DHS 134.45(1)(1) Orientation for new employees. Except in an emergency, before a new employee, including a temporary employee, performs any duties, he or she shall be oriented to the facility and its policies, including policies and procedures concerning fire prevention, accident prevention and response to emergencies. By the time each new employee has worked 30 days in the facility, he or she shall be oriented to resident rights under s. DHS 134.31, to his or her position and duties and to facility procedures.

DHS 134.45(2)(a)(a) General. The facility shall provide continuing inservice training for all employees to update and improve their skills in providing resident care, and supervisory and management training for each employee who is in or is a candidate for a supervisory position.

DHS 134.45(2)(b)(b) Resident care. The facility shall require employees who provide direct care to residents to attend educational programs designed to develop and improve employee skills and knowledge relating to the needs of the facility’s residents, including their developmental, behavioral and health care needs. These programs shall be conducted as often as is necessary to enable staff to acquire the skills and techniques necessary to implement the individual program plans for each resident under their care.

DHS 134.45(2)(c)(c) Dietary. Educational programs shall be held periodically for dietary staff. These programs shall include instruction in proper handling of food, personal hygiene and grooming, nutrition and modified diet patterns, sanitation, infection control and prevention of food-borne disease and other communicable disease.

DHS 134.45(3)(3) Training in medications administration. Before persons other than nurses and practitioners may administer medications under s. DHS 134.60 (4) (d) 1., they shall be trained in a course approved by the department.

DHS 134.46(1)(1) Considerate care and treatment. Employees and all other persons with whom residents come into contact shall treat the residents with courtesy, respect and full recognition of their dignity and individuality and shall give them considerate care and treatment at all times.

DHS 134.46(3)(3) Abuse complaints. The facility shall ensure that every suspected instance of abuse of a resident by an employee or anyone else is reported, investigated, reviewed and documented in accordance with s. DHS 134.31 (7).

DHS 134.47(1)(1) Department access. The administrator of a facility or the administrator’s designee shall provide the department with any information the department needs to determine if the facility is in compliance with chs. 50, 51 and 55, Stats., and this chapter and shall provide reasonable opportunities for an authorized representative of the department to examine facility records to gather this information.

DHS 134.47(2)(a)(a) A facility shall have sufficient numbers of qualified records management staff and necessary support personnel available to accurately process, check, index, file and promptly retrieve records and to record data.

DHS 134.47(2)(b)(b) Duties specified in this section that relate to resident records shall be completed by staff in a timely manner.

DHS 134.47(3)(a)(a) Organization. The facility shall maintain a systematically organized record system appropriate to the nature and size of the facility for the collection and release of information about residents.

DHS 134.47(3)(b)(b) Unit record. A resident record shall be maintained for each resident. The record shall be available and maintained on the unit on which the individual resides.

DHS 134.47(3)(c)(c) Index. A master alphabetical resident record index shall be maintained at a central location.

DHS 134.47(3)(d)(d) Confidentiality. The facility shall ensure that all information contained in resident records is kept confidential pursuant to s. 51.30, Stats., and ch. DHS 92, and shall protect the information against loss, destruction or unauthorized use. In this connection:

DHS 134.47(3)(d)1.1. The facility shall have written policies to govern access to and duplication and release of information from resident records; and

DHS 134.47(3)(d)2.2. The facility shall obtain the written consent of the resident or guardian before releasing information to unauthorized individuals.

DHS 134.47(3)(e)(e) Availability of records. Resident records of current residents shall be stored in the facility and shall be easily accessible at all times to persons authorized to provide care and treatment. Resident records of both current and past residents shall be readily available to persons designated by statute or authorized by the resident to obtain the release of the medical records.

DHS 134.47(3)(f)(f) Maintenance.

DHS 134.47(3)(f)1.1. A resident record shall be adequate for planning and evaluation of the resident’s habilitation or rehabilitation program, or both, and shall furnish documentary evidence of the resident’s progress in the program.

DHS 134.47(3)(f)2.2. The facility shall provide adequate space, equipment and supplies to review, index, file and retrieve resident records.