--- title: "For aged and home care educators: what counts as training" description: "Outcome 2.9 competency training, 42 CFR in-service hours and pseudo-patients, dementia rules and the record to keep: where practice fits in aged and home care." canonical: https://peopletechrevolution.com/training/for-aged-care-and-home-care-educators --- [Training programs](https://peopletechrevolution.com/training) / For aged care and home care educators # For aged care and home care educators: practice that maps to the training rules Competency-based training, dementia, in-service hours and the record an assessor reads. Your questions ## Does this count toward our required training? Australia names competencies; the United States names hours and accepts a pseudo-patient. A carer and resident at the handrail. A new support worker in an alcove. A handover in a front room. Australia ## What the strengthened Standards ask of training The [Aged Care Act 2024](https://www.health.gov.au/our-work/aged-care-act) started on 1 November 2025, with the strengthened Aged Care Quality Standards. A support worker beside an older woman. ### Outcome 2.9: training that answers incidents Providers “must provide aged care workers with training and supervision to enable them to effectively perform their roles” ([Outcome 2.9](https://www.agedcarequality.gov.au/strengthened-quality-standards/organisation/human-resource-management)). Action 2.9.4 wants a training system “responsive to feedback, complaints, incidents, identified risks and the outcomes of regular aged care worker performance reviews”. A scenario written from an incident can be a strategy in that system, subject to your own assessment. A carer and resident in a hallway. ### Action 2.9.6: competency-based, and dementia is named “All aged care workers regularly receive competency-based training in relation to core matters, at a minimum”, including “caring for individuals living with dementia”. Competencies, not hours. [Outcome 5.6](https://www.agedcarequality.gov.au/strengthened-quality-standards/clinical-care/cognitive-impairment) covers cognitive impairment. Practise the changed behaviour in [dementia and changed behaviours training](https://peopletechrevolution.com/work/industries/aged-care-disability/dementia-changed-behaviours-training); restraint rules in [restrictive practices training requirements](https://peopletechrevolution.com/insights/restrictive-practices-training-requirements). United States ## In-service hours, pseudo-patients and dementia Federal rules name hours and accept simulation; states add dementia hours. A community nurse greets an older woman. ### Home health and hospice aides Home health aides “must receive at least 12 hours of in-service training during each 12-month period”, which “may occur while an aide is furnishing care to a patient” ([42 CFR 484.80(d)](https://www.law.cornell.edu/cfr/text/42/484.80)); hospice aides the same ([418.76(d)](https://www.law.cornell.edu/cfr/text/42/418.76)). Some competencies are observed “with a patient or pseudo-patient”, defined as “a person trained to participate in a role-play situation, or a computer-based mannequin device” that interacts like the patients served ([home health](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484/subpart-A/section-484.2), [hospice](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-418/subpart-A/section-418.3) definitions). Check a simulated client against them. A physiotherapist leans toward a seated woman. ### Nursing homes and state rules Nurse aide in-service training must be “no less than 12 hours per year” and “Include dementia management training and resident abuse prevention training.” ([42 CFR 483.95(g)](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-483/subpart-B/section-483.95)). States add dementia hours, for example Oregon’s [OAR 411-054-0070](https://oregon.public.law/rules/oar_411-054-0070); check your state rule before counting a session. Home care workplace violence: [Joint Commission requirements](https://peopletechrevolution.com/learn/standards/joint-commission-workplace-violence). The record ## What to keep: attendance, in-service and competency records Each answers a different rule. A participant debriefs with a facilitator. ### Each record, and the condition on it Attendance: who practised, their role, the date, the scenario and the de-identified incident behind it. In-service training: it “must be supervised by a registered nurse” ([484.80(d)(1)](https://www.law.cornell.edu/cfr/text/42/484.80#d_1), [418.76(d)(1)](https://www.law.cornell.edu/cfr/text/42/418.76#d_1)). Competency: the evaluation “must be performed by a registered nurse in consultation with other skilled professionals, as appropriate” ([484.80(c)(3)](https://www.law.cornell.edu/cfr/text/42/484.80#c_3), [418.76(c)(3)](https://www.law.cornell.edu/cfr/text/42/418.76#c_3)). In Australia, map each competency to a core matter in [Action 2.9.6](https://www.agedcarequality.gov.au/strengthened-quality-standards/organisation/human-resource-management). A