Md. Code Regs. 10.07.14.19 - Other Staff - Qualifications
A. The licensee shall employ or contract with
sufficient numbers of other staff to ensure that the assisted living program is
capable of meeting the requirements of this chapter, and all other applicable
laws and regulations, in a manner consistent with the philosophy of assisted
living and in compliance with generally accepted standards of care for the
specific conditions of the residents the assisted living program intends to
serve.
B. Qualifications of Other
Staff. At a minimum, all other staff shall:
(1) Be 18 years old or older unless licensed
as a nurse or the age requirement is waived by the Department for good cause
shown;
(2) As evidenced by a
physician's statement be free from:
(a)
Tuberculosis, measles, mumps, rubella, and varicella through appropriate
screening procedures such as tuberculosis skin tests, positive disease
histories, or antibody serologies; and
(b) Any impairment which would hinder the
performance of assigned responsibilities;
(3) Have no criminal convictions or criminal
history that indicates behavior that is potentially harmful to residents, as
evidenced through a criminal background check completed within 30 days before
employment;
(4) Have sufficient
skills, education, training, and experience to serve the residents in a manner
that is consistent with the philosophy of assisted living;
(5) Participate in an orientation program and
ongoing training to ensure that the residents receive services that are
consistent with their needs and generally accepted standards of care for the
specific conditions of those residents to whom staff will provide
services;
(6) Receive initial and
annual training in:
(a) Fire and life safety,
including the use of fire extinguishers;
(b) Infection control, including standard
precautions, contact precautions, and hand hygiene;
(c) Basic food safety;
(d) Emergency disaster plans; and
(e) Basic first aid by a certified first aid
instructor;
(7) Have
training or experience in:
(a) The health and
psychosocial needs of the population being served as appropriate to their job
responsibilities;
(b) The resident
assessment process;
(c) The use of
service plans; and
(d) Resident's
rights; and
(8) Hold
appropriate licensure or certification as required by law.
C. With the exception of certified nursing
assistants (CNAs) and geriatric nursing assistants (GNAs), if job duties
involve the provision of personal care services as described in Regulation .28D
of this chapter, an employee:
(1) Shall
demonstrate competence to the delegating nurse before performing these
services; and
(2) May work for 7
days before demonstrating to the delegating nurse that they have the competency
to provide these services, if the employee is performing tasks accompanied by:
(a) A certified nursing assistant;
(b) A geriatric nursing assistant;
or
(c) An individual who has been
approved by the delegating nurse.
D. Basic CPR training shall be provided on an
initial and ongoing basis to a sufficient number of staff by a certified CPR
instructor to ensure that a trained staff member is available to perform CPR in
a timely manner, 24 hours a day.
E.
Relief personnel shall be available at all times in the event that the
regularly scheduled staff members are unavailable. Relief personnel shall meet
the requirements of §B of this regulation.
F. Proof of training shall include:
(1) Date of class;
(2) Course content;
(3) Documentation of successful completion of
the training content;
(4)
Signatures of the trainer and attendees; and
(5) Qualifications and contact information
for the trainer.
G.
Training in Cognitive Impairment and Mental Illness.
(1) When job duties involve the provision of
personal care services as described in Regulation .28D of this chapter,
employees shall receive a minimum of 5 hours of training on cognitive
impairment and mental illness within the first 90 days of employment.
(2) The training shall be designed to meet
the specific needs of the program's population as determined by the assisted
living manager including the following as appropriate:
(a) An overview of the following:
(i) A description of normal aging and
conditions causing cognitive impairment;
(ii) A description of normal aging and
conditions causing mental illness;
(iii) Risk factors for cognitive
impairment;
(iv) Risk factors for
mental illness;
(v) Health
conditions that affect cognitive impairment;
(vi) Health conditions that affect mental
illness;
(vii) Early identification
of and intervention for cognitive impairment;
(viii) Early identification of and
intervention for mental illness; and
(ix) Procedures for reporting cognitive,
behavioral, and mood changes;
(b) Effective communication including:
(i) The effect of cognitive impairment on
expressive and receptive communication;
(ii) The effect of mental illness on
expressive and receptive communication;
(iii) Effective verbal, nonverbal, tone and
volume of voice, and word choice techniques; and
(iv) Environmental stimuli and influences on
communication;
(c)
Behavioral intervention including:
(i)
Identifying and interpreting behavioral symptoms;
(ii) Problem solving for appropriate
intervention;
(iii) Risk factors
and safety precautions to protect the individual and other residents;
and
(iv) De-escalation
techniques;
(d) Making
activities meaningful including:
(i)
Understanding the therapeutic role of activities;
(ii) Creating opportunities for productive,
leisure, and self-care activities; and
(iii) Structuring the day;
(e) Staff and family interaction
including:
(i) Building a partnership for
goal-directed care;
(ii)
Understanding families needs; and
(iii) Effective communication between family
and staff;
(f) End of
life care including:
(i) Pain
management;
(ii) Providing comfort
and dignity; and
(iii) Supporting
the family; and
(g)
Managing staff stress including:
(i)
Understanding the impact of stress on job performance, staff relations, and
overall facility environment;
(ii)
Identification of stress triggers;
(iii) Self-care skills;
(iv) De-escalation techniques; and
(v) Devising support systems and action
plans.
(3)
When job duties do not involve the provision of personal care services as
described in Regulation .28D of this chapter, employees shall receive a minimum
of 2 hours of training on cognitive impairment and mental illness within the
first 90 days of employment. The training shall include:
(a) An overview of the following:
(i) A description of normal aging and
conditions causing cognitive impairment;
(ii) A description of normal aging and
conditions causing mental illness;
(iii) Risk factors for cognitive
impairment;
(iv) Risk factors for
mental illness;
(v) Health
conditions that affect cognitive impairment;
(vi) Health conditions that affect mental
illness;
(vii) Early identification
and intervention for cognitive impairment;
(viii) Early identification and intervention
for mental illness; and
(ix)
Procedures for reporting cognitive, behavioral, and mood changes;
(b) Effective communication
including:
(i) The effect of cognitive
impairment on expressive and receptive communication;
(ii) The effect of mental illness on
expressive and receptive communication;
(iii) Effective verbal, nonverbal, tone and
volume of voice, and word choice techniques; and
(iv) Environmental stimuli and influences on
communication; and
(c)
Behavioral intervention including risk factors and safety precautions to
protect the individual and other residents.
(4) Ongoing training in cognitive impairment
and mental illness shall be provided annually consisting of, at a minimum:
(a) 2 hours for employees whose job duties
involve the provision of personal care services as described in Regulation .28D
of this chapter; and
(b) 1 hour for
employees whose job duties do not involve the provision of personal care
services as described in Regulation .28D of this chapter.
H. The training that is described
in §F of this chapter may be provided through various means including:
(1) Classroom instruction;
(2) In-service training;
(3) Internet courses;
(4) Correspondence courses;
(5) Prerecorded training; or
(6) Other training methods.
I. When the training method does
not involve direct interaction between faculty and participant, the assisted
living program shall make available to the participant during the training a
trained individual to answer questions and respond to issues raised by the
training.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.