# COMAR Title 10 — Maryland Department of Health

## Subtitle 39 — Board of Nursing — Certificate Holders

### Chapter 02 — Nursing Assistant Training Programs

#### Regulation .05 Facilities and Resources.

*COMAR 10.39.02.05*

A. General Facility Requirements. All classroom, laboratory, and clinical facilities used by a training program:

  (1) Shall be approved by the Board;

  (2) Shall be approved or accredited by the appropriate agency;

  (3) May not be on conditional or provisional approval status; and

  (4) May not meet any of the factors set forth in 42 CFR §483.151(b)(2)—(3).

B. Classroom and Laboratory Facilities. Classroom and laboratory facilities shall include:

  (1) Adequate space for privacy of faculty-student conferences; and

  (2) Space for equipment and instructional materials.

C. Resources.

  (1) All instructional learning resources and materials shall:

    (a) Be accessible and relevant to the role of the CNA;

    (b) Have a publication date not older than 5 years from the current year; and

    (c) Be written at an 8th grade level.

  (2) Laboratory Equipment.

    (a) Laboratory equipment, at a minimum, shall include materials to support the following classroom activities:

      (i) Infection control;

      (ii) Basic nursing skills;

      (iii) Personal care skills; and

      (iv) Basic restorative services;

    (b) The Board shall maintain on its website a list of the specific equipment required for laboratory facilities.

D. Clinical Facilities.

  (1) Clinical facilities shall:

    (a) Have a sufficient number and variety of clients to provide training experiences for all students to achieve the stated objectives;

    (b) Have a sufficient number of registered nurses and other nursing personnel to ensure safe and continuous care of clients; and

    (c) Conform with accepted standards of nursing care and practice.

  (2) There shall be a minimum of 1 course instructor for each 8 students in the clinical area.

  (3) Written Agreements.

    (a) Except for facility-based programs, a training program shall have a written agreement with a clinical facility for student training experiences.

    (b) The written agreement developed in accordance with §D(3)(a) of this regulation shall:

      (i) Be developed jointly with the clinical facility and the training program;

      (ii) Be reviewed periodically by the clinical facility and the training program;

      (iii) Include a provision for adequate notice of termination;

      (iv) Specify the responsibility of the training program to the clinical facility and the responsibility of the clinical facility to the training program; and

      (v) Identify the functions and responsibilities of the parties involved.