Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 67 - General Provisions for Elder Group Homes, Assisted Living Programs, and Adult Day Services › Rule 481-67.9 - Staffing

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Number
				of staff.
A sufficient number of trained staff shall be available at
				all times to fully meet tenants' identified needs.
(2)
Emergency procedures.
All program staff shall be able to implement the accident, fire safety, and
				emergency procedures.
(3)
Training documentation.
The program shall have training
				records and staffing schedules on file and shall maintain documentation of
				training received by program staff, including training of certified and
				noncertified staff on nurse-delegated procedures.
(4)
Nurse delegation
				procedures.
The program's registered nurse shall ensure certified and
				noncertified staff are competent to meet the individual needs of tenants. Nurse
				delegation shall, at a minimum, include the following:
a. The program's newly hired registered nurse
				shall within 60 days of beginning employment as the program's registered nurse
				document a review to ensure that staff are sufficiently trained and competent
				in all tasks that are assigned or delegated.
b. Within 30 days of beginning employment,
				all program staff shall receive training by the program's registered
				nurse(s).
c. Training for
				noncertified staff shall include, at a minimum, the provision of activities of
				daily living and instrumental activities of daily living.
d. Certified and noncertified staff shall
				receive training regarding service plan tasks (e.g., wound care, pain
				management, rehabilitation needs and hospice care) in accordance with medical
				or nursing directives and the acuity of the tenants' health, cognitive or
				functional status.
e. The program's
				registered nurse(s) shall provide direct or indirect supervision of all
				certified and noncertified staff as necessary in the professional judgment of
				the program's registered nurse and in accordance with the needs of the tenants
				and certified and noncertified staff.
f. Services shall be provided to tenants in accordance
				with the training provided.
g. The
				program shall have in place a system by which certified or noncertified staff
				communicate in writing occurrences that differ from the tenant's normal health,
				functional and cognitive status. The program's registered nurse or designee
				shall train certified and noncertified staff on reporting to the program's
				registered nurse or designee and documenting occurrences that differ from the
				tenant's normal health, functional and cognitive status. The written
				communication required by this paragraph shall be retained by the program for a
				period of not less than three years, and shall be accessible to the department
				upon request.
h. In the absence of
				the program's registered nurse due to vacation or other temporary
				circumstances, the nurse assuming the duties of the program's registered nurse
				shall have access to staff training in relation to tenant needs.