Current through Register Vol. 30, No. 38, September 20, 2024
A. The owner of an
assisted living facility caregiver training program shall ensure that the
training program consists of at least 62 hours including:
1. Fifty hours of instruction, and
2. Twelve hours of instructor-supervised
skills training.
B. The
owner of an assisted living facility caregiver training program shall provide a
written curriculum plan to each student that includes overall educational goals
and for each required subject:
1. Measurable
learner-centered objectives,
2.
Outline of the material to be taught,
3. Time allotted to each unit of instruction,
and
4. Learning activities or
reading assignments.
C.
The owner of an assisted living facility caregiver training program shall
ensure the training program includes instruction and skills training regarding
each of the following subjects:
1. Orientation
to and overview of the assisted living facility caregiver training program (at
least one hour of instruction).
a. Levels of
care within an assisted living facility, and
b. Impact of each level of care on
residents;
2. Legal and
ethical issues and resident rights (at least two hours of instruction).
a. Confidentiality (HIPAA);
b. Ethical principles;
c. Resident rights specified in
R9-10-710;
d. Abuse, neglect, and
exploitation;
e. Mandatory
reporting; and
f.
Do-not-resuscitate order and advanced directives;
3. Communication and interpersonal skills (at
least two hours of instruction).
a. Components
of effective communication,
b.
Styles of communication,
c.
Attitude in communication,
d.
Barriers to effective communication:
i.
Culture,
ii. Language,
and
iii. Physical and mental
disabilities, and
e.
Techniques of communication;
4. Job management skills (at least one hour
of instruction).
a. Stress management,
and
b. Time management;
5. Service plans (at least two
hours of instruction). Developing, using, and maintaining resident service
plans;
6. Infection control (at
least three hours of instruction).
a. Common
types of infectious diseases,
b.
Preventing infection,
c.
Controlling infection:
i. Washing
hands,
ii. Using gloves,
and
iii. Disposing of sharps and
other waste;
7.
Nutrition and food preparation (at least two hours of instruction).
a. Basic nutrition;
b. Menu planning and posting;
c. Procuring, handling, and storing food
safely; and
d. Special
diets;
8. Fire, safety,
and emergency procedures (at least two hours of instruction).
a. Emergency planning,
b. Medical emergencies,
c. Environmental emergencies,
d. Fire safety,
e. Fire drills and evacuations, and
f. Fire-code requirements;
9. Home environment and
maintenance (at least two hours of instruction).
a. Housekeeping,
b. Laundry, and
c. Physical plant;
10. Basic caregiver skills (at least eight
hours of instruction).
a. Taking vital signs
and measuring height and weight;
b.
Maintaining a resident's environment;
c. Observing and reporting pain;
d. Assisting with diagnostic tests;
e. Providing assistance to residents with
drains and tubes;
f. Recognizing
and reporting abnormal changes to a supervisor;
g. Applying clean bandages;
h. Providing peri-operative care;
i. Assisting ambulation of residents
including transferring and using assistive devices;
j. Bathing, caring for skin, and
dressing;
k. Caring for teeth and
dentures;
l. Shampooing and caring
for hair;
m. Caring for
nails;
n. Toileting, caring for
perineum, and caring for ostomy;
o.
Feeding and hydration including proper feeding techniques and use of assistive
devices in feeding;
p. Preventing
pressure sores; and
q. Maintaining
and treating skin;
11.
Mental health and social service needs (at least three hours of instruction).
a. Modifying the caregiver's behavior in
response to resident behavior,
b.
Understanding the developmental tasks associated with the aging
process,
c. Responding to resident
behavior,
d. Promoting resident
dignity,
e. Providing culturally
sensitive care,
f. Caring for the
dying resident, and
g. Interacting
with the resident's family;
12. Care of the cognitively impaired resident
(at least four hours of instruction).
a.
Anticipating and addressing the needs and behaviors of residents with dementia
or Alzheimer's disease,
b.
Communicating with cognitively impaired residents,
c. Understanding the behavior of cognitively
impaired residents, and
d. Reducing
the effects of cognitive impairment;
13. Skills for basic restorative services (at
least two hours of instruction).
a.
Understanding body mechanics;
b.
Assisting resident self-care;
c.
Using assistive devices for transferring, walking, eating, and
dressing;
d. Assisting with
range-of-motion exercises;
e.
Providing bowel and bladder training;
f. Assisting with care for and use of
prosthetic and orthotic devices; and
g. Facilitating family and group activities;
and
14. Medication
management (at least 16 hours of instruction).
a. Determining whether a resident needs
assistance with medication administration and if so, the nature of the
assistance;
b. Assisting a resident
to self-administer medication;
c.
Observing, documenting, and reporting changes in resident condition before and
after medication is administered;
d. Knowing the rights of a resident regarding
medication administration;
e.
Knowing classifications of and responses to medications;
f. Taking, reading, and implementing a
physician's medication and treatment orders;
g. Storing medication properly and
securely;
h. Documenting medication
and treatment services;
i.
Maintaining records of medication and treatment services;
j. Using medication organizers
properly;
k. Storing and
documenting use of narcotic drugs and controlled substances;
l. Understanding how metabolism and physical
conditions affect medication absorption;
m. Knowing the proper administration of all
forms of medication;
n. Using
drug-reference guides (Physician's Desk Reference); and
o. Preventing, identifying, documenting,
reporting, and responding to medication errors.
D. The owner of an assisted living facility
caregiver training program shall ensure that the training program provides a
student with at least the number of:
1. Hours
of instruction specified in subsection (C); and
2. Instructor-supervised
skills training hours specified in subsection (A).
E. The owner of an assisted living facility
caregiver training program shall ensure that the training program uses
textbooks that are relevant to the subjects being taught and have been
published within the last five years.
F. The owner of an assisted living facility
caregiver training program shall ensure that any distance learning provided
uses materials that are relevant to the subjects being taught and have been
produced within the last five years.