Current through Register Vol. 30, No. 38, September 20, 2024
A. An administrator
shall ensure that:
1. A personnel member, an
employee, or a student is at least 18 years old;
and
2. A volunteer is at
least 21 years old.
B. An
administrator shall ensure that:
1. The
qualifications, skills, and knowledge required for each type of personnel
member:
a. Are based on:
i. The type of physical health services or
behavioral health services expected to be provided by the personnel member
according to the established job description, and
ii. The acuity of the patients receiving
physical health services or behavioral health services from the personnel
member according to the established job description; and
b. Include:
i. The specific skills and knowledge
necessary for the personnel member to provide the expected physical health
services and behavioral health services listed in the established job
description,
ii. The type and
duration of education that may allow the personnel member to have acquired the
specific skills and knowledge for the personnel member to provide the expected
physical health services or behavioral health services listed in the
established job description, and
iii. The type and duration of experience that
may allow the personnel member to have acquired the specific skills and
knowledge for the personnel member to provide the expected physical health
services or behavioral health services listed in the established job
description;
2. A personnel member's skills and knowledge
are verified and documented:
a. Before the
personnel member provides physical health services or behavioral health
services, and
b. According to
policies and procedures;
C. An administrator shall comply with the
requirements for behavioral health technicians and behavioral health
paraprofessionals in
R9-10-115.
D. An administrator shall ensure that an
individual who is licensed under A.R.S. Title 32, Chapter 33 as a baccalaureate
social worker, master social worker, associate marriage and family therapist,
associate counselor, or associate substance abuse counselor is under direct
supervision, as defined in A.A.C. R4-6-101.
E. An administrator shall ensure that a
personnel member, or an employee, a volunteer, or a student who has or is
expected to have direct interaction with a participant for more than eight
hours in a week, provides evidence of freedom from infectious tuberculosis:
1. On or before the date the individual
begins providing services at or on behalf of the behavioral health inpatient
facility, and
2. As specified in
R9-10-113.
F. An administrator shall ensure
that a personnel record is maintained for each personnel member, employee,
volunteer, or student that includes:
1. The
individual's name, date of birth, and contact telephone number;
2. The individual's starting date of
employment or volunteer service and, if applicable, the ending date;
and
3. Documentation of:
a. The individual's qualifications including
skills and knowledge applicable to the individual's job duties;
b. The individual's education and experience
applicable to the employee's job duties;
c. The individual's completed orientation and
in-service education as required by policies and procedures;
d. The individual's license or certification,
if the individual is required to be licensed or certified in this Article or
policies and procedures;
e. The
individual's qualifications and on-going training for each type of restraint or
seclusion used, as required in
R9-10-316;
f. If the individual is a
behavioral health technician, clinical oversight required in
R9-10-115;
g. Cardiopulmonary resuscitation training, if
required for the individual according to
R9-10-303(C)(l)(e);
h. First aid training, if required
for the individual according to this Article or policies and procedures;
and
i. Evidence of freedom from
infectious tuberculosis, if required for the individual according to subsection
(D).
G. An
administrator shall ensure that personnel records are:
1. Maintained:
a. Throughout an individual's period of
providing services in or for the behavioral health inpatient facility,
and
b. For at least 24 months after
the last date the individual provided services in or for the behavioral health
inpatient facility; and
2. For a personnel member who has not
provided physical health services or behavioral health services at or for the
behavioral health inpatient facility during the previous 12 months, provided to
the Department within 72 hours after the Department's request.
H. An administrator shall ensure
that:
1. A plan to provide orientation
specific to the duties of a personnel member, an employee, a volunteer, and a
student is developed, documented, and implemented;
2. A personnel member completes orientation
before providing behavioral health services or physical health
services;
3. An individual's
orientation is documented, to include:
a. The
individual's name,
b. The date of
the orientation, and
c. The subject
or topics covered in the orientation;
4. A clinical director develops, documents,
and implements a plan to provide in-service education specific to the duties of
a personnel member; and
5. A
personnel member's in-service education is documented, to include:
a. The personnel member's name,
b. The date of the training, and
c. The subject or topics covered in the
training.
I.
An administrator shall ensure that a behavioral health inpatient facility has a
daily staffing schedule that:
1. Indicates the
date, scheduled work hours, and name of each employee assigned to work,
including on-call personnel members;
2. Includes documentation of the employees
who work each calendar day and the hours worked by each employee; and
3. Is maintained for at least 12 months after
the last date on the daily staffing schedule.
J. An administrator shall ensure that:
1. A physician or registered nurse
practitioner is present on the behavioral health inpatient facility's premises
or on-call,
2. A registered nurse
is present on the behavioral health inpatient facility's premises,
and
3. A registered nurse who
provides direction for the nursing services provided at the behavioral health
inpatient facility is present at the behavioral health inpatient facility at
least 40 hours every week.