| (a) Initial training.
(1) A facility must provide direct service staff with
training in its fire, disaster, and evacuation procedures within three
workdays after the start of employment and document the training in
the facility records.
(2) A facility must provide direct service staff a
minimum of 18 hours of training during the first three months after
the start of employment and document the training in the facility
records.
(3) The training provided in accordance with paragraph
(2) of this subsection must include:
(A) a nationally or locally recognized adult cardiopulmonary
resuscitation (CPR) course or certification;
(B) first aid;
(C) orientation to health care delivery, including:
(i) safe body function and mechanics;
(ii) personal care techniques and procedures; and
(iii) overview of the population served at the facility;
(D) identification and reporting of abuse, neglect,
or exploitation; and
(E) basic infection prevention and control measures.
(b) Continuing training.
(1) A facility must provide at least three hours of
continuing training to direct service staff quarterly and document
the training in the facility records. Training may include:
(A) assisting clients with personal care services;
(B) health conditions and diagnoses of clients in the
facility and how they may affect provision of care;
(C) safety measures to prevent accidents and injuries;
(D) emergency first aid procedures, such as the Heimlich
maneuver and actions to take when a client falls, suffers a laceration,
or is experiencing a sudden change in physical or cognitive status;
(E) managing dysfunctional, disruptive, or maladaptive
behavior and de-escalation techniques;
(F) client rights;
(G) communication techniques for working with clients
with hearing, visual, or cognitive impairment;
(H) basic infection prevention and control measures;
and
(I) fall prevention.
(2) A facility must practice evacuation procedures
with staff and individuals at least once a month and document evacuation
results in the facility records.
(3) The facility must ensure that direct service staff
maintain current certification in CPR.
(c) Policy for clients with Alzheimer's disease or
a related disorder. A facility must adopt, implement, and enforce
a written policy that:
(1) requires direct service staff who provide care
at the facility to a client with Alzheimer's disease or a related
disorder to successfully complete training in the provision of care
to clients with Alzheimer's disease or related disorders;
(2) ensures the care and services provided by direct
service staff to a client with Alzheimer's disease or a related disorder
meet the specific identified needs of the client relating to the diagnosis
of Alzheimer's disease or a related disorder; and
(3) ensures the training required for direct service
staff under paragraph (1) of this subsection includes information
about:
(A) symptoms and treatment of dementia;
(B) stages of Alzheimer's disease;
(C) person-centered behavioral interventions; and
(D) communication with a client with Alzheimer's disease
or a related disorder.
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