New Mexico requires a state training education process to
become a certified direct care staff member. The education program shall
provide knowledge on the skills and abilities necessary to perform as a
competent direct care service staff member; this is established through
training education, provided either on-line or in person, followed by
successful completion of a division-approved written examination. The in-person
instructor will conduct the course of education for the direct care staff
member as set out below. Each long-term facility and long-term care facility
contractor shall provide training either on-line or in-person as set forth in
this section to each DCSSM that it employs.
A.
Instruction: Instruction by
the on-line provider or in-person instructor must be at least four hours in
length, either in-person or on-line, and include these authority-approved areas
of study:
(1) identify cognitive, functional,
and behavioral changes of normal aging and those associated with mild cognitive
impairment and dementia;
(2)
identify and understand the various types of dementia;
(3) identify the prevalence, risk factors,
signs and symptoms, and rate of progression of dementia;
(4) identify and understand the stages of
dementia;
(5) describe and
understand when to refer people living with dementia (PLwD) to a neurologist,
geriatric psychiatrist, neuropsychologist, or a national Alzheimer's disease
center;
(6) diagnosing dementia
& discussing dementia diagnosis;
(7) patient centered care;
(8) activities of daily living in people
living with dementia and Alzheimer's disease;
(9) identify common components of an
individualized primary care plan for persons with middle stage
dementia;
(10) identify common
components of an individualized primary care plan for persons with late stage
dementia;
(11) identify and
understand common medical issues related to early-stage dementia,
(12) identify and understand common medical
issues related to middle-stage dementia;
(13) identify and understand common medical
issues related to late-stage dementia;
(14) effective care transitions to and from
acute care hospitals:
(15)
interprofessional team roles and dementia:
(16) describe how responsibilities may evolve
as the disease progresses;
(17)
list legal and financial considerations to discuss with a patient and
appropriate care partner(s) upon a diagnosis of dementia;
(18) identify domains that are included in a
capacity assessment for a person living with dementia;
(19) ethics and capacity issues;
(20) responding to abuse, neglect &
exploitation of people living with dementia and Alzheimer's disease.
(21) identify signs and symptoms of end-stage
dementia;
(22) identify and
understand barriers to optimal care among various ethnic groups;
(23) identify and understand techniques for
effective communications with diverse populations;
(24) pain assessment in people living with
dementia;
(25) resident
rights;
(26) palliative care &
end of life care.
B.
Trainer requirements: A person conducting training of the required
topics set forth in
8.370.11.9 NMAC shall have:
(1) at least two years of work experience
related to alzheimer's disease, dementia, health care, gerontology or other
related field; and
(2) successfully
completed training requirement to the requirements provided in Subsection A of
8.370.11.9 NMAC, including passage
of the knowledge test required in Subsection D of
8.370.11.9 NMAC;
and
C.
Training
on-line: Training on-line shall be provided by the authority through the
train program at
www.train.org/nm or
through a authority -approved on-line curriculum and knowledge test which shall
include the authority-approved areas of study set forth in Subsection A of
8.370.11.9 NMAC and shall be at
least four hours in length. After completion of the on-line training and
successful passage of a knowledge test, a certificate shall be issued to the
DCSSM.
D.
Evaluation of
training topics: The authority shall review and evaluate the training
areas of study in Subsection A of
8.370.11.9 NMAC every two years or
as determined necessary by the authority based upon current research and best
practices.
E.
Testing:
The in-person or on-line training must be followed by successful completion of
a division-approved written examination which shall cover the areas of study
set forth in Subsection A of
8.370.11.9 NMAC before a training
certificate will be issued by the in-person or on-line training
program.
F.
Training
certificates: The provider of online or in-person training conducted
pursuant to
8.370.11.9 NMAC shall issue a
certificate to the DCSSM upon completion of initial training, or the authority
shall issue a certificate upon receipt of facility attestation of exemption
from training as set forth in Subsection D of
8.370.11.8 NMAC. The certificate
shall be valid so long as the certificate holder meets the continuing education
requirement set forth in
8.370.11.9 NMAC and the certificate
holder has not had a lapse of dementia-related direct care service employment
for 24 consecutive months or more. The certificate shall be valid among
long-term care facilities.
G.
Continuing education: Proof must be maintained by the facility of
four hours of training by the DCSSM every two years on topics set forth in
8.370.11.9 NMAC for treatment and
care of persons with Alzheimer's disease or dementia, in order to maintain the
certificate issued to the individual DCSSM.
H.
Maintenance of certification
records: Each long-term care facility and long-term care facility
contractor subject to
8.370.11 NMAC shall be responsible for maintaining
documentation regarding completed long-term care facility dementia training,
evaluation and continuing education for each DCSSM. Each long-term care
facility contractor subject to
8.370.11 NMAC shall provide a copy of each
DCSSM'S dementia training certificate to every long-term care facility where
the DCSSM provides direct care service, pursuant to Subsection F of Section
24-17B-3 NMSA 1978.