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Temporary Nurse Aide: 8 hr Course

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This course is free and was designed to meet the critical staff shortages occurring as a result of COVID-19.  This training is intended for use in nursing homes not for agency staffing purposes.

When will the Temporary Nurse Aide Certificates Expire? Learn more here.

This 8-hour online training, in combination with the on-site training you will get at the facility where you are hired, will prepare you to work as a Temporary Nurse Aide, a temporary position intended to address the current state of emergency. 

Currently, the 8-hour training program is permitted under special waivers, exceptions, or flexibilities for temporary nurse aide roles in these states:

Delaware, Indiana, Iowa, Maryland, Nebraska, New York, North Dakota, South Dakota, Texas, and West Virginia  

 Additional training or other actions may be required in these states (please contact your state health care association or appropriate state agency for additional information about your state’s requirements):

Alabama, Connecticut, District of Columbia, Georgia, Kansas, Mississippi, North Carolina, New Hampshire, Oregon, Pennsylvania, South Carolina, Tennessee, and Virginia 
If you plan to work in the state of Oklahoma or Rhode Island, you will need to take the free 16-hour course located here
Important Update: 

Effective Jan. 19th, 2021, Illinois has updated its TNA requirements. Visit the Illinois website to learn more. 

In Delaware, any individuals who have taken the course before July 13th can still work under supervision and have until December 31st to become fully certified as a Certified Nursing Assistant. In addition, there are opportunities for these individuals for expedited training and potential financial assistance. Contact Delaware Health Care Facilities Association to learn more. 

If your state is not listed above:

You may also contact your state health care association for additional information about your state’s requirements. 

Need help? Email educate@ahca.org
Academic Statement of Integrity 

By registering for this course, I certify that all related coursework will be completed by merecognize that academic dishonesty detracts from the value of professional development courseworkinhibits my ability to grow in my profession, and does a disservice to the people I work with and to the people I care for. I understand that any commitment of academic dishonesty will lead to revocation of any credits and/or certificates earned and no monies for course fees will be refunded.  



DISCLAIMER: AHCA/NCAL has created these courses to assist providers to recruit and train temporary staff during the national emergency caused by the coronavirus pandemic. While the federal government has issued a blanket waiver for such temporary nurse aides, state requirements may need to be waived to permit individuals under this training program in your location.  Employers should check with their state survey agencies and their state occupational licensing agencies, where applicable, to ensure individuals trained under this program are permitted to assist with care in your location.

Key:

