412 Ind. Admin. Code 2-1-3

Current through October 31, 2024

Section 412 IAC 2-1-3 - QMA training

Authority: IC 16-28-1-11

Affected: IC 16-28-1

Sec. 3.

A QMA program shall include, at a minimum, the following:

(1) One hundred (100) hours of training to include sixty (60) hours of classroom instruction and forty (40) hours of supervised practicum.

(2) Classroom training performed by a registered nurse who possesses a minimum of two (2) years of licensed nursing experience, of which at least one (1) year shall be in the provision of long term care facility services. Instructors shall have documentation of completion of an Indiana state department of health instructor QMA course.

(3) A curriculum that includes a review of the following areas:

(A) Communication and interpersonal skills, including communication with a cognitively impaired or combative resident as follows:

(i) Techniques for addressing the unique needs and behaviors of individuals with dementia (Alzheimer's and others).

(ii) Communicating with cognitively impaired residents.

(iii) Understanding the behavior of cognitively impaired residents.

(iv) Appropriate responses to behavior of cognitively impaired residents.

(v) Methods of reducing the effects of cognitive impairments.

(B) Infection control/hand washing.

(C) Safety/emergency procedures, including the Heimlich maneuver.

(D) Resident independence.

(E) Resident rights.

(F) Abuse, neglect, and misappropriation of resident property.

(4) A curriculum that includes instruction and training on the scope of practice for a QMA, including, but not limited to, the following:

(A) Fundamentals of pharmacology.

(B) Medication orders.

(C) Care of long term residents and monitoring for effects of medication usage.

(D) Fundamentals of the following systems and medications affecting each system:

(i) Gastrointestinal.

(ii) Musculoskeletal.

(iii) Skin and sensory.

(iv) Urinary.

(v) Cardiovascular.

(vi) Respiratory.

(vii) Endocrine.

(viii) Male and female reproductive.

(ix) Nervous.

(E) Psychotherapeutic medications.

(F) Inflammation, infection, immunity, and malignant disease.

(G) Nutritional deficiencies.

(H) Principles of administering medications.

(I) Documentation of medication administration.

(J) Hand washing/standard precautions.

(K) Positioning of resident in preparation for medication/treatment administration, including the following:

(i) Supine position.

(ii) Lateral/Sim's position.

(iii) Fowlers positions.

(iv) Prone position.

(L) Obtaining temperature via oral, axillary, otic, or rectal route using a thermometer (glass and electronic).

(M) Measurement of vital signs, including pulse, respiratory rate, and blood pressure.

(N) Scope of practice of the QMA.

(O) Reporting of observations to the licensed nurse and documentation of those observations in the medical record.

(P) Clean technique in handling medications and dressings.

(Q) Administration of oxygen per nasal cannula or nonsealing mask.

(R) Obtaining oxygen saturation utilizing an oximeter.

(S) Administration of medications per G-tube or J-tube.

(T) Administration of medication via metered dose inhaler.

(U) Hemoccult testing.

(V) Finger stick blood glucose testing.

(W) Applying a dressing to a minor skin tear.

(X) Applying a dressing to a healed G-tube or J-tube site.

(Y) Emptying and changing colostomy bag.

(Z) Instilling a commercially prepared disposable enema.

(AA) Administering a sitz bath.

(BB) Applying a cold dry compress.

(CC) Conducting diabetic urine testing.

(DD) Collecting fecal or urine specimens.

412 IAC 2-1-3

Indiana Health Facilities Council; 412 IAC 2-1-3; filed Apr 30, 2002, 11:05 a.m.: 25 IR 2728; errata filed Dec 10, 2002, 11:20 a.m.: 26 IR 1572; readopted filed Sep 25, 2008, 10:30 a.m.: 20081008-IR-412080323RFA