Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.125 - Unlicensed Assistive Personnel Training Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This proposed amendment amends subsection
				  (2)(A) to reclassify UAP Program curriculum content, amends subsection (2)(D)
				  to correct an obsolete rule reference, amends subsection (3) (F) to exempt
				  hospitals from complying with certain UAP training requirements if the
				  employees can prove completion of patient care technician training programs,
				  adds a new subsection (3)(H) to exempt hospitals from complying with certain
				  UAP training requirements if the employees have proof of certification as a
				  patient care technician, and amends section (6) to extend the UAP training
				  completion deadline from ninety (90) days to one hundred-eighty (180) days and
				  requires quality and safety curriculum to be completed within ninety (90) days
				  of employment.
(1) Hospitals
				may only employ or contract with a staffing agency for unlicensed assistive
				personnel (UAP) in accordance with this rule.
(2) The hospital training policy for UAPs
				shall include the following minimum standards:
(A) The curriculum of the UAP Program shall
				consist of a standard plan of instruction to include:
1. A minimum of seventy-five (75) hours of
				classroom instruction;
2. Computer
				or paper-based learning modules that pro-vide documentation of completion may
				be substituted for up to sixty (60) hours of classroom time;
3. Comparable certified medical assistant
				training from an accredited medical assistant program may be substituted for up
				to fifty (50) hours of classroom time of comparable subject matter;
4. A minimum of one hundred (100) hours of
				clinical practicum; and
5.
				Curriculum content of the program shall include procedures and instructions on
				basic patient care skills including but not limited to the areas of-
A. The Role of the UAP (ethics, law, team
				member communication, observation, reporting, documentation, medical
				terminology);
B. Patient/Client
				Rights (Health Insurance Portability and Accountability Act (HIPAA), privacy,
				confidentiality, advanced directives, abuse and neglect, age specific care,
				cultural diversity, pain management, restraint-free care, end-of-life care,
				death and dying, do not resuscitate (DNR) orders, post-mortem care);
C. Vital Signs;
D. Quality (basic human needs: age specific
				cognitive/psychological/social needs, activities of daily living, ambulation,
				positioning, personal care, elimination and toileting, nutrition, hydration,
				feeding, bed making);
E. Infection
				Control (universal precautions, blood-bornepathogens, safe needle devices,
				aseptic technique, hand washing, gloving, isolation);
F. Skin Care (wound care, pressure ulcers,
				and prevention); and
G. Safety
				(cardiopulmonary resuscitation (CPR), allergies, fall prevention, environmental
				safety issues, fire/electrical, hazardous materials transportation safety
				information (HAZMAT), emergency procedures, body mechanics);