Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › Administration and Personnel › Section 449.3977 - Attendants: Required knowledge and training

Current through June
				11, 2024
1. Each
				attendant of an agency shall:
(a) Obtain a
				working knowledge of the provisions of this chapter which govern the licensing
				of agencies before providing personal care services to the clients of the
				agency. The agency must provide a copy of those provisions to an attendant
				before the attendant may provide personal care services to the clients of the
				agency.
(b) Participate in and
				complete a training program before independently providing personal care
				services to the clients of the agency. The training program must include an
				opportunity for the attendant to receive on-the-job instruction provided to
				clients of the agency, as long as the administrator of the agency or the
				administrator's designee provides supervision during this instruction to
				determine whether the attendant is able to provide personal care services
				successfully and independently to the client.
(c) Receive training:
(1) In the written documentation of:
(I) Personal care services provided to the
				clients of the agency; and
(II)
				Verification of time records.
(2) In the rights of clients, including,
				without limitation, training in methods to protect client confidentiality
				pursuant to state and federal regulations.
(3) Related to the special needs of elderly
				persons and persons with disabilities, including, without limitation, training
				in the sensory, physical and cognitive changes related to the aging
				process.
(4) Related to
				communication skills, including, without limitation, active listening, problem
				solving, conflict resolution and techniques for communicating through
				alternative modes with persons with communication or sensory
				impairments.
(5) In first aid and
				cardiopulmonary resuscitation. A certificate in first aid and cardiopulmonary
				resuscitation issued by the American National Red Cross or an equivalent
				certificate will be accepted as proof of that training.
(6) That is specifically related to the
				personal care services provided by the agency, including, as applicable,
				training in the following topics:
(I) Duties
				and responsibilities of attendants and the appropriate techniques for providing
				personal care services;
(II)
				Recognizing and responding to emergencies, including, without limitation, fires
				and medical emergencies;
(III)
				Dealing with adverse behaviors;
(IV) Nutrition and hydration, including,
				without limitation, special diets and meal preparation and service;
(V) Bowel and bladder care, including,
				without limitation, routine care associated with toileting, routine maintenance
				of an indwelling catheter drainage system such as emptying the bag and
				positioning, routine care of colostomies such as emptying and changing the bag,
				signs and symptoms of urinary tract infections, and common bowel problems,
				including, without limitation, constipation and diarrhea;
(VI) Skin care, including, without
				limitation, interventions that prevent pressure sores, routine inspections of
				the skin and reporting skin redness, discoloration or breakdown to the client
				or a representative of the client and to the administrator of the agency or the
				administrator's designee;
(VII)
				Methods and techniques to prevent skin breakdown, contractures and
				falls;
(VIII) Hand washing and
				infection control;
(IX) Body
				mechanics, mobility and transfer techniques, including, without limitation,
				simple nonprescribed range of motion; and
(X) Maintenance of a clean and safe
				environment.