ALM
An 80-hour Course for Assisted Living Managers
TFG Training Modules for Assisted Living Programs
The Towns Foundation Group Inc (TFG)
Hosts An Assisted Living Program in Prince George’s County.
In accordance with the regulations set forth by the Maryland
Department of Health and Mental Hygiene - Office of Health Care
Quality,
the 80-Hour Managers’ Training Course for an Assisted Living
Program is based on the Code of Maryland Annotated Regulations
(COMAR 10.07.14).
Title 10: Department of Health and Mental Hygiene
Subtitle 07: Hospitals; Chapter 14: Assisted Living Programs.
Department of Health and Mental Hygiene - Office of Health Care
Quality,
the 80-Hour Managers’ Training Course for an Assisted Living
Program is based on the Code of Maryland Annotated Regulations
(COMAR 10.07.14).
Title 10: Department of Health and Mental Hygiene
Subtitle 07: Hospitals; Chapter 14: Assisted Living Programs.
The TFG’s 80-hour ALM
Training Core Curriculum
Training Core Curriculum
will follow the guidelines set forth by the
Maryland Department of Health and Mental Hygiene - Office of Health Care Quality or OHCQ.
The core topics will be as follows:
Philosophy of Assisted Living.
- Definition of an Assisted Living in the State of
Maryland. - Regulated by the Office of Health Care Quality of the
Maryland Department of Health and Mental
Hygiene. - An Assisted Living Facility provides Housing, Person-
centered Care, 24 Hour Supervision and Assistance
and Health-related Services. - An Assisted Living Facility is responsible for
providing adequate 24 hours staffing while
addressing the physical, functional and psychosocial
needs of the residents. - Code of Maryland Regulations 10.07.14 Assisted
Living Programs and the General Physical Plant
Philosophy of Assisted Living -- Cont’d.
- Water, Sewage, Security, HVAC Systems, Common Use Areas, Resident’s Bathrooms, Illumination, Fire and Emergency Precautions, Emergency and Disaster Plans, Assist Rails, Kitchen and Laundry
- Philosophy and Background of Assisted Living and Aging.
- Objectives and Principles of an Assisted Living Resident Program.
- Comparison of Assisted Living to other Residential Programs.
- Basic Concepts-Choice, Independence, Privacy, Individuality, Dignity
- Normalization of the Environment.
Aging Process and Its Impact.
- What is Aging?
- Physical
- Psychosocial
- Basic Needs of the Elderly and Disabled.
-
Activities of Daily Living.
Assessment and Level of Care Waiver.
- Purpose and Process
- Guidelines for Conducting Assessments
- Level of Care Assessments
- Collaboration with Case Manager Delegating Nurse
Service Planning
- Required Services
- Enhanced Scopes of Services
- Development of Individualized Service Plans
- Scheduling of Appropriate Activities
- Structure of Activities
- Care Notes
- Collaboration with Case Manager / Delegating Nurse
Clinical Management.
- Role of the Delegating Nurse
- Appropriate Nurse Delegation
- Concept of Self-Administration
- Concept of Medication Management
- Assistance with Self-Administration of Medication
- Administration of Medication
- Coordination of Services & Care Providers
- Collaboration with Case Manager / Delegating Nurse
-
Medication Error Prevention
Clinical Management Continued
- Patient Safety
- Medication Monitoring
- Medication Monitoring
- Medication storage
- Infection Control
- Universal Precautions
- Appropriate Staffing Patterns
- Pressure Sores
-
Effective Pain Management
Admission And Discharge Criteria.
- Overview of Criteria for Admission and Discharge
- Resident Contracts
- Resident Rights
- Financial Management of Resident’s Funds
-
Working with Residents’ Families
Nutrition And Food Safety.
- MyPlate, USDA’s 2011 Recommendations
- The five main food groups: Fruits, Vegetables, Grains, Protein, Dairy
- What are the six important messages from the USDA?
- Critical Temperatures for Safe Food Handling: Cold < 41°F / Hot > 135°F degrees
- Menu and Meal Planning (4 weeks food menu signed by a certified dietitian or nutritionist)
- Basic Nutritional Needs and a Healthy Diet for Older Adults.
- Nutrients, Proteins, Carbohydrates, Fats, Vitamins
Nutrition And Food Safety -- Cont’d.
- Contributing Factors, Causes, Signs and Symptoms of Malnutrition.
