Nursing Assistant (NA) Program Information for Directors

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Nursing Assistant (NA) Training Program Overview

This page provides the following information for the directors of nursing assistant training programs:

Opening a new NA training program
Adding or removing program personnel
Making program change requests
How to create a Plan of Correction (POC)
Other program resources

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What Type of Information Are You Looking For?

See WAC 246-841A-409 for a description of each nursing assistant training program type.

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Traditional or Alternative (Bridge) Program Information

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Medication Assistant Certification Endorsement (MACE) Program

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Add or Change Personnel

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Make a Program Change

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Nursing Assistant-Registered (NAR) Work Pathway

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Forms Related to Nursing Assistant Programs

All Forms for NA Training Program Directors

Applications

Nursing Assistant Training Program Application (.docx)
Program Application MACE (.docx)
Program Director Application (.docx)
Program Instructor Application (.docx)
Request to Use Live Online form (.docx)
Student Enrollment Agreement (.docx)

Curriculums

Curriculum Implementation Plan (.docx)
Lesson Plan Template (.docx)
MACE Curriculum (PDF)
Plan of Correction Form and Instructions (.docx)
Program Schedule Template form (.docx)

Declarations

Program Director Declaration HCA form (.docx)
Program Director Declaration MA form (.docx)
Program Director Declaration MACE form (.docx)
Program Owner Declaration of Compliance (.docx)
Program Director Declaration Traditional form (.docx)

Documents

Clinical Skills Checklists (.docx)
Evaluation Methods (.docx)
Lab Skills Competency Evaluation (.docx)
NAR Work Pathway Information & Checklist PDF
Online.Hybrid with Asynchronous Elements (.docx)
Required Equipment and Supplies List form (.docx)
Required Skill Lab Equipment and Supply List (.docx)

Notifications

Program Change Request form (.docx)
Program Instructor Resignation-Departure Form (.docx)
Program Owner Notification (.docx)
Program Owners Departure form (.docx)
Resignation form Program Director form (.docx)

Records

Attendance Record (.docx)
Student Record (.docx)

Relevant Laws and Rules

Questions?

Email: WABONNursingAssistantsED@doh.wa.gov