Natalie Trombley, OMNL President

Welcome Natalie Trombley MSN, RN, CMSRN to the President of OMNL. Natalie is currently the Assistant Nurse Manager of the Acute Rehab Department and the Wound and Ostomy Department at Northern Light Eastern Maine Medical Center. Natalie has her MSN in Execuitve Nurse Leadership and is certified as a medical surgical RN. Prior to working in Acute rehab Natalie was a clinical supervisor of Primary Care at EMMC where she helped introduce the Daisy Leadership Award to the Northern Light Health system. Additionally, Natalie has previously filled roles as Clinical Nurse Educator at Waldo County General Hospital and also worked with Purdue Global University as an adjunct professor. Natalie lives in Winterport with her husband and three children. She enjoys traveling, spending time with her family, and camping.


OMNE Legislative/Policy Report

Nursing Focused Bills

LD 119 An Act To Increase Faculty in Nursing Education Programs by Amending the Nursing Education Loan Repayment Program. Sponsor Rep. Michele Meyer

SUMMARY
This bill amends the nursing education loan repayment program as follows.
1. It extends eligibility to apply to individuals who are currently enrolled in master’s or doctoral degree programs.
2. It specifies that applicants must indicate an intention to work as full-time nursing faculty in a nursing education program in the State and increases that required commitment from 3 years to 5 years after acceptance into the nursing education loan repayment program.
3. It increases the maximum amount of loans eligible for repayment under the program from $4,500 to $30,000 for a master’s degree and from $6,000 to $60,000 for a doctoral degree.

Status – Public hearing 2/9/2021. The committee held two work sessions on the bill and passed a unanimous amendment to allocate $1million in one-time funding and lower the loan cap to $20,000 for a MSN degree and $40,000 for a doctoral degree. The amended version passed in the House and Senate. Working to include in the Governor’s supplemental budget, otherwise will need funding from the Appropriations Table.

LD 295 An Act To Repeal Restrictions That Prohibit Certain Advanced Practice Registered Nurses from Providing Essential Health Care Services. Sponsor Rep. Anne Perry

Summary – This bill eliminates a provision in law requiring that a certified nurse practitioner who qualifies as an advanced practice registered nurse must practice, for at least 24 months, under the supervision of a physician or supervising nurse practitioner or be employed by a clinic or hospital that has a medical director who is a licensed physician. The bill also removes a requirement that a certified nurse practitioner must complete 24 months of supervised practice to be a supervising nurse practitioner.

Status – Public Hearing 2/18/21, the committee held 3 work sessions and ultimately had a three-way divided vote – support, amend and oppose. Rather than have a floor fight on the bill Rep. Anne Perry asked the committee to vote not to pass which they did.

LD 1095 An Act To Authorize a General Fund Bond Issue To Purchase 4 Nursing Simulators for Use by the University of Maine System and the Maine Community College System

The funds provided by this bond issue, in the amount of $3,200,000, will be used to provide funding for the University of Maine System to purchase 4 nursing simulators, to be shared with the Maine Community College System

Status: Public hearing held on April 22nd.

LD 1327 An Act To Create the Maine Health Care Provider Loan Repayment Program

This bill creates a new loan repayment program, administered by the Finance Authority of Maine, for health care providers who agree to live and work in the State for a minimum of 5 years. Under the program, the authority will pay up to $30,000 per year and the lesser of $150,000 in aggregate and 50% of the recipient’s outstanding loan balance

Status: The committee voted out a divided report on May 6th.

Professional Licensure Bills

LD 374 An Act To Allow Veterans, Active Duty Service Members and Their Spouses To Apply for Temporary Occupational Licenses and Certifications

This bill allows veterans or active duty members of the United States Armed Forces or spouses of veterans or active duty members of the United Stated Armed Forces who hold occupational or professional licenses or certifications issued by other states or territories of United States to obtain a temporary license while completing any requirements for licensure or certification in Maine by an occupational or professional licensing board.

Status – The committee voted to pass an amended version of the bill on May 12th . The amendment requires the license held in another jurisdiction be in good standing.

LD 612 An Act To Recognize Occupational Licenses and Certifications from Other States To Attract New Residents and Businesses to Maine

This bill creates a framework for the various government agencies, boards, departments and other governmental entities that regulate and issue licenses within the State to offer a path to certification or licensure in Maine to persons who hold occupational credentials from other states in order to allow those persons to more quickly qualify to work within their occupations or professions in Maine.

