate Handbook for instruc-tions on what you must submit toNACES to re-take either or hothparts of the examination.

53

14. How canI correct myname andaddress?

15. When isthe next datefor the nurse<lidecertifica-tion test?

16. HowdoI obtain astate-approvedrraining pro-gram codeor employercode?

14. If your n<lmcor address changesat any rime after you apply to test,you musr send wrirten notificationof rhe change to Pearson VUE. Youmay notify Pearson VUE usingthe Change of Address or NameForm" in tht: hack of the CandidateH<lndbook. If you change yournamc, yOlI MUST provide writ-ren documenrarion of the changealong wirh rhe Changc of Addrcss orName Form.

15. Region:tl rest site testing datescan he: found on Pearson VUE'swebsite ;u www.pearsonvue.com. oryou may call 1.800.S79-3321.

16. The srate approved trainingprogram will put the code on yourapplication and also sign the applica.rion. If you arc employed by <llong-term care faciliry that panicipates inmedicaid/medicare, YOUtemployerwill also place rhe employer code onthe application.

54

17. I haveadverse find-ings againstme on theNurse AideRegistry andmy nurseaide certifi-carion hasbeen revoked.How do Ihecome cerri-fied again?

17.You cannot become certified againif adverse findings have been placedagainsr you on the Mississippi NurseAide Registry and/or your certifica.tion has been revoked. This appliesfor any stare, not just Mississippi. Tobe eligible for certification, renewaland/or reciprocity, you must not beIi.~tedon any other stare's nurse aideabuse registry and/or have had yournurse aide certification revoked inany state. You are no longer eligibleco work for a Medicaid/Medicarecertified nursing home in the UnitedStares. If you have a question aboutspecific information on a findingagainsr you. call the MississippiState Department of Health. Bureauof Health Facilities, Licensure andCertification.

A nurse aide may peririon co have afinding of neglect removed from his/her name if: employment and per..wlIlalhistory does not refleera pattern of negleer and/or ncglectwas a single occurrence. Thisderermination may not beginuntil one year has p<ls.~ed.For additional information 0"

how to procud ulith pt!'titionproct'durt!'s please visit tht'Pt'arson Vue tnbsitl'.

55


MS NURSE AIDE CERTIFICATION -FREQUENTlY ASKED QUESTIONS

I99EsTIOtiJJ~NSWE~ ~,7TMS NURSE AIDE CERTIFICATION -FREQUENTlY ASKED QUESTIONS

-:-dUESTION'-I -, .-.; - AN~;:'18. How do1 kCl'p Ill)'n'nificationcurrent?

18. To be eligible (or re-ccrrioGuion,you mUM have worked as a nurSe aideperforming nurse aide services formonetary compensation for at Ica~tciglu (8) hours in J. nursing home ormhe! health cue scuing (i.e.• hospi-tal. hospice. home health agency. mICF/MR facility) during {he previous[wemy-four (24) munrh certificationpt'riod. Approxim.lldy sixty «()O)daysbd{)f(' lIle cxpiralion of your NurseAide Certification, Pearson VUE willsend you a renewal notice rn the mail-ing address lis

ted on the Rt'gistry. You may alsoprim a Registry Renewal Formfrom Pearson VUE's website inwww.pcarsonvue.com.Anemployment agency cannm fillOUl the employer section of lIleRc-ccrtificarion Form. Employmt'lH;1S;\ privare~dUlY aide. doctor's office'aide, lahorarory aide, personal cart'home J.s.<;isredliving aide, or personalcare home residential living aide docsnot qualify for re-ccniflcarion. Ifyou arc not employe:d as a nurse aide:dt Ihe time of re-cerrification, yourlasr nurse aide employer must com-plere rhe employer section. :mesring£0 your employment within the l:mtwenty-four (24) months. If you art~emplnYl'd by a Medicaid/Medicarenursing home at the time of re-certi-fication, rhe nursing home is respon~sihle for p;l)'ing rhe renewal fcc.

56

19, Mycerrifica~tion expired.What do Ineed to do tobecome certi-fied again?

20. I atrcnd~cd a nurseaide trainingprogram Jndl(If worked as;t nurse aideprior (() 1987,Can I applyfor "DeemedSr:uus" andlor "\'('aiverStatus" (0

he:come aCertifiedNurse Aideon the:MississippiNurse: AideRegistry?

19. All other nurse aides whose cer-tification has expired are required tore~tesr as a lapsed/expired nurse aide.

You will have one opponunity topass both pans of the examina-tion in order to become active onthe Regisrry. If you fail either theWritten (or Oral) Examination ORthe Skills Evaluarion on the firsttry, YOIl will be required to com-plete a Mississippi~approved nurseaide training program before beingallowed to re-test as a new nurseaide.

