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Virginia Administrative Code (Last Updated: January 10, 2017) |
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Title 22. Social Services |
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Agency 40. Department of Social Services |
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Chapter 72. Standards for Licensed Assisted Living Facilities |
Section 310. Direct care staff training when aggressive or restrained residents are in care
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The following training is required for staff in assisted living facilities that accept, or have in care, residents who are or who may be aggressive or restrained:
1. Aggressive residents.
a. Direct care staff shall be trained in methods of dealing with residents who have a history of aggressive behavior or of dangerously agitated states prior to being involved in the care of such residents.
b. This training shall include, at a minimum, information, demonstration, and practical experience in self-protection and in the prevention and de-escalation of aggressive behavior.
2. Restrained residents.
a. Prior to being involved in the care of residents in restraints, direct care staff shall be appropriately trained in caring for the health needs of such residents.
b. This training shall include, at a minimum, information, demonstration and experience in:
(1) The proper techniques for applying and monitoring restraints;
(2) Skin care appropriate to prevent redness, breakdown, and decubiti;
(3) Active and active assisted range of motion to prevent contractures;
(4) Assessment of blood circulation to prevent obstruction of blood flow and promote adequate blood circulation to all extremities;
(5) Turning and positioning to prevent skin breakdown and keep the lungs clear;
(6) Provision of sufficient bed clothing and covering to maintain a normal body temperature; and
(7) Provision of additional attention to meet the physical, mental, emotional, and social needs of the restrained resident.
(8) Awareness of possible risks associated with restraint use and methods of reducing or eliminating such risks.
3. The training described in subdivisions 1 and 2 of this section shall meet the following criteria:
a. Training shall be provided by a qualified health professional.
b. A written description of the content of this training, a notation of the entity providing the training and the names of direct care staff receiving the training shall be maintained by the facility except that, if the training is provided by the department, only a listing of direct care staff trained and the date of training are required.
4. Refresher training for all direct care staff shall be provided at least annually or more often as needed.
a. The refresher training shall encompass the techniques described in subdivision 1 or 2 of this section, or both.
b. A record of the refresher training and a description of the content of the training shall be maintained by the facility.
Historical Notes
Derived from Volume 23, Issue 06, eff. December 28, 2006.