Status – Public Hearing March 16th. On April 8th the committee voted 9-3 to oppose the bill.

LD 149 An Act To Facilitate Licensure for Credentialed Individuals from Other Jurisdictions. Sponsor Rep. Cloutier

Summary – This bill implements some of the recommendations of Resolve 2019, chapter 79 directing the Commissioner of Professional and Financial Regulation to form a working group to assess barriers to professional licensure for skilled individuals with foreign credentials and licensees of other states who apply for Maine licensure.
It allows the Director of the Office of Professional and Occupational Regulation within the Department of Professional and Financial Regulation to exercise discretionary authority, after consultation with licensing entities, to waive documentation requirements for licensure submitted by applicants educated in or with relevant experience or licensure in other jurisdictions, including other states, United States territories, foreign nations and foreign administrative divisions, as long as the waiver does not reduce the requisite standards of proficiency for the licensed profession or occupation.

Status – Public Hearing held in March, on April 8th the committee voted 9-3 in support of the bill.

Vaccine Requirement Bills
The Education Committee voted majority ought not to pass on the following bills:

LD 96 An Act To Create Fairness in the Treatment of Students by Retaining Students with Certain Vaccine Exemptions. Sponsor Rep. Faulkingham

LD 156 An Act To Promote School Attendance by Exempting Virtual Public Charter School and Private School Students from Immunization Requirements

LD 833 An Act To Amend the Laws Governing Vaccines by Reinstating Religious Exemptions

LD 1082 An Act To Improve Educational Opportunities by Exempting Children Who Attend Virtual Public Charter Schools from Immunization Requirements and Expanding Enrollment at Virtual Public Charter Schools

Other Bills

LD 1262 Resolve, Directing the Department of Health and Human Services To Develop a Comprehensive Statewide Strategic Plan To Serve Maine People with Behavioral Health Needs throughout Their Lifespans
This resolve directs the Department of Health and Human Services, including the department’s Office of Child and Family Services, office of behavioral health and office of aging and disability services and a variety of other interested parties and stakeholders, to develop a vision and comprehensive statewide strategic plan to serve people in the State with behavioral health needs throughout their lifespans.

Status: On May 6th the committee voted to pass the bill.


Rule – Making Fact Sheet

RULE-MAKING FACT SHEET
(5 MRSA Section 8057-A)

AGENCY: Maine State Board of Nursing

NAME, ADDRESS, PHONE NUMBER OF AGENCY CONTACT PERSON: Virginia E. deLorimier, Maine State Board of Nursing, 158 State House Station, Augusta, ME 04333-0158, (207) 287-1147, [email protected]

CHAPTER NUMBER AND RULE TITLE: Chapter 5 REGULATIONS RELATING TO TRAINING PROGRAMS AND DELEGATION BY REGISTERED PROFESSIONAL NURSES OF SELECTED NURSING TASKS TO CERTIFIED NURSING ASSISTANTS

STATUTORY AUTHORITY: 32 M.R.S.A. Section 2102, Section 2153-A (1).

DATE AND PLACE OF PUBLIC HEARING:

COMMENT DEADLINE: July 9, 2021

PRINCIPAL REASON OR PURPOSE FOR PROPOSING THIS RULE: : Reduces the number of hours of the Certified Nursing Assistant (CNA) Prescribed Curriculum to coincide with changes in the CNA curriculum, provides for more flexibility with additional CNA skills training, quantifies the meaning of the ability to read and write English, and clarifies what recently graduated means in the section for certified nursing assistants from out of state.

ANALYSIS AND EXPECTED OPERATION OF THE RULE: Provides the individual with a shorter nurse’s aide generalist course and allows for more flexibility for the facility in training the individual with additional skills as needed.

FISCAL IMPACT OF THE RULE: None
______________________________________________________________________________

FOR RULES WITH FISCAL IMPACT OF $1 MILLION OR MORE, ALSO INCLUDED:
ECONOMIC IMPACT, WHETHER OR NOT QUANTIFIABLE IN MONETARY TERMS:

INDIVIDUALS OR GROUPS AFFECTED AND HOW THEY WILL BE AFFECTED:

BENEFITS OF THE RULE:
______________________________________________________________________________

Note: If necessary, additional pages may be used.


