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Outline

In the realm of healthcare in Texas, ensuring the competency and reliability of nurse aides is a cornerstone of patient care and safety. The Texas Nurse Aide Registry 5505-NAR form plays a pivotal role in this process. This particular document is an essential tool used for the certification and registration of nurse aides across the state. It serves multiple purposes, including the verification of a nurse aide's eligibility to work, tracking of their employment history, and recording of any misconduct or disciplinary actions taken against them. The form is a critical component in maintaining the integrity of healthcare services, ensuring that only qualified individuals are entrusted with the care of patients. Its management involves strict compliance with state regulations, highlighting its significance in upholding the standards of healthcare provision in Texas.

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Texas Nurse Aide Registry

Form 5505-NAR

December 2022-E

Request for Entry on the Texas Nurse Aide Registry Through Reciprocity

 

Applicant Information (To be completed by applicant.)

Note: You are not eligible to be employed as a nurse aide in the state of Texas until your request has been approved and you have been entered into the registry.

Read the following instructions before completing this form.

Complete all information in Section 1. Your signature is required at the bottom of Section 1 to verify that information you provided is correct.

Once Section 1 is complete, email this form, a legible copy of a government issued identification that shows your birth date and the correct spelling of your name, copy of your Social Security card, and your Texas criminal history results for all legal last names you ever had from the Texas Department of Public Safety at publicsite.dps.texas.gov/ConvictionNameSearch to: nurseaideregistry@hhs.texas.gov (See back of form for more instructions.)

If you do not have an expiration date in the state you are active in, you must also complete and submit Form 5506-NAR, Employment Verification. The form must be completed by your most recent employer (within the last two years).

Name (Last, First, Middle):

 

 

Maiden Name (if applicable):

 

 

 

 

Social Security No.:

Sex:

Date of Birth:

Email Address:

 

Male

Female

 

Mailing Address (Street or P.O. Box):

City:

State:

ZIP Code:

Phone No.:

State(s) Where Issued:

Nurse Aide Certificate No.(s)

Issue Date(s):

Signature – Applicant

Date

You must submit the following items:

Completed Form 5505-NAR – Signed and dated

Copy of your government issued current photo ID

Copy of your Social Security card

Texas Department of Public Safety criminal history check for all legal last names ever had (either Fingerprint Cards with results or Name Based completed online for all last names ever used)

Email the completed form and required documents to the Texas Nurse Aide Registry at nurseaideregistry@hhs.texas.gov.

Form 5505-NAR

Page 2 / 12-2022-E

Address:

Instructions

Nurse Aides who are listed active on a registry in another state and are requesting to be placed on the Texas Nurse Aide Registry by reciprocity must meet eligibility requirements listed, per Texas Standards for Nurse Aides, Section twenty six26 TAC 556.11(b)(1-5). No person listed as unemployable on the Employee Misconduct Registry (EMR) or who has been found to have a conviction of a criminal offense listed in Texas Health and Safety Code, Section250.006, will be eligible for reciprocity. Find Chapter 250 and for list of convictions at statutes.legis.state.tx.us\Docs\HS\htm\HS.250.htm#00.

Nurse Aide Registry staff will complete the EMR check.

The person requesting reciprocity must obtain a criminal history check from the Texas Department of Public Safety (DPS). For instructions on how a person can obtain a named-based criminal history check for all names ever used, visit publicsite.dps.texas.gov/ConvictionNameSearch.

You must submit your criminal history results along with the reciprocity Form 5505-NAR to be placed on the Texas Nurse Aide Registry by reciprocity.

Applicant, did you:

Sign the form?

Include your criminal history results for all last names you ever had, a legible photocopy of your state issued picture identification showing your birth date and correct spelling of your name, and a copy of your Social Security card?

Did you know?

You can verify certificate status by using the following link: emr.dads.state.tx.us/DadsEMRWeb/

You can download forms from our website: hhs.texas.gov/doing-business-hhs/licensing-credentialing-regulation/credentialing/nurse-aide- registry/nar-forms

With a few exceptions, you have the right to request and be informed about the information that the Texas Health and Human Services Commission (HHSC) obtains about you. You are entitled to receive and review the information upon request. You also have the right to ask HHSC to correct information that is determined to be incorrect (Government Code, Sections 552.021, 552.023, 559.004). To find out about your information and your right to request correction, please call the Nurse Aide Registry at 512-438-2050.

