FHCA 2014 Annual Conference & Trade Show  

CE Session #51 – Preceptor Refresher Course Thursday, July 10 – 4:00 to 6:00 p.m. Canary 1 – Leadership/Management 

  

Upon completion of this presentation, the learner will be able to:  

satisfy the Florida statutory requirement for a refresher course; 

summarize the concepts of mentorship, teaching techniques, AIT program requirements, expectations and needs of AITs and preceptors; and 

describe the domains of practice.  

Seminar Description:  Board of Nursing Home Administrators’ regulations pursuant to 64B10‐16.0025(2), FAC, require all Florida Nursing Home Administrators with Preceptor Certification to take a two‐hour Preceptor Refresher Course upon license renewal every two years. This course will meet that requirement. If you are considering becoming a Preceptor, this session will also provide an overview to help you understand the needs and expectations of AITs and Preceptors. FHCA’s Peggy Rigsby and Carol Berkowitz, will moderate this session as experts, including current and past members of the Board of Nursing Home Administrators, probable cause panel members and experienced Preceptors share their knowledge.  Presenter Bio(s):  Peggy Rigsby serves as Director of Government Affairs for Florida Health Care Association. She is responsible for tracking state and federal laws and rules and assisting members in complying with requirements. In addition, she tracks legislation that affects long term care, and works with legislators, staff, members and lobbyists to implement FHCA’s Legislative Agenda. Peggy liaisons with the FHCA Legislative Committee and the FHCA Rules and Regulations Committee to coordinate and prioritize issues important to FHCA members, as well as reviewing and modifying new and existing rules and laws.  Carol Berkowitz, Esq. joined FHCA on April 4, bringing her advocacy, public policy, legal and legislative expertise, along with an important understanding of skilled nursing and assisted living facility regulations. Carol was previously with LeadingAge Florida and has worked for the Florida Dental Association and the Department of HRS. Carol has a Master's Degree in Gerontology and brings with her over 25 years of public policy experience.  Karen Goldsmith, Esq. is a partner in Goldsmith & Grout, PA, and has been Florida Health Care Association’s Legal Consultant since 1980. She is actively involved on the American Health Care Association Legal Subcommittee and served as its chair for three years. She is also a member of the American Health Lawyers Association and served as chair of its Long Term Care Division for two terms.   

 

6/11/2014

1

PRECEPTOR REQUIREMENTS

• Licensed NHA

• Practicing 3 of last 5 years

• No discipline during that time

6/11/2014

2

• Must attend 6 hour approved Preceptor training and receive certificate

• Must apply for Preceptor within 3 years of completing 6 hour course

PRECEPTOR REQUIREMENTS (CONTINUED)

• Submit certificate;

• Submit Form DOH NHA 014 with $100 fee to BNHA

• Must complete oral interview with BNHA member

PRECEPTOR REQUIREMENTS (CONTINUED)

6/11/2014

3

• Must be in direct management control of the facility

• May not supervise member of immediate family

PRECEPTOR REQUIREMENTS (CONTINUED)

• Must re-apply if NHA license becomes inactive or delinquent

• Must attend two hour preceptor refresher course every biennium

PRECEPTOR REQUIREMENTS (CONTINUED)

6/11/2014

4

• 10 hours CE for having AIR completed in biennium

• 5 hours CE for having intern completed in biennium

PRECEPTOR REQUIREMENTS (CONTINUED)

AIT REQUIREMENTS

Must have a Baccalaureate Degree with major in health care administration, or 60 semester hours in specified subjects, plus

1000 hour AIT Program, or College/university affiliate internship

6/11/2014

5

AIT REQUIREMENTS(CONTINUED)

• Baccalaureate Degree not in health care administration requires: 2000 hour AIT Program, or 1 year

management experience (setting specific)

• Submit AIT application, with fee, to BNHA under DOH

• BNHA must approve training facility and must be notified if it changes

AIT REQUIREMENTS(CONTINUED)

6/11/2014

6

• Must work 30-50 hours/week with at least 6 hours/day between 7 am – 10 pm

• Must also work between 10 pm – 7 am at least 40 hours but not more than 160 hours a year

AIT REQUIREMENTS(CONTINUED)