- Prevention and Treatment of Dehydration in the Elderly.
- Special Types of Diets for the Elderly such as Finger Foods, No Salt, Diabetic, Low Fat, Pureed and Liquid Diets
- Hand Washing and Safe Food Handling
- Preventing Foodborne Illnesses
- Therapeutic Diets
- Consequences, Risk Factors, Progression, Warning and Physical Signs of Dehydration in the Elderly.
Dementia, Mental Health and Behavior Management.
- Overview
- Description of normal aging and conditions causing cognitive impairment.
- Description of normal aging and conditions causing mental illness.
- Risk factors for cognitive impairment
- Risk factors for mental illness
- Health conditions that affect cognitive impairment
- Health conditions that affect mental illness
- Early identification and intervention for cognitive impairment.
- Early identification and intervention for mental illness
- Procedures for reporting cognitive, behavioral and mood changes
Effective Communication
- Effect of cognitive impairment on expressive and receptive communication.
- Effect of mental illness on expressive and receptive communication
- Effective communication techniques: verbal, non-verbal, one and volume of voice and word choice
- Environmental stimuli and influences on communication: i.e. setting, noise and visual cues
Behavioral Intervention
- Identifying and interpreting behavioral symptoms
- Problem solving for appropriate intervention
- Risk factors and safety precautions to protect residents and others
- De-escalation techniques
- Collaboration with Case Manager / Delegating Nurse and training staff to care for behavioral crisis
Making Activities Meaningful
- Understanding the therapeutic role of activities
- Creating opportunities for productive, leisure and self care activities
- Structuring the day
- Engaging resident and families in interactive activities
Staff and Family Interaction
- Building a partnership for goal-directed care
- Understanding family needs
- Effective communication between family and staff
Managing Staff Stress
- •Understanding the impact of stress on job performance, staff relations and overall facility milieu
- Identification of stress triggers
- Self-care skills
- De-Escalation techniques
- Devising support systems and action plans
End of Life Care
- Advance Directives
- Hospice care
- Power of Attorney
- Appointment of a Health Care Agent
- Living Will
- Pain management
- Providing comfort and dignity
- Supporting the family
Management and Operation
- Role of the Assisted Living Manager
- Overview of Accounting-Accounts Payable, Accounts Receivable
- The Revenue Cycle and Budgeting
- The Basics of Financial Statements
- Hiring and Training Staff
- Developing Personal Policies and Procedures
- Census Development
- Marketing
Emergency Planning: Orientation and DrillsBeing Ready and Responsible for Resident Safety.
- Complying with all local fire and building Codes (Prince Georges County, PGC) / National Fire Protection Association (NFPA) 101
- Developing an Emergency and Disaster Plan
- The resident and a brief material fact sheet. / Tracking and identifying residents.
- Fire, Disaster and Emergency Preparedness / Semiannual Fire, Emergency and Disaster Drills /Smoke Alarms
- Know how to shut off Gas, Water and electricity.
- Maintaining emergency water for Drinking, Medication, Personal Hygiene, Dietary Use, etc.
Emergency Planning: Orientation and DrillsBeing Ready and Responsible for Resident Safety.
- Elopements prevention measures
- Hospital Transfers/Evacuations
- Power Outages/operating generator
- Severe Weather / Hurricanes / Blizzards / Tornados
- Fire / Dial 911 / Types of Fire Extinguishes / Know what RACE and PASS mean / Evacuation Plans
- Emergency Response Systems / Security Systems
- Staff will know where all exits are located, emergency equipment, procedures for loss of electricity, water or gas, emergency shelters / relocation site, etc.
Quality Assurance
- Incident Report (COMAR 10.07.14.31)
- Operational definition of an Incident and the Incident Report.
- The facilities policy regarding completing and submitting Incident Reports.
- What all Incident Reports must include?
- Operational definition of Quality Improvement.
- Administration and Quality Assurance.
- Developing and Implementing a Quality Assurance Plan
- The importance of The Family and Resident Councils
Survey Process
- The Assisted Living Facility Policy and Procedures must be available, and in order, at all times.
- Prepare for a survey by following (COMAR 10.07.14.00.64)
- State Statute and Regulations that act as a guideline for having a structured and well-run Assisted Living Facility includes, but not limited to:
- Staffing Plan (Comar 10.14.07.14)
- Annual staff training records (Comar 10.07.14.16-18)
Curriculum
- 0m Duration