Document Attributes

Fact Number Detail
1 The 5505-NAR form is utilized in Texas to apply for the Nurse Aide Registry.
2 This form is necessary for individuals seeking to be certified nurse aides (CNAs) in Texas.
3 The Texas Nurse Aide Registry is regulated by the Texas Health and Human Services Commission (HHSC).
4 Applicants must complete their training and examination requirements before submitting this form.
5 The form requires personal information, including social security number and training program details.
6 Governing laws for CNAs in Texas include Texas Health and Safety Code, Chapter 242, Subchapter N, and 40 Texas Administrative Code, Chapter 94.
7 Renewal of CNA certification in Texas also necessitates the 5505-NAR Form under certain conditions.
8 Verification of employment as a CNA is required to maintain active status on the Registry.
9 The form is accessible online through the official Texas Health and Human Services website.
10 Failure to properly complete and submit the 5505-NAR form can delay or affect the certification process.

How to Fill Out Texas Nurse Aide Registry 5505-NAR

Filling out the Texas Nurse Aide Registry 5505-NAR form is an essential step in the journey toward becoming a certified nurse aide (CNA) in the state of Texas. This form is used to apply for the examination or to request inclusion on the Texas Nurse Aide Registry based on equivalency, military training, or reciprocity from another state. Careful and accurate completion of this form is crucial for the smooth processing of your application. Below are the steps you'll need to take to ensure your form is filled out correctly.

  1. Gather Required Information: Before starting, make sure you have all the necessary information, including your social security number, contact information, and details about your training program or equivalent experience.
  2. Section 1 - Applicant Information: Fill in your full legal name, including any suffixes. Do not forget to provide your social security number, date of birth, mailing address, telephone number, and email address to ensure the registry can reach you.
  3. Section 2 - Eligibility Route: Select the route by which you are applying. Mark the appropriate box whether you're a new nurse aide student, trained through a military program, challenging the exam based on equivalency, or applying through reciprocity from another state.
  4. Section 3 - Training Program Information: If you've completed a nurse aide training program, fill out this section with the program code, start and completion dates, and program name. You'll need to get this information from your training provider.
  5. Section 4 - Examination Information: Indicate if you are applying to take the written or skills examination. Also, if applicable, indicate your preference for an oral examination instead of the standard written test.
  6. Section 5 - Employment Eligibility: Verify your eligibility to work in the U.S. by checking the appropriate box. This is a mandatory federal requirement for all nurse aides.
  7. Section 6 - Background History: Answer questions related to criminal history and regulatory actions. Be honest and provide details if you answer "Yes" to any of these questions.
  8. Section 7 - Student Signature: Read the attestation carefully, then sign and date the form to verify that all the information provided is accurate to the best of your knowledge.
  9. Section 8 - Program Official Verification (if applicable): If required by your eligibility route, have a program official complete this section. Their signature and date are essential for validating your training.

After completing the form, double-check all sections for accuracy before submission. Ensuring that your form is correctly filled out can help avoid unnecessary delays in processing. Once submitted, your application will be reviewed, and you will be contacted regarding the next steps, including scheduling your examination if applicable. Remember, the Texas Nurse Aide Registry plays a vital role in ensuring that nurse aides meet the necessary qualifications, and your careful attention to this process is a significant first step in achieving your certification.

More About Texas Nurse Aide Registry 5505-NAR

  1. What is the Texas Nurse Aide Registry 5505-NAR form?

    The Texas Nurse Aide Registry 5505-NAR form is a document designed for nurse aides in Texas. It's typically used for actions such as applying for initial registration, renewing certification, or updating personal information within the state's Nurse Aide Registry. This form plays a critical role in ensuring that nurse aides have the necessary qualifications and clearances to work in health care settings.

  2. How can someone obtain the 5505-NAR form?

    The 5505-NAR form can be easily obtained through several methods. Interested individuals can download it directly from the official website of the Texas Health and Human Services (HHS). Alternatively, one can contact the Texas Nurse Aide Registry via phone or email to request a copy of the form. In some cases, employers in the healthcare sector also provide this form to their employees who need to renew or update their registrations.

