Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 07 - HOSPITALS
Chapter 10.07.14 - Assisted Living Programs
Section 10.07.14.17 - Assisted Living Manager Training - Basic Courses

Universal Citation: MD Code Reg 10.07.14.17

Current through Register Vol. 51, No. 19, September 20, 2024

A. The assisted living manager's training shall include the following courses:

(1) Philosophy of assisted living, 2 hours, including:
(a) Philosophy and background of assisted living and aging in place;

(b) Objectives and principles of assisted living resident programs;

(c) Comparison of assisted living to other residential programs;

(d) Basic concepts of choice, independence, privacy, individuality, and dignity; and

(e) Normalization of the environment;

(2) Aging process and its impact, 4 hours, including:
(a) Physical characteristics of the assisted living residents;

(b) Psychosocial characteristics of the assisted living residents;

(c) Basic needs of the elderly and disabled; and

(d) Activities of daily living;

(3) Assessment and level of care waiver, 6 hours, including:
(a) Purpose and process;

(b) Guidelines for conducting assessments;

(c) Level of care assessments; and

(d) Collaboration with case manager and delegating nurse;

(4) Service planning, 6 hours, including:
(a) Required services;

(b) Enhanced scope of services;

(c) Development of individualized service plans;

(d) Scheduling of appropriate activities;

(e) Structure of activities;

(f) Care notes; and

(g) Collaboration with case manager and delegating nurse;

(5) Clinical management, 20 hours, including:
(a) Role of the delegating nurse;

(b) Appropriate nurse delegation;

(c) Concept of self-administration of medications;

(d) Concept of medication management;

(e) Assistance with self-administration of medications;

(f) Administration of medications;

(g) Coordination of services and care providers;

(h) Collaboration with case manager and delegating nurse;

(i) Preventing medication errors;

(j) Patient safety;

(k) Medication monitoring;

(l) Pharmacy consultation;

(m) Medication storage;

(n) Infection control, to include standard precautions, contact precautions, and hand hygiene;

(o) Appropriate staffing patterns;

(p) Pressure sores;

(q) Effective pain management;

(r) Basic first aid;

(s) Cardiopulmonary resuscitation (CPR); and

(t) Substance abuse;

(6) Admission and discharge criteria, 4 hours, including:
(a) Overview of criteria for admission and discharge;

(b) Resident contracts;

(c) Resident rights;

(d) Financial management of resident's funds; and

(e) Working with families of residents;

(7) Nutrition and food safety, 8 hours, including:
(a) Menu and meal planning;

(b) Basic nutritional needs;

(c) Safe food handling;

(d) Preventing food-borne illnesses;

(e) Therapeutic diets; and

(f) Dehydration;

(8) Dementia, mental health, and behavior management, 12 hours, including:
(a) An overview consisting of:
(i) Description of normal aging and conditions causing cognitive impairment;

(ii) Description of normal aging and conditions causing mental illness;

(iii) Risk factors for cognitive impairment;

(iv) Risk factors for mental illness;

(v) Health conditions that affect cognitive impairment;

(vi) Health conditions that affect mental illness;

(vii) Early identification and intervention for cognitive impairment;

(viii) Early identification and intervention for mental illness; and

(ix) Procedures for reporting cognitive, behavioral, and mood changes;

(b) Effective communication consisting of:
(i) Effect of cognitive impairment on expressive and receptive communication;

(ii) Effect of mental illness on expressive and receptive communication;

(iii) Effective communication techniques, including verbal, nonverbal, tone and volume of voice, and word choice; and

(iv) Environmental stimuli and influences on communication, including setting, noise, and visual cues;

(c) Behavioral intervention consisting of:
(i) Identifying and interpreting behavioral symptoms;

(ii) Problem solving for appropriate intervention;

(iii) Risk factors and safety precautions to protect other residents and the individual;

(iv) De-escalation techniques; and

(v) Collaboration with case manager or delegating nurse;

(d) Making activities meaningful consisting of:
(i) Understanding the therapeutic role of activities;

(ii) Creating opportunities for activities, including productive, leisure, and self-care; and

(iii) Structuring the day;

(e) Staff and family interaction consisting of:
(i) Building a partnership for goal-directed care;

(ii) Understanding family needs; and

(iii) Effective communication between family and staff;

(f) Managing staff stress consisting of:
(i) Understanding the impact of stress on job performance, staff relations, and overall facility environment;

(ii) Identification of stress triggers;

(iii) Self-care skills;

(iv) De-escalating techniques; and

(v) Devising support systems and action plans;

(9) End of life care, 4 hours, including:
(a) Advance directives;

(b) Hospice care;

(c) Power of attorney;

(d) Appointment of a health care agent;

(e) Living will;

(f) Pain management;

(g) Providing comfort and dignity; and

(h) Supporting the family;

(10) Management and operation, 4 hours, including:
(a) Role of the assisted living manager;

(b) Overview of accounting, accounts payable, and accounts receivable;

(c) The revenue cycle and budgeting;

(d) The basics of financial statements;

(e) Hiring and training of staff;

(f) Developing personnel policies and procedures;

(g) Census development; and

(h) Marketing;

(11) Emergency planning, 4 hours, including:
(a) Fire, disaster, and emergency preparedness;

(b) Occupational Safety and Health Administration (OSHA) requirements;

(c) Maintaining the building, grounds, and equipment;

(d) Elopements;

(e) Transfers to the hospital;

(f) Evacuations;

(g) Power outages;

(h) Severe weather;

(i) Fire;

(j) Emergency response systems; and

(k) Security systems;

(12) Quality assurance, 4 hours, including:
(a) Incident report processes; and

(b) Quality improvement processes; and

(13) Survey process, 2 hours, including:
(a) State statutes and regulations;

(b) What to expect during a survey; and

(c) Documentation.

B. A person seeking to offer the assisted living manager training course shall obtain approval by the Department by:

(1) Submitting the proposed curriculum and training materials to the Department; and

(2) Being available for an in-person or telephone interview by the Department.

Disclaimer: These regulations may not be the most recent version. Maryland 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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