Total Care

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utilize it in the ongoing development of
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Regulation Update
and Review
Introduction
1. New laws
2. Other Bills of Interest
3. Medication Management
4. Admission and Retention
5. Hospice Care
6. Total Care Exceptions
7. First Aid, CPR, DNRs
8. Staff Training Requirements
NEW LAWS 2014
New Laws
Assembly Bill 261 – Billing Clarification
Amendment to H & S Section 1569.884; addition to
Section 1569.652
• Prohibits advance notice for terminating an
admission agreement due to death of the resident
New Laws
Assembly Bill 261 – Billing Clarification
• Fees must stop accruing once all personal property
is removed
• Can’t impede removal of property during
reasonable hours
• Licensee must refund fees paid in advance covering
the time after the property has been removed.
• Refund issued to whoever is contractually
responsible for the fees, or resident’s estate
New Laws
Assembly Bill 261 – Billing Clarification
• If fees are assessed while personal property remains in
the apartment after death, the licensee must inform
resident’s responsible person
• Policy must be disclosed in the admission agreement
New Laws
Assembly Bill 261 – Billing Clarification
• Applications to Assisted Living
• Documentation
• Penalties
New Laws
Assembly Bill 581 – Retaliation Prohibition
Amendments to H & S Sections 1539, 1568.07 and
1569.37
Prohibits licensee and staff from discriminating or
retaliating against a resident or employee for
complaining to CCLD or LTC Ombudsman
New Laws
Assembly Bill 581 – Retaliation Prohibition
Current law states: “No licensee shall discriminate
against resident or employee”
New law adds officer or employee of the licensee
New Laws
Assembly Bill 581 – Retaliation Prohibition
Current law states: No licensee shall discriminate or
retaliate “for initiating or participating in CCLD
inspection”
New law includes filing complaint or grievance with
CCLD and adds complaint, grievance or request for
investigation by ombudsman
New Laws
Assembly Bill 581 – Retaliation Prohibition
• Applications to Assisted Living
• Penalties and Citations
New Laws
Assembly Bill 633 - CPR
Additions to Section 1799.103 to H & S Code
Prohibits any employer from having a policy that
prevents an employee from voluntarily performing CPR
New Laws
Assembly Bill 633 - CPR
Exceptions: DNR and Trained Staff
Liability protections: Employer – no duty to train
Employee – Good Samaritan
New Laws
Assembly Bill 663 – LGBT Training
Amendment to Sections 1562.3 and 1569.616 of the
H & S Code
Adds cultural competency and sensitivity in LGVT
issues to required 40-hour administrator certification
course
New Laws
Assembly Bill 663 – LGBT Training
Applies to RCFE’s and ARF’s
Also requires training for LTC ombudsman
New Laws
Assembly Bill 620 – Missing Resident Notification
Plan
Addition to Sections 1279.8, 1507.15, 1569.317 and
1584 of the H & S Code
New Laws
Assembly Bill 620 – Missing Resident Notification
Plan
Every RCFE (and other licensees) shall, for the
purpose of addressing issues that arise when a
resident is missing from the facility, develop and
comply with an absentee notification plan as part of
the written record of care the resident will receive.
New Laws
Assembly Bill 620 – Missing Resident Notification
Plan
The plan shall include and be limited to the
following: a requirement that an administrator, or
his or her designee, inform the resident’s
authorized representative when that resident is
missing and circumstances under which law
enforcement shall be notified.
Other Bills
Assembly Bill 10 – Minimum Wage Increase
Assembly Bill 241 – Domestic Worker Bill of Rights
Assembly Bill 1217 – Home Care Licensure
NEW LAWS 2015
Effective January 1, 2015
New Laws 2015
Assembly Bill 1572 – Changes RCFE Resident and
Family Council Requirements.
Requires every licensed residential care facility for the
elderly, at the request of residents, to assist them in
establishing and maintaining a single resident council.
Authorizes specified persons or others to participate in
resident council to make recommendations to
administrators to improve the quality of daily living and
care in the facility and to promote residents' rights.
Requires facilities to respond to any written concerns or
recommendations submitted by resident council within
14 days.
New Laws 2015
Assembly Bill 1572 – Changes RCFE Resident and
Family Council Requirements. (Cont.)
Requires the facility to appoint a designated staff
member to assist the council under certain conditions.
Bans interference with the formation, maintenance, or
promotion of a resident council.
Click here to read the full bill.