  3. What information is required when filling out the 5505-NAR form?

    When completing the 5505-NAR form, applicants are asked to provide a variety of information. Essential details include the applicant's full name, social security number, mailing address, date of birth, and contact information. Additional sections may require information on educational background, work history, and any criminal convictions. Accuracy is paramount when filling out this form to avoid delays or issues with the registration process.

  4. Are there any fees associated with submitting the 5505-NAR form?

    Yes, there are fees associated with submitting the 5505-NAR form, although the specific amount can vary depending on the nature of the application (for instance, initial certification vs. renewal). It's important for applicants to check the most current fee structure on the Texas HHS website or by contacting the Texas Nurse Aide Registry directly. Payments should be made as instructed on the form or accompanying instructions to ensure the application is processed without delay.

  5. What happens after submitting the 5505-NAR form?

    After the 5505-NAR form is submitted, it undergoes a review process by the Texas Nurse Aide Registry. If additional information or documentation is needed, applicants will be contacted. Once the form is approved, the applicant's status will be updated in the registry. This may involve issuing a new certificate or updating the existing registration details. Applicants can verify their status by checking the Texas Nurse Aide Registry's online portal or by reaching out directly to the registry office.

Common mistakes

Filling out the Texas Nurse Aide Registry 5505-NAR form is a critical step for nurse aides in Texas aiming to ensure their certification is recognized and up to date. Unfortunately, mistakes in this process are not uncommon, and even small errors can lead to delays or issues with certification. Below are eight mistakes often made when completing this form, guiding you to avoid common pitfalls.

  1. Not Double-Checking Personal Information: One of the most common mistakes is entering incorrect personal information, such as misspelled names, wrong social security numbers, or outdated contact information. This can lead to your application being rejected or delayed.

  2. Leaving Sections Blank: It's crucial to complete every section of the form. Leaving sections blank can lead to processing delays, as the registry will need to follow up for the missing information.

  3. Using Incorrect Dates: When documenting your training and examination dates, accuracy is key. Incorrect dates can create confusion and may require verification, slowing down your certification process.

  4. Forgetting to Sign and Date the Form: The form is not valid unless it's signed and dated. This oversight is simple but significant and can render the submission invalid.

  5. Not Providing Required Supporting Documents: Failing to attach required documents, such as proof of training completion or identification, can stall your application. Ensure you review and include all necessary documentation.

  6. Misunderstanding Fee Requirements: Applicants sometimes overlook or misunderstand the fee requirements related to the form submission. This includes not including the fee altogether or submitting an incorrect amount.

  7. Incorrect Submission Method: Submitting the form to the wrong department or through an incorrect method (email, fax, mail) based on current guidelines can cause delays. Always check the most updated submission requirements.

  8. Assuming Submission Equals Immediate Processing: It’s important to remember that submitting your form does not mean immediate processing. Avoid the mistake of waiting until the last minute to submit your form, as processing times can vary.

By paying close attention to these commonly made mistakes, applicants can streamline their submission process, ensuring a smoother transition toward certification or recertification. Remember, attention to detail and following instructions precisely can significantly impact the success of your submission to the Texas Nurse Aide Registry.

Documents used along the form

In the healthcare sector, particularly within Texas, the Nurse Aide Registry Form 5505-NAR is critical for those aspiring to work as nurse aides. This form is often accompanied by other important documents that are essential for comprehensive compliance and verification processes. These documents vary in purpose, from verifying personal information to ensuring health and educational qualifications are met. Understanding each of these documents can streamline the certification and employment process for nurse aides in Texas.

