DHS 129.07(2)(c)2.b.b. A ratio of 6 to 8 students per instructor is considered to be adequate in most circumstances. DHS 129.07(2)(c)2.c.c. The primary instructor shall evaluate and document that a student demonstrated successfully the ability to perform a skill before the student begins a clinical rotation. DHS 129.07(2)(c)2.d.d. The primary instructor shall make all student clinical assignments with the approval of the health care provider. The instructor shall complete a review of each resident’s chart to retrieve pertinent information needed by the students to provide the required cares. Care plan information shall be reviewed at the beginning of each clinical experience and shall include new orders or changes in each resident’s status. DHS 129.07(2)(c)2.e.e. A student’s assignment shall be shared with the clinical setting to which the student is assigned before the student arrives at the clinical setting. DHS 129.07(2)(c)2.f.f. Each student shall be given an individual assignment. More than 2 students shall not be assigned to the same resident at the same time. i. Care of clients with varied levels of care needs.
ii. The opportunity to be evaluated on organizational skills and time management.
DHS 129.07(2)(c)2.h.h. The RN primary instructor is responsible for supervising the clinical performance of each LPN program trainer. DHS 129.07(2)(d)(d) Nursing home-based program. Training of nurse aides may be performed under the general supervision of the director of nursing for a facility; however, the director of nursing may not act as the primary instructor or as a program trainer. Primary instructors shall not be involved in more than one role while supervising students in the clinical area. DHS 129.07(2)(e)1.1. The training program shall maintain a list of the required skills and competencies that a student will complete by the end of the training program. DHS 129.07(2)(e)2.2. On the list of skills, the primary instructor shall verify, by initialing and dating each individual skill, that the student has satisfactorily performed that skill. When a student has satisfactorily completed all required skills and competencies and attained the necessary knowledge, as well as achieved the stated course completion criteria, the trainee qualifies to enter a competency evaluation program. DHS 129.07(2)(e)3.3. The primary instructor shall provide a copy of the student’s performance record to the student at the conclusion of the student’s training. DHS 129.07(2)(f)(f) Record retention. The training program shall retain all records required by this section for a period of at least 3 years after a student completes the training program. DHS 129.07 HistoryHistory: CR 08-042: cr. register November 2008 No. 635, eff. 12-1-08; correction in (1) (e) 1. h. made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635; renumbering in (2) (c) 2. g. made under s. 13.92 (4) (b) 1., Stats., Register November 2008 No. 635; CR 16-088: am. (1) (intro.), cr. (1m), am. (2) (b) (title), 1., cr. (2) (bm), am. (2) (d), (e) 1. Register September 2017 No. 741, eff. 10-1-17; correction in (1m), (2) (b) made under s. 35.17, Stats., Register September 2017 No. 741; 2019 Wis. Act 1: am. (1) (a) 1. b. Register May 2019 No. 761, eff. 6-1-19; CR 20-068: am. (2) (a) 3. Register December 2021 No. 792, eff. 1-1-22; CR 21-087: r. and recr. (1) (title), (intro.), r. (1m), r. and recr. (2) (b) (title), 1., r. (2) (bm) Register June 2022 No. 798, eff. 7-1-22. DHS 129.08DHS 129.08 Standards for nurse aide competency evaluation programs. DHS 129.08(1)(1) Examiner qualifications. The examiner conducting the clinical competency program of a student shall be an RN with at least one year experience caring for the elderly or chronically ill of any age. DHS 129.08(2)(a)(a) The RN examiner will give each student instructions for the written or oral evaluation component. After the student’s written or oral evaluation has begun, the RN may designate another person to proctor the written or oral evaluation. DHS 129.08(2)(b)(b) The competency evaluation program shall develop a pool of test questions that addresses all 6 content areas and their components under s. DHS 129.07 (1). The test questions shall include enough questions to form 3 separate and complete examinations. DHS 129.08(2)(c)(c) The competency evaluation program shall develop written and oral examinations from the pool of test questions. The content of the written and oral examinations shall reflect the content and emphasis of the training program approved by the department. DHS 129.08(2)(d)(d) The competency evaluation program shall provide students with written and oral examinations in English. If the student will be working in a provider setting in which the predominant language is other than English, the program may not refuse to test in the language that is predominant in that work setting. DHS 129.08(2)(e)(e) The competency evaluation program may develop an oral examination for nurse aides with limited literacy skills. To do so, the program shall adapt the written examination for oral testing. The oral examination shall cover the same subject areas included in the original written examination adapted for oral testing, and shall include a component to determine the aide’s ability to read basic, objective, job-related information, such as reading a client’s name band or a client’s flow sheet. DHS 129.08(2)(f)(f) A minimum of 50 written or oral questions shall be asked in each examination. The questions shall cover at least the 6 care areas under s. DHS 129.07 (1) and shall be selected randomly from the following areas: DHS 129.08(2)(f)1.1. A minimum of 4 questions in the area of interpersonal communication and social interaction. DHS 129.08(2)(f)2.2. A minimum of 7 questions in the area of basic nursing skills. Of these 7 questions, at least one question shall address each of the following areas: DHS 129.08(2)(f)2.a.a. Observation, reporting and documentation of changes in client status and services furnished. DHS 129.08(2)(f)2.b.b. Recognizing and reporting change of client condition and status to supervisor.