New Laws 2015
Assembly Bill 1899 – Prohibition on Licensure for
RCFE Abandonment.
Amends the State Residential Care Facilities for the Elderly
Act that provides for the licensure and regulation of
residential care facilities for the elderly. Excludes a licensee
who abandons the facility and the residents resulting in an
immediate and substantial threat to the health and safety
of those residents, from licensure in facilities licensed
without the right to petition for reinstatement, and
licensees who failed to take all reasonable steps to transfer
affected residents to minimize trauma.
Click here to read the full bill.
New Laws 2015
Assembly Bill 2044 – CPR and Emergency Training
and Staffing
Relates to residential care facilities for the elderly.
Requires that at least one administrator, facility
manager, or designated substitute who has adequate
qualifications be on the premises of a facility 24 hours
per day. Requires a facility to employ, and an
administrator to schedule, a sufficient number of staff
members. Requires certain training to include building
and fire safety and the appropriate response to
emergencies.
Click here to read the full bill.
New Laws 2015
Assembly Bill 2717– Codifies Resident Rights
Establishes rights for residents of privately operated
residential care facilities for the elderly, including to
receive a specified amount of notice before involuntary
transfer, discharge, or eviction, to be accorded dignity in
relationships with staff, to be granted a reasonable level
of privacy, and records confidentiality. Requires a facility
staff person to advise a resident and the resident's
representative of these and other rights.
Click here to read the full bill.
New Laws 2015
Assembly Bill 2632 – Requires Investigation of
Arrests Before Granting Criminal Background
Clearance.
Prohibits the State Department of Social Services, with
regard to community care facilities, residential care
facilities, foster family home or certified family home,
residential care facilities and child day cares, from
issuing a criminal records clearance to a person who has
been arrested for specified crimes or for any crime for
which the person is granted a criminal record exemption
prior to completion of an employment investigation.
New Laws 2015
Assembly Bill 2632 – Requires Investigation of
Arrests Before Granting Criminal Background
Clearance. (Cont.)
Requires a check to see if a person has been convicted
of certain crimes for which an exemption cannot be
granted.
Click here to read the full bill.
New Laws 2015
Assembly Bill 1153 – Ban on RCFE Admissions.
Permits the California Department of Social Services
(DSS) to suspend admissions to a RCFE if the facility has
violated the law, been cited for repeated violations, or
has failed to pay a civil penalty. The bill would authorize
a licensee to appeal the suspension and would require
the department to adopt regulations that specify the
appeal procedure.
Click here to read the full bill.
New Laws 2015
Assembly Bill 1382 – Increases Initial and Annual
RCFE Licensing Fees
This bill increases the initial and annual licensing fees for
RCFEs for every sized facility. After initial licensure, a fee
shall be charged by the department annually on each
anniversary of the effective date of the license.
Click here to read the full bill.
New Laws 2015
SSP/SSI Rates:
The Non-Medical Out of Home Care (NMOHC)
Payment Standard will be as follows:
Supplemental Security Income (SSI): $733
State Supplementary Payment (SSP): $412
Total NMOHC Payment Standard: $1145
Amounts are double for SSI/SSP couples.
New Laws 2015
SSP/SSI Rates (Cont.):
The NMOHC Payment Standard includes the
following components:
Room and board: $492
Care and supervision: $522 maximum
Amount payable for basic services: $1014
Personal and incidental needs allowance (must
be provided to the recipient): $131
NEW LAWS 2015
Effective July 1, 2015
New Laws 2015
Assembly Bill 1523 – Liability Insurance
Requirement
All residential care facilities for the elderly, except those
facilities that are an integral part of a continuing care
retirement community, shall maintain liability insurance
covering injury to residents and guests in the amount of
at least one million dollars ($1,000,000) per occurrence
and three million dollars ($3,000,000) in the total annual
aggregate, caused by the negligent acts or omissions to
act of, or neglect by, the licensee or its employees.
Click here to read full bill.
New Laws 2015
Assembly Bill 2236 – New Civil Penalty Structure
Raises the fine for violations that result in death to
$15,000; and violations that result in serious
bodily injury or constitute physical abuse to $10,000. It
establishes a four-step appeal process that
includes review by an administrative law judge. Lesser
violations, including the statutorily defined “serious
violations” and repeat violations, remain at $150.
This bill also increases civil penalties for death, serious
bodily injury, and physical abuse in all CCLD licensees as
well.
Click here to read full bill.
