A facility may use a paid feeding assistant who has successfully completed a State-approved training course as described in §E of this regulation. Supervision. A paid feeding assistant shall work under the supervision of a licensed nurse. In an emergency, when the resident is fed in the resident's room, a paid feeding assistant shall use the resident call system to call a supervisory nurse for help. A nursing home that uses a paid feeding assistant shall ensure that the paid feeding assistant feeds only residents who do not have complicated feeding conditions including, but not limited to: Difficulty swallowing; Choking; Recurrent lung aspiration; or Tube or parenteral intravenous feedings. Protocol. The nursing home shall develop a protocol for selecting residents who are appropriate for feeding by a paid feeding assistant. The nursing home shall select eligible residents based on the: Charge nurse's current assessment of the resident; The resident's latest Minimum Data Set (MDS) assessment; and The resident's plan of care. State-Approved Training. A State-approved training course for paid feeding assistants shall consist of at least 8 hours of training that includes: Feeding techniques; Assistance with feeding and hydration; Communication and interpersonal skills; Appropriate responses to resident behavior; Safety and emergency procedures, including the Heimlich maneuver; Infection control; Resident rights; Recognizing changes in a resident's behavior that are inconsistent with the resident's normal behavior and the importance of reporting these changes to a supervisory nurse; and Successful completion of a two-part test that includes a: Written test with a passing score of 80 percent; and Demonstration of proper feeding skills performed on a resident while being observed. The feeding assistant training may be taught by a: Registered nurse and supplementary professional instructors; Licensed dietitian-nutritionist; Licensed physical therapist; Licensed speech therapist; or Licensed occupational therapist. The facility shall maintain a record of all paid feeding assistants who have successfully completed a feeding assistance course.