DHS 129.07(1)(f)(f) Dementias. The program shall include instruction about dementia and specific techniques for meeting the basic needs of clients with dementia. The nurse aide shall demonstrate an understanding of all of the following:

DHS 129.07(1)(f)1.1. The nature of dementia, including the cause, course and symptoms of the impairment. The effects that brain changes have on the person’s moods, abilities and functioning.

DHS 129.07(1)(f)2.2. The effects on the client of staff verbal and nonverbal communication with the client and means of modifying these communications and approaches to facilitate effective interaction between clients and staff.

DHS 129.07(1)(f)3.3. The feeding and fluid intake problems associated with dementia and the specialized techniques for addressing those problems.

DHS 129.07(1)(f)4.4. The effect of the environment on clients with dementia and the appropriate environmental stimuli to use with those clients to reduce stress and maximize normal functioning and how to incorporate strategies that preserve function and prevent excess disability.

DHS 129.07(1)(f)5.5. Possible causes of dementia related symptomatic behavior changes, specifically focusing on understanding behavior as an attempt to communicate unmet needs and then how to address the unmet need including an understanding of how pain impacts behavior.

DHS 129.07(1)(f)6.6. Ways to help the person with dementia continue meaningful involvement in his or her day, the importance of structure and routine and the incorporation of the person’s life story and past interests, routines, tastes, values and background.

DHS 129.07(1)(f)7.7. The stress involved for the client, family and nurse aide in caring for a client with dementia and techniques for coping with this stress and ways to address the person with dementia’s core needs of having self-esteem boosted, being useful, giving and receiving love, and caring for self and others.

DHS 129.07(2)(a)1.1. Programs shall ensure that classrooms and lab facilities are adequate to meet the needs of the program, based on the number of students enrolled and how the classroom space is used. Programs shall ensure that classroom and skills labs have adequate temperature controls, clean and safe conditions, adequate space to accommodate students, adequate lighting, and all training equipment needed, including audiovisual equipment and any equipment needed for simulating resident care. Lab equipment shall be in the skill lab at all times necessary for demonstration, practice, and student demonstration. Any area designated as a classroom or lab in a facility-based program shall be an area that is not designated for resident care.

DHS 129.07(2)(a)2.2. The program shall have qualified faculty members for both the classroom and the skills portion of the program.

DHS 129.07(2)(a)3.3. The program shall have reasonable accommodations for students and prospective students with disabilities.

DHS 129.07(2)(b)1.1. A training program shall include at least 75 training hours as required under 42 CFR 483.152 (a). At least 16 of those 75 training hours must be in a clinical experience in a clinical setting as required under 42 CFR 483.152 (a) and approved by the department. The first 16 hours of training shall be provided in a classroom setting before a student has direct contact with clients. Tours of a facility, including observations of clients and day-to-day facility activities, may be incorporated into the classroom hours. Competency evaluation under s. DHS 129.08 and provider orientation may not be counted toward meeting the 75-hour minimum requirement.

DHS 129.07(2)(b)2.2. The program shall cover all of the following during the first 16 hours of classroom training:

DHS 129.07(2)(b)3.3. A health care provider may employ a student as a nurse aide after the student has completed 16 hours of classroom training in the topics in subd. 2., and if the student is a full-time permanent employee, and is enrolled in an approved training program. The training program shall provide the health care provider with verification that the program has provided the instruction specified in subd. 2.

DHS 129.07(2)(b)4.4. The program shall provide notification to students sponsored by Medicaid-certified nursing facilities that the students are not responsible for any costs associated with training, including deposits for textbooks or supplies used.

DHS 129.07(2)(c)(c) Clinical setting. Before a student performs any client-related services, the RN primary instructor shall determine that the student has been trained and found proficient in providing those services. The training program shall ensure all of the following:

DHS 129.07(2)(c)1.1. Access to a clinical setting approved by the department that is adequate to meet the needs of the program.

DHS 129.07(2)(c)1.a.a. Clinical settings shall be in compliance with state and federal law. The program designee or primary instructor and the health care provider with whom the program has contracted are responsible for verifying that the clinical facility is in compliance with state and federal law. This verification shall be documented in the program’s files and shall be available during the evaluation process.

DHS 129.07(2)(c)1.b.b. The agreement between the program and the clinical setting shall be reviewed and renewed annually by the department and upon any change of facility or school administration. A copy of the agreement shall be submitted to the department.