NEW LAWS 2016
Effective January 1, 2016
New Laws 2016
Assembly Bill 1570 – Increases Caregiver Training
and Administrator Exam
This bill would require the certification program for
an applicant for licensure to consist of 80 hours of
coursework and a state-administered examination of
no less than 100 questions. The bill would require
the examination to reflect the uniform core of
knowledge required and would require the
department, no later than July 1, 2016, and every
other year thereafter, to review and revise the
examination in order to ensure the rigor and quality
of the examination.
New Laws 2016
Assembly Bill 1570 – Increases Caregiver Training
and Administrator Exam (Cont.)
This bill would require staff members of residential
care facilities for the elderly who assist residents
with personal activities of daily living to receive 20
hours of training before working independently with
residents, an additional 20 hours within the first 4
weeks of employment, and an additional 20 hours
annually, as prescribed. The bill would also apply the
training requirements specific to dementia care to all
residential care facilities for the elderly.
Click here to read full bill.
New Laws 2016
SB 911– Increases Administrator Certification
Requirements, Medication Requirements and
Caregiver Training
This bill prohibits retaliation for calling 911. It also
significantly increases administrator certification
training
hours and updates the content of the class. The bill
also increases the training hours for staff who assist
with medications and adds a new caregiver training
topic to the initial training as described in AB 1570.
Click here to read full bill.
Regulation Review:
Medication Management
Medications:
Assist vs. Administer
Medications
F.A.Q.’s:
1. When can staff assist with eye drops to residents?
Ear drops? Nose drops?
2. Are trained staff allowed to measure medications
with an oral syringe?
3. Can unlicensed staff apply a patch or topical
medication for a resident who cannot reach the area?
4. Can liquid narcotics be centrally stored?
5. Is an exception required for medications to be
crushed?
Medications
F.A.Q.’s:
6. Is it necessary to contact the physician before each
does when assisting a resident with PRN morphine?
7. Can a family member administer medication to a
resident NOT on hospice?
8. If a medication label only has a month and year
listed for the expiration date, does it expire on the
first day of the month listed, or the last day?
Medications
F.A.Q.’s:
9. Are medications purchased from Canada and
Mexico safe and/or legal?
10. Does CCL allow electronic physician signatures for
medication orders and prescriptions?
Regulation Review:
Admission and Retention
Admission & Retention
• Allowable Conditions
• Restricted Conditions
• Prohibited Conditions
Regulation Review:
Hospice Care
End of Life
Hospice Care
• Waivers
• Care Plans
• Training
End of Life
Hospice Care Plan
• Agency contact info
• Description of services to be provided by the
agency
• Primary contacts
• Licensee responsibilities
• Services by other persons
• Training needs
End of Life
Hospice Training Needs
• Dying process
• Psychosocial support
• Care of bedridden residents
• Pain management
End of Life
Total Care:
• What it means for staff/residents
• Exceptions and waivers
Regulation Review:
Total Care
BACKGROUND
WHAT IS TOTAL CARE?
• Total care is defined as
a condition where
residents depend on
others to perform all of
their activities of daily
living.
• A prohibited condition,
per regulation 87615.
BACKGROUND
•
•
An exception must be
obtained to retain a
resident who requires
total care in an RCFE
Old process:
Obtain hospice waiver
Accept/retain resident
on hospice
Resident becomes “total
care”
Request total care
exception
New CCL Total Care Policy
NEW CCL TOTAL CARE POLICY
•
•
•
CCL has updated their total care policy to
streamline and expedite the process.
Update is in section 87632 of the RCFE Evaluator
Manual. Available at www.ccld.ca.gov
As written it only applies to “total care” residents
who are receiving hospice services.
NEW CCL TOTAL CARE POLICY
•
New policy in a “nutshell:”
Submit 2 (of 3) required exception
components in advance as part of
your hospice waiver
(Total Care Plan)
NEW CCL TOTAL CARE POLICY
•
All exception requests must include (87616):
1. Documentation of the resident's current health condition
including updated medical reports, other documentation
of the current health, prognosis, and expected duration of
condition.
2. The licensee's plan for ensuring that the resident's health
related needs can be met by the facility.
3. Plan for minimizing the impact on other residents.
NEW CCL TOTAL CARE POLICY
•
New Total Care Policy
SUBMIT
ADVANCE
AS
1. Documentation of the resident's
currentINhealth
condition
PART
OFdocumentation
HOSPICE
including updated medical reports,
other
WAIVERduration of
of the current health, prognosis, and expected
condition.
