Current through Reg. 49, No. 38; September 20, 2024
(a) In accordance
with § 301.331 of this title (relating to Competency and Credentialing), a
CSU administrator, or administrator's designee, must:
(1) ensure that services are provided by
staff members who are operating within their scope of their license,
credentialing, job description, or contract specification, and in accordance
with applicable state law and rule, including 25 TAC Chapter 415, Subchapter F
(relating to Interventions in Mental Health Services);
(2) define competency-based expectations for
each CSU staff position and ensure each staff member receives initial training
before the staff member assumes responsibilities required by the CSU and
annually throughout the staff member's employment with the CSU; and
(3) require all staff members to demonstrate
required competencies delineated in § 301.331(a)(3)(A) of this title,
including:
(A) identifying, preventing, and
reporting abuse, exploitation, and neglect of individuals and unprofessional or
unethical conduct, in accordance with 25 TAC §
417.515(relating
to Staff Training in Identifying, Reporting, and Preventing Abuse, Neglect, and
Exploitation);
(B) an individual's
dignity and rights, in accordance with 25 TAC Chapter 404, Subchapter E
(relating to Rights of Persons Receiving Mental Health Services); and
(C) protection of an individual's
confidential information, in accordance with relevant state and federal laws,
including 42 Code of Federal Regulations, Part 2.
(b) All UPs and any direct care
staff members providing services to an individual must receive training and
instruction in the following topics and demonstrate critical competencies
delineated in § 301.331(a)(3)(B) of this title, before the staff member
assumes responsibilities required by the CSU and annually throughout the staff
member's employment with the CSU:
(1) the
implementation of the interdisciplinary treatment program for each individual
before performing direct care duties without direct supervision; and
(2) the specialized needs of child,
adolescent, and geriatric individuals, and individuals diagnosed with an ID or
DD.
(c) An RN, LVN, and
UP must receive training in:
(1) monitoring
for individual safety; and
(2)
infection control.
(d) A
CSU nursing supervisor or designee must provide orientation training to a
nursing staff member when the CSU nursing supervisor initially assigns the
staff member to a unit on either a temporary or long-term basis.
(1) The orientation must include a review of:
(A) the location of equipment and supplies on
the unit;
(B) the staff member's
responsibilities on the unit;
(C)
relevant information about individuals on the unit;
(D) relevant schedules of staff members and
individuals; and
(E) procedures for
contacting the staff member's supervisor.
(2) A CSU administrator, or administrator's
designee, must document the provision of orientation to nursing
staff.
(e) A staff
member routinely providing treatment to, working with, or providing
consultation about a geriatric individual must receive training in the social,
psychological, and physiological changes associated with aging.
(f) A QMHP-CS or LPHA whose responsibilities
include specialized services and tasks, including screening and assessment,
must receive training in, and display specialty competencies for, tasks
delineated in § 301.331(a)(3)(C) of this title, before providing services
for individuals and annually throughout the QMHP-CS's employment or association
with the CSU.
(g) QMHP-CS and LPHA
training must include instruction, including:
(1) age and developmentally appropriate
clinical assessment, intervention, and engagement techniques;
(2) use of telemedicine equipment;
(3) developing and implementing an
individualized treatment or recovery plan;
(4) developing and implementing an
individualized discharge plan and referring an individual to local community
resources;
(5) appropriate actions
to take in a crisis; and
(6)
clinical specialties directly related to the services to be
performed.
(h) In
accordance with Texas Health and Safety Code §
572.0025(e),
any staff member whose responsibilities include conducting an individual's
intake must receive at least eight hours of intake training:
(1) before conducting an intake;
and
(2) annually throughout the
staff member's employment or association with the CSU.
(i) For any staff member whose
responsibilities include conducting an individual's intake, intake training
must include instruction regarding:
(1)
obtaining relevant information about the individual, including information
about finances, insurance benefits, and advance directives;
(2) explaining, orally and in writing, the
individual's rights;
(3)
explaining, orally and in writing, the CSU's services and treatment as they
relate to the individual;
(4)
informing the individual in writing, of the existence, telephone number, and
address of the protection and advocacy system established in Texas;
(5) informing the individual about the
availability of information and assistance from the Ombudsman by contacting the
Ombudsman at 1-800-252-8154 or online at hhs.texas.gov/ombudsman, and the
Health Facility Licensing complaints line at 1-888-973-0022; and
(6) determining whether the individual
comprehends the information provided in accordance with paragraphs (2) - (5) of
this subsection.
(j) A
staff member who may initiate a restraint or seclusion must receive training
in, and demonstrate competency in, performing such interventions in accordance
with applicable law and rule, including 25 TAC §
415.260(relating
to Initiation of Restraint or Seclusion in a Behavioral Emergency), use of
de-escalation techniques, and reporting requirements.
(k) A staff member providing direct care must
earn and maintain certification in Basic Life Support provided by the American
Heart Association or the American Red Cross:
(1) before assuming responsibilities at the
CSU; or
(2) no later than 30 days
after the staff member is hired by the CSU if another staff member who has such
certification is physically present and on duty on the same unit on which the
uncertified staff member is on duty.
(l) A CSU administrator, or administrator's
designee must:
(1) document when a staff
member has successfully completed a training required by this section,
including:
(A) the date of the
training;
(B) the length of the
training session; and
(C) the name
of the instructor.
(2)
Maintain certification or other evidence issued by the American Heart
Association or the American Red Cross that a staff member has successfully
completed the training in Basic Life Support.
(m) A staff member must perform in accordance
with required training and the staff member's credentials.
