Form 669-429 "Nursing Assistant-Registered (Nar) Verification of Clinical Hours and Competency" - Washington

What Is Form 669-429?

This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

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Download Form 669-429 "Nursing Assistant-Registered (Nar) Verification of Clinical Hours and Competency" - Washington

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Nursing Assistant-Registered (NAR)
Verification of Clinical Hours and Competency
(Valid Only During COVID-19 Crisis)
Background
During the COVID-19 crisis, nursing assistant students are considered essential. To facilitate adequate numbers
of nursing assistants to meet the public’s care needs, nursing assistant training programs are allowed to provide
classroom/didactic instruction in a live online format. This includes the federally-required training that students
must have prior to contact with residents if they are working as nursing assistants-registered (NARs). Students
must be enrolled to complete their training while working as an NAR or if they choose to volunteer as an NAR.
When students provide care as NARs, the facility is responsible to ensure the NARs are competent to perform
nursing assistant tasks. The NAR demonstrates competency for these tasks to a licensed nurse in the facility.
Because many NARs may not be checked off for competency in the skills lab setting by their instructor during
the COVID-19 crisis, it is critically important that a nurse at the facility does so.
NARs enrolled in a training program during the COVID-19 crisis may receive clinical hours’ credit for their NAR
work or volunteer experience if the supervising licensed nurse documents the NAR’s competency using this form
(please see page 2).
Qualifying standards for NAR work or volunteer experience listed in emergency rules must be met to count.
Instructions
The training program provides the checklist to students who choose to work or volunteer as an NAR.
The NAR works with their supervising licensed nurse who initials each skill the NAR has demonstrated
competency (corresponding to skills assigned to the NAR in the work or volunteer experience).
The NAR provides a signed checklist to the training program and to the facility and keeps a copy.
The training program keeps the checklist in the student file, after also verifying the NAR’s (student’s)
competency in skills lab on the program’s usual competency checklist form; the program must have a checklist
signed by the supervising nurse and NAR to award clinical credit.
The facility where the NAR is employed or volunteering keeps a copy of the signed checklist in the
NAR’s file; this documentation may be requested during survey.
669-429
Page 1 of 2
Nursing Assistant-Registered (NAR)
Verification of Clinical Hours and Competency
(Valid Only During COVID-19 Crisis)
Background
During the COVID-19 crisis, nursing assistant students are considered essential. To facilitate adequate numbers
of nursing assistants to meet the public’s care needs, nursing assistant training programs are allowed to provide
classroom/didactic instruction in a live online format. This includes the federally-required training that students
must have prior to contact with residents if they are working as nursing assistants-registered (NARs). Students
must be enrolled to complete their training while working as an NAR or if they choose to volunteer as an NAR.
When students provide care as NARs, the facility is responsible to ensure the NARs are competent to perform
nursing assistant tasks. The NAR demonstrates competency for these tasks to a licensed nurse in the facility.
Because many NARs may not be checked off for competency in the skills lab setting by their instructor during
the COVID-19 crisis, it is critically important that a nurse at the facility does so.
NARs enrolled in a training program during the COVID-19 crisis may receive clinical hours’ credit for their NAR
work or volunteer experience if the supervising licensed nurse documents the NAR’s competency using this form
(please see page 2).
Qualifying standards for NAR work or volunteer experience listed in emergency rules must be met to count.
Instructions
The training program provides the checklist to students who choose to work or volunteer as an NAR.
The NAR works with their supervising licensed nurse who initials each skill the NAR has demonstrated
competency (corresponding to skills assigned to the NAR in the work or volunteer experience).
The NAR provides a signed checklist to the training program and to the facility and keeps a copy.
The training program keeps the checklist in the student file, after also verifying the NAR’s (student’s)
competency in skills lab on the program’s usual competency checklist form; the program must have a checklist
signed by the supervising nurse and NAR to award clinical credit.
The facility where the NAR is employed or volunteering keeps a copy of the signed checklist in the
NAR’s file; this documentation may be requested during survey.
669-429
Page 1 of 2
Nursing Assistant-Registered (NAR)
Verification of Clinical Hours and Competency
(Valid Only During COVID-19 Crisis)
NAR (Student) Name:
Training Program Name:
Name of Healthcare Facility:
1. Basics prior to resident contact
4. Mental health and social service needs
7. Residents' rights
Communication/interpersonal skills
Modifying aide's behavior in response to
Providing privacy and maintenance of
residents' behavior
confidentiality
Infection control
Awareness of developmental tasks associated
Promoting the residents' right to make personal
Safety/emergency procedures,
with the aging process
choices to accommodate their needs
including the Heimlich maneuver
How to respond to resident behavior
Giving assistance in resolving grievances and
Promoting residents' independence
disputes
Allowing the resident to make personal choices,
Respecting residents' rights
providing and reinforcing other behavior
Providing needed assistance in getting to and
consistent with the resident's dignity
participating in resident and family groups and
other activities;
Using the resident's family as a source of
emotional support
Maintaining care and security of residents'
personal possessions
2. Basic nursing skills
5. Care of cognitively impaired residents
Promoting the resident's right to be free from
Taking and recording vital signs
Techniques for addressing the unique needs
abuse, mistreatment, and neglect and the need
and behaviors of individual with dementia
Measuring and recording height and
to report any instances of such treatment to
(Alzheimer's and others)
weight
appropriate facility staff
Communicating with cognitively impaired
Caring for the residents'
Avoiding the need for restraints in accordance
residents
environment
with current professional standards.
Understanding the behavior of cognitively
Recognizing abnormal changes in
impaired residents
body functioning and reporting to a
supervisor
Appropriate responses to the behavior of
cognitively impaired residents
Caring for residents when death is
imminent
Methods of reducing the effects of cognitive
impairments
6. Basic restorative services
3. Personal care skills, including,
Training the resident in self-care according to
but not limited to
the resident's abilities
Bathing
Use of assistive devices in transferring,
ambulation, eating, and dressing
Grooming, including mouth care
Maintenance of range of motion
Dressing
Proper turning and positioning in bed and chair
Toileting
Bowel and bladder training
Assisting with eating and hydration
Care and use of prosthetic and orthotic devices
Proper feeding techniques
Skin care
Transfers, positioning, turning
Supervising Nurse’s Attestation: Under my supervision, the NAR named on this form demonstrated
competency for each skill I initialed above.
Printed Name:
Signature:
Date:
NAR Attestation: All information on this form is true and correct to the best of my knowledge.
Signature:
Date:
669-429
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