Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 395 - LONG-TERM CARE ASSISTANTS AND AIDES TRAINING PROGRAMS CODE › Subpart A - PROGRAM APPLICATION AND APPROVAL PROCESS › Section 395.50 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
Ability-Centered Care - a comprehensive approach to attaining
				  or maintaining the highest practicable physical, mental and psychosocial
				  well-being, in which the resident's abilities and competencies are recognized
				  and incorporated in a plan of care to adapt and modify tasks to provide for the
				  resident's involvement at his or her maximum level.
Act - the Nursing Home Care Act [210 ILCS 45].
Activities of Daily Living or ADL - tasks performed on a
				  day-to-day basis, including, but not limited to, eating, dressing, bathing,
				  toileting, transferring or personal hygiene.
Advanced Nursing Assistant Training Program or ANATP - a
				  Department-approved course curriculum that prepares individuals for
				  certification as Certified Nursing Assistant II (CNA II).
Alzheimer's Instructor - a registered professional nurse who
				  is approved by the Department based upon meeting the Alzheimer's Instructor
				  requirements of Section
				  395.160(b)
				  and who is also an approved clinical instructor.
ANATP Course Schedule - a course schedule for ANATP
				  prescribed by the Department.
ANATP Instructor - a registered professional nurse who is
				  approved by the Department based upon meeting the requirements of Section
				  395.235 and who is an approved evaluator in a BNATP.
Approved Evaluator - a registered professional nurse who is
				  an approved clinical instructor and has completed a Department-sponsored
				  evaluator course pursuant to Section
				  395.162.
Approved Outside Evaluator - an Approved Evaluator who
				  performs an evaluation of students in a training program sponsored by a
				  long-term care facility, and who has no fiduciary connection, within 30 days
				  before or after the evaluation, with the facility by which the student is
				  employed.
Approved Performance Skills - tasks generally performed by
				  certified nursing assistants (CNAs) for which competency must be demonstrated,
				  including, but not limited to: wash hands; perform oral hygiene; shave a
				  resident; perform nail care; perform perineal care; give a partial bath; give a
				  shower or tub bath; make an occupied bed; dress a resident; transfer a resident
				  to a wheelchair using a transfer belt; transfer a resident using a mechanical
				  lift; help a resident to ambulate with a transfer belt; feed a resident;
				  calculate intake and output; place a resident in a side-lying position; perform
				  passive range of motion; apply and remove personal protective equipment;
				  measure temperature, pulse and respiration; measure and record blood pressure;
				  measure and record height; and measure and record weight.
Asepsis - a condition in which living pathogenic organisms
				  are absent.
Basic Nursing Assistant Training Program or BNATP - a
				  Department-approved course curriculum that prepares individuals for employment
				  as Certified Nursing Assistants (CNAs).
Cardiopulmonary Resuscitation Instructor or CPR Instructor -
				  a person approved by the Department, or by the Department of Human
				  Services-Division of Developmental Disabilities and who is certified in
				  cardiopulmonary resuscitation at the health care provider level or health care
				  provider instructor level by a nationally recognized program, by the Department
				  or by DHS-DD.
Care - as used in this Part, the personal, restorative or
				  rehabilitative treatment of a resident in a health care setting by a
				  CNA.
Certified Nursing Assistant or CNA - an individual who does
				  not hold a professional license from the Department of Financial and
				  Professional Regulation, or someone who volunteers to provide licensed services
				  without pay; an individual who was grandfathered in, or has successfully
				  completed the BNATP and competency examination or has met the equivalency
				  requirements of 77 Ill. Adm. Code
				  300.663
				  (Skilled Nursing and Intermediate Care Facilities Code); an individual who
				  provides nursing or nursing-related services for monetary compensation under
				  the clinical supervision of a nurse; an individual who has not had a period of
				  24 consecutive months, since his or her most recent competency examination or
				  the date of being grandfathered in, during which he or she did not provide
				  nursing or nursing-related services for monetary compensation under the
				  clinical supervision of a nurse.
Certified Nursing Assistant II or CNA II - a CNA who has met
				  the training requirements of Section
				  395.305.
Clinical Conference - a conference of short duration held
				  during a clinical instruction to communicate information regarding direct
				  resident care. Theory content shall not be presented.