• AIT Program begins first day of month following BNHA approval

• Must sign agreement with Preceptor

AIT REQUIREMENTS(CONTINUED)

6/11/2014

7

• Allowed leave , interruption or discontinuance for certain situations

• Must rotate through departments

AIT REQUIREMENTS(CONTINUED)

• Must submit quarterly reports to BNHA, jointly with Preceptor

• May be required to do extra work as required by BNHA

AIT REQUIREMENTS(CONTINUED)

6/11/2014

8

MENTORSHIP/FOUR STAGES

1. Build the relationship.

2. Exchange information and having common goals.

3. Keep open dialogue while achieving goals.

4. End the formal relationship and plan for the future.

MENTORSHIP/FOUR STAGES(CONTINUED)

6/11/2014

9

WHAT IS MENTORING?

FIVE TIPS FOR BEING A GREAT MENTOR

• Encourage Your AIT to Communicate Openly

• Set Firm Guidelines and Expectations from the Beginning

• Provide Clear Performance Measures

• Practice Active Listening

• Mentoring Is a Serious Business Relationship

6/11/2014

10

PRECEPTORGOALS, NEEDS, EXPECTATIONS

• Develop a new professional in the field of long term care administration

• Serve as a role model

• Mentors teach

• Organization!

PRECEPTORGOALS, NEEDS, EXPECTATIONS

(CONTINUED)

•Communicate

•Can you inspire?

6/11/2014

11

GOALS, NEEDS, EXPECTATIONS(CONTINUED)

• AIT Assist the Preceptor in establishing and revising the training plan based on the domains of practice

• Engage in the experience in a professional manner

• Establish a supportive atmosphere among facility staff orienting and involving them in the AIT program

• The training plan must be modified if necessary

GOALS, NEEDS, EXPECTATIONS(CONTINUED)

6/11/2014

12

LEARNING STYLES

• Visual

• Auditory

• Kinesthetic

Physical Resource

Management 10%

Resident Care 20%

Personnel 15%

DOMAINS OF PRACTICE

Laws, Regulatory

Codes & Governing 10%

Finance 15%

Marketing 5%

6/11/2014

13

• Prepare reports on a timely basis

• Learn through first hand experience everything he or she is capable of absorbing in the time available

BE SURE TO…• Become familiar with the

facility

• Maintain confidentiality of privileged information

• Feedback is necessary for the AIT to be successful

PRECEPTOR CHECKLIST

____Active Nursing Home Administrator license in Florida ____Practicing for 3 of the last 5 years in any jurisdiction ____No disciplinary action during that time ____Taken the 6 hour Preceptor training course within 3 years of application to the Board ____Completed Preceptor Certification application Form DOH/NHA 014 and submitted to DOH with the appropriate fee and a copy of the Certificate of Completion of the six hour Preceptor Course. ____After application Preceptor applicant must interview with a BNHA member and be recommended for certification. For the interview, the applicant must send the BNHA member a copy of the facility’s last inspection report and plan of correction. ____Cannot supervise a member of immediate family ____Must have direct management control of facility ____Preceptors can earn up to 10 hours of continuing education in a biennium when an Administrator in training completes an approved program. ___ Reports must be submitted 2 weeks after the end of the 90 day quarter ___Original signature on reports; initial each page, including DOH form and narrative

Florida Board of Nursing Home Resources .

Florida Statutes

Chapter 468, Part II, Florida Statutes: Nursing Home Administrators Chapter 456, Florida Statutes: Health Professions and Occupations: General Provisions Chapter 400, Part II, Florida Statutes: Nursing Homes and Related Health Care Facilities Chapter 415, Parts, Florida Statutes: Adult Protective Services Chapter 765, Parts I, II, III and IV, Florida Statutes: Health Care Advance Directives Chapter 120, Florida Statutes: Administrative Procedure Act

Florida Administrative Code (F.A.C.)

Rules: Chapter 64B10, Florida Administrative Code (Board of Nursing Home Administrators Rules)

Rules: Chapter 64E11, Florida Administrative Code (Division of Environmental Health - Food Hygiene)

Rules: Chapter 64E16, Florida Administrative Code (Division of Environmental Health - Biomedical Waste)

Rules: Chapter 59A4, Florida Administrative Code (Agency for Health Care Administration - Minimum Standards for Nursing Homes)