We often get questions about the amount and type of training that is required for nurse aides in an Assisted Living facility, specifically, what we do here at SpringBrook.  

In Wisconsin, there are different levels of training required, depending on whether the setting is a CBRF (Memory Care) or an RCAC (Assisted Living). The training criteria are outlined in DHS Administrative Codes 83 and 89.  Since Memory Care is typically more complicated, more training is needed in that setting: 28 hours of classroom training spread over four classes is required to work as a nurse aid in the CBRF.  In the RCAC, a few hours of training with the delegating RN is required.

That being said, at SpringBrook we feel these minimums are not sufficient and have thus developed training protocols that go beyond the required levels.  We have a dedicated position, our Healthcare Staff Supervisor (HSS), who is responsible for all initial and ongoing staff training, coaching, and discipline.  This person, in conjunction with our Director of Nursing, implements the following training regime at our facility:

• All nurse aide trainees (Assisted Living or Memory Care) complete the four required CBRF Classes and RN Delegation.
• Trainees are then assigned to at least one shift in each section of the building to learn the various care needs of residents (showering, laundry, toileting, transfer assists, grooming, bathing, etc.) by working alongside one of our Lead Staff.
• They are also assigned at least one shift in each section of the building, training with another Lead Staff on the medication regime for each resident.
• After finishing floor training, the trainee meets with the HSS for a final check-off; a written test and a skills observation are completed.
• The trainee is now allowed to work alone; the process takes about 2-4 weeks.
• Ongoing training is provided during monthly staff meetings, in-service presentations from outside agencies, mandatory online training, and quarterly observations from the HSS.

When looking for an assisted living facility for yourself or a loved one, be sure to inquire about the training nurse aides receive.  Many facilities will only provide the minimum required.  To ensure the best quality care you will want to find out what steps, if any, the facility takes that go beyond the minimums.