| (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.
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