  • Employment Eligibility Verification (Form I-9): Required by federal law to verify an employee's legal right to work in the United States. It confirms the identity and employment authorization of the person.
  • Background Check Authorization: Allows the employer or the relevant state board to conduct a criminal background check, ensuring the candidate meets the safety and integrity standards required for healthcare workers.
  • Immunization Records: Critical for healthcare workers, this document verifies that the nurse aide has received the necessary vaccinations to protect themselves and their patients from communicable diseases.
  • Basic Life Support (BLS) Certification: Demonstrates that the nurse aide has the essential skills to provide basic life-saving interventions in emergencies. This certification is often required before clinical placements or employment.
  • Educational Transcripts: Verify the educational background of the nurse aide, confirming that they have completed the required training programs approved by the state of Texas.
  • Physical Examination Form: A document showing that the nurse aide has undergone a physical examination and is physically capable of performing the job duties.
  • Drug Screening Test Results: Ensures that the candidate is free of illegal substances. This is a common requirement for employment in healthcare settings to maintain a safe environment for patients and staff.
  • Skills Competency Evaluation Form: This document provides evidence that the nurse aide has successfully demonstrated the required skills and competencies necessary for their role through a state-approved evaluation process.
  • Continuing Education Certificates: Shows that the nurse aide has engaged in ongoing education to maintain and enhance their skills, which is often required for recertification.

The combination of the Texas Nurse Aide Registry Form 5505-NAR and these additional documents forms a robust framework that ensures nurse aides are well-qualified, competent, and legally authorized to work. This comprehensive approach protects the health and safety of patients and maintains the integrity of the healthcare profession. Keeping track of these documents and understanding their purpose is essential for anyone entering or continuing work in the healthcare field as a nurse aide in Texas.

Similar forms

  • The Application for Initial Nurse Aide Certification form used in other states is quite similar to the Texas Nurse Aide Registry 5505-NAR form. Both require personal information, educational background, and proof of training completion, catering to individuals aiming to be listed on their State's Nurse Aide Registry.

  • The Certified Nursing Assistant (CNA) Renewal Form shares similarities, as it also necessitates current employment verification and compliance with continuing education requirements, ensuring aides remain competent and qualified in their field.

  • The Verification of Employment Form is akin, primarily focusing on confirming an individual's employment status and experience in the healthcare sector, targeting the maintenance of accurate and up-to-date registry information.

  • Change of Name and/or Address Form for Nurse Aides parallels the 5505-NAR form in its administrative nature, requiring personal details to update registry records and maintain effective communication channels.

  • The Complaint Form addressed to healthcare regulatory bodies shares the procedural aspect with the 5505-NAR form, designed for individuals to report grievances or concerns about nursing aides, emphasizing regulatory oversight and consumer protection.

  • Health Examination Form for employment or school admission mirrors the health status verification aspect, ensuring nurse aides meet the health criteria necessary for safe and effective patient care.

  • Background Check Authorization Form bears resemblance by requiring applicants to consent to a criminal background check, a critical step for ensuring the safety and trustworthiness of individuals who will work closely with vulnerable populations.

  • The Skills Checklist Form used in evaluating a nurse aide’s competency during certification exams or employment assessments shares the evaluative nature of the 5505-NAR form, focusing on practical abilities and theoretical knowledge crucial for patient care tasks.

Dos and Don'ts

Filling out the Texas Nurse Aide Registry 5505-NAR form accurately is crucial in ensuring your documentation is processed without delays. Paying attention to the details can make a significant difference. Below are the dos and don'ts that you should be mindful of during the process:

Do:
  1. Read all instructions carefully before beginning to fill out the form. This will save you from making common mistakes.
  2. Use black ink when filling out the form by hand, ensuring that the text is legible to everyone who may need to read it.
  3. Ensure all information is current and accurate, including your contact details, to prevent any delays in processing.
  4. Double-check your work for any errors or omissions. Even small mistakes can lead to your form being returned or delayed.
  5. Include all required documentation that supports your application, ensuring that it is attached securely to the form.
  6. Use the official form provided by the Texas Nurse Aide Registry to avoid issues with incorrect or outdated versions.
  7. Sign and date the form where required, confirming that the information provided is true and correct.
  8. Keep a copy of the completed form for your records before sending it to the Texas Nurse Aide Registry.
  9. Contact the Registry if you have any questions or concerns before submitting the form to ensure clarity on any instructions.
  10. Submit the form before the deadline (if applicable) to ensure your application is considered in a timely manner.
Don't:
  1. Do not use pencil or colors of ink other than black when filling out the form, as this can cause legibility issues.
  2. Avoid overwriting or using correction fluid; if you make a mistake, it is better to start with a new form to maintain cleanliness and legibility.
  3. Do not leave any required fields blank. If a section does not apply to you, fill it with "N/A" (not applicable) instead of leaving it empty.
  4. Don't ignore sections that require detailed responses; being thorough in your answers helps provide a complete picture of your qualifications and background.
  5. Refrain from submitting the form without all the necessary supporting documentation attached, as this will delay processing.
  6. Avoid guessing information; ensure all data, especially concerning dates and numbers, is accurate and verifiable.
  7. Do not submit the form without reviewing it in its entirety to catch and correct any mistakes.
  8. Avoid delaying the submission until the last minute. Procrastination can lead to errors or missed deadlines.
  9. Don't fold or staple the form if the instructions specify not to do so, as this can cause damage or hinder processing.
  10. Do not ignore the privacy policy and instructions regarding the handling of your personal information provided by the Texas Nurse Aide Registry.

