Section 553.303 - Staff Training(a) In addition to the staff training requirements under § 553.253 of this chapter (relating to Employee Qualifications and Training), all staff members must receive four hours of dementia-specific orientation prior to assuming any job responsibilities. Training must cover, at a minimum, the following topics: (1) basic information about the causes, progression, and management of Alzheimer's disease;(2) managing dysfunctional behavior; and(3) identifying and alleviating safety risks to residents with Alzheimer's disease.(b) In addition to the staff training requirements under § 553.253 of this chapter, attendants must receive 16 hours of on-the-job supervision and training within the first 16 hours of employment following orientation. Training must cover: (1) providing assistance with the activities of daily living;(2) emergency and evacuation procedures specific to the dementia population;(3) managing dysfunctional behavior; and(4) behavior management, including prevention of aggressive behavior and de-escalation techniques, fall prevention, or alternatives to restraints.(c) In addition to the staff training requirements under § 553.253 of this chapter, attendants must annually complete 12 hours of in-service education regarding Alzheimer's disease. One hour of annual training must address behavior management, including prevention of aggressive behavior and de-escalation techniques, or fall prevention, or alternatives to restraints. Training for these subjects must be competency-based. Subject matter must address the unique needs of the facility. Additional suggested topics include:(1) assessing resident capabilities and developing and implementing service plans;(2) promoting resident dignity, independence, individuality, privacy, and choice;(3) planning and facilitating activities appropriate for the dementia resident;(4) communicating with families and other persons interested in the resident;(5) resident rights and principles of self-determination;(6) care of elderly persons with physical, cognitive, behavioral, and social disabilities;(7) medical and social needs of the resident;(8) common psychotropics and side effects; and(9) local community resources.26 Tex. Admin. Code § 553.303
Adopted by Texas Register, Volume 46, Number 33, August 13, 2021, TexReg 5044, eff. 8/31/2021