N.H. Admin. Code § Cor 502.09 - Training

(a) At a minimum, facilities shall provide training at the following intervals to all staff who will be involved in the use of any type of restraint or seclusion:

(1) During initial academy training; and

(2) During annual training.

(b) Staff shall not perform any action relative to restraint or seclusion without having been trained in the use of such methods, in accordance with (c) and (d) below.

(c) Training in the use of restraint shall address at least the following:

(1) Techniques to identify behaviors, events, and environmental factors regarding resident and staff that might trigger circumstances that require restraint or seclusion;

(2) Use of non-physical interventions;

(3) How to identify and choose positive behavioral supports and the least restrictive intervention based on an individualized assessment of the resident's medical or behavioral status or condition;

(4) How to ensure that the resident and staff are able to communicate effectively;

(5) Safe application and use of all types of restraint or seclusion, including mitigating positional risks that can result in asphyxia or airway obstruction, in accordance with resident needs;

(6) How to monitor the physical and psychological well-being of the resident who is restrained or secluded;

(7) How to recognize and respond to signs of physical and psychological distress;

(8) How to identify clinical changes that indicate that restraint or seclusion is no longer necessary;

(9) How to monitor respiratory and circulatory status, skin integrity, and vital signs during restraint; and

(10) Training in first aid techniques and certification in cardiopulmonary resuscitation (CPR), including CPR recertification every 2 years.

(d) Training shall be given by a person who:

(1) Possesses the requisite qualifications based upon education, training, experience, and certification to teach the assessment of, and response to, a resident's medical or behavioral status or condition;

(2) Is certified by a nationally recognized program as an instructor in CPR; and

(3) Is trained in crisis prevention utilizing a nationally recognized program or comparable curriculum.

Notes

N.H. Admin. Code § Cor 502.09

Derived from Volume XXXIX Number 24, Filed June 13, 2019, Proposed by #12793, Effective 5/25/2019, Expires 5/25/2029.