Geriatric Nurse Certification
Heidi Keeler, PhD, RN
University of Nebraska Medical Center
Welcome!
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingGero Prep
Online certification training
Geriatric Nurse Certification
Jennifer Shimer
COO, AHCA/NCAL
Introduction:
Timely New Member Benefit
Smart Preparation for Challenges Ahead
Sponsors
Provider
UNMC
Gero Prep
Geriatric Nurse Certification
Glenn Van Ekeren
President, Vetter Health Services
An Owner/Operator’s First-Hand Perspective
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingGero Prep
Online certification training
Geriatric Nurse Certification
Mary Cramer, PhD, RN, APHN-BC
University of Nebraska Medical Center
Urgent Gero Training Need
vs. Soaring Gero Care Demand:
Triple-Win Outcomes of Regional Pilot Project
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingGero Prep
Online certification training
Robert Wood Johnson Foundation:
Partners Investing in Nursing’s Future
PIN Midwest Geriatric Nursing Quality Improvement
Principal Investigator: Mary E. Cramer, PhD, RN,
UNMC College of Nursing
Funded by Robert Wood Johnson Foundation &
Northwest Health Foundation with Vetter
Foundation
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingRobert Wood Johnson Foundation:
Partners Investing in Nursing’s Future
•
Vetter Foundation & UNMC College of Nursing
•
$500,000 (2009 – 2011)
•
15 Regional Partners Representing 60 LTC
Facilities
•
One of Ten National Awards
•
National Demonstration Project for Long Term
Care
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingGrant Purpose
•
LTC Administrators
Reduce RN turnover
Improve quality of nursing care
•
LTC Registered Nurses
Enhance clinical competence & job satisfaction
•
LTC Patients and Families
Improve care outcomes & family satisfaction
Sponsors
Provider
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingAging of America
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingDemand for Quality
•
BETTER EDUCATED
•
MORE FINANCIAL
RESOURCES
•
ACCUSTOMED TO HIGH
STANDARDS OF CARE
Nursing Shortage
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingWhat Does Research Tell You
About RNs & Quality Care?
•
Direct Link Between RN
Staffing/Education & Patient
Outcomes
–
Prevention of adverse events
(i.e., falls, decubiti, infections)
–
Lower readmission rates
–
Early recognition & correction
of life-threatening events
–
Reduced mortality
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingYour Challenges
Data Reveals an Urgent Need
to Invest in RN Care
•
Highest RN Turnover Rates
•
Highest RN Vacancy Rates
–
Perceived image of low
opportunity &
advancement
Sponsors
Provider
Nurse Workforce Challenges
RNs are Underprepared for
Geriatric Nursing Care
•
< 25% of BSNs
•
< 5% of ADNs
•
<
1%
of all RNs are
specialty certified in
geriatric nursing
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingProject Focus
10 Week Online Education
Course
Innovative Teaching Strategies to
Engage RN Learners
Evidence-based Practice Content
Leadership Content
National Board Certification
as
Gerontological Nurse (RN-BC)
by
American Nurses Credentialing
Center (ANCC)
Marketing Value
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingNational Board Certification
•
ANCC – Gold Standard of
Excellence
•
“
Investment in people who
provide care”
•
Research Based
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingCourse Satisfaction
94.4%
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingANCC Pass Rate
96%
Sponsors
Provider
Improved Knowledge & Skills in
Geriatric Nursing
•
Statistically Significant Increases
(p < .0001) in
ALL
areas:
–
Communication
–
Pain management
–
Physiological & psychological age
changes
–
Skin integrity management
–
Functional status enhancement
–
Proper use of restraints
–
Discharge planning
–
Recognition & intervention for
elder abuse
Findings based on the Hartford Geriatric Clinical Competence Scale
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingImproved Decision Making, Satisfaction
& Empowerment
•
Statistically Significant
(p < .0001) Improvement In:
–
Confidence in ability to do the job
–
Self-assuredness about capability to
perform well
–
Mastery of skills needed for job
–
Autonomy in how to do the job
–
Decision making ability
–
Impact of nursing unit
–
Enhanced opportunity to do the job
Findings based on the Psychological
Empowerment Scale
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingImproved RN Retention
•
Higher “intent to remain”
•
Higher Job Satisfaction
–
Translation
•
Lower replacement &
administrative costs
•
Uninterrupted care continuity
“What has been the best experience of
the course?”
•
“Becoming current in geriatric training”
•
“I’m proud to become certified”
•
“Gaining a better understanding of the
major physiological systems”
•
“Discovering references, resources &
support networks that will be useful in
clinical practice”
•
“Increasing my knowledge & skills”
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of Nursing“How will you use your ANCC Specialty
Certification?”