Chapter 5 Proposed Rule

02 DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION

380 BOARD OF NURSING

Chapter 5 REGULATIONS RELATING TO TRAINING PROGRAMS AND DELEGATION BY REGISTERED PROFESSIONAL NURSES OF SELECTED NURSING TASKS TO CERTIFIED NURSING ASSISTANTS

__________________________________________________________________

SUMMARY: This chapter defines delegation; states the responsibilities of a registered professional nurse in delegating selected nursing tasks to certified nursing assistants; sets forth the requirements relating to training programs; and states the criteria for listing on the MAINE REGISTRY OF CERTIFIED NURSING ASSISTANTS.

__________________________________________________________________

DEFINITION: Delegation is the transferring to a competent individual authority to perform a selected nursing task in a selected situation.

1. General Regulations Relating to Delegation of Selected Nursing Tasks by Licensed Nurses

A. The registered professional nurse is responsible for the nature and quality of all nursing care that a patient                    receives. Assessment of the nursing needs of a patient, the plan of nursing actions, implementation of the plan,           and evaluation are essential components of professional nursing practice and are the functions of the registered            professional nurse. Although other personnel may be employed to assist the registered professional nurse in                the performance of these functions, such personnel cannot be used as a substitute for the registered                                professional nurse. The services of registered professional nurses may be supplemented and complemented by           the services of licensed practical nurses and certified nursing assistants.

1.  The registered professional nurse in a hospital, nursing facility, skilled care facility, ambulatory care,                              community health agency, a facility providing assisted housing services as defined in 22 M.R.S.A., Section                     7852 (3), correctional facilities, and county jails shall determine those nursing tasks that may safely be                          delegated to nursing assistants. No task shall be delegated that is not listed in the Skills Checklist of the                          PRESCRIBED GENERALIST CURRICULUM FOR NURSING ASSISTANT TRAINING PROGRAMS or                         authorized after additional training by a facility or organization as described in this chapter. When the task                   is the administration of medications, nothing may be delegated that is not listed in the Skills Checklist of the                 Standardized Medication Course for Certified Nursing Assistants.

2.  In assigning selected nursing tasks to certified nursing assistants, the registered professional nurse is                             responsible for complying with the provisions of this chapter and for exercising the judgment and                                   knowledge  ordinarily expected of a registered professional nurse. The nursing employer shall determine                      that the nursing assistant is listed on the MAINE REGISTRY OF CERTIFIED NURSING ASSISTANTS and                    will ensure that the certified nursing assistant meets the competency requirements of the facility or                                  organization.

3.  The registered professional nurse also is responsible for supervision of certified nursing assistants to whom                  a delegation is made. The degree of supervision needed shall be determined by the registered professional                    nurse after an evaluation of all factors involved, including without limitation:

a)  The right task: the activity falls within the certified nursing assistant job description and is included as                            part of the established written policies and procedures of the nursing practice setting; and

b)  The right circumstances: the stability of the condition of the patient; and

c)  The right person: the training and capability of the certified nursing assistant to whom the delegation is                          being made; and

d) The right direction and communication: each delegation should be specific to the patient, the registered                        professional nurse, and the certified nursing assistant. The registered professional nurse is expected to                          communicate specific instructions for the delegated activity to the certified nursing assistant and                                      ascertain that the certified nursing assistant understands what is expected of him/her and agrees to                                accept the delegation; and

e)  The right supervision and evaluation: supervision may require direct, continuing presence of the                                      registered professional nurse to observe, guide and direct the nursing assistant; intermittent                                              observation  and direction by the registered professional nurse who may only occasionally be physically                          present; or development of a plan of care, in advance, by the registered professional nurse which will be                        implemented by the nursing assistant without the physical presence of the registered professional nurse.                        In the latter situation, the registered professional nurse must be available for supervision, in person, in                          the event circumstances arise that cause the registered professional nurse to believe such supervision is                          necessary.

B.  Home Care Setting. In the home care setting only the registered professional nurse may delegate certain                        aspects of medication administration to the certified nursing assistant who has not completed the                                    Standardized Medication Course for Certified Nursing Assistants.

