SENATE AMENDMENT
    Bill No. CS for CS for SB 2170, 1st Eng.
    Amendment No. ___   Barcode 250864
                            CHAMBER ACTION
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       04/24/2004 01:01 PM         .                    
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11  Senator Peaden moved the following amendment:
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13         Senate Amendment 
14         On page 29, line 21, through
15            page 31, line 30, delete those lines
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17  and insert:  
18         Section 11.  Subsections (1) and (4) of section
19  400.211, Florida Statutes, are amended to read:
20         400.211  Persons employed as nursing assistants;
21  certification requirement.--
22         (1)  To serve as a nursing assistant in any nursing
23  home, a person must be certified as a nursing assistant under
24  part II of chapter 464, unless the person is a registered
25  nurse, a or practical nurse, or a certified geriatric
26  specialist certified or licensed in accordance with part I of
27  chapter 464 or an applicant for such licensure who is
28  permitted to practice nursing in accordance with rules adopted
29  by the Board of Nursing pursuant to part I of chapter 464.
30         (4)  When employed by a nursing home facility for a
31  12-month period or longer, a nursing assistant, to maintain
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    9:25 AM   04/24/04                              s2170c2b-02j05

SENATE AMENDMENT Bill No. CS for CS for SB 2170, 1st Eng. Amendment No. ___ Barcode 250864 1 certification, shall submit to a performance review every 12 2 months and must receive regular inservice education based on 3 the outcome of these such reviews. The inservice training 4 must: 5 (a) Be sufficient to ensure the continuing competence 6 of nursing assistants, must be at least 12 18 hours per year, 7 and may include hours accrued under s. 464.203(7) s. 8 464.203(8); 9 (b) Include, at a minimum: 10 1. Techniques for assisting with eating and proper 11 feeding; 12 2. Principles of adequate nutrition and hydration; 13 3. Techniques for assisting and responding to the 14 cognitively impaired resident or the resident with difficult 15 behaviors; 16 4. Techniques for caring for the resident at the 17 end-of-life; and 18 5. Recognizing changes that place a resident at risk 19 for pressure ulcers and falls; and 20 (c) Address areas of weakness as determined in nursing 21 assistant performance reviews and may address the special 22 needs of residents as determined by the nursing home facility 23 staff. 24 25 Costs associated with this training may not be reimbursed from 26 additional Medicaid funding through interim rate adjustments. 27 28 (Redesignate subsequent sections.) 29 30 31 2 9:25 AM 04/24/04 s2170c2b-02j05