Wisconsin Nurse Aide Training Clinical Site
PDF Version of DQA 08-014
(PDF, 38 KB)
|| May 06, 2008 -- DQA Memo 08-014
Aide Training Programs NATP 02
Homes NH 09
|| Shari Busse, Director
Paul Peshek, Director
Bureau of Nursing Home Resident Care
Division of Quality Assurance
Wisconsin Nurse Aide Training Clinical Site
The purpose of this memo is to provide nursing homes with information
regarding their role and responsibilities when agreeing to serve as a
clinical site for an approved nurse aide training program. This memo
contains important information on the following topics:
- Office of Caregiver Quality Role;
- Nurse Aide Training Program Approval;
- Clinical Site Responsibilities; and
- Nurse Aide Training & Testing Resources.
Office of Caregiver Quality Role
The Division of Quality Assurance, Office of Caregiver Quality (OCQ),
approves and oversees the standardized training and testing programs for
feeding assistants, medication aides, and nurse aides. The Department also
maintains the Nurse Aide Registry, which lists the names of the nurse aides
and medication aides who, through training, testing, and experience; meet
federal and/or state requirements to work in Wisconsin.
Nurse Aide Training Program Approval
The goal of a nurse aide training program is to provide a basic level of
both knowledge and demonstrable skills for individuals who provide nursing
or nursing-related services to residents in a skilled nursing facility (SNF)
or nursing facility (NF), and who are not licensed health professionals or
volunteers who provide services without monetary compensation.
Nurse aide training programs offered through correspondence or on-line
services are not approved nurse aide training programs in Wisconsin. All
nurse aide training programs must be approved by OCQ prior to providing
instruction. Only the programs listed at http://www.dhs.wisconsin.gov/caregiver/pdffiles/NAtrgProgs.pdf
are approved by OCQ to provide nurse aide training.
When an individual or agency expresses an interest in being approved to
have a nurse aide training program (NATP), an application packet is
provided, which includes the following information:
- Nurse Aide Instructional Program Application, OQA-2220
- Nurse Aide Training Program Primary Instructor Application, OQA-2610
- Guidelines for Nurse Aide Training Program Approval
- Recommended Class/Lab Equipment Supply List
- WI Stats. 146.40 and Administrative Rule HFS 129
- Chapters 1 and 2 of the WI Nurse Aide Training Program Manual
- Chapter 2 of the WI Caregiver Program Manual
- Background Information Disclosure, HFS-64
The applicant returns the prerequisite items and application form to DHFS
for review. Wisconsin Administrative Code HFS 129.07 requires that every
nurse aide training program consist of a minimum of seventy-five (75) hours.
To approve a program, the Department currently looks for courses to include
fifty-nine (59) hours of classroom instruction and skills practicum, and a
minimum of sixteen (16) hours of clinical experience in an appropriate
clinical setting in each of the following six areas:
- Interpersonal Communication and Social interaction
- Basic nursing skills
- Personal care skills
- Basic restorative services
- Rights of clients
In addition, the applicant must obtain verification that clinical
facilities proposed to be used in the training of nurse aide students are in
good standing with DHFS, i.e., that the licensure status of the facility is
current, and that the facility is in compliance with all regulatory
Obtaining this verification is the responsibility of the applicant. An
applicant must have documented verification in its files, and this must be
available during the evaluation process.
If all of the application criteria are met, a notice of preliminary
approval is mailed to the director/coordinator or owner of the program. An
on-site evaluation is scheduled during the clinical portion of a class.
DHFS reserves the right to conduct unannounced evaluations of its
certified NATPs. The State Operations Manual 02-92 states that the approval
of an NATP may be withdrawn if the program refuses to permit unannounced
Clinical Site Responsibilities
The Office of Caregiver Quality (OCQ) recommends that, prior to entering
into a clinical site agreement, a facility contact OCQ to verify that the
entity requesting to bring students to the nursing home is in the process of
seeking formal approval as a nurse aide training program.
A long term care facility should be aware of the following
responsibilities prior to agreeing to serve as a clinical site:
- The LTC facility will provide space for the instructor(s) and students
to store personal effects before and after conferences.
- The LTC facility will assign a liaison/contact person to assist the
program coordinator/instructor in the coordination of the student's
- The LTC facility is responsible for notifying the staff of the
rotation of students and the arrival of the OCQ evaluator(s).
- The LTC facility will allow the OCQ evaluator(s) to review the
residents' charts prior to the evaluation, and to observe the students'
performance of resident care, with the residents' approval.
- Students are using the LTC facility for a learning experience and
should not be used to, or requested to, render care to unassigned
- The LTC facility will specify limitations with regard to the conduct
of the nurse aide students during clinical rotation, e.g., no access to
- The LTC facility will designate the appropriate forms/flow sheets used
for documentation by students with instructor supervision.
- The facility must maintain compliance with the mandates of regulatory
agencies and DQA/OCQ to qualify as a clinical training site for any
- The LTC facility is to maintain responsibility for the overall care of
residents during all clinical rotations.
Please see the Nurse Aide Training Program Application webpage at http://www.dhs.wisconsin.gov/caregiver/NATD/NATPapplictn.htm.
The "Guidelines for Nurse Aide Training Program Approval" document
includes a list of clinical contract suggestions for both the nurse aide
training program and the long term care facility. If you are interested in
starting a Nurse Aide Training Program, either for your Wisconsin facility,
or for nurse aides to work anywhere in Wisconsin, please contact:
Cindy Hintze, Nurse Consultant
Office of Caregiver Quality
PO Box 2969
Madison, WI 53701-2969
Nurse Aide Training and Testing Resources
Please access the website at http://www.dhs.wisconsin.gov/caregiver/NATD/NrsAidTrgPrgInf.HTM
for more information, including nurse aide forms, rules and regulations, and
contact information. There are a variety of useful tools on the Nurse Aide
If you have any questions, you may also contact the Office of Caregiver
Quality at (608) 261-8319, or DHSCaregiverIntake@wisconsin.gov
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