1.  Delegation by the registered professional nurse may only occur if:

a)  There is a stable predictable pattern of need;

b)  There is consent of the patient, family, or patient’s designee as indicated with a signature on the care                               plan; and

c)  The training, capability, and competency of the certified nursing assistants is appropriate to the                                         identified need.

2.   The registered professional nurse shall ascertain that the certified nursing assistant in the home care                              setting who has not completed the Standardized Medication Course for Certified Nursing Assistants has                        documented competencies according to the facility or organization’s policies and procedures to perform                        any of the following skills prior to delegating: oral medications; ear and eye drops; non-narcotic patches;                      insulin injections for stable diabetics using pre-filled syringes; topical medications; inhalants (hand held                       manufactured inhalers) and long term nebulizer therapy); vaginal/rectal medications; scheduled Schedule                   IIs, gastrostomy G-Tube feedings and gastrostomy-jejunostomy G-J tube feedings (established, stable G                         tubes and G-J tubes).

3.  Medication that may not be delegated include PRN medication and those administered via intrathecal,                           intravenous, intramuscular, subcutaneous (except insulin), and gastronomy routes nor any other invasive                     methods.

C.   Additional Skills. Additional skills of nursing care are skills of nursing care beyond those listed in the Board                 approved PRESCRIBED GENERALIST CURRICULUM FOR NURSING ASSISTANT TRAINING                                    PROGRAMS for certified nursing assistants. These additional skills may be performed by certified nursing                     assistants when taught and assigned in accordance with the organization or facility’s established policies                       and  procedures. Certified nursing assistants’ documented competencies of additional skills are not                                 transferrable from one facility to another, except that facilities within the same organization may share staff                 with additional skill training as described above in this subsection. Documentation of this additional skills                     training must be maintained at each organization or facility as indicated by the organization or facilities                         document retention policies.

1.  Certified nursing assistant additional skills(s) eligibility will be determined by the facility or                                               organization’s evaluation of readiness to participate.
2.   The registered professional nurse will not teach or assign the certified nursing assistant tasks that are                             categorized as health counseling, teaching/instruction, or any tasks that require independent, specialized                       nursing knowledge, skill, or judgment.

3.  The Certified Nursing Assistant Additional Skills List includes but is not limited to:

a)   Perform an electrocardiogram (EKG).

b)   Perform venipuncture for blood collection purposes.

c)   Perform a straight catheter procedure on an adult patient 18 years or older.

d)   Provide gastrointestinal-tube (G-tube) and percutaneous gastronomy (PEG) gravity tube feeding only                             to an established G-Tube, G-T Tube or PEG Tube.

e)   Assist a patient with eye drops.

f)    Perform a bladder scan.

g)    Obtain a swab for surveillance culture.

h)   Assist with Continuous Positive Airway Pressure (CPAP) and Bilevel Positive Airway Pressure                                           (BIPAP) for  patients with chronic respiratory conditions such as sleep apnea.

D.   Under the assignment and supervision of a registered professional nurse, pursuant to an established                               nursing plan of care a licensed practical nurse may delegate to and oversee completion of selected nursing                     tasks by certified nursing assistants.

2.   General Regulations Relating to the PRESCRIBED GENERALIST CURRICULUM FOR NURSING ASSISTANT TRAINING PROGRAMS

Approval and monitoring of training programs for nursing assistants shall be carried out in accordance with 32 M.R.S.A. Section 2104.

A.   The Board’s PRESCRIBED GENERALIST CURRICULUM FOR NURSING ASSISTANT BASIC TRAINING                   PROGRAMS shall be utilized for nursing assistant training programs.

1.   The registered professional nurse, by law, is responsible for the supervision and teaching of nursing                                 personnel. Therefore, a registered professional nurse shall be in charge of the instructional program to                           prepare assistants to nurses.

2.   No program shall be conducted that includes less than 70 hours of classroom instruction, 20 hours of                             skills laboratory and 40 hours of correlated, supervised clinical practice. (Shall be effective September 1,                         2021).

3.   The clinical instructor/student ratio of one to onemay at times be necessary for adequate learning and                             safe patient care. The clinical instructor/student ratio must be at least one instructor for every ten                                   students. The registered professional nurse instructor must provide direct onsite supervision during                               clinical learning experiences.

