Virginia Administrative Code
Title 22 - SOCIAL SERVICES
Agency 40 - DEPARTMENT OF SOCIAL SERVICES
Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES
Part III - Personnel
Section 22VAC40-73-270 - Direct care staff training when aggressive or restrained residents are in care
Universal Citation: 2 VA Admin Code 40-73-270
Current through Register Vol. 41, No. 3, September 23, 2024
The following training is required for staff in assisted living facilities that accept, or have in care, residents who are or who may be aggressive or restrained:
1. Aggressive residents.
a. Direct care staff
shall be trained in methods of dealing with residents who have a history of
aggressive behavior or of dangerously agitated states prior to being involved
in the care of such residents.
b.
This training shall include, at a minimum, information, demonstration, and
practical experience in self-protection and in the prevention and de-escalation
of aggressive behavior.
2. Restrained residents.
a. Prior to being
involved in the care of residents in restraints, direct care staff shall be
appropriately trained in caring for the health needs of such
residents.
b. This training shall
include, at a minimum, information, demonstration, and experience in:
(1) The proper techniques for applying and
monitoring restraints;
(2) Skin care
appropriate to prevent redness, breakdown, and decubiti;
(3) Active and active assisted range of
motion to prevent contractures;
(4)
Observing and reporting signs and symptoms that may be indicative of
obstruction of blood flow in extremities;
(5) Turning and positioning to prevent skin
breakdown and keep the lungs clear;
(6) Provision of sufficient bed clothing and
covering to maintain a normal body temperature;
(7) Provision of additional attention to meet
the physical, mental, emotional, and social needs of the restrained resident;
and
(8) Awareness of possible risks
associated with restraint use and methods of reducing or eliminating such
risks.
3. The training described in subdivisions 1 and 2 of this section shall meet the following criteria:
a. Training shall be
provided by a qualified health professional.
b. A written description of the content of
this training, a notation of the entity providing the training, and the names
of direct care staff receiving the training shall be maintained by the facility
except that, if the training is provided by the department, only a listing of
direct care staff trained and the date of training are
required.
4. Refresher training for all direct care staff shall be provided at least annually or more often as needed.
a. The refresher training
shall encompass the techniques described in subdivision 1 or 2 of this section,
or both.
b. The refresher training
shall meet the requirements of subdivision 3 of this
section.
Statutory Authority: §§ 63.2-217, 63.2-1732, 63.2-1802, 63.2-1805 , and 63.2-1808 of the Code of Virginia.
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