Plain Text Law

Regulation .17 80-Hour Assisted Living Manager Basic Training Course.

Regulation .17 80-Hour Assisted Living Manager Basic Training Course.Copy Citation

A.
The 80-hour assisted living manager basic training course shall include the following content:
(1)
Philosophy of assisted living, 2 hours, including:
(a)
Philosophy and background of assisted living and aging in place;
(b)
Objectives and principles of assisted living resident programs;
(c)
Comparison of assisted living to other residential programs;
(d)
Basic concepts of choice, independence, privacy, individuality, and dignity; and
(e)
Normalization of the environment;
(2)
Aging process and its impact, 4 hours, including:
(a)
Physical characteristics of the assisted living residents;
(b)
Psychosocial characteristics of the assisted living residents;
(c)
Basic needs of the elderly and disabled; and
(d)
Activities of daily living;
(3)
Assessment and level of care waiver, 6 hours, including:
(a)
Purpose and process;
(b)
Guidelines for conducting assessments;
(c)
Level of care assessments; and
(d)
Collaboration with the delegating nurse;
(4)
Service planning, 6 hours, including:
(a)
Required services;
(b)
Enhanced scope of services;
(c)
Development of individualized service plans;
(d)
Scheduling of appropriate activities;
(e)
Structure of activities;
(f)
Care notes; and
(g)
Collaboration with the delegating nurse;
(5)
Clinical management, 20 hours, including:
(a)
Role of the delegating nurse;
(b)
Appropriate nurse delegation;
(c)
Concept of self-administration of medications;
(d)
Concept of medication management;
(e)
Assistance with self-administration of medications;
(f)
Administration of medications;
(g)
Coordination of services and care providers;
(h)
Collaboration with the delegating nurse;
(i)
Preventing medication errors;
(j)
Patient safety;
(k)
Medication monitoring;
(l)
Pharmacy consultation;
(m)
Medication storage;
(n)
Infection prevention and control to include:
(i)
Standard and contact precautions;
(ii)
Bloodborne pathogens;
(iii)
Standard hand hygiene practices;
(iv)
Safe injection practices;
(v)
Use of personal protective equipment; and
(vi)
Cleaning and disinfection of equipment and the environment;
(o)
Appropriate staffing patterns;
(p)
Pressure sores;
(q)
Effective pain management;
(r)
Basic first aid taught by a first aid instructor certified by a national organization;
(s)
Basic cardiopulmonary resuscitation (CPR), including a hands-on component, taught by a CPR instructor certified by a nationally recognized organization;
(t)
Substance abuse;
(u)
Trauma-informed care; and
(v)
A trauma-informed approach to care delivery;
(6)
Admission and discharge criteria, 4 hours, including:
(a)
Overview of criteria for admission and discharge;
(b)
Resident contracts;
(c)
Resident rights;
(d)
Financial management of resident’s funds; and
(e)
Working with families of residents;
(7)
Nutrition and food safety, 8 hours, including:
(a)
Menu and meal planning;
(b)
Basic nutritional needs;
(c)
Safe food handling;
(d)
Preventing food-borne illnesses;
(e)
Therapeutic diets; and
(f)
Dehydration;
(8)
Dementia, mental health, and behavior management, 12 hours, including:
(a)
An overview consisting of:
(i)
Description of normal aging and conditions causing cognitive impairment;
(ii)
Description of normal aging and conditions causing mental illness;
(iii)
Risk factors for cognitive impairment;
(iv)
Risk factors for mental illness;
(v)
Health conditions that affect cognitive impairment;
(vi)
Health conditions that affect mental illness;
(vii)
Early identification and intervention for cognitive impairment;
(viii)
Early identification and intervention for mental illness; and
(ix)
Procedures for reporting cognitive, behavioral, and mood changes;
(b)
Effective communication consisting of:
(i)
Effect of cognitive impairment on expressive and receptive communication;
(ii)
Effect of mental illness on expressive and receptive communication;
(iii)
Effective communication techniques, including verbal, nonverbal, tone and volume of voice, and word choice; and
(iv)
Environmental stimuli and influences on communication, including setting, noise, and visual cues;
(c)
Behavioral intervention consisting of:
(i)
Identifying and interpreting behavioral symptoms;
(ii)
Problem solving for appropriate intervention;
(iii)
Risk factors and safety precautions to protect other residents and the individual;
(iv)
De-escalation techniques; and
(v)
Collaboration with the delegating nurse;
(d)
Making activities meaningful consisting of:
(i)
Understanding the therapeutic role of activities;
(ii)
Creating opportunities for activities, including productive, leisure, and self-care; and
(iii)
Structuring the day;
(e)
Staff and family interaction consisting of:
(i)
Building a partnership for goal-directed care;
(ii)
Understanding family needs; and
(iii)
Effective communication between family and staff; and
(f)
Managing staff stress consisting of:
(i)
Understanding the impact of stress on job performance, staff relations, and overall facility environment;
(ii)
Identification of stress triggers;
(iii)
Self-care skills;
(iv)
De-escalating techniques; and
(v)
Devising support systems and action plans;
(9)
End of life care, 4 hours, including:
(a)
Advance directives;
(b)
Hospice care;
(c)
Maryland Medical Orders for Life-Sustaining Treatment (MOLST) order form;
(d)
Power of attorney;
(e)
Appointment of a health care agent;
(f)
Living will;
(g)
Pain management;
(h)
Providing comfort and dignity; and
(i)
Supporting the family;
(10)
Management and operation, 4 hours, including:
(a)
Role of the assisted living manager;
(b)
Overview of accounting, accounts payable, and accounts receivable;
(c)
The revenue cycle and budgeting;
(d)
The basics of financial statements;
(e)
Hiring and training of staff;
(f)
Developing personnel policies and procedures;
(g)
Census development; and
(h)
Marketing;
(11)
Emergency planning, 4 hours, including:
(a)
Fire, disaster, and emergency preparedness;
(b)
Occupational Safety and Health Administration (OSHA) requirements;
(c)
Maintaining the building, grounds, and equipment;
(d)
Elopements;
(e)
Transfers to the hospital;
(f)
Evacuations;
(g)
Power outages;
(h)
Severe weather;
(i)
Fire;
(j)
Emergency response systems; and
(k)
Security systems;
(12)
Quality assurance, 4 hours, including:
(a)
Incident report processes; and
(b)
Quality improvement processes; and
(13)
Survey process, 2 hours, including:
(a)
State statutes and regulations;
(b)
What to expect during a survey; and
(c)
Documentation.
B.
A person seeking to offer the assisted living manager training course shall request and obtain approval by the Department by:
(1)
Submitting the proposed curriculum and training materials to the Department; and
(2)
Being available for an in-person or telephone interview by the Department.