4.   All course objectives must be met to successfully complete this program. All skills must be demonstrated,                      and the student must perform return demonstrations satisfactorily, either in the clinical setting or in the                        skills laboratory.

5.  Content need not be taught in the order listed. Time may be added and emphasis made by the instructor                        to highlight certain aspects of the curriculum.

6.   Certified nursing assistant program students will not be taught content beyond what is included in the                             Board approved PRESCRIBED GENERALIST CURRICULUM FOR NURSING ASSISTANT TRAINING                        PROGRAMS.

B.   Accreditation or Approval by Other Organizations

The institution or agency conducting the training program or course, as well as the institutions or agencies                    cooperating with the program, shall be licensed or approved by the appropriate State licensing authority or                  accredited by the appropriate organization.

C.   Instructional Staff

1.    Each registered professional nurse shall be currently licensed to practice as a registered professional                                nurse in Maine or hold a current registered nurse multistate license issued by a state that has adopted the                     Nurse Licensure Compact in which the licensee legally resides and meet the federal requirements for                               nursing assistant instructors [42 CFR 483.152 and 42 CFR 484.36(a)(2)(ii)].

2.   Only registered professional nurses shall serve as classroom and clinical instructors. Members of other                           disciplines may assist in the teaching as necessary and desirable

D.   Students

1.   Qualifications for Admission

a)   Completion of the ninth grade of school (high school graduation or high school equivalency diploma                                preferred);

b)   Minimum age of 16 years; and

c)   Ninth-grade English reading and writing competency level on the Test of Adult Basic Educate (TABE),                           Comprehensive Adult Student Assessment System (CASAS), or other competency assessment                                           mechanisms as approved by the Board.

2.   Requirements for Retention and Completion

a)   The instructional staff shall develop requirements for class attendance, scholastic achievement                                          (minimum of 70%), clinical competence, and personal growth that shall be consistent with the goal of                            maintaining the highest quality of health care for the patient.

b)   Criteria for determining student progress shall be developed and used by the instructional staff in the                              evaluation of the students at intervals throughout the training program.

c)   Policies or procedures pertaining to dismissal shall be clearly stated and shall adequately safeguard the                          rights of both the students and the institution or agency conducting the training program.

d)    All the above shall be available in writing to the students.

E.   Certificate of Training

1.   The institution or agency conducting the program shall issue a certificate of training to each student who                       satisfactorily completes the training program. Such certificate shall clearly designate the following:

a)   Completion of the Board’s PRESCRIBED GENERALIST CURRICULUM FOR NURSING ASSISTANT                             TRAINING PROGRAMS;

b)   Number of classroom, skills laboratory, and supervised clinical hours;

c)   Beginning and ending dates of the program;

d)   Name of the agency conducting the training program;

e)   Signature of the registered professional nurse director of the training program; and

f)   Statement of approval by the Department of Health and Human Services.

2.   The director of a nursing educational program preparing persons for admission to a licensure examination                    may issue a certificate of training to a currently enrolled student or to a former student who has terminated                  enrollment in the program when such individual has satisfactorily completed at least the equivalent of the                    Board’s PRESCRIBED GENERALIST CURRICULUM FOR NURSING ASSISTANT TRAINING PROGRAMS.

F.   Facilities and Resources

  1.   The physical facilities utilized for the training program shall be adequate to the needs of the program and to  the size of instructional staff and student body. These include classrooms, conference rooms, and laboratories  sufficient in numbers and size to facilitate scheduling classes on a sound educational basis and to fulfill the  objectives of the program.

2.   The resources for planned learning experiences shall include the quality and variety needed for the objectives                of the training program.

3.    Hospitals, nursing homes, home health agencies, and facilities providing assisted housing services as                              defined  in 22 M.R.S.A., Section 7852(3) may be utilized for clinical learning experiences. Such health care                    facilities shall meet federal requirements for nursing assistant training [42 CFR 843.151(b)(2) and (3) and 42                CFR 484.36(a)(2)(i)(ii) with the exception that a licensed practical nurse may not be used as a clinical site                    instructor]. The registered professional nurse instructor shall provide direct on-site supervision during                          clinical learning experiences.

