Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 97 - Nursing Facilities › Subchapter B - Organization and General Services › Section I-9765 - Staff Orientation, Training and Education

Current through Register Vol. 50, No. 6, June 20, 2024
A. New employees shall have an orientation
					 program of sufficient scope and duration to inform the individual about his/her
					 responsibilities and how to fulfill them.
B. The orientation program shall include at
					 least a review of policies and procedures, job description and performance
					 expectations prior to the employee performing his/her
					 responsibilities.
C. A staff
					 development program shall be conducted by competent staff and/or consultants
					 and planned based upon employee performance appraisals, resident population
					 served by the nursing facility and as determined by nursing facility staff. All
					 employees shall participate in staff development programs which are planned and
					 conducted for the development and improvement of their skills.
D. Training shall include, at a minimum,
					 problems and needs common to the age, physical, mental and bio-psychosocial
					 needs of the residents, and discharge planning of those being served,
					 prevention and control of infections, fire prevention and safety, emergency
					 preparedness, accident prevention, confidentiality of resident information and
					 preservation of resident dignity and respect, including protection of privacy
					 and personal and property rights.
E. The nursing facility's training shall be
					 sufficient to ensure the continuing competence of the staff. Nursing assistants
					 shall be provided a minimum of 12 hours of training per year.
F. Records of training shall be maintained
					 indicating the content, date, time, names of employees in attendance, and the
					 name of the individual(s) who conducted the training.
G. Dementia Training
1. All employees shall be trained in the care
					 of persons diagnosed with dementia and dementia-related practices that include
					 or that are informed by evidence-based care practices.
2. Nursing facility staff who provide care on
					 a regular basis to residents in Alzheimer's special care units shall meet the
					 following training requirements.
a. Staff who
					 provide nursing and nursing assistant care to residents shall be required to
					 obtain at least eight hours of dementia-specific training within 90 days of
					 employment and five hours of dementia-specific training annually. The training
					 shall include the following topics:
i. an
					 overview of Alzheimer's disease and related dementias;
ii. communicating with persons with
					 dementia;
iii. behavior management
					 for persons with dementia;
iv.
					 promoting independence in activities of daily living for persons with dementia;
					 and
v. understanding and dealing
					 with family issues for persons with dementia.
b. Staff who have regular communicative
					 contact with residents, but who do not provide nursing and nursing assistant
					 care, shall be required to obtain at least four hours of dementia-specific
					 training within 90 days of employment and one hour of dementia training
					 annually. This training shall include the following topics:
i. an overview of dementias; and
ii. communicating with persons with
					 dementia.
c. Staff who
					 have only incidental contact with residents shall receive general written
					 information provided by the nursing facility on interacting with residents with
					 dementia.
3. Nursing
					 facility staff who are not regularly assigned to the Alzheimer's special care
					 unit shall meet the following training requirements:
a. Staff who are not regularly assigned to
					 the Alzheimer's special care unit, but still provide nursing assistant care in
					 the facility shall be required to obtain four hours of dementia-specific
					 training within 90 days of employment and two hours of dementia training
					 annually.
b. Unlicensed staff who
					 are not regularly assigned to the Alzheimer's special care unit and who have
					 regular communicative contact with residents but do not provide nursing
					 assistant care in the facility shall be required to obtain four hours of
					 dementia-specific training within 90 days of employment and one hour of
					 dementia training annually. The training shall include the following topics:
i. an overview of dementias; and
ii. communicating with persons with
					 dementia.
c. Staff who
					 have only incidental contact with residents shall receive general written
					 information provided by the nursing facility on interacting with residents with
					 dementia.
4. Staff
					 delivering approved training will be considered as having received that portion
					 of the training that they have delivered.
5. Any dementia-specific training received in
					 a nursing or nursing assistant program approved by the Department of Health or
					 the Department of Children and Family Services may be used to fulfill the
					 training hours required pursuant to this Section.
6. Nursing facility providers shall offer an
					 approved complete training curriculum themselves or shall contract with another
					 organization, entity, or individual to provide the training.
7. The dementia-specific training curriculum
					 shall be approved by the department. To obtain training curriculum approval,
					 the organization, entity, or individual shall submit the following information
					 to the department or its designee:
a. a copy
					 of the curriculum;
b. the name and
					 qualifications of the training coordinator;
c. a list of all instructors;
d. the location of the training;
					 and
e. whether the training will be
					 web-based.
8. A provider,
					 organization, entity or individual shall submit any content changes to an
					 approved training curriculum to the department, or its designee, for review and
					 approval.
9. If a provider,
					 organization, entity or individual, with an approved curriculum, ceases to
					 provide training, the department shall be notified in writing within 30 days of
					 cessation of training. Prior to resuming the training program, the provider,
					 organization, entity, or individual shall reapply to the department for
					 approval to resume the program.
10.
					 Disqualification of Training Programs and Sanctions. The department may
					 disqualify a training curriculum offered by a provider, organization, entity,
					 or individual that has demonstrated substantial noncompliance with training
					 requirements, including, but not limited to:
a. the qualifications of training
					 coordinators; or
b. training
					 curriculum requirements.
11. Compliance with Training Requirements.
					 The review of compliance with training requirements shall include, at a
					 minimum, a review of:
a. the existence of an
					 approved training curriculum; and
b. the providers adherence to established
					 training requirements.
12. The department may impose applicable
					 sanctions for failure to adhere to the training requirements outlined in this
					 Section.