case manager faces an older man. A group compares choices after a scenario. An elder, her daughter and a coordinator. Where practice fits ## Rehearse the exchange the rule is about [De-escalation: the seconds before it turns](https://peopletechrevolution.com/training/de-escalation) [Difficult conversations, rehearsed before they happen](https://peopletechrevolution.com/training/difficult-conversations) [Induction and onboarding for new starters](https://peopletechrevolution.com/training/induction-and-onboarding) [Dementia and changed behaviours training](https://peopletechrevolution.com/work/industries/aged-care-disability/dementia-changed-behaviours-training) How it runs ## Run it the way your team already learns. [Run it yourself Your facilitator runs PTR VR Library titles on standalone headsets.](https://peopletechrevolution.com/xr/ptr-vr-library) [In a browser Staff rehearse with an AI partner on a laptop, no headset.](https://peopletechrevolution.com/ai/ai-roleplay-practice) [Facilitated over video A PTR facilitator runs the debrief by video, wherever teams sit.](https://peopletechrevolution.com/training/how-we-deliver) [With your trainer A trainer you already know runs it, licensed and prepared by PTR.](https://peopletechrevolution.com/training/for-trainers) PTR’s published work ## What our results cover, and what they do not Each result labelled by who measured it. Inside the Mater build, at a bedside. ### A hospital’s evaluation and a peer-reviewed paper Mater Education’s own [program evaluation](https://peopletechrevolution.com/uploads/docs/people-tech-revolution-mater-immersive-learning-pilot-case-study.pdf) of the VR program PTR built: over 96% of participants wanted more training in VR. In a [peer-reviewed paper](https://peopletechrevolution.com/uploads/docs/people-tech-revolution-google-vr-inclusion-training-chi-2024.pdf) on VR inclusion training at Google, led by PTR co-founder Leonie Sanderson and built with Equal Reality, a subsidiary of People Tech Revolution, the 7 trainees who returned the optional survey gave 82% average agreement that it was better than Google’s standard DEI training. Our published work includes no aged care training result. [Download the Google research paper PDF](https://peopletechrevolution.com/uploads/docs/people-tech-revolution-google-vr-inclusion-training-chi-2024.pdf) [Download the Mater case study PDF](https://peopletechrevolution.com/uploads/docs/people-tech-revolution-mater-immersive-learning-pilot-case-study.pdf) A resident and carer on a bench. ### Aged care is where the founders began Leonie Sanderson managed the QUT-linked [Transforming Aged Care with Virtual Reality](https://research.qut.edu.au/agedcarevr/) trials through The Ageing Revolution; the paper studied residents’ VR leisure sessions, not dementia training ([what the study measured](https://peopletechrevolution.com/insights/vr-aged-care-qut-study)). [Carked It](https://peopletechrevolution.com/fast-builds/games/carked-it), The Ageing Revolution’s card game about life, death and beyond, opens end-of-life conversations ([age tech](https://peopletechrevolution.com/work/age-tech)). A carer by an open car door. ### Start with the situation your workers describe most Tell us the exchange your educators hear about most, and the rule you report under. [Talk to us](https://peopletechrevolution.com/talk-to-us) or [book a time with our team](https://calendly.com/simon-ptrvr/30min?utm_content=trnagedcareeducators). - [Aged care and disability](https://peopletechrevolution.com/work/industries/aged-care-disability) - [Complaints and open disclosure](https://peopletechrevolution.com/insights/aged-care-complaints-open-disclosure) - [Disability support workers](https://peopletechrevolution.com/work/industries/disability) - [All training programs](https://peopletechrevolution.com/training) Need training that counts toward the record? [Open the contact form](https://peopletechrevolution.com/training/for-aged-care-and-home-care-educators#contact) Ask our CEO Simon Lowe’s Digital Twin a question ## Sources Each rule and result at its source. ### [Outcome 2.9, Human resource management](https://www.agedcarequality.gov.au/strengthened-quality-standards/organisation/human-resource-management) Aged Care Quality and Safety Commission Training, supervision and competency-based training. ### [New Aged Care Act](https://www.health.gov.au/our-work/aged-care-act) Department of Health, Disability and Ageing Commencement on 1 November 2025. ### [42 CFR 484.80, Home health aide services](https://www.law.cornell.edu/cfr/text/42/484.80) Cornell Law School In-service hours and pseudo-patients. ### [42 CFR 483.95, Training requirements](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-483/subpart-B/section-483.95) Electronic Code of Federal Regulations Nurse aide hours and dementia management. ### [Nursing and care support workforce profile](https://data.safeworkaustralia.gov.au/profile/whs-profile-nursing-care-support-workforce) Safe Work Australia Serious claims for being assaulted.