N.M. Admin. Code § 8.370.11.9

Current through Register Vol. 35, No. 23, December 10, 2024

Section 8.370.11.9 - COURSE OF EDUCATION

New Mexico requires a state training education process to become a certified direct care staff member. The education program shall provide knowledge on the skills and abilities necessary to perform as a competent direct care service staff member; this is established through training education, provided either on-line or in person, followed by successful completion of a division-approved written examination. The in-person instructor will conduct the course of education for the direct care staff member as set out below. Each long-term facility and long-term care facility contractor shall provide training either on-line or in-person as set forth in this section to each DCSSM that it employs.

A.Instruction: Instruction by the on-line provider or in-person instructor must be at least four hours in length, either in-person or on-line, and include these authority-approved areas of study:

(1) identify cognitive, functional, and behavioral changes of normal aging and those associated with mild cognitive impairment and dementia;

(2) identify and understand the various types of dementia;

(3) identify the prevalence, risk factors, signs and symptoms, and rate of progression of dementia;

(4) identify and understand the stages of dementia;

(5) describe and understand when to refer people living with dementia (PLwD) to a neurologist, geriatric psychiatrist, neuropsychologist, or a national Alzheimer's disease center;

(6) diagnosing dementia & discussing dementia diagnosis;

(7) patient centered care;

(8) activities of daily living in people living with dementia and Alzheimer's disease;

(9) identify common components of an individualized primary care plan for persons with middle stage dementia;

(10) identify common components of an individualized primary care plan for persons with late stage dementia;

(11) identify and understand common medical issues related to early-stage dementia,

(12) identify and understand common medical issues related to middle-stage dementia;

(13) identify and understand common medical issues related to late-stage dementia;

(14) effective care transitions to and from acute care hospitals:

(15) interprofessional team roles and dementia:

(16) describe how responsibilities may evolve as the disease progresses;

(17) list legal and financial considerations to discuss with a patient and appropriate care partner(s) upon a diagnosis of dementia;

(18) identify domains that are included in a capacity assessment for a person living with dementia;

(19) ethics and capacity issues;

(20) responding to abuse, neglect & exploitation of people living with dementia and Alzheimer's disease.

(21) identify signs and symptoms of end-stage dementia;

(22) identify and understand barriers to optimal care among various ethnic groups;

(23) identify and understand techniques for effective communications with diverse populations;

(24) pain assessment in people living with dementia;

(25) resident rights;

(26) palliative care & end of life care.

B.Trainer requirements: A person conducting training of the required topics set forth in 8.370.11.9 NMAC shall have:

(1) at least two years of work experience related to alzheimer's disease, dementia, health care, gerontology or other related field; and

(2) successfully completed training requirement to the requirements provided in Subsection A of 8.370.11.9 NMAC, including passage of the knowledge test required in Subsection D of 8.370.11.9 NMAC; and

C.Training on-line: Training on-line shall be provided by the authority through the train program at www.train.org/nm or through a authority -approved on-line curriculum and knowledge test which shall include the authority-approved areas of study set forth in Subsection A of 8.370.11.9 NMAC and shall be at least four hours in length. After completion of the on-line training and successful passage of a knowledge test, a certificate shall be issued to the DCSSM.

D.Evaluation of training topics: The authority shall review and evaluate the training areas of study in Subsection A of 8.370.11.9 NMAC every two years or as determined necessary by the authority based upon current research and best practices.

E.Testing: The in-person or on-line training must be followed by successful completion of a division-approved written examination which shall cover the areas of study set forth in Subsection A of 8.370.11.9 NMAC before a training certificate will be issued by the in-person or on-line training program.

F.Training certificates: The provider of online or in-person training conducted pursuant to 8.370.11.9 NMAC shall issue a certificate to the DCSSM upon completion of initial training, or the authority shall issue a certificate upon receipt of facility attestation of exemption from training as set forth in Subsection D of 8.370.11.8 NMAC. The certificate shall be valid so long as the certificate holder meets the continuing education requirement set forth in 8.370.11.9 NMAC and the certificate holder has not had a lapse of dementia-related direct care service employment for 24 consecutive months or more. The certificate shall be valid among long-term care facilities.

G.Continuing education: Proof must be maintained by the facility of four hours of training by the DCSSM every two years on topics set forth in 8.370.11.9 NMAC for treatment and care of persons with Alzheimer's disease or dementia, in order to maintain the certificate issued to the individual DCSSM.

H.Maintenance of certification records: Each long-term care facility and long-term care facility contractor subject to 8.370.11 NMAC shall be responsible for maintaining documentation regarding completed long-term care facility dementia training, evaluation and continuing education for each DCSSM. Each long-term care facility contractor subject to 8.370.11 NMAC shall provide a copy of each DCSSM'S dementia training certificate to every long-term care facility where the DCSSM provides direct care service, pursuant to Subsection F of Section 24-17B-3 NMSA 1978.

N.M. Admin. Code § 8.370.11.9

Adopted by New Mexico Register, Volume XXXV, Issue 12, June 25, 2024, eff. 7/1/2024