| (a) In addition to the staff training requirements
under §553.253 of this chapter (relating to Employee Qualifications
and Training), all staff members must receive four hours of dementia-specific
orientation prior to assuming any job responsibilities. Training must
cover, at a minimum, the following topics:
(1) basic information about the causes, progression,
and management of Alzheimer's disease;
(2) managing dysfunctional behavior; and
(3) identifying and alleviating safety risks to residents
with Alzheimer's disease.
(b) In addition to the staff training requirements
under §553.253 of this chapter, attendants must receive 16 hours
of on-the-job supervision and training within the first 16 hours of
employment following orientation. Training must cover:
(1) providing assistance with the activities of daily
living;
(2) emergency and evacuation procedures specific to
the dementia population;
(3) managing dysfunctional behavior; and
(4) behavior management, including prevention of aggressive
behavior and de-escalation techniques, fall prevention, or alternatives
to restraints.
(c) In addition to the staff training requirements
under §553.253 of this chapter, attendants must annually complete
12 hours of in-service education regarding Alzheimer's disease. One
hour of annual training must address behavior management, including
prevention of aggressive behavior and de-escalation techniques, or
fall prevention, or alternatives to restraints. Training for these
subjects must be competency-based. Subject matter must address the
unique needs of the facility. Additional suggested topics include:
(1) assessing resident capabilities and developing
and implementing service plans;
(2) promoting resident dignity, independence, individuality,
privacy, and choice;
(3) planning and facilitating activities appropriate
for the dementia resident;
(4) communicating with families and other persons interested
in the resident;
(5) resident rights and principles of self-determination;
(6) care of elderly persons with physical, cognitive,
behavioral, and social disabilities;
(7) medical and social needs of the resident;
(8) common psychotropics and side effects; and
(9) local community resources.
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