Nursing Assistant In-service training is education for CNAs to help them develop their skills. In-service training takes place after a CNA begins work responsibilities.
Skilled nursing facilities are required to provide in-service classes to enhance the skills of a Certified Nurse Assistant or address any performance issues. CNAs receive the normal hourly wage for attending the class on their regularly scheduled shift or during another shift, if mutually agreed upon by the CNA and the facility.
Every 2 years, in-service training hours shall include, but are not limited to, the following areas:
-HIV/AIDS, Infection Control;
-Medical Record Documentation and Legal Aspects Appropriate to Nursing Assistants;
-Communication with cognitively impaired clients;
-CPR skills; and
-Medical Error Prevention and Safety.
More topics important to long term care workers:
Aging Resident: ways to promote physical independence as well as how to enhance mental and emotional well-being.
Abuse Prevention and Reporting: provides an understanding of what abuse is and residents’ rights that abuse violates
Alzheimer’s Disease: main points covered in this in-service include: maintaining a safe environment, responding to changing behavior, communication, and assisting with ADLs.
Activities of Daily Living: the importance of accuracy in ADL documentation for reimbursement purposes.
Caring: this training helps caregivers realize the value of their work even if many receiving care do not express appreciation.
Fall Prevention: potential for accidents and injury in elders and how to prevent them.
Diabetes: focuses on skin breakdown, foot care, and the importance of close and consistent observation.
Hospice/Palliative Care/Comfort Care: understanding of interventions associated with end of life care provision, guidance to caregivers on ways to support the resident, family members and themselves through the dying process.
Work Injuries: basic body mechanics in three situations: transferring, turning a client in bed, and lifting a resident.
Hydration: potential threats of hydration related to fluid imbalance in older people.
Mouth Care: the potential for mouth problems in older adults
Pressure Ulcers: risk factors, prevention and treatment
Restorative Care: potential for impairment in functional abilities in elders.
In-service Training: Continuing education classes may be taken at DPH-approved providers, community/state colleges, adult education or regional occupation programs, general acute care hospitals, American Red Cross, home health agencies, state long-term care ombudsman, or providers approved by the nursing boards.
When in doubt of any ongoing certified nursing assistant education, you may contact the State Department) to find out what your state requires for in-service continuing education. The aforementioned requirements may not be the only requirements listed for your state. The facility may have their own core curriculum that includes that of the state’s along with their unique set of guidelines. This is all to help assure your success as a CNA.