2. The licensee's plan for ensuring that the resident's health
related needs can be met by the facility.
3. Plan for minimizing the impact on other residents.
NEW CCL TOTAL CARE POLICY
•
New Total Care Policy
1. Documentation of the resident's current health condition
including updated medical reports, other documentation
of the current health, prognosis, and expected duration of
condition.
2. The licensee's plan for ensuring that the resident's health
related needs can be met by the facility.
3. Plan for minimizing the impact on other residents.
MET VIA RESIDENT”S
HOSPICE CARE
(RETAIN ON FILE)
NEW CCL TOTAL CARE POLICY
Obtain Total Care Plan Approval
Request total care exception request when notifying CCL of
the initiation of hospice services
Propose hospice care plan as variance to 87616(1)
NEW CCL TOTAL CARE POLICY
What if I already have a hospice waiver?
Submit an addendum to the existing hospice care
waiver plan that includes the total care component. If
the Department approves this addendum, the
licensee may then use the option of requesting the
total care exception under the simplified methods
noted above.
The Total Care Plan
TOTAL CARE PLAN
•
•
Submit in advance as part of hospice waiver.
Must include:
• The licensee’s plan for ensuring that current total
care residents’ health related needs can be met, or
provisions made for them to be met by the licensee.
• How it will minimize this impact on the other
residents.
TOTAL CARE PLAN
PLAN FOR ENSURING HEALTH RELATED
NEEDS CAN BE MET:
•
Staff training
•
Additional support from hospice care staff
•
Family/volunteers
•
How will you manage medications?
•
Bedridden?
TOTAL CARE PLAN
MINIMIZING IMPACT ON OTHER RESIDENTS:
•
Private rooms
•
Ensuring “sufficient” staff
•
Adjustments to staff schedules
•
Backup staff
Regulation Review:
First Aid, CPR, and DNRs
EFFECTIVENESS OF CPR
•
CPR is not like you see
in movies and television.
EFFECTIVENESS OF CPR
5-10%
of people who undergo CPR
will survive
EFFECTIVENESS OF CPR
15-24%
of people who undergo CPR
in the hospital will survive
to discharge
EFFECTIVENESS OF CPR
0-5%
of frail nursing home
residents survive CPR
EFFECTIVENESS OF CPR
3x
persons with advanced
dementia have survival
rates 3x lower than those
without dementia
First Aid and CPR Requirements
FIRST AID AND CPR REQUIREMENTS
•
•
•
87411
Personnel requirements
“Staff providing care shall receive appropriate
training in first aid…”
FIRST AID AND CPR REQUIREMENTS
•
•
•
•
•
New Bill 2044
This bill requires that there be a designated “in
charge” staff person when the administrator is not
present.
This person must have training necessary to respond
to emergencies and provide necessary care and
supervision. The bill also requires that there be at
least one CPR-trained staff person on duty at all
times.
Several other provisions are already required by
regulation.
FIRST AID AND CPR REQUIREMENTS
•
•
•
First aid kits
Advanced directives
AED
Advanced Directives
ADVANCED DIRECTIVES
Health and Safety Code § 1569.156:
• Not condition the provision of care or otherwise
discriminate based on whether or not an individual
has executed an advance directive, consistent with
applicable laws and regulations.
ADVANCED DIRECTIVES
Health and Safety Code § 1569.156:
• Provide education to staff on issues concerning
advance directives.
• Provide written information, upon admission, about
the right to make decisions concerning medical
care, including the right to accept or refuse medical
or surgical treatment and the right, under state law,
to formulate advance directives.
• Provide written information about policies of the
facility regarding the implementation of the rights
described
ADVANCED DIRECTIVES
•
•
•
Must give to all residents
PUB 325
www.ccld.ca.gov
ADVANCED DIRECTIVES
•
•
•
POLST
Standardized
advanced directive
format
www.capolst.org
ADVANCED DIRECTIVES
ADVANCED DIRECTIVES
ADVANCED DIRECTIVES
ADVANCED DIRECTIVES
HONORING A DNR
•
•
•
87469
If a resident who has a DNR
on file experiences a medical
emergency, facility staff shall
do one of the following:
Immediately telephone 9-1-1,
and present the DNR to the
responding emergency
medical personnel
HONORING A DNR
•
•
•
87469
If a resident who has a DNR on file
experiences a medical emergency,
facility staff shall do one of the
following:
Immediately give the DNR to a
physician, RN, or LVN, if in the
resident's presence at the time of
the emergency and assumes
responsibility
HONORING A DNR
•
•
H&S Code Section 1569.73
“A facility that has obtained a hospice waiver from
the department pursuant to this section need not
call emergency response services at the time of a
life-threatening emergency if the hospice agency is
notified instead…”
AEDs
AED
•
•
87607
RCFEs are permitted to
maintain and operate
automated external
defibrillators (AED)
AED
•
•
•
•
Must notify CCL in writing
Staff who will operate
must have a valid
“operator’s certificate”
Must document quarterly
proficiency
demonstrations
Must maintain an AED
supply kit
Common Questions
COMMON QUESTIONS
What should our policy be?
