Section R4-33-703. Curriculum for Assisted Living Facility Care- giver Training Program

A.      The owner of an assisted living facility caregiver training pro- gram shall ensure that the training program consists of at least 104 hours of instruction including:

1.        Eighty-eight hours of classroom instruction, of which a maximum of 26 hours may be provided by distance learn- ing, and

2.        Sixteen hours of instructor-supervised skills training.

B.       The owner of an assisted living facility caregiver training pro- gram shall provide a written curriculum plan to each student that includes overall educational goals and for each required subject:

1.        Measurable learner-centered objectives,

2.        Outline of the material to be taught,

3.        Time allotted to each unit of instruction, and

4.        Learning activities or reading assignments.

C.      The owner of an assisted living facility caregiver training pro- gram shall ensure that the training program includes classroom instruction and skills training regarding each of the following subjects:

1.        Orientation to and overview of the assisted living facility caregiver training program (at least two classroom hours).

a.         Levels of care within an assisted living facility, and

b.        Impact of each level of care on residents;

2.        Legal and ethical issues and resident rights (at least five classroom hours).

a.         Confidentiality (HIPPA);

b.        Ethical principles;

c.         Resident rights specified in R9-10-710;

d.        Abuse, neglect, and exploitation;

e.         Mandatory reporting; and

f.         Do-not-resuscitate order and advanced directives;

3.        Communication  and  interpersonal  skills  (at  least  four classroom hours).

a.         Components of effective communication,

b.        Styles of communication,

c.         Attitude in communication,

d.        Barriers to effective communication:

i.         Culture,

ii.        Language, and

iii.      Physical and mental disabilities, and

e.         Techniques of communication;

4.        Job management skills (at least four classroom hours).

a.         Stress management, and

b.        Time management;

5.        Service plans (at least four classroom hours). Developing, using, and maintaining resident service plans;

6.        Infection control (at least five classroom hours).

a.         Common types of infectious diseases,

b.        Preventing infection,

c.         Controlling infection:

i.         Washing hands,

ii.        Using gloves, and

iii.      Disposing of sharps and other waste;

7.        Nutrition and food preparation (at least six classroom hours).

a.         Basic nutrition;

b.        Menu planning and posting;

c.         Procuring, handling, and storing food safely; and

d.        Special diets;

8.        Fire,  safety,  and  emergency  procedures   (at  least  five classroom hours).

a.         Emergency planning,

b.        Medical emergencies,

c.         Environmental emergencies,

d.        Fire safety,

e.         Fire drills and evacuations, and

f.         Fire-code requirements;

9.        Home environment and maintenance (at least five class- room hours).

a.         Housekeeping,

b.        Laundry, and

c.         Physical plant;

10.     Basic caregiver skills (at least 12 classroom hours).

a.         Taking vital signs and measuring height and weight;

b.        Maintaining a resident’s environment;

c.         Observing and reporting pain;

d.        Assisting with diagnostic tests;

e.         Providing assistance to residents with drains and tubes;

f.         Recognizing and reporting abnormal changes to a supervisor;

g.        Applying clean bandages;

h.        Providing peri-operative care;

i.         Assisting ambulation of residents including transfer- ring and using assistive devices;

j.         Bathing, caring for skin, and dressing;

k.        Caring for teeth and dentures;

l.         Shampooing and caring for hair;

m.       Caring for nails;

n.        Toileting,  caring  for  perineum,  and  caring   for ostomy;

o.        Feeding  and  hydration   including  proper  feeding techniques and use of assistive devices in feeding;

p.        Preventing pressure sores; and

q.        Maintaining and treating skin;

11.     Mental health and social service needs (at least seven classroom hours).

a.         Modifying the caregiver’s behavior in response to resident behavior,

b.        Understanding the developmental tasks associated with the aging process,

c.         Responding to resident behavior,

d.        Promoting resident dignity,

e.         Providing culturally sensitive care,

f.         Caring for the dying resident, and

g.        Interacting with the resident’s family;

12.     Care of the cognitively impaired resident (at least eight classroom hours).

a.         Anticipating and addressing the needs and behaviors of residents with dementia or Alzheimer’s disease,

b.        Communicating with cognitively impaired residents,

c.         Understanding the behavior of cognitively impaired residents, and

d.        Reducing the effects of cognitive impairment;

13.     Skills for basic restorative services (at least five class- room hours).

a.         Understanding body mechanics;

b.        Assisting resident self-care;

c.         Using  assistive  devices  for  transferring,  walking, eating, and dressing;

d.        Assisting with range-of-motion exercises;

e.         Providing bowel and bladder training;

f.         Assisting with care for and use of prosthetic and orthotic devices; and

g.        Facilitating family and group activities; and

14.     Medication management (at least 16 classroom hours).

a.         Determining whether a resident needs assistance with medication administration and if so, the nature of the assistance;

b.        Assisting a resident to self-administer medication;

c.         Observing, documenting, and reporting changes in resident condition before and after medication is administered;

d.        Knowing the rights of a resident regarding medica- tion administration;

e.         Knowing classifications of and responses to medica- tions;

f.         Taking,  reading,  and  implementing   a  physician’s medication and treatment orders;

g.        Storing medication properly and securely;

h.        Documenting medication and treatment services;

i.         Maintaining  records  of  medication  and  treatment services;

j.         Using medication organizers properly;

k.        Storing and documenting use of narcotic drugs and controlled substances;

l.         Understanding how metabolism and physical condi- tions affect medication absorption;

m.       Knowing the proper administration of all forms of medication;

n.        Using drug-reference guides (Physician’s Desk Ref- erence); and

o.        Preventing, identifying, documenting, reporting, and responding to medication errors.

D.      The owner of an assisted living facility caregiver training pro- gram shall ensure that the training program:

1.        Provides a student with at least the number of classroom hours specified in subsection (C);

2.        Provides no more than 26 of the classroom hours speci- fied in subsections (C)(1), (C)(4), (C)(5), (C)(7), (C)(8), and (C)(9) by distance learning; and

3.        Provides a student with at least the number of skills train- ing hours specified in subsection (A)(2).

E.       The owner of an assisted living facility caregiver training pro- gram shall ensure that the training program uses textbooks that are relevant to the subjects being taught and have been pub- lished within the last five years.

F.       The owner of an assisted living facility caregiver training pro- gram shall ensure that any distance learning provided uses materials that are relevant to the subjects being taught and have been produced within the last five years.

Historical Note

New Section made by final rulemaking at 19 A.A.R.

1619, effective August 4, 2013 (Supp. 13-2).