55 Pa. Code § 2800.65 - Staff orientation and direct care staff person training and orientation
(a) Prior
to or during the first work day, direct care staff persons and other staff
persons including ancillary staff persons, substitute personnel and volunteers
shall have an orientation in general fire safety and emergency preparedness
that includes the following:
(1) Evacuation
procedures.
(2) Staff duties and
responsibilities during fire drills, as well as during emergency evacuation,
transportation and at an emergency location, if applicable.
(3) The designated meeting place outside the
building or within the fire-safe area in the event of an actual fire.
(4) Smoking safety procedures, the
residence's smoking policy and location of smoking areas, if
applicable.
(5) The location and
use of fire extinguishers.
(6)
Smoke detectors and fire alarms.
(7) Telephone use and notification of
emergency services.
(b)
Direct care staff persons shall complete an initial orientation approved by the
Department before providing direct care to residents.
(c) Direct care staff persons shall be
certified in first aid and CPR before providing direct care to
residents.
(d) A sufficient number
of direct care staff persons shall be certified in obstructed airway techniques
to meet the staff to resident ratios under §
2800.63(a)
(relating to first aid, CPR and obstructed airway training) before providing
direct care to residents.
(e) Within
40 scheduled working hours, direct care staff persons, ancillary staff persons,
substitute personnel and volunteers shall have an orientation training that
includes the following:
(1) Resident
rights.
(2) Emergency medical
plan.
(3) Mandatory reporting of
abuse and neglect under the Older Adult Protective Services Act (35 P. S. §§
10225.101-10225.5102).
(4) Reporting of reportable incidents and
conditions.
(5) Safe management
techniques.
(6) Core competency
training that includes the following:
(i)
Person-centered care.
(ii)
Communication, problem solving and relationship skills.
(iii) Nutritional support according to
resident preference.
(f) Ancillary staff persons shall have a
general orientation to their specific job functions as it relates to their
position prior to working in that capacity.
(g) Direct care staff persons may not provide
unsupervised assisted living services until completion of 18 hours of training
in the following areas:
(1) Training that
includes a demonstration of job duties, followed by supervised
practice.
(2) Successful completion
and passing the Department-approved direct care training course and passing of
the competency test.
(3) Initial
direct care staff person training to include the following:
(i) Safe management techniques.
(ii) Assisting with ADLs and IADLs.
(iii) Personal hygiene.
(iv) Care of residents with mental illness,
neurological impairments, an intellectual disability and other mental
disabilities.
(v) The normal
aging-cognitive, psychological and functional abilities of individuals who are
older.
(vi) Implementation of the
initial assessment, annual assessment and support plan.
(vii) Nutrition, food handling and
sanitation.
(viii) Recreation,
socialization, community resources, social services and activities in the
community.
(ix)
Gerontology.
(x) Staff person
supervision, if applicable.
(xi)
Care and needs of residents with special emphasis on the residents being served
in the residence.
(xii) Safety
management and hazard prevention.
(xiii) Universal precautions.
(xiv) The requirements of this
chapter.
(xv) The signs and
symptoms of infections and infection control.
(xvi) Care for individuals with mobility
needs, such as prevention of decubitus ulcers, incontinence, malnutrition and
dehydration, if applicable to the residents served in the residence.
(xvii) Behavioral management
techniques.
(xviii) Understanding
of the resident's assessment and how to implement the resident's support
plan.
(xix) Person-centered care
and aging in place.
(h) Direct care staff persons shall have at
least 16 hours of annual training relating to their job duties. The training
required in §
2800.69 (relating to additional
dementia-specific training) shall be in addition to the 16 hour annual
training.
(i) Training topics for
the annual training for direct care staff persons must include the following:
(1) Medication self-administration
training.
(2) Instruction on
meeting the needs of the residents as described in the assessment tool, medical
evaluation and support plan.
(3)
Care for residents with dementia, cognitive and neurological
impairments.
(4) Infection control
and general principles of cleanliness and hygiene and areas associated with
immobility, such as prevention of decubitus ulcers, incontinence, malnutrition
and dehydration.
(5) Assisted
living service needs of the resident.
(6) Safe management techniques.
(7) Care for residents with mental illness or
an intellectual disability, or both, if the population is served in the
residence.
(j) Direct care
staff persons, ancillary staff persons, substitute personnel and regularly
scheduled volunteers shall be trained annually in the following areas:
(1) Fire safety completed by a fire safety
expert or by a staff person trained by a fire safety expert. Videos prepared by
a fire safety expert are acceptable for the training if accompanied by an
onsite staff person trained by a fire safety expert.
(2) Emergency preparedness procedures and
recognition and response to crises and emergency situations.
(3) Resident rights.
(4) The Older Adult Protective Services Act
(35
P.S. §§
10225.101-10225.708).
(5) Falls and accident prevention.
(6) New population groups that are being
served at the residence that were not previously served, if
applicable.
(k) If a staff
person has completed the required initial direct care staff person training
within the past year as a direct care staff person at another residence, the
requirement for initial direct care staff person training in this section does
not apply if the staff person provides written verification of completion of
the training.
(l) A record of
training including the staff person trained, date, source, content, length of
each course and copies of any certificates received, shall be
kept.
Notes
The provisions of this § 2800.65 amended under sections 211 and 213 and Articles IX and X of the Human Services Code (62 P.S. §§ 211, 213, 901-922 and 1001-1088).
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