Md. Code Regs. 10.07.14.17 - Assisted Living Manager Training - Basic Courses
A. The assisted living manager 's training
shall include the following courses:
(1)
Philosophy of assisted living, 2 hours, including:
(a) Philosophy and background of assisted
living and aging in place;
(b)
Objectives and principles of assisted living resident programs;
(c) Comparison of assisted living to other
residential programs;
(d) Basic
concepts of choice, independence, privacy, individuality, and dignity;
and
(e) Normalization of the
environment;
(2) Aging
process and its impact, 4 hours, including:
(a) Physical characteristics of the assisted
living residents;
(b) Psychosocial
characteristics of the assisted living residents;
(c) Basic needs of the elderly and disabled;
and
(d) Activities of daily
living ;
(3) Assessment
and level of care waiver, 6 hours, including:
(a) Purpose and process;
(b) Guidelines for conducting
assessments;
(c) Level of care
assessments; and
(d) Collaboration
with case manager and delegating nurse ;
(4) Service planning, 6 hours, including:
(a) Required services;
(b) Enhanced scope of services;
(c) Development of individualized service
plans;
(d) Scheduling of
appropriate activities;
(e)
Structure of activities;
(f) Care
notes; and
(g) Collaboration with
case manager and delegating nurse ;
(5) Clinical management, 20 hours, including:
(a) Role of the delegating nurse ;
(b) Appropriate nurse delegation;
(c) Concept of self-administration of
medications;
(d) Concept of
medication management;
(e)
Assistance with self-administration of medications;
(f) Administration of medications;
(g) Coordination of services and care
providers;
(h) Collaboration with
case manager and delegating nurse ;
(i) Preventing medication errors;
(j) Patient safety;
(k) Medication monitoring;
(l) Pharmacy consultation;
(m) Medication storage;
(n) Infection control, to include standard
precautions, contact precautions, and hand hygiene;
(o) Appropriate staffing patterns;
(p) Pressure sores;
(q) Effective pain management;
(r) Basic first aid;
(s) Cardiopulmonary resuscitation (CPR);
and
(t) Substance abuse ;
(6) Admission and discharge
criteria, 4 hours, including:
(a) Overview of
criteria for admission and discharge ;
(b) Resident contracts;
(c) Resident rights;
(d) Financial management of resident 's funds;
and
(e) Working with families of
residents;
(7) Nutrition
and food safety, 8 hours, including:
(a) Menu
and meal planning;
(b) Basic
nutritional needs;
(c) Safe food
handling;
(d) Preventing food-borne
illnesses;
(e) Therapeutic diets;
and
(f) Dehydration;
(8) Dementia, mental health, and
behavior management, 12 hours, including:
(a)
An overview consisting of:
(i) Description of
normal aging and conditions causing cognitive impairment ;
(ii) 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
consisting of:
(i) Effect of cognitive
impairment on expressive and receptive communication;
(ii) Effect of mental illness on expressive
and receptive communication;
(iii)
Effective communication techniques, including verbal, nonverbal, tone and
volume of voice, and word choice; and
(iv) Environmental stimuli and influences on
communication, including setting, noise, and visual cues;
(c) Behavioral intervention consisting of:
(i) Identifying and interpreting behavioral
symptoms;
(ii) Problem solving for
appropriate intervention;
(iii)
Risk factors and safety precautions to protect other residents and the
individual;
(iv) De-escalation
techniques; and
(v) Collaboration
with case manager or delegating nurse ;
(d) Making activities meaningful consisting
of:
(i) Understanding the therapeutic role of
activities;
(ii) Creating
opportunities for activities, including productive, leisure, and self-care;
and
(iii) Structuring the
day;
(e) Staff and
family interaction consisting of:
(i) Building
a partnership for goal-directed care;
(ii) Understanding family needs;
and
(iii) Effective communication
between family and staff ;
(f) Managing staff stress consisting of:
(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-escalating
techniques; and
(v) Devising
support systems and action plans;
(9) End of life care, 4 hours, including:
(a) Advance directives;
(b) Hospice care;
(c) Power of attorney;
(d) Appointment of a health care
agent ;
(e) Living will;
(f) Pain management;
(g) Providing comfort and dignity;
and
(h) Supporting the
family ;
(10) Management
and operation, 4 hours, including:
(a) Role of
the assisted living manager ;
(b)
Overview of accounting, accounts payable, and accounts receivable;
(c) The revenue cycle and
budgeting;
(d) The basics of
financial statements;
(e) Hiring
and training of staff ;
(f)
Developing personnel policies and procedures;
(g) Census development; and
(h) Marketing;
(11) Emergency planning, 4 hours, including:
(a) Fire, disaster, and emergency
preparedness;
(b) Occupational
Safety and Health Administration (OSHA) requirements;
(c) Maintaining the building, grounds, and
equipment;
(d)
Elopements;
(e) Transfers to the
hospital ;
(f)
Evacuations;
(g) Power
outages;
(h) Severe
weather;
(i) Fire;
(j) Emergency response systems; and
(k) Security systems;
(12) Quality assurance , 4 hours, including:
(a) Incident report processes; and
(b) Quality improvement processes;
and
(13) Survey process,
2 hours, including:
(a) State statutes and
regulations;
(b) What to expect
during a survey; and
(c)
Documentation.
B. A person seeking to offer the assisted
living manager training course shall obtain approval by the Department by:
(1) Submitting the proposed curriculum and
training materials to the Department ; and
(2) Being available for an in-person or
telephone interview by the Department .
Notes
Regulations .17 effective October 10, 2005 (32:20 Md. R. 1655)
Regulations .17 adopted effective December 29, 2008 (35:26 Md. R. 2249)
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No prior version found.