Up-to-date Learning resources shall be available for use by students and instructors, consistent with the needs of the curriculum
G.    Evaluation of Training Program

The registered professional nurse director of the training program and the instructors shall be responsible for              determining and developing methods and procedures to be used in measuring the extent to which the                            objectives of the training program have been achieved. The results shall be the basis for future action in                          planning improved program delivery.

3.   General Regulations Relating to Accepting the Certified Nursing Assistant Who Has Been                        Educationally Prepared in a State Other Than Maine.

A.   Consideration for listing on the MAINE REGISTRY OF CERTIFIED NURSING ASSISTANTS:

1.   The nursing assistant has passed a nationally certified nursing assistant testing process that includes the                       evaluation of both theory and clinical competence; and

2. The nursing assistant:

a)  Has graduated from a certified nursing assistant program outside of the State of Maine within the last                            year; or

b)   Has been employed as a certified nursing assistant outside of the State of Maine for the last two years.

B.   A nursing assistant who does not meet the above requirements must complete a Department of Health and                     Human Services approved certified nursing assistant training program and meet the Maine requirements for                 listing on the MAINE REGISTRY OF CERTIFIED NURSING ASSISTANTS.

4.    General Regulations Relating to the STANDARDIZED MEDICATION COURSE FOR CERTIFIED            NURSING ASSISTANTS

The purpose of this course is to teach experienced certified nursing assistants to administer selected                                noninjectable medications to patients who are 4 years of age and older. This complex nursing task shall be                    performed under the direct on-site supervision of a licensed nurse, only in long term care nursing facilities,                  state mental health institutions, county jails and state correctional facilities and assistive living settings.

A.  Approval Process For the Board’s STANDARDIZED MEDICATION COURSE FOR CERTIFIED NURSING                     ASSISTANTS

1.    Requests for approval to teach the medication course shall be submitted to the Board at least 60 days prior                    to the desired starting date of the course.

2.   Board approval shall be received by the educational institution or health care facility/agency prior to                              implementation of the medication course.

B.   General Requirements for Teaching the Course

1. Only the Board’s STANDARDIZED MEDICATION COURSE FOR CERTIFIED NURSING ASSISTANTS                         shall be utilized for medication courses.

2.   The registered professional nurse, by law, is responsible for the supervision and teaching of nursing                               personnel. Therefore, a registered professional nurse shall be in charge of the medication course.

3.   Only registered professional nurses shall serve as classroom and clinical instructors. Members of the other                   disciplines may assist in the teaching as necessary and desirable.

4.   No medication course shall be conducted that includes less than 60 hours of classroom instruction, 20                            hours of skills laboratory and 40 hours of correlated, supervised clinical practice.

5.   The clinical instructor/student ratio must be one to three when the student is administering medications                       in the clinical setting.

6.   All course objectives must be met to successfully complete this course. All skills listed in the Skills Check                       List must be demonstrated and the student must perform return demonstrations satisfactorily, either in                         the clinical setting or in the skills laboratory.

7.   Content need not be taught in the order listed. Time may be added and emphasis made by the instructor                        to highlight certain aspects of the curriculum. Nothing may be taught that is beyond the listed skills.

C.   Faculty Qualifications

1.   Current licensure in Maine as a registered professional nurse is required.

2.   Two years of clinical experience is required.

3.   Written recommendation attesting to previous teaching experience and ability is required.

4.    Evidence of continuing education is recommended.

5.   Baccalaureate degree in nursing is recommended.

D.    Student Requirements for Admission

1.   successful completion of a nursing assistant training program, in accordance with 32 MRSA Section 2102

2.   listing on the MAINE REGISTRY OF CERTIFIED NURSING ASSISTANTS

3.   equivalent of at least one year of full-time employment as a certified nursing assistant

4.   tenth grade competency level on the Test of Adult Basic Education (TABE) or other competency                                       assessment mechanisms as approved by the board

E.     Certificate of Training

1.    The institution or agency conducting the Board’s medication course hall award a certificate of training to                       each student who satisfactorily completes the course. Such certificate shall clearly designate the                                       following:

a)   completion of the Board’s STANDARDIZED MEDICATION COURSE FOR CERTIFIED NURSING                                  ASSISTANTS;

b)   the specific number of classroom/laboratory hours;

c)   the specific number of correlated, supervised clinical hours;

d)    the exact beginning and ending dates of the course;

e)    the skill level achieved in the course;

f)    name of institution or agency conducting the course;

g)    signature of the registered professional nurse director of the course; and

h)  statement of approval by the Board.

