Current through Register Vol. 30, No. 38, September 20, 2024
A. An administrator
shall ensure that a behavioral health
technician or behavioral health
paraprofessional is at least 18 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 residents 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;
3. Sufficient personnel members are present
on a nursing care institution's premises with the qualifications, skills, and
knowledge necessary to:
a. Provide the
services in the nursing care institution's scope of services,
b. Meet the needs of a resident,
and
c. Ensure the health and safety
of a resident.
C. Except as provided in
R9-10-415,
an administrator shall ensure that, if a personnel member provides social
services that require a license under A.R.S. Title 32, Chapter 33, Article 5,
the personnel member is licensed under A.R.S. Title 32, Chapter 33, Article
5.
D. An administrator shall ensure
that an individual who is a licensed 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 4
A.A.C. 6, Article 1.
E. An
administrator shall ensure that a personnel member or an employee or volunteer
who has or is expected to have direct interaction with a resident for more than
eight hours 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 nursing care institution,
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 individual's job duties;
c. The individual's compliance with the
requirements in A.R.S. §
36-411;
d. Orientation and in-service education as
required by policies and procedures;
e. The individual's license or certification,
if the individual is required to be licensed or certified in this Article or
policies and procedures;
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 (E); and
j. If the
individual is a nutrition and feeding assistant:
i. Completion of the nutrition and feeding
assistant training course required in
R9-10-116,
and
ii. A nurse's observations
required in R9-10- 423(C)(6).
G. An administrator shall ensure that
personnel records are:
1. Maintained:
a. Throughout the individual's period of
providing services in or for the nursing care institution, and
b. For at least 24 months after the last date
the individual provided services in or for the nursing care institution;
and
2. For a personnel
member who has not provided physical health services or behavioral health
services at or for the nursing care institution 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 plan to provide in-service education
specific to the duties of a personnel member is developed, documented, and
implemented;
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.
5. A work
schedule of each personnel member is developed and maintained at the nursing
care institution for at least 12 months after the date of the work schedule.
I. An administrator
shall designate a qualified individual to provide:
1. Social services, and
2. Recreational
activities.
