Florida Administrative Code
65 - DEPARTMENT OF CHILDREN AND FAMILIES
65D - Substance Abuse Program
Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE
Section 65D-30.0046 - Staff Training, Qualifications, and Scope of Practice
Universal Citation: FL Admin Code R 65D-30.0046
Current through Reg. 50, No. 187; September 24, 2024
(1) Staff Training. Providers shall develop and implement a staff development plan. At least one (1) staff member with skill in developing staff training plans shall be assigned the responsibility of ensuring that staff development activities are implemented.
(a) The staff development plan must be
reviewed at least annually through the quality assurance program and revised as
needed. The plan must be signed and dated.
(b) All required training activities shall be
documented and accessible for Department review, including the date, duration,
topic, name(s) of participants, and name(s) of the trainer or training
organization.
(c) New staff
orientation. Within six (6) months of the hiring date, employees must complete
the following trainings:
1. A two (2) hour
educational course on HIV/AIDS as required by Section
381.0035, F.S.
2. Overdose prevention training which must be
renewed biennially. The training shall include, at a minimum, information
about:
a. Risk factors for overdose;
b. Overdose recognition and response;
and
c. Naloxone, the medication
that reverses opioid overdose, including how to use Naloxone and the importance
of individuals at risk of opioid overdose and their friends and family having
access to Naloxone.
3.
Training in incident reporting procedures and requirements in accordance with
subsection 65D-30.004(17),
F.A.C., the affirmative duty requirements and protections of Chapter 415, F.S.,
and Title V of the Americans with Disabilities Act.
4. For direct care staff working in component
services identified in subsection
65D-30.004(12),
F.A.C., two (2) hours of training in verbal de-escalation techniques and two
(2) hours annually thereafter.
5.
Staff performing nursing support functions must be trained in those services
prior to performing that function.
6. For all direct care staff, training and
certification in cardiopulmonary resuscitation (CPR) and first aid. Staff must
maintain CPR and first aid certification, and a copy of the valid certificate
must be filed in the personnel record.
(d) General Training Requirements. All staff
and volunteers who provide direct care or prevention services shall participate
in a minimum of 10 hours of documented training per year related to their
duties and responsibilities. This includes training conducted annually in the
following areas:
1. Prevention and control of
infection in inpatient and residential settings;
2. Fire prevention, life safety, and disaster
preparedness;
3. Safety awareness
program;
4. Rights of individuals
served; and
5. Federal law, 42 CFR,
Part 2, and Sections 397.334(10),
397.501(7),
397.752, F.S. applicable state
laws regarding confidentiality.
(e) In instances where an individual has
received the requisite training as required in paragraphs (1)(c) and (d) during
the year prior to employment by a provider, that individual will have met the
training requirements. This provision applies only if the individual is able to
produce documentation that the training was completed and that such training
was provided by persons who or organizations that are qualified to provide such
training
(f) Special Training
Requirements for Clinical Staff. All new clinical staff who work at least 20
hours per week or more must receive 12 hours of competency-based training
related to substance use disorder treatment and recovery within the first
year.
(g) Special Training
Requirements for Prevention. In addition to paragraphs (1)(c) and (d), new
staff providing prevention services shall receive 12 hours basic training in
science-based prevention within the first year of employment.
(h) Medication Administration Training
Requirements. Training is required before personnel may supervise the
self-administration of medication. At least two and a half (2.5) hours of
training is required which may be conducted only by licensed practical nurses,
licensed registered nurses or advanced practice registered nurses. Personnel
responsible for training must certify by signed document or certificate the
competency of unlicensed staff to supervise the self-administration of
medication. Proof of training shall be documented in the personnel file and
shall be completed prior to implementing the supervision of self-administration
of medication.
(i) In addition to
the requirements of paragraph (h), self-administration of medication training
must include step-by-step procedures, covering, at a minimum, the following
subjects:
1. Safe storage, handling, and
disposal of medications;
2.
Comprehensive understanding of and compliance with medication instructions on a
prescription label, a healthcare practitioner's order, and proper completion of
medication observation record (MOR) form;
3. The medical indications and purposes for
commonly used medications, their common side effects, and symptoms of adverse
reactions;
4. The proper
administration of oral, transdermal, ophthalmic, otic, rectal, inhaled or
topical medications;
5. Safety and
sanitation practices while administering medication;
6. Medication administration documentation
and record keeping requirements;
7.
Medical errors and medical error reporting;
8. Determinations of need for medication
administration assistance and informed consent requirements;
9. Procedural arrangements for individuals
who require medication offsite; and
10. Validation
requirements.
(2) Clinical Supervision. A qualified professional shall supervise clinical services, as permitted within the scope of their qualifications. In addition, all licensed and unlicensed staff shall be supervised by a clinical supervisor. In the case of medical services, medical staff may provide supervision within the scope of their license. Supervisors shall conduct regular reviews of work performed by subordinate employees. Clinical supervision may include supervisory participation in treatment planning meetings, staff meetings, observation of group sessions and private feedback sessions with personnel. The date, duration, and content of supervisory sessions shall be clearly documented for staff in each licensed component and made available for Department review.
(3) Scope of Practice for Clinical Staff. Clinical staff who are not qualified professionals providing services specific to substance use disorders are limited to the following tasks unless otherwise specified in this rule:
(a)
Screening;
(b) Psychosocial
assessment;
(c) Treatment
planning;
(d) Referral;
(e) Service coordination;
(f) Consultation;
(g) Continuing assessment and treatment plan
reviews;
(h) Recovery support
services;
(i) Crisis
intervention;
(j) Individual,
family, and community education;
(k) Documentation of progress;
(l) Any other tasks permitted in these rules
and appropriate to that licensable component; and
(m) Counseling, including;
1. Individual counseling;
2. Group counseling; and
3. Counseling with families, couples, and
significant others.
(4) Staff Qualifications.
(a) Staff must provide services within the
scope of their professional licensure certification or training and competence
in applicable clinical protocols.
(b) Bachelor's or master's degree level
clinical staff must hold a degree from an accredited university or college with
a major in counseling, social work, psychology, nursing, rehabilitation,
special education, health education, or a related human services
field.
(5) Scope of Practice for staff who are peer specialists who provide services specific to substance use disorder treatment.
(a) Peer
specialists providing Department-funded peer support services shall be
certified by a peer specialist credentialing organization that is recognized by
the Department, or the peer specialists shall be working towards certification
for up to one year.
(b) Peer
specialists may provide the following services:
1. Referral and linkage,
2. Service coordination,
3. Recovery support services,
4. Facilitation of recovery group meetings,
excluding twelve-step meetings and therapeutic or clinical group counseling
sessions,
5. Non-clinical crisis
support,
6. Individual, family, and
community education,
7.
Outreach,
8. Recovery goal setting
and planning assistance,
9.
Advocacy,
10. Documentation of
recovery plan progress, and
11.
Participation in treatment team planning and
process.
Rulemaking Authority 397.321(5) FS. Law Implemented 397.321, 397.410 FS.
New 8-29-19, Amended 7-20-23.
Disclaimer: These regulations may not be the most recent version. Florida may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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