2.    The certificate awarded shall remain the property of the certified nursing assistant to whom it is                                      awarded.

3.    Certificates of training will be awarded only to certified nursing assistants who have successfully                                       completed the Board’s medication course. There is no mechanism to award certificates for comparable                            training, nor can this medication course be challenged.

4.   Certified Nursing Assistant-Medications (CNA-M) shall be the title.

F.    Continuing Competency

1.    Health care facilities that employ CNA-M to administer selected noninjectable medications shall provide                        a mechanism for maintaining competency.

2.    The CNA-M is responsible for maintaining an active status on the MAINE REGISTRY OF CERTIFIED                            NURSING ASSISTANTS.

3.    It is recommended that 4 hours of continuing education annually be devoted to topics pertinent to                                   medication administration.

G.    Facilities and Resources

1.    The physical facilities utilized for the medication course shall be adequate to the needs of the course and                        to the size of instructional staff and student body. These include classrooms, conference rooms, and                                laboratories sufficient in numbers and size to facilitate scheduling classes on a sound educational basis                          and to fulfill the objectives of the course.

2.    The resources for planned learning experiences shall include the quality and variety needed for the                                   objectives of the course.

3.    Only long term care nursing facilities and state mental health institutions shall be utilized for clinical                             learning experiences.

4.    A well-organized and up-to-date library shall be available for use by students and instructors. The                                    holdings shall be consistent with the needs of the curriculum, the student body, and the instructors.

H.     Records and Reports

1.    The institution or agency conducting the training program shall make provisions for the safe                                              maintenance of the necessary records.

a)   Significant, accurate, complete, and concise records and reports that clearly reflect the conduct of the                             medication course shall be maintained.

b)   Essential data relating to educational preparation and professional experience shall be maintained                                 for  each instructor.

c)    Records of authorization to conduct the medication course shall be kept on file.

I.    Evaluation of Medication Course

The registered professional nurse director of the medication course and the instructors shall be responsible for             determining and developing methods and procedures to be used in measuring the extent to which the                              objectives of the medication course have been achieved. The results of such self-appraisal shall be the basis                 for future action in planning improved course delivery.

5.    Eligibility Requirements for Entry on the Maine Registry of Certified Nursing Assistants

A.   To be eligible for listing on the MAINE REGISTRY OF CERTIFIED NURSING ASSISTANTS, the nursing                      assistant shall be in compliance with one of the following:

1.    has successfully completed competency testing and meets one of the following criteria:

a)     has successfully completed the Board’s PRESCRIBED CURRICULUM FOR NURSING ASSISTANT                                 TRAINING PROGRAMS;

b)    has been awarded a certificate of completion of nursing assistant training from the Department of                                   Educational and Cultural Services (DECS);

c)    has been awarded a certificate of training that identifies that such course;

d)    met requirements set forth in Chapter 5 of the Board’s Rules and Regulations at the time the                                             training took place;

e)    provides documentation of nurse assistant training in Maine prior to 1975.

2.    has been awarded a certificate of equivalent training from the director of an educational program in                                 nursing preparing individuals for admission to the licensure examination;

3.   has provided additional documentation that the criteria set for in Chapter 5 were met at the time the                              training took place;

4.   has submitted documentation of employment for 24 consecutive months between December 19, 1987 and                    December 19, 1989 at one or more Maine facilities of the same employer, as set forth in 42 CFR 483.150(b)                    (1) and is currently employed by that facility; or

5.    has met the requirements for nursing assistants who have been educationally prepared in a state other                          than Maine as set forth in Section 3 above.

B.    A nursing assistant who has received training in another jurisdiction, may request temporary listing on the                   MAINE REGISTRY OF CERTIFIED NURSING ASSISTANTS, pending consideration for permanent listing on              the MAINE REGISTRY OF CERTIFIED NURSING as set forth in Section 3 above. Such temporary listing                      shall be in effect for a maximum of 4 months and shall not be renewed.
6.    Fraud or Deceit in Obtaining a Certificate of Training

An individual who practices fraud or deceit in obtaining a certificate of training as a nursing assistant shall                   not be eligible for listing on the MAINE REGISTRY OF CERTIFIED NURSING ASSISTANTS.

