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:
.17 Assisted Living Manager Training -- Basic Courses.
A. The assisted living manager's training shall include the following courses:
(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 case manager and 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 case manager and 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 case manager and delegating nurse;
(i) Preventing medication errors;
(j) Patient safety;
(k) Medication monitoring;
(l) Pharmacy consultation;
(m) Medication storage;
(n) Infection control, to include standard precautions, contact precautions, and hand hygiene;
(o) Appropriate staffing patterns;
(p) Pressure sores;
(q) Effective pain management;
(r) Basic first aid;
(s) Cardiopulmonary resuscitation (CPR); and
(t) Substance abuse;
(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 case manager or 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;
(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) Power of attorney;
(d) Appointment of a health care agent;
(e) Living will;
(f) Pain management;
(g) Providing comfort and dignity; and
(h) 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 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.
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