Clinical Instruction - a teaching method used by an approved
				  clinical instructor in a clinical setting in which the student explains and
				  demonstrates competency of skills learned during theory instruction to a level
				  accepted by the instructor.
Clinical Instructor (ANATP and BNATP) - a registered
				  professional nurse who is approved by the Department based upon meeting the
				  requirements of Section 395.235(b) (ANATP) or Section
				  395.160(a)
				  (BNATP) and who is an approved evaluator.
				  These are the minimum requirements to teach the clinical component of the ANATP
				  and BNATP curriculum.
Competency Examination-CNA - a comprehensive multiple choice
				  test meeting the requirements of 42 CFR 483 and administered by the Department
				  or its designee under a contract with the Department. This examination shall be
				  successfully completed within one year after the student's having completed the
				  BNATP or having been deemed equivalent to a CNA through training or training
				  and experience pursuant to 77 Ill. Adm. Code 300.663.
Competency Examination-CNA II - a comprehensive multiple
				  choice test administered by the Department or its designee under a contract
				  with the Department. This examination shall be successfully completed within
				  one year after the student has completed the ANATP or has been deemed
				  equivalent to a CNA II through training or training and experience pursuant to
				  77 Ill. Adm. Code 300.663.
Course Coordinator (CNA Training Program) - an individual in
				  each Certified Nursing Assistant Training Program who is responsible for
				  planning, organization, management, coordination, compliance, documentation and
				  linkage with the Department. The Course Coordinator is not required to be an
				  instructor.
Course Coordinator (DSP Training Program) - a designated
				  Department of Human Services individual who is responsible for the
				  organization, management and coordination of Direct Support Person (DSP)
				  training. The Course Coordinator assures that training is in compliance with
				  Department requirements, assures that required documentation is retained, and
				  maintains linkage with the Department of Human Services. The Course Coordinator
				  is not required to be an instructor.
Cultural Competence - the ability to interact effectively
				  with people of different cultures.
Department - the Illinois Department of Public Health.
DHS - the Illinois Department of Human Services.
DHS-DD - the Illinois Department of Human Services-Division
				  of Developmental Disabilities.
Direct Access Worker - any individual who routinely has
				  access to or has the ability or potential to have access to a resident, a
				  resident's living quarters, or a resident's financial, medical or personal
				  records through employment or through a contract with a facility or provider. A
				  volunteer is included if the volunteer has duties that are equivalent to the
				  duties of an employee or contracted worker who would be a direct access
				  worker.
Direct Care - the provision of nursing care or assistance
				  with feeding, dressing, movement, bathing, toileting or other personal needs,
				  including home services as defined in the Home Health, Home Services and Home
				  Nursing Agency Licensing Act.
Direct Contact - the provision of any services to a client by
				  an individual carrying out tasks usually performed by nursing assistants or
				  Direct Support Persons.
Direct Support Person or DSP - any person who provides
				  habilitative care, services or support to individuals with developmental
				  disabilities and is listed on the Department's Health Care Worker Registry as a
				  trained DSP or DD Aide under its "Program" section. DSPs shall function under
				  the supervision of a Qualified Intellectual Disabilities Professional (QIDP) or
				  a nurse. Other titles often used to refer to Direct Support Persons include,
				  but are not limited to, Developmental Disabilities (DD) Aide,
				  Habilitation/Child Care Aides, Mental Health Technician, Program Aide or
				  Program Technician.
Direct Support Person Training Instructor or DSP Training
				  Instructor - an individual who meets the requirements of Section
				  395.160(c)
				  and is approved by DHS.
Evidence-Based Practice - recommended nursing interventions
				  that have been shown to be effective when tested in clinical research.
Grandfathered CNA - an individual who has previously
				  demonstrated to the satisfaction of the State that he or she had served as a
				  nursing assistant at one or more facilities of the same employer in the State
				  for at least 24 consecutive months before December 19, 1989. A grandfathered
				  CNA may also be an individual who completed a training program before July 1,
				  1989 that would have met the requirements to be an approved training program if
				  the approval had been offered at that time. Since the date the individual was
				  grandfathered in as a CNA, that individual shall not have had a period of 24
				  consecutive months during which the individual did not provide nursing or
				  nursing-related services for monetary compensation under the supervision of a
				  nurse. No additional individuals will be considered for grandfathered
				  status.
