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TO: NurseAideTrainingPrograms

FROM: TestDevelopment
REFERENCE:ClinicalSkillsTimingStudy
PrometriccompletedaTimingStudyinJuly2011,analyzingdataprovidedbybothnurseaideinstructorswho
timedtheirstudentsperformingskillsandbynurseaideevaluators(NAEs)administeringactualtesting.The
purposeofthestudywastoestablishtimingfortheupdatedClinicalSkillsTestformsthatisbasedonthespecific
combinationofskills.Topromotebothstandardizationandfairness,testtimesarecalculatedbasedonthe
specificskillsineachtesttoensureconsiderationforsomeskillstakingmoretimetoperformthanotherskills.
Thechartbelowprovidesinformationonthetimeframesestablishedforeachskillbasedonthedataanalysis.
Thesetimeframesareusedtoensureareasonableamountoftimeforthemajorityofcandidatestocompleteany
skill;thesearenotbasedonanexpectationofspeedinessorahighdegreeofefficiency.
Timeframes:
ShorterTime
45min
ModerateTime
811min
LongerTime
1215min
LongestTime
1719min
ShorterTime

Longertime
ROMhip,knee,ankle Changeposition Mouthcarebrushteeth Perinealcare
ROMelbow,wrist Feeding Footcare Partialbed bath
ROMshoulder Measureurine Mouthcaredenture
Ambulation Bedpan Dressing
Pulse Transfer Changeoccupiedbed
Respirations Handandnailcare Cathetercare
HowisexamtimeestablishedfortheClinicalSkillsTest?
ThetimeeachcandidatehasfortheClinicalSkillsTestvariesdependingonthespecificskillsonthetest
assignedtothecandidate;thetimesrangefrom31to40minutes.
Alltesttimesinclude3minutesallocatedforhandwashing,whichcandidatesareexpectedtoactually
performatthebeginningofthefirstskill;thehandwashingskillisratedatthattime.
Alltesttimesinclude5minutesallocatedforcandidatestotransitionbetweenskillsandtoreviewtheir
SkillsInstructionCardduringthetest.
Eachindividualskillisnottimed;all3skillsplushandwashingmustbecompletedintheallottedtime.
Themajorityofcandidateswillcompletetestingbeforetimeexpires.
Thenurseaideevaluator(NAE)administeringtheClinicalSkillsTestwillfirstadvisecandidatesofhow
muchtimeisallocatedfortheirtestwhentheClinicalSkillsInstructionCardwiththelistofskillsis
providedandreadtothecandidate.
Whencandidatesarereadytobeginthetest,theNAEwillremindthecandidateoftheamountoftime
andsetatimer.Thetestbeginsatthattime.
Thetimingofthetestendseitherwhenthecandidatesays,Imdoneattheendofthethirdskillor
whentimeexpires(whichevercomesfirst).

++++=
Example:
Handwashing
Time(3min)
Transition
Time(5min)
Skill1
Time
Skill2
Time
Skill3
Time
TOTAL
EXAM
TIME
Skill1 Skill2 Skill3 Skill4
Handwashing
+
ROMhip,
knee,ankle
+
Feeding
+
Perineal
care
+
Transition
Time
=
38
mins
3min 4min 9min 17min 5min