Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › TRAINING › Section 388-71-0836 - What definitions apply to the long-term care worker training requirements?

Current through Register Vol. 24-14, July 15, 2024
The following definitions apply to the long-term care
					 worker training requirements:
(1)
"Activities of daily living"
means self-care abilities related to
				  personal care such as bathing, eating, using the toilet, medication assistance,
				  dressing, and transfer. Instrumental activities of daily living may also be
				  used to assess a person's functional abilities in the home and the community
				  such as cooking, shopping, house cleaning, doing laundry, working, and managing
				  personal finances.
(2)
"Care
				  team"
means the client and everyone involved in the individual's care.
				  The care team may include family, friends, doctors, nurses, long-term care
				  workers, social workers, and case managers. The role of the care team is to
				  support the client's well-being. However, the client directs the care
				  plan.
(3)
"Challenge
				  test"
means a competency test taken for specialty training without first
				  taking the class for which the test is designed and may only be used when basic
				  training is not required.
(4)
"Client"
means an individual receiving in-home services.
(5)
"Competency"
means the
				  integrated knowledge, skills, or behavior expected of a long-term care worker
				  after completing training in a required topic area. Learning objectives are
				  associated with each competency.
(6)
"Competency testing"
means
				  evaluating a student to determine if the student can demonstrate the required
				  level of skill, knowledge, and behavior with respect to the identified learning
				  objectives of a particular course. The department only requires competency
				  testing for nurse delegation core and specialized diabetes training, and the
				  specialty and expanded specialty trainings. Training programs may integrate
				  competency testing within each programs' approved curricula.
(7)
"Core basic training"
means
				  the portion of the 70-hour home care aide basic training that covers the core
				  competencies and skills that long-term care workers need in order to provide
				  personal care services efficiently and safely. The core basic training hours
				  also includes hours devoted to student practice and demonstration of
				  skills.
(8)
"Date of
				  hire"
for determining time frames related to training and certification,
				  means the first day the long-term care worker is employed by any
				  employer.
(9)
"DDA"
refers to the developmental disabilities administration.
(10)
"Direct care worker"
means
				  a paid individual who provides direct, personal care services to persons with
				  disabilities or the elderly requiring long-term care (see also the definition
				  of long-term care worker, which includes client care workers).
(11)
"Department"
or
"DSHS"
means the department of social and health
				  services.
(12)
"Enhancement"
means additional time provided for skills practice
				  and additional training materials or classroom activities that help a long-term
				  care worker to thoroughly learn the course content and skills. Enhancements can
				  include new student materials, videos or DVDs, online materials, and additional
				  student activities.
(13)
"Expanded specialty training"
means optional curricula that
				  provide caregivers with advanced knowledge and skills to provide
				  person-centered care to clients or residents living with conditions other than
				  developmental disabilities, dementia, and mental health. The optional expanded
				  specialty training may include such topics as traumatic brain injury, diabetes
				  care, and bariatric care. The optional expanded specialty training curricula
				  must be DSHS developed and based on competencies and learning objectives
				  established by the department.
(14)
"Guardian"
means an individual as defined in chapter 11.130
				  RCW.
(15)
"Home care
				  aide"
or
"certified home care aide"
means a long-term care
				  worker who has obtained and maintains a home care aide certification through
				  the department of health.
(16)
"Hybrid"
means a combination of online training and in-per-son,
				  remote, or virtual classroom instruction.
(17)
"Individual provider"
or
"IP"
means a person employed by the consumer directed employer to
				  provide personal care or respite care services to persons with functional
				  disabilities under a medicaid state plan program, such as the medicaid personal
				  care or community first choice programs, under a federal medicaid waiver
				  program, or through the veteran directed home care (VDHC) program.
(18)
"Learning objectives"
means
				  measurable, written statements that clearly describe what a long-term care
				  worker must minimally learn to meet each competency. Learning objectives are
				  identified for each competency. Learning objectives provide consistent, common
				  language and a framework for curriculum designers, the curriculum approval
				  process, and testing. Curriculum developers have the flexibility to determine
				  how learning objectives are met and may include additional content deemed
				  necessary to best meet the competency in a particular setting.
(19)
"Long-term care worker"
means:
(a) All persons who provide paid,
				  personal care services for the elderly or persons with disabilities, including
				  but not limited to individual providers of home care services, direct care
				  workers employed by home care agencies, providers of home care services to
				  persons with developmental disabilities under Title 71A RCW, all direct care
				  workers in state-licensed assisted living facilities, adult family homes,
				  respite care providers, community residential service providers, and any other
				  direct care staff who provide home or community-based services to the elderly
				  or persons with functional disabilities or developmental
				  disabilities.
(b) Long-term care
				  workers do not include:
(i) Persons employed
				  by the following facilities or agencies:
Nursing homes subject to chapter 18.51 RCW, hospitals or
					 other acute care settings, residential habilitation centers under chapter
					 71A.20 RCW, facilities certified under 42 C.F.R., Part 483, hospice agencies
					 subject to chapter 70.127 RCW, adult day care centers; or
(ii) Persons who are not paid by the state,
				  by a private agency, or facility licensed by the state to provide personal care
				  services.