Cal. Code Regs. Tit. 22, § 71847 - In-Service Training Program
(a) Each facility shall complete a
performance review of every nurse assistant employed by the facility at least
once every 12 months and must provide regular in-service training based on the
outcome of these reviews.
(b)
In-service training programs shall take place in a nursing facility. Such
facility shall have a written plan describing its in-service training
program.
(c) Applications for
approval and renewal of written plans for in-service training programs shall be
submitted to the Department for approval at the address specified in Section
71833(b).
(1) Starting from the date the Department
receives an application for an in-service training program, the applicant shall
be informed within 30 days whether the application is complete and accepted for
filing or that the application is deficient and what specific information is
needed.
(2) An application shall be
considered complete when received by the Department with all the requirements
in subsections (d), (e) and (f) of this section included.
(3) Starting from the date a completed
application is received, the Department will make a decision whether to approve
or disapprove it within 90 days. The Department's time frames for acting on an
application for approval of an in-service training program are as follows:
(A) Minimum....................... |
30 days. |
|
(B) Median.......................... |
60 days. |
|
(C) Maximum...................... |
90 days. |
(d) Each application for approval or renewal
of an in-service training program shall include:
(1) A three (3) month in-service
schedule.
(2) A course title,
course outline, core curriculum and lesson plan(s). The lesson plan must
include student performance standards and a description of topics included
which provides the Department with adequate detail (i.e., method, technique,
procedure) to discern what is taught. The lesson plan must describe the method
of teaching and the method of evaluating the results of the training.
(3) The number of hours for presentation and
presentation dates.
(4) The method
to evaluate learning when audio/video tapes or films are
used.
(e) Each nursing
facility shall include a schedule to demonstrate how it will make available
twenty-four (24) hours of varied in-service training annually. The in-service
training shall include multiple subjects.
(1)
In-service training program sessions shall be made available to all employed
certified nurse assistants who shall receive at least the normal hourly wage
for attending the program.
(f) The content of the in-service training
program shall enhance knowledge and skills learned in the certification
training program and shall also address areas of weakness as determined by a
nurse assistant's performance reviews, areas of special needs of the patients,
including those with cognitive needs, and areas wherein the facility received
deficiencies related to patient care following the last licensing survey.
Subjects may include, but are not limited to:
(1) Working with patients who have special
problems such as blindness, deafness, confusion or communication
disabilities.
(2) Bladder and bowel
training and management.
(3) Signs,
symptoms and probable causes of patient distress with procedures to be followed
for alleviating distress and emergency procedures for the relief of
choking.
(4) Psychosocial aspects
of aging and/or chronic illness as relevant to the individual, family and
community.
(5) Patient care
elements including planning and organizing work while individualizing patient
care; testing urine for sugar and acetone; measuring blood pressure and
administering nonmedicated enemas.
(6) Nursing care relevant to body systems
including, but not limited to, fractures, diabetes, cardiac disorders,
dementia, cerebrovascular accidents, arthritis, pulmonary disorders and
infectious diseases including Acquired Immune Deficiency Syndrome
(AIDS).
(7) Nutritional needs of
patients and related nursing interventions.
(8) Oral hygiene.
(9) Patient care conferences and patient care
plans involving the patient and the patient's family.
(10) Improving skills in observation,
reporting and recording of patient information.
(11) Developing effective relationships and
means of intervention on behalf of the patients.
(12) Social and recreational needs of the
patient.
(13) Working with the
dying patient and the family.
(14)
Environmental safety including fire and accident prevention.
(15) Universal precautions for infection
control including methods to handle all patients and all materials that are
soiled with blood and/or body fluids from all patients. The methods prescribed
shall be developed to reduce the risk of transmission of potentially infectious
etiologic agents from patients and between patients and health care
workers.
(16) Patients' rights and
civil rights.
(17) Disaster
preparedness.
(18) Sensory
deprivation and stimulation.
(19)
Maintenance of healthy skin: prevention of skin breakdown, body positioning and
range of motion.
(20) Use of
adaptive equipment relevant to nutrition and physical dysfunction.
(21) Safeguarding patients' personal property
through compliance with the facility's theft and loss prevention
program.
(g) In-service
training programs shall describe what staff needs were assessed, how the
program plan will meet those needs, how the plan will be implemented and how
staff learning will be assessed.
(h) Each nursing facility shall submit a
renewal request for the Department's review and approval every two years and
not later than thirty (30) days prior to a change in core curriculum content or
training hours or thirty (30) days following a change in program
staff.
(i) A nursing facility shall
keep all records of in-service training programs on file for a period of four
years starting from the date the first classes were offered.
Notes
2. New section refiled 11-14-91 as an emergency; operative 11-13-91 (Register 92, No. 8). A Certificate of Compliance must be transmitted to OAL 3-12-92 or emergency language will be repealed by operation of law on the following day.
3. Editorial correction of HISTORY 2. filed and new section refiled 5-6-92 as an emergency; operative 5-6-92 (Register 92, No. 20). A Certificate of Compliance must be transmitted to OAL 9-3-92 or emergency language will be repealed by operation of law on the following day.
4. Certificate of Compliance as to 5-6-92 order including amendment transmitted to OAL 8-27-92 and filed 10-9-92 (Register 92, No. 41).
Note: Authority cited: Sections 208(a), 1275 and 1338.3, Health and Safety Code. Reference: Sections 1337.1(c), 1337.1(d), 1337.3, 1337.5(a) and 1337.6(a), Health and Safety Code.
2. New section refiled 11-14-91 as an emergency; operative 11-13-91 (Register 92, No. 8). A Certificate of Compliance must be transmitted to OAL 3-12-92 or emergency language will be repealed by operation of law on the following day.
3. Editorial correction of History 2. filed and new section refiled 5-6-92 as an emergency; operative 5-6-92 (Register 92, No. 20). A Certificate of Compliance must be transmitted to OAL 9-3-92 or emergency language will be repealed by operation of law on the following day.
4. Certificate of Compliance as to 5-6-92 order including amendment transmitted to OAL 8-27-92 and filed 10-9-92 (Register 92, No. 41).
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