Current through Register Vol. 50, No. 9, September 20, 2024
A. Person-Specific Training. Direct service
workers shall receive person-specific training from a RN who has assessed the
health status of the person and who has determined that the direct service
worker can competently perform the tasks in a safe, appropriate manner for this
person.
1. The RN's determination of
competency shall be certified by the RN in writing, and the written
certification shall be maintained in the direct service worker's personnel
file. The RN's determination of competency shall not be delegated.
2. This training shall be repeated if the RN
does not certify that the direct service worker has demonstrated a sufficient
level of competency in the subject matter.
3. Based on the nursing assessment and
clinical judgment, the RN shall provide additional person-specific training
when the person receiving care has a change in health status or physician
orders and yet remains in a stable, predictable condition. The RN may make a
determination based upon his/her assessment of the workers competency that
training can be safely performed via telephone contact, other means of
electronic communication, or face-to-face contact with the worker. Examples
include, but are not limited to:
a. changes
in physician orders concerning health care tasks to be performed;
b. changes in physician orders regarding
routine medications; or
c. new
physician orders for short-term use of medication for a minor acute health
condition.
B.
Medication Administration Training. Direct service workers shall attain
proficiency in the fundamentals of medication administration. Direct Service
Staff shall receive 16 hours of medication administration training which has
been coordinated and approved by an RN and which shall include the following.
1. Medication Administration Core Curriculum:
a. legal aspects of administering
medication;
b. roles and
responsibilities of medication administration;
c. medical terminology;
d. classification and identification of
drugs;
e. measuring
medications;
f. effects and side
effects;
g. distribution and routes
of medication;
h. drug
interactions;
i. handling and
storage of medicines;
j. six
fundamental rights of administering medication:
i. give the right medication;
ii. give the right dose;
iii. give the medication to the right
individual;
iv. give the medication
by the right route;
v. give the
medication at the right time; and
vi. provide the right
documentation.
2. Documentation Training. Direct service
workers shall attain proficiency in documentation which includes:
a. the contents of chart or record;
b. the importance of record
keeping;
c. the rules for charting,
including time limits;
d.
documenting vital signs, as applicable;
e. documenting the condition of the person
receiving care and significant changes; and
f. the name of medication, dose, route and
time of administration.
3. Skill Proficiency Training. Direct service
workers shall attain proficiency in the following skill areas, either by
physical or verbal demonstration to the RN:
a. universal precautions and infection
control;
b. vital signs, as
applicable:
i. counting pulse;
ii. counting respirations;
iii. taking blood pressure; and
iv. taking oral, rectal, or axillary
temperature.
C. A direct service worker who has not
completed didactic training and demonstrated competency in accordance with
guidelines established and approved by the Department of Health and the
Louisiana Board of Nursing shall not be allowed to perform medication
administration or any noncomplex tasks covered by this Rule.
D. Any direct service worker currently
employed or contracted to perform the procedures authorized by this Chapter
shall complete the training required by this Subchapter no later than 12 months
after promulgation of this Rule.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
37:1031-1034.