Holistic Care - care that incorporates the whole person,
				  i.e., physical, psychological, emotional and spiritual dimensions.
Home Health Aide - any person who meets the requirements of a
				  CNA and provides part time and intermittent nursing services to a person in his
				  or her residence according to a plan of treatment for illness or infirmity
				  prescribed by a physician.
Interdisciplinary Team - a group of persons who represent
				  those professions, disciplines or service areas that are relevant to
				  identifying an individual's strengths and needs, and designs a program to meet
				  those needs. This team shall include at least a physician and a social worker
				  and may include other professionals. In programs serving individuals with
				  developmental disabilities, at least one member of the team shall be a
				  Qualified Intellectual Disabilities Professional. The interdisciplinary team
				  includes the resident; the resident's guardian; the resident's primary service
				  providers, including staff most familiar with the resident; and other
				  appropriate professionals and care givers as determined by the resident's
				  needs. Other terms often used in place of "Interdisciplinary Team" include, but
				  are not limited to, Community Support Team (CST) or Individual Education Plan
				  (IEP).
Laboratory Environment - a designated location for laboratory
				  instruction that includes a minimum of one bed per five students, access to
				  hand-washing facilities, and clinical instruction equipment and
				  supplies.
Laboratory Instruction - a teaching method used during the
				  theory section of the training program, requiring the student to demonstrate
				  skill competencies in a supervised laboratory environment.
Lead Instructor - the theory instructor who is responsible
				  for providing day-to-day management of the class.
Licensed Practical Nurse or LPN - a person with a valid
				  license to practice as a licensed practical nurse under the Nurse Practice
				  Act.
Methodologies - instructional methods by which content or
				  curriculum information is to be presented in a BNATP, i.e., lecture,
				  discussion, audiovisual, demonstration and group activities.
Nurse - for purposes of this Part, a registered professional
				  nurse (RN), a licensed practical nurse (LPN), or an advanced practice
				  registered nurse (APRN), as these titles are defined in the Nurse Practice
				  Act.
Nursing Assistant Training and Competency Evaluation Program
				  or NATCEP - a training and competency program consisting of an approved ANATP
				  or BNATP, demonstration of required performance skills, and the written
				  competency evaluation.
Nursing Care - activities, performed by a person licensed
				  under the Nurse Practice Act, that carry out the diagnostic, therapeutic and
				  rehabilitative plan prescribed by the physician; care for the resident's
				  environment; observing symptoms and reactions; and taking necessary measures,
				  including the delegation and supervision of tasks, to carry out nursing
				  procedures involving understanding of cause and effect in order to safeguard
				  life and health.
Personal Care - assistance with meals, dressing,
				  movement, bathing or other personal needs or maintenance, or general
				  supervision and oversight of the physical and mental well-being of an
				  individual, who is incapable of maintaining a private, independent residence or
				  who is incapable of managing his
or her
person whether or not
				  a guardian has been appointed for such individual.
(Section 1-120 of
				  the Act)
Person-Centered Planning - a process through which persons
				  with disabilities and with the support of families direct the planning and
				  allocation of resources to meet their own life vision and goals.
Person-Centered Services - an approach to care focusing on
				  individual rights and personal preferences.
Physician - any person licensed to practice medicine in all
				  of its branches as provided by the Medical Practice Act of 1987.
Plan of Care - a strategy of action by the interdisciplinary
				  team to address the needs of the individual, in keeping with the core values of
				  Person-Centered Services. Other references used in place of "Plan of Care"
				  include, but are not limited to, Individual Service Plan, Program Plan or
				  Individual Habilitation Plan.
Plan of Correction - a written document, subject to the
				  Department's or to DHS-DD's approval, that addresses a situation, condition or
				  practice constituting noncompliance by a training program. It shall include
				  corrective actions specific to the cited deficiency, a procedure for
				  implementation of the corrective actions, a monitoring procedure that ensures
				  compliance with the requirements of this Part, the title of the person
				  responsible for implementation, and the dated signature of the Program
				  Coordinator.
