Current through Register Vol. 24-18, September 15, 2024
(1) The licensee must ensure residents
receive care from qualified staff authorized and competent to carry out
assigned responsibilities.
(2) A
sufficient number of staff must be present on a twenty-four hour per day basis
to:
(a) Meet the care needs of the residents
served;
(b) Manage emergency
situations;
(c) Provide crisis
intervention;
(d) Implement
individual service plans; and
(e)
Carry out required monitoring activities.
(3) At least one staff trained in basic first
aid and age appropriate cardiopulmonary resuscitation (CPR) must be on-site
twenty-four hours per day. Additionally, all staff providing hands-on care to
infants must have a current certification in infant CPR.
(4) Staff must be trained, authorized, and
where applicable credentialed to perform assigned job responsibilities
consistent with scopes of practice, resident population characteristics and the
resident's individual service plan.
(5) The licensee must document that staff
receive the following training as applicable:
(a) Initial orientation and ongoing training
to address the safety and health care needs of the residents served for all
staff;
(b) Bloodborne pathogen
training inclusive of HIV/ AIDS training for staff involved in direct resident
care or potential for having contact with blood or body fluids;
(c) If restraint or seclusion is used in the
facility, initial and annual training in the proper and safe use of restraint
or seclusion for staff required to perform restraint or seclusion procedures
inclusive of:
(i) Techniques to identify
staff and resident behaviors, events, and environmental factors that may
trigger circumstances that require the use of restraint or seclusion;
(ii) The use of nonphysical intervention
skills;
(iii) Choosing the least
restrictive intervention based on an individualized assessment of the
resident's medical or behavioral status or condition;
(iv) The safe application and use of all
types of restraint or seclusion used in the RTF, including training in how to
recognize and respond to signs of physical and psychological
distress;
(v) Clinical
identification of specific behavioral changes that indicate that restraint or
seclusion is no longer necessary; and
(vi) Monitoring the physical and
psychological well-being of the resident who is restrained or secluded
including, but not limited to, respiratory and circulatory status, skin
integrity, and vital signs; and
(d) Current basic first aid and age
appropriate cardiopul-monary resuscitation for staff required to provide first
aid or CPR.
(6) In
addition to the requirements in subsection (5) of this section, an RTF in its
licensed capacity to provide pedi-atric transitional care services must
document that staff providing direct care to infants have received the
following training:
(a) For all staff
providing direct care to infants:
(i) Infant
safe sleep;
(ii) Period of infant
crying which is at its peak, unexpected, resists soothing, done with a
pain-like face, is long lasting, and during the evening (commonly referred to
as P.U.R.P.L.E. crying);
(iii)
Reading signs and signals;
(iv)
Managing feeding difficulties;
(v)
Managing stimulus;
(vi) Impact of
drugs in utero on developmental milestones;
(vii) Recognizing symptoms in infants exposed
to specific drugs;
(viii)
Therapeutic management techniques;
(ix) Managing your stress; and
(x) Managing complex psychosocial family
dynamics.
(b) In
addition to (a) of this subsection, trained caregiv-ers must also receive
training on the care of infants:
(i) Linen
changing;
(ii) Therapeutic
handling;
(iii) Bathing;
(iv) Weighing and tracking weight;
(v) Proper charting;
(vi) Techniques for taking
temperature;
(vii)
Positioning;
(viii) Reading signs
and signals;
(ix) Feeding
techniques; and
(x) Infection
control.
(7)
The licensee shall have written documentation for each staff member including:
(a) Employment;
(b) Hire date;
(c) Verification of education and
experience;
(d) Current signed job
description;
(e) Criminal history
disclosure statement and results of a background check, according to WAC
246-337-055, completed within the
previous three months of hire date and annually thereafter;
(f) Current license, certification, or
registration, if applicable;
(g)
Current basic first aid and age appropriate CPR, if applicable;
(h) Current Washington state food and
beverage service worker permit, if applicable;
(i) Current driver's license, if
applicable;
(j) Initial and ongoing
tuberculosis screening according to the facility risk assessment and
tuberculosis written plan according to WAC
246-337-060;
(k) All vaccination documentation required by
WAC 246-337-060; and
(l) Annual signed performance
evaluation(s).
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
246-337-050, filed 7/20/05, effective
8/20/05.
