Characteristics of Long-Term Care Registered Apprenticeship Programs: Implications for Evaluation Design. Appendix A. CORE Competencies by LTC RAP

09/13/2011

Core competencies taught in the Long-Term Care Registered Apprenticeship Program (LTC RAP) sites are presented below. In some cases, investigators were provided with a list of core competency training by the sites, and in other cases these lists were supplemented with a description of the specific courses in which these courses were taught. For example, a “case management” course would provide instruction on multiple core competencies relevant to case management. In other cases, this coursework supplements required core competencies with instruction that is considered valuable to the LTC RAP (such as mentorship training). Both core competencies and courses (if they were provided) are presented below.

Developmental Services, Inc.: Direct Support Specialist (DSS)

  1. Community living skills and supports.
  2. Communication.
  3. Documentation.
  4. Participant empowerment.
  5. Assessment.
  6. Community and service networking.
  7. Facilitation of services.
  8. Education, training, and self-development.
  9. Advocacy.
  10. Vocational, educational, and career support.
  11. Crisis prevention and intervention.
  12. Organizational participation.
  13. Building and maintaining friendships and relationships.
  14. Provide person-centered supports.
  15. Supporting health and wellness.

The Evangelical Lutheran Good Samaritan Society: Certified Nursing Assistant (CNA)

  1. Demonstrates advanced understanding of infection control.
  2. Demonstrates effective communication.
  3. Incorporates appropriate interventions to maximize physical functioning and mobility, maintaining proper body mechanics.
  4. Implements appropriate interventions to maintain continence and minimize problems related to elimination.
  5. Functions as a member of the health team within the health care facility.
  6. Demonstrates ethical/professional practices.
  7. Assists with treatments, procedures, and specimen collection.
  8. Pain recognition and non-medical interventions implemented.

The training at Evangelical Good Samaritan Society includes:

  1. Advanced CNA.
  2. Mentor.
  3. Restorative.
  4. Dementia.
  5. Medication administration.

Home Care Associates: Home Health Aide (HHA)

  1. Role of the HHA.
  2. Client rights and confidentiality.
  3. Communication and problem-solving skills.
  4. Personal care skills.
  5. Health-related tasks.
  6. In-home and nutritional support.
  7. Infection control.
  8. Safety.
  9. Understanding the needs of various client groups.

Enhanced training for apprentices at Home Care Associates includes:

  1. Case management.
  2. Peer-mentoring.
  3. Best practices.
  4. Communication.

Air Force Village: Certified Nursing Assistant (CNA) and Health Support Specialist (HSS)

Certified Nursing Assistant:

  1. Demonstrates advanced understanding of infection control.
  2. Demonstrates effective communication.
  3. Incorporates appropriate interventions to maximize physical functioning and mobility, maintaining proper body mechanics.
  4. Implements appropriate interventions to maintain continence and minimize problems related to elimination.
  5. Functions as a member of the health team within the health care facility.
  6. Demonstrates ethical/professional practices.
  7. Assists with treatments, procedures, and specimen collection.
  8. Pain recognition and non-medical interventions implemented.

Health Support Specialist:

  1. Communication.
  2. Resident care.
  3. Restorative care.
  4. Resident rights.
  5. Documentation.
  6. Infection control.
  7. Safety

The training at Air Force Village includes:

  1. Two medical terminology modules.
  2. Dementia.
  3. Restorative.
  4. Activity assistance.
  5. Person-centered care.
  6. Soft skills.
  7. Environmental services.

Agape Senior: Certified Nursing Assistant (CNA)

  1. Interpersonal and communication skills.
  2. Health Insurance Portability and Accountability Act (HIPAA) protections.
  3. Active listening, assertive communication with patients.
  4. Customer service.
  5. Psychosocial aspects of aging.
  6. Body mechanics.
  7. Cancer.
  8. Stages of dying.
  9. Post-mortem care.
  10. Body systems during the aging process, including the dermatological, respiratory, cardiovascular, and renal systems.
  11. Dementia care and communication with dementia patients.

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