Prerequisite - A requirement of education or training prior
				  to completing additional training. A CNA shall complete and pass a BNATP
				  program and achieve CNA certification as a prerequisite to enrollment in an
				  ANATP.
Probation (BNATP and ANATP) - an enforcement measure pursuant
				  to Section
				  395.190
				  or Section 395.260, applied by the Department for noncompliance of a BNATP or
				  ANATP, respectively.
Program - ANATP and BNATP.
Program Cluster Scores Summary Reports - monthly, annual, and
				  biennial reports that provide a breakdown of training programs' examination
				  results by specific content area for the purpose of program improvement and
				  monitoring.
Program Coordinator (BNATP and ANATP) - a registered
				  professional nurse who is approved by the Department, based upon meeting the
				  requirements of Section
				  395.165(a)
				  or Section 395.240(a). This individual is responsible for the planning,
				  implementation, evaluation, and overall coordination of a BNATP or
				  ANATP.
Program Sponsor (BNATP and ANATP) - an entity that has been
				  approved by the Department to conduct an approved BNATP or ANATP. The entity
				  types that may be approved as a program sponsor are listed in Section
				  395.100 or
				  Section
				  395.205.
Psychiatric Rehabilitation Services Aide or PRSA - an
				  individual who meets the training requirements of a Psychiatric Rehabilitation
				  Services Aide as described in Section
				  395.330.
Qualified Intellectual Disabilities Professional or QIDP - a
				  person who meets the qualifications defined in
				  42 CFR
				  483.430(a).
Quality of Care - the necessary care and services to attain
				  or maintain the highest practicable physical, mental and psychosocial
				  well-being, in accordance with the comprehensive assessment and plan of
				  care.
Quality of Life - care provided in a manner and in an
				  environment that promote maintenance or enhancement of each resident's quality
				  of life.
Registered Professional Nurse or RN - a person with a valid
				  license to practice as a registered professional nurse under the Nurse Practice
				  Act.
Resident or Client - A person who is receiving medical care,
				  personal care, maintenance, or related services and supports. The term resident
				  is used interchangeably in this Part to mean patient, client or person as
				  appropriate to the regulatory setting. The term resident in this Part shall not
				  be construed in any way to restrict the meaning to those living in long-term
				  care facilities.
Special Content Instructor - a person who is approved by the
				  Department or DHS to teach content related to his/her area of expertise, based
				  upon meeting the requirements of Section
				  395.160(e).
Suspension - temporary withdrawal of a program sponsor's
				  approval to offer training program classes.
Syllabus (BNATP and ANATP) - a document provided to the
				  students by the BNATP or ANATP outlining information necessary for completion
				  of the training program; this information shall include, but is not limited to,
				  program policies and requirements, content outline and evaluation
				  methods.
Theory Instruction (BNATP and ANATP) - a teaching method
				  using principles of education and learning in the classroom and laboratory
				  environments to provide instruction to the student in accordance with the BNATP
				  content outlined in Section
				  395.300
				  or ANATP content outlined in Section 395.305. Theory instruction includes
				  laboratory instruction and is provided by a Theory Instructor.
Theory Instructor - a registered professional nurse who is
				  approved by the Department based upon meeting the requirements of Section
				  395.160
				  and is an approved evaluator or a QIDP who is approved by DHS-DD based upon
				  meeting the requirements of Section
				  395.160(c).
Train the Trainer Instructor - a registered professional
				  nurse who is approved by the Department based upon meeting the requirements of
				  Section
				  395.155(f)
				  and is an approved evaluator.
Train the Trainer Program (ANATP and BNATP) - a college-based
				  or Department-approved program, of no fewer than 31 clock hours excluding meals
				  and breaks, designed to prepare a registered professional nurse to teach in an
				  ANATP or BNATP. The Program includes the Alzheimer's component and may include
				  an approved evaluator course. The Department will approve a Train the Trainer
				  Program based upon the Program's meeting the requirements of Section
				  395.155.
Training Program (ANATP and BNATP) - an approved course
				  curriculum, conducted by a program sponsor, that has not been suspended, for
				  training of Certified Nursing Assistants.