10.07.02.39

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=160 BGCOLOR="#006699" TEXT="#080000" background="16d00a03.jpg"> <div> <I><B>V</B></I><FONT SIZE="6" COLOR="#000080" FACE="Verdana" ><I><B>oices</B></I></FONT><FONT SIZE="6" COLOR="#000080" FACE="TimesRoman" ><I><B> </B></I></FONT><FONT SIZE="5" COLOR="#000080" FACE="Verdana" ><I><B>for Quality Care (LTC), Inc.</B></I></FONT></div> <bR> <div> <B>P.O. 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Facility Responsibilities.</B></div> <div> <B>(1) Each facility shall conduct or arrange a nurses' aide training program for unlicensed personnel assigned direct patient care duties. This requirement does not extend to physical or occupational therapy assistants or to other employees performing delegated, non-nursing functions. The facility may use an outside program if it has been reviewed and approved by the Department.</B></div> <div> <B>(2) Each facility shall submit a written proposal to the Department for satisfying the developmental training program requirement.</B></div> <div> <B>(3) A nurse aide is deemed to satisfy the requirements of this chapter if that individual has successfully completed a training program approved by the State before July 1, 1990, or has been "grandfathered" under previous regulations.</B></div> <div> <B>(4) Other persons hired as nurse aides after July 1, 1990 shall complete an approved program within 120 days of employment.</B></div> <div> <B>(5) The facility shall record the satisfactory completion of the program in each employee's personnel record. A certificate evidencing completion of the program shall be issued to the employee. The signature of the program's teacher or trainer shall be required for authentication.</B></div> <div> <B>B. Course Structure.</B></div> <div> <B>(1) Effective with employees hired on or after July 1, 1990, the training program course shall consist of 75 hours or more, and include at least 37.5 hours of classroom instruction and not less than 37.5 hours of supervised clinical experience in long-term care.</B></div> <div> <B>(2) The course content shall adhere to the Geriatric Nursing Assistant Program curriculum in Regulation .40 of this chapter.</B></div> <div> <B>(3) The course instructor shall have overall supervisory responsibility for the operation of the program, and shall:</B></div> <div> <B>(a) Be a registered nurse licensed in Maryland;</B></div> <div> <B>(b) Have at least 2 years of nursing experience, at least 1 year of which shall have been in caring for the elderly or chronically ill in the past 5 years; and</B></div> <div> <B>(c) Have attended a program of instruction in training methodologies approved by the Department.</B></div> <div> <B>(4) Supplementary instructors shall be drawn from qualified resource personnel such as registered nurses, licensed practical/vocational nurses, pharmacists, dieticians, social workers, sanitarians, fire safety experts, nursing home administrators, gerontologists, psychologists, physicians, physical and occupational therapists, activities specialists, speech/language/hearing therapists, and residents' rights experts, as well as persons with relevant experience, such as residents or experienced aides.</B></div> <div> <B>(5) Adequate numbers of instructors are required to ensure that each trainee is provided effective assistance and supervision which does not endanger the safety of residents.</B></div> <div> <B>(6) Each training program shall have behaviorally stated objectives for each unit of instruction, stating measurable performance criteria.</B></div> <div> <B>(7) Each trainee shall be clearly identified as a trainee during all skills training portions of the training.</B></div> <div> <B>(8) During training, a trainee may provide only that care for which the trainee has demonstrated competency to the satisfaction of the appropriate program instructor.</B></div> <div> <B>(9) An orientation program shall be provided to trainees for a nursing facility in which training is to occur. This program shall consist of:</B></div> <div> <B>(a) An explanation of organizational structure, policies, and procedures;</B></div> <div> <B>(b) Discussion of the philosophy of care;</B></div> <div> <B>(c) Description of the resident population; and</B></div> <div> <B>(d) Employee rules.</B></div> <div> <B>(10) The orientation may not be included in the required 75 hours of the training course.</B></div> <div> <B>(11) A training program shall provide at least 16 hours of training prior to a trainee's direct assignment to resident care. This instruction shall include the following topics:</B></div> <div> <B>(a) Infection control;</B></div> <div> <B>(b) Safety and emergency procedures;</B></div> <div> <B>(c) Promoting residents' independence;</B></div> <div> <B>(d) Respecting residents' rights; and</B></div> <div> <B>(e) Communication and interpersonal skills.</B></div> <bR> </td> </tr></table></body>