Current through Register Vol. 46, No. 19, March 20, 2024
(1)
Number
of staff. A sufficient number of trained staff shall be available at
all times to fully meet tenants' identified needs.
(2)
Emergency procedures.
All program staff shall be able to implement the accident, fire safety, and
emergency procedures.
(3)
Training documentation. The program shall have training
records and staffing schedules on file and shall maintain documentation of
training received by program staff, including training of certified and
noncertified staff on nurse-delegated procedures.
(4)
Nurse delegation
procedures. The program's registered nurse shall ensure certified and
noncertified staff are competent to meet the individual needs of tenants. Nurse
delegation shall, at a minimum, include the following:
a. The program's newly hired registered nurse
shall within 60 days of beginning employment as the program's registered nurse
document a review to ensure that staff are sufficiently trained and competent
in all tasks that are assigned or delegated.
b. Within 30 days of beginning employment,
all program staff shall receive training by the program's registered
nurse(s).
c. Training for
noncertified staff shall include, at a minimum, the provision of activities of
daily living and instrumental activities of daily living.
d. Certified and noncertified staff shall
receive training regarding service plan tasks (e.g., wound care, pain
management, rehabilitation needs and hospice care) in accordance with medical
or nursing directives and the acuity of the tenants' health, cognitive or
functional status.
e. The program's
registered nurse(s) shall provide direct or indirect supervision of all
certified and noncertified staff as necessary in the professional judgment of
the program's registered nurse and in accordance with the needs of the tenants
and certified and noncertified staff.
f. Services shall be provided to tenants in accordance
with the training provided.
g. The
program shall have in place a system by which certified or noncertified staff
communicate in writing occurrences that differ from the tenant's normal health,
functional and cognitive status. The program's registered nurse or designee
shall train certified and noncertified staff on reporting to the program's
registered nurse or designee and documenting occurrences that differ from the
tenant's normal health, functional and cognitive status. The written
communication required by this paragraph shall be retained by the program for a
period of not less than three years, and shall be accessible to the department
upon request.
h. In the absence of
the program's registered nurse due to vacation or other temporary
circumstances, the nurse assuming the duties of the program's registered nurse
shall have access to staff training in relation to tenant needs.
(5)
Prohibited
services. A program staff member shall not be designated as
attorney-in-fact, guardian, conservator, or representative payee for a tenant
unless the program staff member is related to the tenant by blood, marriage, or
adoption.
(6)
Dependent
adult abuse training. Program staff shall receive training relating to
the identification and reporting of dependent adult abuse as required by Iowa
Code section
235B.16.
