Sec. 3.
(1) One hundred (100) hours
of training to include sixty (60) hours of classroom instruction and forty (40)
hours of supervised practicum.
(2)
Classroom training performed by a registered nurse who possesses a minimum of
two (2) years of licensed nursing experience, of which at least one (1) year
shall be in the provision of long term care facility services. Instructors
shall have documentation of completion of an Indiana state department of health
instructor QMA course.
(3) A
curriculum that includes a review of the following areas:
(A) Communication and interpersonal skills,
including communication with a cognitively impaired or combative resident as
follows:
(i) Techniques for addressing the
unique needs and behaviors of individuals with dementia (Alzheimer's and
others).
(ii) Communicating with
cognitively impaired residents.
(iii) Understanding the behavior of
cognitively impaired residents.
(iv) Appropriate responses to behavior of
cognitively impaired residents.
(v)
Methods of reducing the effects of cognitive impairments.
(B) Infection control/hand washing.
(C) Safety/emergency procedures, including
the Heimlich maneuver.
(D) Resident
independence.
(E) Resident
rights.
(F) Abuse, neglect, and
misappropriation of resident property.
(4) A curriculum that includes instruction
and training on the scope of practice for a QMA, including, but not limited to,
the following:
(A) Fundamentals of
pharmacology.
(B) Medication
orders.
(C) Care of long term
residents and monitoring for effects of medication usage.
(D) Fundamentals of the following systems and
medications affecting each system:
(i)
Gastrointestinal.
(ii)
Musculoskeletal.
(iii) Skin and
sensory.
(iv) Urinary.
(v) Cardiovascular.
(vi) Respiratory.
(vii) Endocrine.
(viii) Male and female
reproductive.
(ix)
Nervous.
(E)
Psychotherapeutic medications.
(F)
Inflammation, infection, immunity, and malignant disease.
(G) Nutritional deficiencies.
(H) Principles of administering
medications.
(I) Documentation of
medication administration.
(J) Hand
washing/standard precautions.
(K)
Positioning of resident in preparation for medication/treatment administration,
including the following:
(i) Supine
position.
(ii) Lateral/Sim's
position.
(iii) Fowlers
positions.
(iv) Prone
position.
(L) Obtaining
temperature via oral, axillary, otic, or rectal route using a thermometer
(glass and electronic).
(M)
Measurement of vital signs, including pulse, respiratory rate, and blood
pressure.
(N) Scope of practice of
the QMA.
(O) Reporting of
observations to the licensed nurse and documentation of those observations in
the medical record.
(P) Clean
technique in handling medications and dressings.
(Q) Administration of oxygen per nasal
cannula or nonsealing mask.
(R)
Obtaining oxygen saturation utilizing an oximeter.
(S) Administration of medications per G-tube
or J-tube.
(T) Administration of
medication via metered dose inhaler.
(U) Hemoccult testing.
(V) Finger stick blood glucose
testing.
(W) Applying a dressing to
a minor skin tear.
(X) Applying a
dressing to a healed G-tube or J-tube site.
(Y) Emptying and changing colostomy
bag.
(Z) Instilling a commercially
prepared disposable enema.
(AA)
Administering a sitz bath.
(BB)
Applying a cold dry compress.
(CC)
Conducting diabetic urine testing.
(DD) Collecting fecal or urine
specimens.
