N.J. Admin. Code § 10:37A-7.3

Current through Register Vol. 56, No. 11, June 3, 2024

Section 10:37A-7.3 - Staff training

(a) The PA shall develop, update, administer, and document a comprehensive, competency-based training program and manual for individuals providing adult mental health residential services. The training curriculum shall be consistent with the requirements set forth at N.J.A.C. 10:37-6.99, 10:37D-2.14, and 10:77A-2.4, and shall have as stated objectives the attainment of the skills to provide, to the extent they are applicable, the services listed in (d) below.

(b) A training completion summary sheet shall be documented for each employee, listing each topic and subtopic relevant to the employee's job that is included in the curriculum and indicating the date that each training was provided, the duration of the training, the source of the training, and the competency (as indicated by a completed test, if applicable) or certification achieved. On-line training may serve as the delivery method for each topic or subtopic listed in (d) below.

(c) A training manual shall provide a detailed description of the curriculum, consistent with the topics listed in (d) below, the qualifications of the individuals or sources of the training providers, the training format, any materials to be used or distributed, and a description of how skill attainment will be measured, including a copy of any measurement instrument to be used.

(d) The training curriculum shall include, at a minimum, the following topics:

1. An overview of adult mental health rehabilitation services delivery, including:

i. Psychiatric rehabilitation;

ii. Illness, management, and recovery;

iii. Wellness and recovery action planning;

iv. Advance directives for mental health care;

v. Professional ethics and boundaries;

vi. Confidentiality;

vii. Resident populations; and

viii. Continuum of care and discharge orientation.

2. Emergency preparedness including:

i. CPR training/first aid;

ii. Obstructed airway training;

iii. Infection control; and

iv. Fire safety;

3. Suicide prevention, including, but not limited to, risk factors and warning signs;

4. Substance use disorders in conjunction with mental illness;

5. Crisis intervention and prevention skills, including:

i. Development of a crisis plan;

ii. Crisis assessment;

iii. Crisis prevention techniques;

iv. Verbal intervention;

v. Crisis resolution;

vi. Mobilization of supports and how and when to access additional resources;

6. Documentation and recordkeeping procedures, including:

i. Needs assessment;

ii. Individualized rehabilitation plan;

iii. Progress notes;

iv. Termination summary;

v. Objective versus subjective recording of information;

vi. Daily attendance logs for programs reimbursed on a daily basis; and

vii. Daily recording of the nature of services rendered, including the total number of units of service provided;

7. Policies and procedures for verbally assisting the consumer in self-administering prescription and non-prescription medication;

8. Other medication/clinical issues, including:

i. Classes of medication, therapeutic objectives, side effects, and interactions, including documentation and reporting of side effects to appropriate medical professional; and

ii. Clinical communication, including how to report symptoms when encountering problematic medical/clinical situations and pertinent information to share with medical providers during emergencies;

9. Activities of daily living and personal care management, including:

i. Personal hygiene;

ii. Food preparation and nutrition;

iii. Household maintenance, laundry, and budgeting; and

iv. Monitoring of prescribed individual eating modifications; and

10. Self-care health management and chronic health conditions.

(e) A certificate of completion of cardiopulmonary resuscitation (CPR) and first aid training issued by a trainer certified by the American Heart Association or the American Red Cross is required and must be renewed upon expiration.

(f) Individuals who have not completed the required training elements set forth in (d)1 through 9 and (e) above may only deliver services with a co-signature by a person who has been so trained. The co-signer shall be on site and available at all times to provide in-person guidance. Within six months of beginning employment or August 15, 2016, whichever comes later, all employees must have completed all required training elements.

N.J. Admin. Code § 10:37A-7.3

Adopted by 48 N.J.R. 1636(a), effective 8/15/2016