The number of elderly people has rapidly increased and so has America’s concern for quality care of the elderly people residing in long-term care facilities across the United States. The passage of the Omnibus Budget Reconciliation Act of 1987 (OBRA) mandated that all states establish nurse aide training and competency evaluation programs by January 1, 1990. The Act established a registry of nurse aides who have passed both a certified training program and a competency exam, deeming them competent and able to work as nurse aides in long-term care facilities.
This Act requires anyone desiring to work as a nurse aide in a long-term care facility to pass a state certified nurse aide training program and a state competency evaluation exam. Nurse aides must have their names entered on that state’s nurse aide registry to be employed in that state as a nurse aide. The primary purpose of the competency exam is to ensure that individuals have the basic knowledge and skills needed to perform the skills required of a nurse aide.
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