•
Share my knowledge with co-workers & staff
•
Mentor our new nurses & CNAs
•
Improve my communication with other staff
•
Enhance my critical thinking ability
•
Incorporate evidence based practices into our
facility’s care
•
Enhance my staff education
•
Improve the quality of patient care at my facility
•
Helps make my work & others’ more meaningful
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingGeriatric Nurse Certification
Catherine Bevil, EdD, RN
Director of Continuing Nursing Education
University of Nebraska Medical Center
10 Module Prep Course Overview:
Professional Development, Skills Takeaway,
Practice Impact
Sponsors
Provider
UNMC
Gero Prep
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingUNMC CON CNE
University of Nebraska Medical Center College of Nursing Continuing Nursing Education
•
Housed within an
Academic Medical Center
•
National Accreditation as
a Provider by ANCC
•
National Reach
•
Distance Delivery Pioneer
•
Multiple Partners
UNMC Center for Nursing Sciences
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingCourse Content
•
Dual Aims:
–
Latest knowledge, skills
& competencies in
geriatric practice
–
Success on ANCC
Certification Exam –
Gerontological Nursing
(RN-BC)
Image obtained from Google Images
Module Topics
1. RN roles – leader, manager, communicator,
collaborator – in LTC nursing
2. Wellness, aging, using evidence-based decision
making
3. Psychosocial assessment, management (i.e., elder
abuse, substance abuse, etc)
4. Cardiovascular, respiratory, immune system problems
5. Pain; aging & medication management, lab
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingModule Topics
6. Safety in light of changing mobility, vision,
hearing
7. Integumentary system (i.e., aging skin, nails,
hair, etc); pressure sores; sleep & rest
8. Nutrition, digestion, elimination
9. End of life care;
10.Managing cognitive-emotional changes
(delirium, dementia, depression)
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingCustomized Delivery to RNs
•
Diversity
–
Educational
–
Experiential
–
Tech skills
•
Busy Life Styles
Sponsors
Provider
Delivery Strategies
•
Web Based
–
Any time
–
Any where
•
Chunked
–
Self select topics
–
Self select depth &
detail
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingDelivery Strategies
•
Learner Centered – Beginning & Ending with
the RN
•
Variable
•
Active
•
Practice Applications
•
Feedback, Feedback, Feedback
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingOther Key Features
•
Textbook
•
Tests & Test Taking
•
Application for
Certification
•
Evaluation –
Outcomes & QI
What Can Facility Administrators Do?
•
SIGN UP!
•
Select RNs
•
Support RNs for
Certification Exam
•
Formal Recognition
from AHCA/NCAL &
UNMC CON
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingSponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingWhat Will RNs Do?
•
Enroll & Receive Textbook
•
Complete 10 Modules, Prep for
Certification, Final Exam
•
Earn 30 ANCC CE Contact Hours
•
Take ANCC Certification Exam
•
Notify UNMC & Receive
Personalized Recognition
Sponsors
Provider
ANCC Eligibility Criteria for Certification
RNs need to meet the following eligibility criteria:
•
Hold a current, active license within a state or territory of the
United States or the professional, legally recognized equivalent in
another country
•
Have practiced the equivalent of two years full-time as a registered
nurse
•
Have a minimum of 2,000 hours of clinical practice in gerontological
nursing within the last three years
•
Have completed 30 hours of continuing education in gerontological
nursing within the last three years
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingRecertification Requirements
(as of 2014)
•
When: 5 years post certification
•
Practice Hours: 1,000 hours in geriatrics over past 5 years
•
Continuing Education: more details on next slide
•
Retesting: Not required if above condition are met
•
Cost: $350 (ANA non-member); $200 (ANA member); $280
(NGNA member)
For specifics go to:
http://www.nursecredentialing.org/Certification/NurseSpecia
lties/Gerontological.aspx
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingRecertification Requirements:
Continuing Education
•
Continuing Education: 150 hours (15 CEUs) over past 5
years
–
Average of 30 hours per year
–
50% of hours can be non-accredited, related to staff
development at work, etc
–
50% of hours must be accredited by an approved organization
(ANCC, many others)
–
51% must directly relate to geriatric nursing
–
49% may indirectly relate to geriatrics, geriatric roles
–
Live, web-based, and other CE formats allowed
Role of State Affiliates
•
Partner with AHCA/NCAL
•
Disseminate Information
about
Gero Prep
•
Facilitate Sign Up for
Gero
Prep
through Web Site
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingGero Prep Pricing Structure
Discounted Packages to AHCA
Members if Registered by
December 31, 2011
•
Course Price: $400
•
Textbook: $90
•
Total: $490
Basic Packages to AHCA
Members, Effective January 1,
2012
•
Course Price: $600
•
Textbook: $90
•
Total: $690
Sponsors
Provider
AHCA
American Health Care AssociationNCAL
National Center for Assisted LivingUNMC
University of Nebraska Medical Center College of NursingGero Prep Package Price Rates
•
Register for Up to 3 Packages: Full
package price
•
Register for 4-10 Packages:
2%
Discount
on course, plus cost of all textbooks
•
Register for 11-20 Packages:
5%
Discount
on course, plus cost of all textbooks
Sponsors
Provider
Investment in Staff vs. Cost of Doing Nothing
Gero Prep Course Price
(Including ANCC Certification Exam Fee)
Course: $400
Textbook: $90
ANCC Certification Exam Fee: $395
(non-ANA member price)
