Ariz. Admin. Code § 4-33-703

Current through Register Vol. 30, No. 45, November 8, 2024

Section R4-33-703 - Curriculum for Assisted Living Facility Caregiver Training Program

A. The owner of an assisted living facility caregiver training program shall ensure that the training program consists of at least 62 hours including:

1. Fifty hours of instruction, and

2. Twelve hours of instructor-supervised skills training.

B. The owner of an assisted living facility caregiver training program 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 program shall ensure the training program includes 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 one hour of instruction).

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 two hours of instruction).

a. Confidentiality (HIPAA);

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 two hours of instruction).

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 one hour of instruction).

a. Stress management, and

b. Time management;

5. Service plans (at least two hours of instruction). Developing, using, and maintaining resident service plans;

6. Infection control (at least three hours of instruction).

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 two hours of instruction).

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 two hours of instruction).

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 two hours of instruction).

a. Housekeeping,

b. Laundry, and

c. Physical plant;

10. Basic caregiver skills (at least eight hours of instruction).

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 transferring 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 three hours of instruction).

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 four hours of instruction).

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 two hours of instruction).

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 hours of instruction).

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 medication administration;

e. Knowing classifications of and responses to medications;

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 conditions affect medication absorption;

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

n. Using drug-reference guides (Physician's Desk Reference); and

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

D. The owner of an assisted living facility caregiver training program shall ensure that the training program provides a student with at least the number of:

1. Hours of instruction specified in subsection (C); and

2. Instructor-supervised skills training hours specified in subsection (A).

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

F. The owner of an assisted living facility caregiver training program 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.

Ariz. Admin. Code § R4-33-703

New Section made by final rulemaking at 19 A.A.R. 1619, effective August 4, 2013 (Supp. 13-2). Amended by final rulemaking at 24 A.A.R. 2734, effective 11/10/2018. Amended by final rulemaking at 29 A.A.R. 1556, effective 6/15/2023.