Form Dhhs/dhsr-8 - Nurse Aide I Training Faculty Requirements Worksheet - N.c. Department Of Health And Human Services

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Health Care Personnel Education and
2709 Mail Service Center
Phone: 919-855-3970
Credentialing Section
Raleigh, NC 27699-2709
Fax: 919-733-9764
Division of Health Service
N.C. Department of Health
Regulation
and Human Services
NURSE AIDE I TRAINING FACULTY REQUIREMENTS
WORKSHEET
All Nurse Aide I Training Faculty must meet the requirements as specified below. Please use this worksheet to
evaluate potential faculty. Complete a Faculty Approval Request Form for each member of your nurse aide
faculty. Complete the Faculty Approval Request Form by including information that demonstrates the
requirements below. This form can be found on our website:
DO NOT RETURN THIS WORKSHEET WITH THE
FACULTY APPROVAL REQUEST FORM
PROGRAM COORDINATOR
MEETS
REQUIREMENTS
()
1. The applicant is a registered nurse with an unencumbered license.
2. The applicant is licensed to practice in North Carolina.
3. The applicant has at least two (2) years (4000 hours) of experience as a registered
nurse in the United States.
4. The applicant has at least one (1) year (2000 hours) of RN experience in the
provision of long-term care facility services in the United States demonstrated by:
a.
working in a long-term care facility licensed as a skilled nursing facility or a skilled
nursing facility which is a distinct part of a hospital, or
b.
supervising or teaching students in a long-term care facility licensed as a skilled
nursing facility or a skilled nursing facility which is a distinct part of a hospital.
INSTRUCTOR
MEETS
REQUIREMENTS
()
1. The applicant is a registered nurse with an unencumbered license.
2. The applicant is licensed to practice in North Carolina.
3. The applicant has at least two (2) years (4000 hours) of experience as a registered
nurse in the United States.
4. The applicant meets at least one of the following:
a.
completion of a course in teaching adults,
b.
experience in teaching adults, or
c.
experience in supervising nurse aides.
DHHS/DHSR-8 (Rev. 3-2015)

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