20. No. The deadline (or applyingfor "[)cmll'd Sralus" was Onohe-rI. 1990. Applications for Deemedstatus Jfe no 1011~('r being acceptcd.Thl' deadline for Srares ((I waive(grandfarher in) relluiremelHs fiuindividuals who had sl'rvet1 as anurse aide at one or more t:1ciliriesof the same employc( in dIe State forat leas! 24 consenuive months wasDccemhl'r 19, 1989. Any nurse aidewho has nor already received deemedsratus or had rcquirem('nts waived byth" Srare must complete an :lpprovcdtraining program and pass a wrinen<tntl clinical skills examination.

57

21. Ifmynurse aidecertificateexpireswhile I amdeployed and!or assignedoverseas serv-ing in theUnited Sratesmilitary. whardo I do whenI return hometo get mynurse aidecertificationrenewed?

22, If 1 suc-ccssfullycomplete anonline com-puter hasedNurse AideTrainingProgr:tm. canI rake rhenurse aidecompetencyexaminationat a test-ing site inMississippi?

21. Individuals may <tpply (orrenewal of nurse aide certificationsixty (60) days before expiration.Any person in Ihe armed servicesof the United States holding a validnurse aide certificate and is our-of-state due to military service at th"time his/her nurse aide certificationexpires may renew at any time with-in 120 days after being honorablydischarged from such military ser-vice or upon returning to the Starc.without payment of any delinquentfees. retraining and/or re~examina-don, You will be required to submita copy of your military 10 (frontand back) and a copy of your mili-tary orders along with a complctedrenewal application, and a cashier'scheck o( money order for rhe cur-rent renewal fee. Howcver, this doesnot allow individuals to work as accrtified nurse aide with an expiredcertification in a long term care facil-ity that participates in the MedicaidlMedicare programs.

22, No. Mississippi does nor acceptonline computer~bi\st'd Nurse AideTraining Programs.

58

http://www.pcarsonvue.com.An


,'QUTsTT6Nl(- .-ANSWER---- --

gQZ•••'"

.oJ••••••.;;zo6•••""o

26. Etilure co successfully comf,letethe NA competency evaluation willhe cumidcred denial of rhe petition.Follnwing a denial of [he initial peti-tion to MSDH/H FtC (or removalof a finding of neglect, the nurse aidemay petition for a second consider-ation for removal twelve (12) monthsfwm the date of (he Notice of Denial(or. from the date the unsuccessfultesting l1.'sults were r("("dved) of theinilial petition. The procedure statedwithin this policy must be followedwith a second petition. The deci.sion following the s(.'Cond petition isFINAL and cannot he appealed.

27. All applications (including,renewal, reciprocity, registration forexamination, etc) can be obtained bycontacting Pearson VUE, theMS State Department of Health,or by printing the application fromwww.pearsonvue.com (MS NurseAides).

27. Wheredo I obtainan applicationto Petidon forRemoval ofa Finding ofNeglect?

26. Whathappens tomy Petitionfor Removalof Findingsof Neglect ifI f.lil eitherpan of theNNAAP 1.:0111-

petcncyexam?


QUESTION - - - - - ANSWER--- --

25. You can register for the examina-tion by filling in your certification/roster number in the appropriate loca-tion on the application.

23. You should contact theMississippi Sure Department ofHealth (MSDH) and request a cur-rent listing of the Mississippi StateApproved Nurse Aide TrainingPrograms. See "Quick Referencen

section in front of this handbook forMSDH comact information.

24. Once the expiration date is met,you mmt challenge the exam success~fully in order to become recenifil-d.There is no grace period.

25. Mycertificationhas expired!lapsed.I no longerhave mycompletioncertificate.What docu-mentationmust Isendwith theregistration byexaminationapplication?

23. How canIget a cur-rent listingof the StateApprovedNurse AideTrainingPrograms inMississippi?

24. Howlongafter my dateof expirationfa rellt."W my

cenificarion?

59


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MississippiNursing Assistant CHANGE OF ADDRESS OR NAME

DIRECTIONS: Use this form ro inform the Registry of your change of address or name. Please print or type allinformation on the reverse side of this form. Be sure co provide all information, or your requestcannot be processed.

For name changes you must also provide wrinen documentation of your name change. See back ofthis form for details.

SEND TO: Mississippi Nurse Aide RegistryPearson VUEPO Box 13785Philadelphia. PA 19101-3785

PLEASECOMPLETEOTHER SIDEOF THIS FORM

PRINT YOUR NEW NAME AND ADDRESSBELOW.Name _

Name _

Sueec _

$rceet _

NOTE: A copy of an official docummt (marriAg~crrrificl1u Qroth~r court arda) vaifying your name change must accompany this rrquest if you arenotifying the Missimppi NUNe AiM Registry of a change in name.

___________________________ Dare _

City State Zip _

Tel. ( . __ . ._

PLEASEPRINT YOUR OLD NAME AND ADDRESSBELOW.

YOUR SIGNATURE

City Srate Zip _

Social Security Number . . Nurse Aide Certification Number _

CHANGE

nurse aide candidate handbook - mississippi nursemsdh.ms.gov/msdhsite/_static/resources/6293.pdf ·...

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