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CNA-NIC F25 CH 2.5
Explain OBRA
| Question | Answer |
|---|---|
| OBRA | Omnibus Budget Reconciliation Act |
| Omnibus Budget Reconciliation Act | federal law - sets a minimum standards of care which included standardizing training of nursing assistants |
| when was Omnibus Budget Reconciliation Act passed | 1987 has been updated several times since then |
| why was Omnibus Budget Reconciliation Act passed | was created in response to reports of poor care and abuse in long term care facilities |
| what does OBRA require | NATCEP sets minimum requirements for nursing assistants |
| NATCEP | nurse aide training and competency evaluation program |
| what are the Requirements of nursing students | -NAs must complete at least 75 hours of training that cover topics like basic nursing skills, personal care skills, restorative skills, mental health and social service needs, residents rights, safety and emergency care, and cognitive impairment |
| how does the NA hours of training differ | many states require more training than the minimum set by the federal government. Programs may require 80 to 150 hours of theory and clinical skills training |
| what must a NA pass before they can be employed | NA must also pass a competency evaluation (testing program) |
| what does the competency evaluation (testing program) consist of | both a written and demonstrated nursing skills. |
| what must nursing students attend to keep their skills updated | nursing assistants must attend regular in service education classes ( a minimum of 12 hours per year) |
| what does OBRA require states do | keep a current list of nursing assistants in a state registry. |
| OBRA identifies ___ that instructors must meet in order to train nursing assistants | standards |
| what does OBRA set guidelines for | minimum staff requirements and specifies services that long term care facilities must provide |
| what is another part of OBRA | the resident assessment requirements |
| how often are the resident assessment requirements used | OBRA requires that complete assessments be done on every resident |
| what do the assessment requirements form look like from facility to facility | they are the same for every facility |
| what is the minimum data set (MDS) | resident assessment tool |
| when was the minimum data set (MDS) developed | in 1990 and revised periodically |
| what is in the MDS | detailed form with guidelines for assessing residents |
| what is OBRAs other job (long term care) | identifies important rights for residents in long term care facilities |
| reason 1 why are OBRA regulations important to nursing assistants | give recognition through certification and registration |
| reason 2 why are OBRA regulations important to nursing assistants | help define the nursing assistants SCOPE OF PRACTICE which specifies the task that nursing assistants are legally permitted to perform according to state or federal law |
| SCOPE OF PRACTICE | which specifies the task that nursing assistants are legally permitted to perform according to state or federal law |
| reason 3 why are OBRA regulations important to nursing assistants | provide directions for uniformity of care |
| reason 4 why are OBRA regulations important to nursing assistants | promote educational standards |
| what is reciprocity | a person may be eligible for nursing assistant certification when they have completed an approved nursing assistant course. If that person moves to another state the certification may transfer to that state |
| what should the NA do before moving to another state | an NA should contact the proper agency to help determine if they qualify for reciprocity. Certain paperwork from the original state may need to be gathered before leaving. |
| what is the NAs responsibility when moving states | obtaining a new certificate in a new state is the NAs responsibility and will be necessary before they can begin working |
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