STATUTORY AUTHORITY: 22 MRSA Section 1812-G (3), 32 MRSA Sections 2102, 2104 and 2153

EFFECTIVE:


HEARTS: Health & Arts announces the upcoming release of a new film musical about Florence Nightingale!

TRAILER RELEASE: Nurses Week, May 6-12
FILM RELEASE: Summer 2021

“Nightingale: Regarding the Life & Passion of Miss Florence Nightingale” by Pamela Gerke is a testament to one of the primary founders of the nursing profession and a pioneer of the importance of sanitation and science-based medical care.

HEARTS will offer this film free of charge on our YouTube channel as a gift to nurses and healthcare workers who have given so much to us all during this pandemic!

What better way to “nurture the nurturers” and celebrate their dedication than with a moving, musical dramatization of the life of one of the pioneers of the nursing profession, a woman who spoke truth to power, caught the old guard in the act of being obsolete, and changed the world!

We’re reaching out to ask that you post about the film – on your website, in your newsletters, and on your social media networks.
Help get the Flo film flowing!

It’s not too late to be a Sponsor – your organization’s name will be listed on the film credits.  Contact HEARTS for more information. (Deadline for Sponsorships: May 31, 2021)

To support this film, please see GoFundMe-Charity:
https://charity.gofundme.com/florence-nightingale-film

Learn more about the film at the HEARTS website (and see a clip from the film!) and by connecting with us on social media:
Website: https://HeartsHealthArts.org
Facebook: https://www.facebook.com/HealthViaArts
Instagram: https://www.instagram.com/health.via.arts/

CONTACT: Pamela Gerke
(425) 347-9065
[email protected]


Susan Sepples Recognized With Nursing Leadership Award

OMNE has awarded its 2019 Nursing Leadership Award to Susan Sepples PhD, MSN, RN. Su is a practicing critical care nurse, a community and home health advocate and an expert teacher with over 30 years bedside care, 20 years in community work and over 20 years in the classroom.

Her scholarly work focused on nursing workforce both from the academic viewpoint and from a practice viewpoint.

Su has led the collection of statewide nursing program data for many years. This information is critical to our ability to address Maine’s nursing workforce challenge. Su recently testified on legislation to fund the nurse faculty loan repayment program. Her testimony was powerful and impactful providing the committee data on the challenge of nursing faculty in Maine.

Su is a leader in many Maine Nursing initiatives including Maine Nursing Action Coalition that helped develop the nursing workforce supply and demand forecast for Maine with NEONI.


2018 OMNE Leadership Achievement Award Recipient Announced

Norma Munn, RN,C, BSN, Nurse Manager at Redington-Fairview General Hospital was the recipient of the 2018 OMNE Leadership Achievement Award.

Norma was recognized by her peers because she promotes the role of nursing leadership, promotes the enhancement of patient care, acts as a resource to OMNE members, promotes the unification of nursing in Maine and communicated with others on nursing and patient care issues.


2018 OMNE Nursing Emerging Leader Award Recipient Announced

Pictured from left: Sherry Rogers, Jessica Mosher of Redington-Fairview General Hospital and Peggy McRae, OMNE President

Jessica Mosher was awarded the 2018 OMNE Nursing Emerging Leader Award at this year’s Annual Meeting, September 27 in Freeport.

Jessica was nominated by Sherry Rogers whom Jessica works for at Redington-Fairview General Hospital in Skowhegan, Maine.

Congratulations Jessica!


2018 OMNE Annual Meeting a Success


The OMNE/ANA Maine Annual Meeting was held September 27-28, 2018 at the Hilton Garden Inn in Freeport, Maine.

It was the 11th year OMNE has sponsored an annual meeting and the 4th year in collaboration with ANA Maine.

Over 100 nurses, nursing leaders and students from across the state were in attendance. A. Lynne Wagner, a Nurse Educator-Consultant from the Watson Caring Science Institute was the Keynote and spoke on “Cultivating the Future of Nursing in Turbulent Times”.

Several other speakers rounded out the 2 day event, along with OMNE presenting their Emerging Leader Award at the dinner.

See the 2018 Annual Meeting Presentations here


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