Header:
CODE OF MARYLAND REGULATIONS
TITLE 10. DEPARTMENT OF HEALTH AND MENTAL HYGIENE
SUBTITLE 07. HOSPITALS
CHAPTER 14. ASSISTED LIVING PROGRAMS
Date:
08/31/2009
Document:
.15-2 Assisted Living Manager Training--Basic Course.
The assisted living manager's training shall include the following courses:
A. Philosophy of assisted living, 2 hours, including:
(1) Philosophy and background of assisted living and aging in place;
(2) Objectives and principles of assisted living resident programs;
(3) Comparison of assisted living to other residential programs;
(4) Basic concepts of choice, independence, privacy, individuality, and dignity; and
(5) Normalization of the environment;
B. Aging process and its impact, 4 hours, including:
(1) Physical;
(2) Psychosocial;
(3) Basic needs of the elderly and disabled; and
(4) Activities of daily living;
C. Assessment and level of care waiver, 6 hours, including:
(1) Purpose and process;
(2) Guidelines for conducting assessments;
(3) Level of care assessments; and
(4) Collaboration with case manager and delegating nurse;
D. Service planning, 6 hours, including:
(1) Required services;
(2) Enhanced scope of services;
(3) Development of individualized service plans;
(4) Scheduling of appropriate activities;
(5) Structure of activities;
(6) Care notes; and
(7) Collaboration with case manager and delegating nurse;
E. Clinical management, 20 hours, including:
(1) Role of the delegating nurse;
(2) Appropriate nurse delegation;
(3) Concept of self-administration of medications;
(4) Concept of medication management;
(5) Assistance with self-administration of medications;
(6) Administration of medications;
(7) Coordination of services and care providers;
(8) Collaboration with case manager and delegating nurse;
(9) Preventing medication errors;
(10) Patient safety;
(11) Medication monitoring;
(12) Pharmacy consultation;
(13) Medication storage;
(14) Infection control;
(15) Standard precautions;
(16) Appropriate staffing patterns;
(17) Pressure sores;
(18) Effective pain management;
(19) Basic first aid;
(20) Cardiopulmonary resuscitation (CPR); and
(21) Substance abuse;
F. Admission and discharge criteria, 4 hours, including:
(1) Overview of criteria for admission and discharge;
(2) Resident contracts;
(3) Resident rights;
(4) Financial management of resident's funds; and
(5) Working with families of residents;
G. Nutrition and food safety, 8 hours, including:
(1) Menu and meal planning;
(2) Basic nutritional needs;
(3) Safe food handling;
(4) Preventing food-borne illnesses;
(5) Therapeutic diets; and
(6) Dehydration;
H. Dementia, mental health, and behavior management, 12 hours, including:
(1) An overview consisting of:
(a) Description of normal aging and conditions causing cognitive impairment;
(b) Description of normal aging and conditions causing mental illness;
(c) Risk factors for cognitive impairment;
(d) Risk factors for mental illness;
(e) Health conditions that affect cognitive impairment;
(f) Health conditions that affect mental illness;
(g) Early identification and intervention for cognitive impairment;
(h) Early identification and intervention for mental illness; and
(i) Procedures for reporting cognitive, behavioral, and mood changes;
(2) Effective communication consisting of:
(a) Effect of cognitive impairment on expressive and receptive communication;
(b) Effect of mental illness on expressive and receptive communication;
(c) Effective communication technique, including verbal, nonverbal, tone and volume of voice, and word choice; and
(d) Environmental stimuli and influences on communication, including setting, noise, and visual cues;
(3) Behavioral intervention consisting of:
(a) Identifying and interpreting behavioral symptoms;
(b) Problem solving for appropriate intervention;
(c) Risk factors and safety precautions to protect other residents and the individual;
(d) De-escalation techniques; and
(e) Collaboration with case manager or delegating nurse;
(4) Making activities meaningful consisting of:
(a) Understanding the therapeutic role of activities;
(b) Creating opportunities for activities, including productive, leisure, and self-care; and
(c) Structuring the day;
(5) Staff and family interaction consisting of:
(a) Building a partnership for goal-directed care;
(b) Understanding family needs; and
(c) Effective communication between family and staff;
(6) Managing staff stress consisting of:
(a) Understanding the impact of stress on job performance, staff relations, and overall facility environment;
(b) Identification of stress triggers;
(c) Self-care skills;
(d) De-escalating techniques; and
(e) Devising support systems and action plans;
I. End of life care, 4 hours, including:
(1) Advanced directives;
(2) Hospice care;
(3) Power of attorney;
(4) Appointment of a health care agent;
(5) Living will;
(6) Pain management;
(7) Providing comfort and dignity; and
(8) Supporting the family;
J. Management and operation, 4 hours, including:
(1) Role of the assisted living manager;
(2) Overview of accounting, accounts payable, and accounts receivable;
(3) The revenue cycle and budgeting;
(4) The basics of financial statements;
(5) Hiring and training of staff;
(6) Developing personnel policies and procedures;
(7) Census development; and
(8) Marketing;
K. Emergency planning, 4 hours, including:
(1) Fire, disaster, and emergency preparedness;
(2) Occupational Safety and Health Administration (OSHA) requirements;
(3) Maintaining the building, grounds, and equipment;
(4) Elopements;
(5) Transfers to the hospital;
(6) Evacuations;
(7) Power outages;
(8) Severe weather;
(9) Fire;
(10) Emergency response systems; and
(11) Security systems;
L. Quality assistance, 4 hours, including:
(1) Incident report processes; and
(2) Quality improvement processes;
M. Survey process, 2 hours, including:
(1) State statutes and regulations;
(2) What to expect during a survey; and
(3) Documentation.
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