Misconceptions

The Texas Nurse Aide Registry 5505-NAR form is a crucial document for individuals working as nurse aides in the state, but there are several misconceptions about it. Understanding these misconceptions can help ensure that nurse aides and their employers are fully informed about the processes and requirements associated with the registry.

  • One common misconception is that completing the 5505-NAR form automatically renews a nurse aide's certification. In reality, the form is part of the renewal process, but additional steps, such as completing continuing education units (CEUs) and paying any necessary fees, are usually required.

  • Many believe that the form can only be submitted online. While electronic submission is encouraged for efficiency, the Texas Nurse Aide Registry accepts forms submitted by mail, offering flexibility for individuals who may not have easy access to online resources.

  • A third misconception is that the form is solely for nurse aides who have worked in traditional healthcare settings. Actually, the form can and should be used by aides working in various settings, including home health care, to verify their employment and ensure their ability to work in the state.

  • Some think that once submitted, the form guarantees immediate processing. Processing times can vary, especially during peak periods, and it’s important for applicants to plan accordingly and expect some waiting time.

  • Another misunderstanding is that the information on the form does not need to be kept up to date once submitted. In truth, nurse aides are responsible for ensuring their information on the registry is current, including submitting updates for address changes or employment status.

  • There's also the belief that completion of the 5505-NAR form is only required once. Nurse aides must actually submit this form or a similar verification of employment at regular intervals to maintain their active status on the registry.

  • Some nurse aides think that if they work in a different state, they don’t need to worry about the Texas Nurse Aide Registry. If they ever plan to return to work in Texas, maintaining their status on the Texas registry can simplify the transition back into the Texas healthcare system.

  • Lastly, there is a misconception that the 5505-NAR form is the only form nurse aides need to know about. While it's critical for employment verification and certification renewal, nurse aides should be aware of other forms and documents required for their profession, such as background check forms and competency evaluation programs.

Understanding these misconceptions about the Texas Nurse Aide Registry 5505-NAR form can help nurse aides navigate their certifications and registry status more effectively, ensuring they remain in good standing and are able to provide the best care possible.

Key takeaways

Filing out the Texas Nurse Aide Registry 5505-NAR form is a critical step for nurse aides in Texas to be officially recognized and to practice in healthcare settings. This form helps in maintaining a record of certified nurse aides (CNAs) and ensures that they meet the necessary qualifications. Here are five key takeaways to guide you through the process.

  • Accuracy is key: When completing the 5505-NAR form, ensure all information is accurate and up-to-date. Incorrect information can lead to delays or rejection of your application.
  • Follow instructions closely: The form comes with specific instructions for filling it out. Pay close attention to these instructions to avoid common mistakes that could affect your registration.
  • Documentation requirements: Along with the 5505-NAR form, you will need to provide additional documentation that verifies your qualifications as a nurse aide. This often includes proof of training and education, as well as any certifications you may hold.
  • Renewal is necessary: The recognition as a certified nurse aide is not permanent. You need to renew your status periodically, as outlined by the Texas Nurse Aide Registry, to continue working legally in a healthcare setting.
  • Submission process: Understand the submission process for the 5505-NAR form, which may include online submissions, mail, or hand delivery. Ensure you know the deadlines to avoid any lapses in your certification.

Completing the Texas Nurse Aide Registry 5505-NAR form accurately and timely is crucial for your career as a nurse aide in Texas. Keep these takeaways in mind as you navigate the process to ensure you meet all the necessary legal and professional requirements.

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