Complete
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Available
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Helpful Information to Know
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Click "read tips" to open. Once open, click "ok" to move forward.
Program Acknowledgement
Agree to terms to continue.
Agree to terms to continue.
Part 1: Psychosocial Well-being
Honoring Resident’s Life
Open to download resource.
Open to download resource. PDF
Resident Rights (high-level overview)
Open to download resource.
Open to download resource. PDF
Part 2: Preventing Infection while Providing Personal Care
Chain of Infection
Open to download resource.
Open to download resource. PDF
Standard Precautions
Open to download resource.
Open to download resource. PDF
Handwashing
Open to download resource.
Open to download resource. PDF
Handwashing Video
Select the "View On-Demand Recording" button to begin.
Select the "View On-Demand Recording" button to begin.
Using Barriers (PPE)
Open to download resource.
Open to download resource. PDF
Isolation Precautions/Transmission Based Precautions
Open to download resource.
Open to download resource. PDF
Psychosocial Needs of Resident on Isolation Precautions
Open to download resource.
Open to download resource. PDF
Cleaning, Disinfection, and Sterilization
Open to download resource.
Open to download resource. PDF
Personal Care Routines
Open to download resource.
Open to download resource. PDF
Skills Video
Select the "View On-Demand Recording" button to begin.
Select the "View On-Demand Recording" button to begin.
Bathing
Open to download resource.
Open to download resource. PDF
Whirlpool
Open to download resource.
Open to download resource. PDF
Shampooing
Open to download resource.
Open to download resource. PDF
Oral Hygiene
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Open to download resource. PDF
Denture Care Video
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Select the "View On-Demand Recording" button to begin.
Grooming
Open to download resource.
Open to download resource. PDF
Shaving a Male Resident Video
Select the "View On-Demand Recording" button to begin.
Select the "View On-Demand Recording" button to begin.
Care of Fingernails Video
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Select the "View On-Demand Recording" button to begin.
Assisting with Dressing and Undressing
Open to download resource.
Open to download resource. PDF
Part 3: Personal Safety and Emergency Care
Bloodborne Pathogens
Open to download resource.
Open to download resource. PDF
Body Mechanics
Open to download resource.
Open to download resource. PDF
Choking
Open to download resource.
Open to download resource.
Injury Prevention
Open to download resource.
Open to download resource. PDF
Part 4: Documentation and Core Nursing Skills
Resident Care Plan (high-level)
Open to download resource.
Open to download resource. PDF
Your Role in Documentation (high- level)
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Open to download resource. PDF
Bedmaking
Open to download resource.
Open to download resource. PDF
Making an Occupied Bed Video
Select the "View On-Demand Recording" button to begin.
Select the "View On-Demand Recording" button to begin.
Respecting Residents’ Privacy
Open to download resource.
Open to download resource. PDF
Transferring a Resident
Open to download resource.
Open to download resource. PDF
Discharge a Resident
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Open to download resource. PDF
Part 5: Positioning, Moving, and Restorative Care
Positioning
Open to download resource.
Open to download resource. PDF
Moving Up In Bed When Your Resident is Unable Video
Select the "View On-Demand Recording" button to begin.
Select the "View On-Demand Recording" button to begin.
Moving a Resident
Open to download resource.
Open to download resource. PDF
Stand, Pivot, Transfer Video
Select the "View On-Demand Recording" button to begin.
Select the "View On-Demand Recording" button to begin.
Assisting with Walking Video
Select the "View On-Demand Recording" button to begin.
Select the "View On-Demand Recording" button to begin.
Stopping a Fall
Open to download resource.
Open to download resource. PDF
Cueing, Promoting, and Encouraging
Open to download resource.
Open to download resource. PDF
Part 6: Nutrition and Elimination
Assisting with Meals
Open to download resource.
Open to download resource. PDF
Assisting with Meals Video
Select the "View On-Demand Recording" button to begin.
Select the "View On-Demand Recording" button to begin.
Feeding Your Residents Video
Select the "View On-Demand Recording" button to begin.
Select the "View On-Demand Recording" button to begin.
Assisting with Elimination
Open to download resource.
Open to download resource. (Catheter Care and Emptying a Drainage Bag)
Collecting a Specimen
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Open to download resource. PDF
Helping with Ostomy
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Open to download resource. PDF
Part 7: Advanced and Specialty Care Environments
Oxygen Therapy
Open to download resource.
Open to download resource. PDF
Motivate the Resident & Stop When Resident Resists Care
Open to download resource.
Open to download resource. PDF
Specific Behavioral Symptoms
Open to download resource.
Open to download resource. PDF
Specific Techniques for Activities of Daily Living
Open to download resource.
Open to download resource. PDF: o Toileting o Hydration o Eating o Dressing o Bathing o Grooming
Part 8: Comfort Care and End of Life
Pain Management
Open to download resource.
Open to download resource. PDF
Promoting Comfort and Sleep & Stages of Grief
Open to download resource.
Open to download resource. PDF
End of Life Care
Open to download resource.
Open to download resource. PDF
Hospice
Open to download resource.
Open to download resource. PDF
Your Role Through the Dying Process
Open to download resource.
Open to download resource. PDF
Signs of Approaching Death
Open to download resource.
Open to download resource. PDF
Part 9: Ethics and the Law in LTC
Physical Care of the Body After Death
Open to download resource.
Open to download resource. PDF
What is a Survey
Open to download resource.
Open to download resource. PDF
Types of Surveys
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Open to download resource. PDF
Your Role in Surveys
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Open to download resource. PDF
Final Assessment
Final Exam Requirements
Agree to terms to continue.
Agree to terms to continue.
Final Exam
50 Questions  |  3 attempts  |  40/50 points to pass  |  Graded as Pass/Fail
50 Questions  |  3 attempts  |  40/50 points to pass  |  Graded as Pass/Fail Participants will only have 3 attempts to complete the test. Should the test not be successfully completed in three attempts, students must contact educate@ahca.org to request 3 additional exam attempts. Use the grey scroll bar located to the right of the screen to move down the page of the exam. Each question on the page must have an answer choice before advancing to the next page of the exam.
Verification Survey
3 Questions
3 Questions To assist with connecting you to a hiring facility, please verify your contact information and indicate the state you intend to work in.
Certificate of Completion & Next Steps
Certificate of Completion: Open and Print Certificate HERE
Live Viewing: No credits available and certificate available
Live Viewing: No credits available and certificate available We do not issue a certificate number or license number. The TNA position is temporary, so the certificate of completion is the only thing that the TNA receives as proof for passing the course.
Next Steps
Congratulations on completing the course. This section will describe how you can begin to work as a Temporary Nursing Aide.
  1. To avoid technical problems, use CHROME. Do not use Internet Explorer. Internet Explorer does not work well with this site.
  2. If you are new to this site, you will need to CREATE AN ACCOUNT using your name and email only. You do not need to fill out a company name.
  3. After you create your account, you will be redirected back to this webpage to REGISTER
  4. You will need to complete the registration questions in your CART. This course is free.
  5. To begin the course, click the Course contents tab. Then click on the first item and complete it. You can move through the course at your own pace, stopping and returning to where you left off anytime.

If you need assistance, please e-mail your questions to educate@ahca.org. We will get back to you as soon as possible.

Need help? E-mail educate@ahca.org, and we will get back to you. 
Technical Troubleshooting: If you are having trouble accessing the course content, check your CART ( displayed on the lefthand toolbar). Also, make sure that you are using CHROME as your browser. Do not use Internet Explorer. For best results, use a desktop computer and a hardwire connection instead of Wifi.

