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From Kitchen to Care Team

The transition from her initial job preparing meals for nursing home residents to becoming part of their care team as a Certified Nursing Assistant (CNA) was an easy one for Alba Marroquin.

“Everything is going awesome with the residents because I kind of know what they like and what they don’t,” she says. “I am so comfortable working as a CNA now. I loved working as a Dietary Aide too, but working as part of the care team is what I really wanted to do.”

Marroquin graduated in December 2019 from the CNA certification program offered by the Education Fund. Her cohort, which included nursing home workers from participating facilities and a few In-Home Supportive Services (IHSS) workers, took classes through the American Medical Career College in Pomona. A new cohort has already started in the first quarter of 2020.

After passing her state exam, Marroquin was hired immediately as a CNA at Laurel Wellness (Longwood facility) where she had been working as a Dietary Aide since June 2019. For workers in dietary, housekeeping, and other non-clinical positions at skilled nursing facilities, the CNA certification sets them on a new career path to become a qualified member of the care team.

“I never thought I might be able to achieve this goal, but now I feel more secure than before,” she says. “I am truly grateful for this opportunity that the Education Fund has given me.”

The Education Fund offers the CNA program to eligible workers employed at nursing home facilities participating in a labor-management partnership with SEIU Local 2015. The program provides a solution to the severe staffing shortage in California’s nursing homes, which need an estimated 1,700 to 2,400 additional nursing assistants [1] as an industry to help meet state staffing requirements. It also helps reduce employee turnover by increasing staff morale and job satisfaction.

To help nursing homes retain and strengthen their nursing staff, the Education Fund also offers a 30-week mentoring program with employer and union collaboration that matches longtime CNAs with those who, like Marroquin, are just starting out. Additionally, eligible CNAs can earn a Restorative Nursing Assistant (RNA) certification through the Fund.

While she was undergoing the CNA training, Marroquin gained a new appreciation for the work of nursing assistants and the patients under their care. “I learned to have more respect for elderly people and for all CNAs.”

Marroquin has her sights on advancing her career through more training programs, such as the ones the Education Fund offers. “I want to go for Licensed Vocational Nurse or a Registered Nurse,” she says. “I want to continue studying because now I’m confident I can do everything that I put my mind to. This (CNA course) gave me that confidence.” And by all accounts, Marroquin is a valued member of the care team.

[1]https://lao.ca.gov/Publications/Report/3815

Gerontology Journal Highlights ADRD Training

In August 2019, the Center for Caregiver Advancement (CCA)’s In-Home Supportive Services (IHSS+) Alzheimer’s and related dementias (ADRD) training program was outlined in an article in the peer-reviewed journal Gerontology & Geriatrics Educationco-authored by CCA Executive Director Corinne Eldridge. We are glad to see the Alzheimer’s program make a meaningful contribution to the body of research around the impact of training IHSS workers.

The IHSS program in California provides direct care for low-income seniors and people with disabilities. Yet, the vast majority of these workers receive little to no training in caring for consumers, especially those with Alzheimer’s disease and related dementias (ADRD). This article details how CCA (formerly called CLTCEC) developed and implemented a competency-based training program for IHSS caregivers who provide care for persons with ADRD. Read more here.

Related Reading:

Research: Assessment of Home Care by Home Health Aides for Older Adults

The Future of the Home Care Workforce: Training and Supporting Home Health Aides as Members of Home-Based Care Teams

According to a study article published in the peer-reviewed Journal of the American Geriatrics Society, in-home health aides and caregivers can potentially be integrated into the larger care team that is managing the health of high-risk older adults. This blog summarizes a pilot program that was conducted with the Center for Caregiver Advancement (CCA) to train home health aides in monitoring a consumer’s health condition at home and reporting their observations to the clinical care team.

Care Team Integration of the Home-Based Workforce: Health Aides and In-Home Caregivers

Study Authors: Robyn I. Stone, Natasha S. Bryant

Under a 3-year $12 million CMS grant, the CCA (formerly the California Long-Term Care Education Center, or CLTCEC) piloted the Care Team Integration of the Home-Based Workforce program with more than 6,000 high-risk older patients and their home care aides in three California counties.

A 17-module 75-hour program trained the aides in how to monitor health conditions and medication adherence, communicate with patients and team members, and coach and navigate the health system. Each module contained an integration activity where aides practiced identifying a problem and communicating their observations to the care team through role playing and discussions.

Trainers assessed the aides’ competencies through hands-on competency checks, a review of at-home assignments, and evaluation of role playing. Aides were recorded as part of the care team in their patients’ electronic medical records, and all participating health plans and medical groups were educated about the training program and the goal of integrating aides into team-based care.

This is curated content using information from the original article. For details, please read the published article online in the Journal of the American Geriatrics Society.

Source Citation: Journal of the American Geriatrics Society. Volume67, Issue S2, Special Issue: Workforce for Seriously Ill Older Adults in the Community, May 2019, Pages S444-S448. https://doi.org/10.1111/jgs.15846 Read the original article.

About the Center for Caregiver Advancement

The Center for Caregiver Advancement (CCA) is committed to building the workforce of highly trained caregivers that many Californians can’t live without. CCA is the state’s most experienced provider of free, accessible caregiver training that focuses on a supportive, experience-based learning environment. Research studies on the impact of our caregiver training programs help to advance policy initiatives to develop career pathway opportunities and build professionalization within long-term care. For more information about CCA, we invite you to explore our caregiver training programs, news updates, and caregiving impact stories.

Image Credits: Journal of the American Geriatrics Society, Wiley

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