A new law will make it easier for people who speak English as a second language to become licensed nursing assistants in New Hampshire, but English requirements for nursing assistants in New Hampshire still apply. Under the new law, LNAs will need to know enough English for the job before becoming licensed. “New Hampshire is welcoming diversity and looking at new ways to bring people into healthcare,” states Kerri Dutton, who runs LNA Health Careers, a nursing school in Manchester.

New Hampshire will still require LNAs to pass a competency exam written in English, while other states like Massachusetts passed a law allowing certified nursing assistants to take their written tests in Spanish or Chinese.

We see diversity everywhere—if you go to a nail salon for a pedicure, chances are the nail tech doesn’t speak fluent English but rather converses in their native tongue. While I’m usually satisfied with my pedicures, nail techs aren’t required to document in a medical record, provide care for a resident who is declining, or calm a concerned family member.

Understanding the challenges providers face in hiring and retaining competent, quality staff, this law regarding English requirements for nursing assistants in New Hampshire may help address staffing shortages. If you have a highly diverse population, having staff members who speak the resident’s native language can be a positive. However, as a provider interested in pursuing this option, ensure that newly certified/licensed staff can communicate effectively with residents, families, and co-workers.

Remember, many claims are initiated due to a lack of communication or poor communication with families. Once a claim is filed, the key to defending that care was appropriate is in the documentation. Stay well and stay informed!