Current through Register Vol. 50, No. 9, September 20, 2024
A. New employees shall have an orientation
program of sufficient scope and duration to inform the individual about his/her
responsibilities and how to fulfill them.
B. The orientation program shall include at
least a review of policies and procedures, job description and performance
expectations prior to the employee performing his/her
responsibilities.
C. A staff
development program shall be conducted by competent staff and/or consultants
and planned based upon employee performance appraisals, resident population
served by the nursing facility and as determined by nursing facility staff. All
employees shall participate in staff development programs which are planned and
conducted for the development and improvement of their skills.
D. Training shall include, at a minimum,
problems and needs common to the age, physical, mental and bio-psychosocial
needs of the residents, and discharge planning of those being served,
prevention and control of infections, fire prevention and safety, emergency
preparedness, accident prevention, confidentiality of resident information and
preservation of resident dignity and respect, including protection of privacy
and personal and property rights.
E. The nursing facility's training shall be
sufficient to ensure the continuing competence of the staff. Nursing assistants
shall be provided a minimum of 12 hours of training per year.
F. Records of training shall be maintained
indicating the content, date, time, names of employees in attendance, and the
name of the individual(s) who conducted the training.
G. Dementia Training
1. All employees shall be trained in the care
of persons diagnosed with dementia and dementia-related practices that include
or that are informed by evidence-based care practices.
2. Nursing facility staff who provide care on
a regular basis to residents in Alzheimer's special care units shall meet the
following training requirements.
a. Staff who
provide nursing and nursing assistant care to residents shall be required to
obtain at least eight hours of dementia-specific training within 90 days of
employment and five hours of dementia-specific training annually. The training
shall include the following topics:
i. an
overview of Alzheimer's disease and related dementias;
ii. communicating with persons with
dementia;
iii. behavior management
for persons with dementia;
iv.
promoting independence in activities of daily living for persons with dementia;
and
v. understanding and dealing
with family issues for persons with dementia.
b. Staff who have regular communicative
contact with residents, but who do not provide nursing and nursing assistant
care, shall be required to obtain at least four hours of dementia-specific
training within 90 days of employment and one hour of dementia training
annually. This training shall include the following topics:
i. an overview of dementias; and
ii. communicating with persons with
dementia.
c. Staff who
have only incidental contact with residents shall receive general written
information provided by the nursing facility on interacting with residents with
dementia.
3. Nursing
facility staff who are not regularly assigned to the Alzheimer's special care
unit shall meet the following training requirements:
a. Staff who are not regularly assigned to
the Alzheimer's special care unit, but still provide nursing assistant care in
the facility shall be required to obtain four hours of dementia-specific
training within 90 days of employment and two hours of dementia training
annually.
b. Unlicensed staff who
are not regularly assigned to the Alzheimer's special care unit and who have
regular communicative contact with residents but do not provide nursing
assistant care in the facility shall be required to obtain four hours of
dementia-specific training within 90 days of employment and one hour of
dementia training annually. The training shall include the following topics:
i. an overview of dementias; and
ii. communicating with persons with
dementia.
c. Staff who
have only incidental contact with residents shall receive general written
information provided by the nursing facility on interacting with residents with
dementia.
4. Staff
delivering approved training will be considered as having received that portion
of the training that they have delivered.
5. Any dementia-specific training received in
a nursing or nursing assistant program approved by the Department of Health or
the Department of Children and Family Services may be used to fulfill the
training hours required pursuant to this Section.
6. Nursing facility providers shall offer an
approved complete training curriculum themselves or shall contract with another
organization, entity, or individual to provide the training.
7. The dementia-specific training curriculum
shall be approved by the department. To obtain training curriculum approval,
the organization, entity, or individual shall submit the following information
to the department or its designee:
a. a copy
of the curriculum;
b. the name and
qualifications of the training coordinator;
c. a list of all instructors;
d. the location of the training;
and
e. whether the training will be
web-based.
8. A provider,
organization, entity or individual shall submit any content changes to an
approved training curriculum to the department, or its designee, for review and
approval.
9. If a provider,
organization, entity or individual, with an approved curriculum, ceases to
provide training, the department shall be notified in writing within 30 days of
cessation of training. Prior to resuming the training program, the provider,
organization, entity, or individual shall reapply to the department for
approval to resume the program.
10.
Disqualification of Training Programs and Sanctions. The department may
disqualify a training curriculum offered by a provider, organization, entity,
or individual that has demonstrated substantial noncompliance with training
requirements, including, but not limited to:
a. the qualifications of training
coordinators; or
b. training
curriculum requirements.
11. Compliance with Training Requirements.
The review of compliance with training requirements shall include, at a
minimum, a review of:
a. the existence of an
approved training curriculum; and
b. the providers adherence to established
training requirements.
12. The department may impose applicable
sanctions for failure to adhere to the training requirements outlined in this
Section.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
40:2009.1-2116.