• No simple answer
• Depends on your organization and your staff
• Options:
•
•
•
•
No CPR, call 9-1-1
Caregivers no CPR, nurses can do CPR, call 9-1-1
Train everyone in CPR
Train at least one person in CPR
COMMON QUESTIONS
What do I tell my staff?
• Tell them to call 9-1-1
• Nurses can initiate CPR based on their clinical
judgment and comfort level
COMMON QUESTIONS
What do I tell my residents?
• Make sure they are aware of your CPR policies
• Talk to them about end of life wishes
Staff Training
Requirements
Staff Training
Dementia Training Requirements
Initial training for:
• Caregivers - Section 87707 of the Title 22 requires
caregivers to receive 6 hours of initial training within
4 weeks of employment.
• Administrator – receives training as part of the initial
certification process
• All staff – “All personnel shall be given on the job
training or have related experience in the job
assigned them.”
Staff Training
Dementia Training Requirements
Annual training for:
• Caregivers - Section 87707 of the Title 22 requires
caregivers to receive 8 hours of annual training on
Dementia related topics.
• Administrator – 8 of the 40 hours required to
recertify must be on Dementia related topics
• All staff - “All personnel shall be given on the job
training or have related experience in the job
assigned them.”
Staff Training
Dementia Training Requirements
•Documentation and Record keeping
Staff Training
Medication Training Requirements – Review
For staff assisting with medications (OSHA 1569.69):
Initial - In Communities with 15 or fewer residents, staff
must complete 6 hours of initial training (2 hours of
“shadow” training) within 2 weeks of hire and prior to
assistance with self-administration of medications.
Annual – Staff must complete 4 hours of in-service
training on medication related topics in each succeeding
12-month period.
Staff Training
Medication Training Requirements – Review
For staff assisting with medications (OSHA 1569.69):
Initial - In Communities with 16 or more residents, staff
must complete 16 hours of initial training (8 hours of
“shadow” training) within 2 weeks of hire and prior to
assistance with self-administration of medications.
Annual – Staff must complete 4 hours of in-service
training on medication related topics in each succeeding
12-month period.
Staff Training
Medication Training
Requirements – Review
Who is allowed to train?
Who is allowed to
shadow?
Staff Training
Medication Training Requirements – Review
Who is allowed to train? Shadow?
Any of the following practical experience or licensure
requirements:
• Two years of full-time experience, within the last four
years, as a consultant with expertise in medication
management
• Two years of full-time experience, or the equivalent,
within the last four years, as an administrator for a RCFE
• Two years of full-time experience, or the equivalent,
within the last four years, as a direct care provider
assisting with the self-administration of medications
• Possession of a license as a medical professional
Staff Training
Medication Training
Requirements – Review
Documentation and
record keeping
Staff Training
Initial/Orientation
Training – Review
• Personal Rights
• Abuse and Neglect
• Other required topics
Staff Training
Initial/Orientation training – Review
• Direct Care Staff must receive 10 hours of training within
the first four (4) weeks of hire. Required topics include
First Aid, Aging process, Personal care services (ADL’s),
Resident Rights, Policies and Procedures, Psychosocial
needs and Dementia.
• Direct Care Staff must receive four (4) hours of annual
training on topics related to direct resident care.
Staff Training
Initial/Orientation training – Review
To receive an RCFE administrators license, you must
complete 40 hours of initial, in-class training from an
approved vendor, pass the state exam (within 60 days of
the final day of that class), and send in $100 to licensing
for your initial certificate.
