Nursing Training & Compliance
Pre-placement training and compliance framework for Charisma SPD nursing personnel. Requirements are assigned according to role, occupational exposure, client setting, and facility-specific expectations.
How Charisma Classifies Nursing Requirements
Required Before Placement — must be complete before the worker is cleared for the applicable assignment.
Conditional — required only when the role, exposure, unit, or client requires it.
Facility-Specific — completed according to the receiving facility’s orientation and competency requirements.
Renewal — tracked according to the applicable regulatory, certification, or facility interval.
Core Nursing Pre-Start Training
The following modules form Charisma’s baseline nursing readiness package. Applicability is confirmed during credential review and assignment matching.
- Infection Prevention & Standard Precautions — before placement; refresher per policy/facility requirement.
- Hand Hygiene & PPE — before placement; reinforced during facility orientation.
- Bloodborne Pathogens & Exposure Control — for personnel with occupational exposure; at initial assignment and at least annually thereafter under OSHA.
- Sharps / Needlestick Safety & Exposure Reporting — where occupational exposure is reasonably anticipated.
- HIPAA, Privacy & Confidentiality — Charisma pre-start requirement; facility privacy orientation may also apply.
- Patient Rights, Dignity & Professional Conduct — Charisma pre-start requirement plus facility-specific policies.
- Abuse, Neglect & Incident Reporting — according to role and care setting.
- Emergency Preparedness & Fire Safety — Charisma orientation plus facility-specific emergency codes.
- Hazard Communication / SDS — when job duties involve hazardous chemicals or exposure.
- Workplace Safety, Injury Reporting & Safe Patient Handling — role and assignment specific.
RN / LPN
Required credential review
- Active, appropriate professional license for the assignment.
- NYS Infection Control & Barrier Precautions — Charisma internal orientation plus credentialing verification of current approved training or applicable exemption.
- Medication Safety & Administration — Charisma tracked orientation; assignment-specific medication systems and competencies remain facility dependent.
- Fall Prevention & Patient Safety — tracked RN/LPN orientation; facility fall-risk tools and interventions remain assignment specific.
- Restraint Safety & Monitoring — tracked RN/LPN orientation; facility-specific authorization, monitoring, and competency requirements still apply.
- Sepsis & Clinical Deterioration Recognition — tracked RN/LPN orientation; facility-specific screening and escalation protocols still apply.
- BLS, ACLS & PALS Credential Requirements — conditional orientation; credentialing separately verifies any certification required by the assignment.
- Respiratory Protection / N95 Requirements — conditional orientation; medical clearance, fit testing, and facility requirements are verified separately when applicable.
- Specialty & Unit Competency Verification — conditional orientation; specialty readiness and client-specific competency validation are matched to each assignment.
- Current role-required certifications identified by the client or unit.
Assignment-specific competencies may include: medication administration, IV therapy, telemetry, restraints, sepsis, fall prevention, wound care, specialty equipment, documentation systems, and other unit competencies.
CNA / Nursing Support
Required credential review
- Verify required certification/registry status for the assignment and care setting.
- Scope of Practice, Delegation & Reporting — required CNA/Nursing Support orientation with tracked completion.
- Safe Mobility, Transfers & Fall Prevention — required CNA/Nursing Support orientation with tracked completion.
- Skin Integrity, Pressure Injury Prevention & Personal Care — required CNA/Nursing Support orientation with tracked completion.
- Nutrition, Hydration & Feeding Assistance — required CNA/Nursing Support orientation with tracked completion.
- Dementia, Behavior & Communication Support — required CNA/Nursing Support orientation with tracked completion.
- Elimination, Toileting & Continence Care — required CNA/Nursing Support orientation with tracked completion.
- Vital Signs, Observation & Change-of-Condition Reporting — required CNA/Nursing Support orientation with tracked completion.
- Resident/Patient Safety & Incident Reporting — required CNA/Nursing Support orientation with tracked completion.
- Complete the Charisma core pre-start modules applicable to the role.
- Complete resident/patient rights, abuse/neglect reporting, infection prevention, safe patient handling, and fall-prevention training appropriate to the assignment.
Facility-specific requirements may include dementia care, feeding assistance, restorative care, behavioral health, nursing-home in-service education, or other competencies. These are assigned based on the receiving facility and position.
Conditional Nursing Requirements
These items are not universal requirements for every nursing employee. They are assigned when the job or facility requires them.
- BLS — when required by profession, unit, client, or assignment.
- ACLS / PALS / NRP — specialty or unit dependent.
- Respiratory Protection / N95 — when a tight-fitting respirator is required. OSHA requires medical evaluation before required respirator use, fit testing before initial use and at least annually thereafter, and recurring training.
- TB / immunization / health-clearance documentation — according to applicable law, client policy, and assignment setting.
- Specialty competencies — ICU, ED, OR, PACU, behavioral health, long-term care, dialysis, pediatrics, maternal-child health, and other specialty requirements.
Clearance Workflow
1. Role identified → RN, LPN, CNA, or other nursing support role.
2. Credentials verified → license/certification/registry and required documentation.
3. Core training completed → applicable Charisma pre-start modules.
4. Conditional requirements assigned → based on exposure, specialty, and client request.
5. Facility orientation completed → site-specific policies, emergency codes, documentation, equipment, and unit competencies.
6. Ready for Placement → only after all applicable requirements are cleared.
Regulatory References
New York State Department of Health: Health Care Provider Infection Control Training
OSHA: 29 CFR 1910.1030 — Bloodborne Pathogens
OSHA: 29 CFR 1910.134 — Respiratory Protection
Facility contracts, client policies, collective bargaining requirements, professional scope-of-practice rules, and the worker’s specific assignment may add requirements beyond this framework.