If you are having trouble logging in or registering for the course, click on How to Get Started.

1. What does the Temporary Nurse Aide do?

The Temporary Nurse Aide helps provide resident care such as: assisting with bathing, dressing, feeding, restorative care, and more. The exact job responsibilities will be determined by the facility that hires you. This position is not a licensed CNA. People who choose to continue with this position after the COVID crisis is over will need to take the traditional NA course and any associated state licensing/certification/registry exams. 

2. Who is the TNA training for?

This training is intended for use in nursing homes not for agency staffing purposes.

3. Where can I work after taking this course?

Nursing homes or “skilled nursing and rehabilitation centers” and assisted living communities. Check the Overview tab, to confirm the list of states that have approved this training course.

To find a place near you that is hiring, search for nursing homes in your area. See if their website offers directions on how to contact them, and let them know you’ve taken and passed the AHCA/NCAL Temporary Nurse Aide training course. Each facility/company will have its own application process. 

4. Do I need any previous experience?

No prior health care experience is necessary.

5. Are these temporary positions available in my state?

Check the Overview tab for a current list of states where this training program is accepted for use. To find a place near you that is hiring, search for nursing homes in your area. See if their website offers directions on how to contact them and let them know you’ve taken and passed the AHCA/NCAL Temporary Nurse Aide training course. Each facility/company will have its own application process. 

6. Do I have to pay to take the course?

No. The course is free.

7. How do I get the certificate and share that with a facility?

Once you have completed the course and passed the exam, you can download and print the certificate of completion before exiting the program. You can also return to the online course at any time, log in, and access the certificate again if you need another copy. You can also email educate@ahca.org and ask that an email copy be sent to you. 

8. What additional on-the-job training will I receive?

Each facility/company will have its own on-the-job training process. You will be helped and supervised by trained professionals while you learn your duties. You will need to demonstrate you are able to complete specific tasks with proper knowledge, skill, and behavior. Here is an example of a checklist that may be used by the hiring facility for on-site training. 

Once you have completed this training, you must take and pass the exam. You will then receive a certificate of completion that you can print and show to your hiring facility. 

For information and suggestions on how to find a skilled nursing facility or assisted living community that is hiring a Temporary Nurse Aide, search for facilities in your area. See if their website offers directions on how to contact them and let them know you’ve taken and passed the AHCA/NCAL Temporary Nurse Aide training course. Each facility/company will have its own application process.

On April 7, 2022, the Centers for Medicare and Medicaid Services (CMS) issued a memo indicating that the waiver that allowed for the utilization of the temporary nurse aide (TNA) in nursing homes would expire on June 6, 2022. The TNA training will be available until June 5, 2022.  

TNAs will have four months from June 6, 2022, to transition into certified nurse aides. Depending on the state, transition processes may include taking full nurse aide training classes, state written tests, and/or state competency/skills exams.   

Nursing homes will not be allowed to employ TNAs after October 6, 2022, in the role of TNA, unless they have received approval from a state official.  

To find out what is happening in your state, check with your state nurse aide registry. This Directory of Nurse Aide Registries provides contact information by state. 

Here is an example of a checklist that may be used by the hiring facility for on-site training. 

  TNA Skills Competency Checklist

How to Ensure Temporary Aides Are Successful

The TNA and TFA online courses are only the first step for temporary caregivers to assist our nation’s long term care facilities. Providers play a key role in helping temporary aides carry out their duties successfully. Here are some ways you can help make sure the programs are beneficial to your residents and fellow team members: 

  1. Temporary aides should receive hours of on-the-job training once hired. Have them shadow an experienced staff member during the on-boarding process. 
  2. Before temporary aides can take on specific duties, they must pass a competency assessment (typically overseen by a nurse) to demonstrate they understand those tasks. A competency assessment is a federal requirement for nursing homes.  
    • If temporary aides are not doing things correctly, they need to undergo further training and evaluation. 
  3. Continue to have a licensed professional supervise temporary aides at all times.  
  4. Establish an ongoing evaluation process for temporary aides. Similar to other positions that must demonstrate their competency on a rolling basis, temporary aides should be evaluated periodically to reaffirm they know how to fulfill their duties correctly.  
  5. If you are working with an agency to hire temporary staff, you may inquire about any individual to validate their abilities. Request their certificate of completion as well as their skills competency sheet. 
  6. Look for ways to help temporary aides transition to become certified nursing assistants. Remember that these temporary positions are only allowed for as long as the public health emergency declaration and/or corresponding 1135 waiver remains in effect. Follow your state’s specific process to help your temporary aides become permanent employees and build a career in long term care.  


Thank you for your support of the TNA and TFA programs. We hope you have found them to be a lifeline during this pandemic as our industry faces a historic labor crisis. Together, we can help ensure these heroes have the training and support they need to provide the care and companionship our residents deserve.   


If you have questions regarding the courses, please contact us at educate@ahca.org

NCAL AHCA