<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.39.01.05" title_num="10" subtitle_num="39" chapter_num="01" heading="Qualifications for Certification.">
  <paragraph num="A.">
    <text>Initial Certification. An applicant for initial nursing assistant certification shall have successfully:</text>
    <paragraph num="(1)">
      <text>Completed:</text>
      <paragraph num="(a)">
        <text>An approved nursing assistant training program;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An approved acute care nursing assistant training program;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A portion of an approved nursing education program that has been determined by the Board to meet the requirements of a nursing assistant training program set by the Board; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Service member training and education that has been determined by the Board to be substantially equivalent to a nursing assistant training program approved by the Board in accordance with Health Occupations Article, §1-702, Annotated Code of Maryland; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Passed a nursing assistant competency evaluation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Certification by Endorsement. An applicant for nursing assistant certification by endorsement shall:</text>
    <paragraph num="(1)">
      <text>Hold a certificate to practice as a nursing assistant that:</text>
      <paragraph num="(a)">
        <text>Was issued by another state or territory of the United States that has certification requirements that are essentially similar to those set forth in Health Occupations Article, §8-6A-05, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is in good standing; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Have successfully completed a nursing assistant training program that meets the standards for an approved nursing assistant training program set by the Board.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Any applicant for nursing assistant certification may not have:</text>
    <paragraph num="(1)">
      <text>Committed any act or omission that would be grounds for discipline or denial of certification under Health Occupations Article, §8-6A-10, Annotated Code of Maryland; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A record of abuse, negligence, or misappropriation of a client's property or any disciplinary action taken or pending in any other state or territory of the United States against the certification of the CNA.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Nursing Education Programs.</text>
    <paragraph num="(1)">
      <text>To meet the requirements of a nursing assistant training program set by the Board, a portion of a nursing education program must include courses with content that primarily focuses on:</text>
      <paragraph num="(a)">
        <text>Nursing fundamentals;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Mental health;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Health assessment;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Nursing ethics; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The content listed under 42 CFR §483.152(b).</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If a portion of a nursing education program does not include courses with content that primarily focuses on the subject matters set forth in § D(1) of this regulation, the Board may review and approve other equivalent subject matters as meeting the requirements of a nursing assistant training program set by the Board.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>A CNA-II who seeks certification as a CNA-1 shall meet the qualifications set forth in §A of this regulation.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Temporary Nurse Aides.</text>
    <paragraph num="(1)">
      <text>A temporary nurse aide applying for certification as a CNA-1 shall be deemed to have completed a nursing assistant training program approved by the Board if the temporary nurse aide:</text>
      <paragraph num="(a)">
        <text>Completed a temporary nurse aide training course;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Completed a minimum of 100 hours of on-the-job training as a temporary nurse aide that:</text>
        <paragraph num="(i)">
          <text>Met the requirements under 42 CFR §483.152(a) and 42 CFR §483.152(b)(2)—(7); and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Was not provided in a facility described under 42 CFR §483.151(b)(2)—(3); and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>In addition to the minimum 100 hours of on-the-job training, worked as a temporary nurse aide competently for a minimum of 160 hours.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A temporary nurse aide whose on-the-job training did not meet all of the requirements under 42 CFR 483.152(a) and 42 CFR 483.152(b)(2)—(7) may receive supplemental training in those requirements and be deemed to meet the requirement of §F(1)(b)(i) of this regulation.</text>
    </paragraph>
  </paragraph>
  <annotations>
    <annotation type="History" />
  </annotations>
</regulation>