55 Pa. Code § 2600.65 - Direct care staff person training and orientation
(a) Prior to or during the first work day,
all direct care 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 home'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) Within 40 scheduled working hours, direct
care staff persons, ancillary staff persons, substitute personnel and
volunteers shall have an orientation 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.
(c) 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.
(d) Direct care staff persons hired after
April 24, 2006, may not provide unsupervised ADL services until completion of
the following:
(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)
ADLs and IADLs.
(iii) Personal
hygiene.
(iv) Care of residents
with dementia, mental illness, cognitive 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 home.
(xii) Safety
management and hazard prevention.
(xiii) Universal precautions.
(xiv) The requirements of this
chapter.
(xv) 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
home.
(e) Direct
care staff persons shall have at least 12 hours of annual training relating to
their job duties.
(1) Staff person orientation
shall be included in the 12 hours of training for the first year of
employment.
(2) On the job training
for direct care staff persons may count for 6 out of the 12 training hours
required annually.
(f)
Training topics for the annual training for direct care staff persons shall
include the following:
(1) Medication
self-administration training.
(2)
Instruction on meeting the needs of the residents as described in the
preadmission screening form, assessment tool, medical evaluation and support
plan.
(3) Care for residents with
dementia and cognitive 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) Personal care 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 home.
(g)
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. §§
10225.101-10225.5102).
(5) Falls and accident prevention.
(6) New population groups that are being
served at the home that were not previously served, if applicable.
(h) 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 home, 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.
(i) 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 § 2600.65 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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