Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65D - Substance Abuse Program › Chapter 65D-30 - SUBSTANCE ABUSE SERVICES OFFICE › Section 65D-30.0046 - Staff Training, Qualifications, and Scope of Practice

Current through Reg. 50, No. 138; July 16, 2024
(1) Staff Training. Providers shall develop
				and implement a staff development plan. At least one (1) staff member with
				skill in developing staff training plans shall be assigned the responsibility
				of ensuring that staff development activities are implemented.
(a) The staff development plan must be
				reviewed at least annually through the quality assurance program and revised as
				needed. The plan must be signed and dated.
(b) All required training activities shall be
				documented and accessible for Department review, including the date, duration,
				topic, name(s) of participants, and name(s) of the trainer or training
				organization.
(c) New staff
				orientation. Within six (6) months of the hiring date, employees must complete
				the following trainings:
1. A two (2) hour
				educational course on HIV/AIDS as required by Section
				 381.0035, F.S.
2. Overdose prevention training which must be
				renewed biennially. The training shall include, at a minimum, information
				about:
a. Risk factors for overdose;
b. Overdose recognition and response;
				and
c. Naloxone, the medication
				that reverses opioid overdose, including how to use Naloxone and the importance
				of individuals at risk of opioid overdose and their friends and family having
				access to Naloxone.
3.
				Training in incident reporting procedures and requirements in accordance with
				subsection  65D-30.004(17),
				F.A.C., the affirmative duty requirements and protections of Chapter 415, F.S.,
				and Title V of the Americans with Disabilities Act.
4. For direct care staff working in component
				services identified in subsection
				 65D-30.004(12),
				F.A.C., two (2) hours of training in verbal de-escalation techniques and two
				(2) hours annually thereafter.
5.
				Staff performing nursing support functions must be trained in those services
				prior to performing that function.
6. For all direct care staff, training and
				certification in cardiopulmonary resuscitation (CPR) and first aid. Staff must
				maintain CPR and first aid certification, and a copy of the valid certificate
				must be filed in the personnel record.
(d) General Training Requirements. All staff
				and volunteers who provide direct care or prevention services shall participate
				in a minimum of 10 hours of documented training per year related to their
				duties and responsibilities. This includes training conducted annually in the
				following areas:
1. Prevention and control of
				infection in inpatient and residential settings;
2. Fire prevention, life safety, and disaster
				preparedness;
3. Safety awareness
				program;
4. Rights of individuals
				served; and
5. Federal law, 42 CFR,
				Part 2, and Sections  397.334(10),
				 397.501(7),
				 397.752, F.S. applicable state
				laws regarding confidentiality.
(e) In instances where an individual has
				received the requisite training as required in paragraphs (1)(c) and (d) during
				the year prior to employment by a provider, that individual will have met the
				training requirements. This provision applies only if the individual is able to
				produce documentation that the training was completed and that such training
				was provided by persons who or organizations that are qualified to provide such
				training
(f) Special Training
				Requirements for Clinical Staff. All new clinical staff who work at least 20
				hours per week or more must receive 12 hours of competency-based training
				related to substance use disorder treatment and recovery within the first
				year.
(g) Special Training
				Requirements for Prevention. In addition to paragraphs (1)(c) and (d), new
				staff providing prevention services shall receive 12 hours basic training in
				science-based prevention within the first year of employment.
(h) Medication Administration Training
				Requirements. Training is required before personnel may supervise the
				self-administration of medication. At least two and a half (2.5) hours of
				training is required which may be conducted only by licensed practical nurses,
				licensed registered nurses or advanced practice registered nurses. Personnel
				responsible for training must certify by signed document or certificate the
				competency of unlicensed staff to supervise the self-administration of
				medication. Proof of training shall be documented in the personnel file and
				shall be completed prior to implementing the supervision of self-administration
				of medication.
(i) In addition to
				the requirements of paragraph (h), self-administration of medication training
				must include step-by-step procedures, covering, at a minimum, the following
				subjects:
1. Safe storage, handling, and
				disposal of medications;
2.
				Comprehensive understanding of and compliance with medication instructions on a
				prescription label, a healthcare practitioner's order, and proper completion of
				medication observation record (MOR) form;
3. The medical indications and purposes for
				commonly used medications, their common side effects, and symptoms of adverse
				reactions;
4. The proper
				administration of oral, transdermal, ophthalmic, otic, rectal, inhaled or
				topical medications;
5. Safety and
				sanitation practices while administering medication;
6. Medication administration documentation
				and record keeping requirements;
7.
				Medical errors and medical error reporting;
8. Determinations of need for medication
				administration assistance and informed consent requirements;
9. Procedural arrangements for individuals
				who require medication offsite; and
10. Validation
				requirements.