The requirement from OBRA (Omnibus Budget Reconciliation Act) mandates that nursing assistants complete a minimum of 75 hours of initial training, which includes both classroom instruction and supervised clinical experience. Additionally, after this training, nursing assistants must successfully pass a competency evaluation to demonstrate their ability to perform the necessary skills required for their role. This regulation was established to ensure that nursing assistants have a standardized level of knowledge and skills to provide safe and effective care to residents in nursing facilities.
The other options do not reflect the specific requirements set forth by OBRA. For instance, while annual refresher courses are beneficial for ongoing education, they are not explicitly mandated by OBRA for nursing assistants. Similarly, direct patient care experience for a specified duration or certification in advanced nursing techniques is not part of the OBRA requirements for nursing assistants. Therefore, the completion of the 75 hours of training and competency evaluation is key to meeting the standards established by OBRA.