Training Solutions
Training Solutions
Online Staff and
Administrator Training:
For Staff
• 10-hour orientation
• Annual training
• Medication: Initial and
Annual
• Dementia: Initial and annual
Training Solutions
Online Staff and Administrator
Training:
For Administrator
• 20 hours Continuing Education
• Webinars
Training Solutions
Online Staff and Administrator
Training:
• Cost
• Documentation/Certificates
Training Solutions
In House Training
Training Solutions
In House Training
• Training Kits and Materials
• Pre-made forms, documents
and exams
• Reusable
• Stay up to date
• Cost
Training Solutions
In House Training
• Create your own
training curriculum
Outsource Training
• Approvals required
• Instructor
Credentials
• Cost
• Convenience
Training Solutions
Live Classroom Training
Questions?
Review Questions
Review Questions
1.One of the new laws implemented for 2014
had to do with CPR. This new law prohibits
what?
Review Questions
1.One of the new laws implemented for 2014
had to do with CPR. This new law prohibits
what?
It prohibits any employer from having a policy
that prevents an employee from voluntarily
performing CPR
Review Questions
2. True/False: A new RCFE caregiver must
receive 10 hours of initial training within 1
week of employment.
Review Questions
2. True/False: A new RCFE caregiver must
receive 10 hours of initial training within 1
week of employment.
False. They must receive 10 hours of training
with 4 weeks of employment.
Review Questions
3. For any staff assisting with self-administration
of medications, it is required that they receive
__________of continuing education annually
on medication related topics.
Review Questions
3. For any staff assisting with self-administration
of medications, it is required that they receive
4 hours of continuing education annually on
medication related topics.
Review Questions
4. DNR stands for what?
A.
B.
C.
D.
Daily and Nightly Report
Do Not Resuscitate
Diagnosed Non-Responsive
Drug and Narcotic Report
Review Questions
4. DNR stands for what?
A.
B.
C.
D.
Daily and Nightly Report
Do Not Resuscitate
Diagnosed Non-Responsive
Drug and Narcotic Report
Review Questions
5. Assembly Bill 261 addresses new Billing
Clarifications for 2014. According to this new
bill, fees must stop accruing once this has
been completed.
Review Questions
5. Assembly Bill 261 addresses new Billing
Clarifications for 2014. According to this new
bill, fees must stop accruing once this has
been completed.
Fees must stop accruing once all personal
property has been removed from the room/living
quarters.
Review Questions
6. True/False: There will be a minimum wage
increase in California in 2014.
Review Questions
6. True/False: There will be a minimum wage
increase in California in 2014.
True. The California minimum wage will increase
in 2014 and again in 2016.
Review Questions
7. Medication training includes 2 components
which must be completed before assisting
residents with self-administration. What are
they?
Review Questions
7. Medication training includes 2 components
which must be completed before assisting
residents with self-administration. What are
they?
The initial training and the shadow training.
Review Questions
8. True/False. Dementia training: If your
Community cares for dementia residents,
caregivers must receive 6 hours of initial
training within 4 weeks of hire date.
Review Questions
8. True/False. Dementia training: If your
Community cares for dementia residents,
caregivers must receive 6 hours of initial
training within 4 weeks of hire date.
True.
It’s time for…….
COMMUNITY FEUD!
COMMUNITY FEUD!
There are some new laws that went
into effect in 2014. What are the
FIVE (5) topics discussed in this
course that were changed or
amended. (Example: Minimum
Wage Increase)
1
2
3
4
5
COMMUNITY FEUD!
We surveyed 100 administrators
about the RCFE initial certification
process. What are some of the
steps you need to take to get your
initial license? What were the 5
most mentioned steps?
1
2
3
4
5
COMMUNITY FEUD!
What are 4 training solution
options for you or your staff that
are mentioned in this Course?
1
2
3
4
COMMUNITY FEUD!
Each direct care staff member must
complete 10 hours of orientation
training within 4 weeks of being
hired. What are the seven (7)
required topics that must be
included as part of this training?
1
2
3
4
5
6
7
COMMUNITY FEUD!
According to the OSHA Health and
Safety Code, who is allowed to do
the “shadowing” portion of the
required medication training?
1
2
3
4
5
COMMUNITY FEUD!
We surveyed 100 RCFE and ARF
administrators regarding online
staff and administrator training.
They were asked “What are the
benefits of online training?” The
top five (5) answers are on the
board.
1
2
3
4
5
Evaluation
www.careandcompliance.com/eval
If you have not completed your
evaluation please take time to complete
when time permits, your feedback is
greatly appreciated.

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