Utah Admin. Code R432-270-9 - Personnel
(1) The licensee
shall ensure that qualified direct-care personnel are on the premises 24 hours
a day to meet residents' needs as determined by the residents' assessment and
service plans. The licensee shall employ additional staff as necessary to
perform:
(a) office work;
(b) cooking;
(c) housekeeping;
(d) laundering; and
(e) general maintenance.
(2) The licensee shall ensure qualified staff
perform services in accordance with the resident's written service
plan .
(3) The licensee shall ensure
that personnel who provide personal care to residents in a type I and type II
facility are at least 18 years of age or may be a certified nurse aide in
accordance with Section 58-31b-3 and shall have related experience or on the
job training for the job assigned.
(4) The licensee shall ensure that personnel
are licensed, certified, or registered in accordance with applicable state
laws.
(5) The administrator shall
maintain written job descriptions for each position, including job title, job
responsibilities, qualifications or required skills.
(6) The licensee shall make facility policies
and procedures available to personnel.
(7) The licensee shall ensure each employee
receives documented orientation to the facility for their hired position. The
licensee shall provide orientation within 30 days of hire that includes the
following:
(a) job description;
(b) ethics, confidentiality, and residents'
rights;
(c) fire and disaster
plan;
(d) policy and
procedures;
(e) reporting
responsibility for abuse, neglect and exploitation; and
(f) a department-approved core competency
training.
(8) In addition
to completing facility orientation and demonstration of core competency skills,
the licensee shall provide each direct-care employee with 16 hours of
documented one-on-one job training with a direct-care employee, with at least
three months of experience and who has completed orientation, or with the
supervising nurse at the facility. Additionally, the licensee shall ensure:
(a) training is not transferred to another
facility and includes:
(i) transfer assistance
and safety; and
(ii) activities of
daily living ;
(b)
direct-care employees hired from a staffing agency are certified nurse aides
and are exempt from the 16 hours of one-on-one training; and
(c) employees who are certified nurse aides
are exempt from the 16 hours of one-on-one job training.
(9) The licensee shall ensure each employee
receives documented in-service training and tailor the training to annually
include the following subjects relevant to the employee's job responsibilities:
(a) principles of good nutrition, menu
planning, food preparation, and storage;
(b) principles of good housekeeping and
sanitation;
(c) principles of
providing personal and social care ;
(d) proper procedures in assisting residents
with medications;
(e) recognizing
early signs of illness and determining if there is a need for professional
help;
(f) accident prevention,
including safe bath and shower water temperatures;
(g) communication skills, that enhance
resident dignity;
(h) first
aid;
(i) resident's
rights;
(j) abuse and neglect
reporting requirements of Section
26B-6-205;
(k) dementia and Alzheimer's specific
training; and
(I) review of core
competency training.
(10)
The facility administrator shall annually complete a minimum of four hours of
core competency training that includes dementia and Alzheimer's specific
training.
(11) In addition to core
competency training, the facility administrator shall:
(a) complete a minimum of six hours of
approved continuing professional education (CPE) annually as follows:
(i) complete a minimum of five hours in
person; and
(ii) complete a minimum
of one additional hour either in person or online;
(b) ensure CPE courses under Subsection (11)
are:
(i) approved by the Utah Assisted Living
Association (UALA), Utah Health Care Association (UHCA), or Beehive Homes;
or
(ii) require prior approval
under Subsection (11)(b)(i) for courses offered by other entities or
organizations; and
(c)
calculate 50 minutes of CPE as one hour.
(12) The licensee shall ensure employees who
report suspected abuse, neglect, or exploitation are not subject to
retaliation, disciplinary action, or termination by the facility for that
reason alone.
(13) The licensee
shall ensure a personnel health program is established through written
personnel health policies and procedures that protect the health and safety of
personnel, residents, and the public.
(14) The licensee shall:
(a) ensure an employee health inventory is
completed when an employee is hired;
(b) use a department-approved form for the
health inventory evaluation or their own form if it includes at least the
employee's history of the following:
(i)
conditions that may predispose the employee to acquiring or transmitting
infectious diseases; and
(ii)
conditions that may prevent the employee from performing certain assigned
duties satisfactorily;
(c) develop an employee health screening and
immunization components of for its personnel health program;
(d) ensure employee skin testing:
(i) uses the Mantoux Method or other Food and
Drug Administration, (FDA) approved in-vitro serologic test; and
(ii) perform follow-up procedures for
tuberculosis in accordance with Rule R388-804, Special Measures for the Control
of Tuberculosis;
(e)
ensure employees are skin-tested for tuberculosis within two weeks of:
(i) initial hiring;
(ii) suspected exposure to a person with
active tuberculosis; and
(iii)
development of symptoms of tuberculosis;
(f) report any infections and communicable
diseases reportable by law to the local health department in accordance with
Section R386-702-3; and
(g) allow employees with known positive
reaction to skin tests to be exempt from skin testing.
(15) The licensee shall ensure policies and
procedures governing an infection control program are developed and implemented
to protect residents, family, and personnel including appropriate task-related
employee infection control procedures and practices.
(16) The licensee shall ensure compliance
with the Occupational Safety and Health Administration's Bloodborne Pathogen
Standard.
Notes
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