DHS 83.20(2)(d)(d) Medication administration and management. Any employee who manages, administers or assists residents with prescribed or over-the-counter medications shall complete training in medication administration and management prior to assuming these job duties.

DHS 83.21DHS 83.21 All employee training. The CBRF shall provide, obtain or otherwise ensure adequate training for all employees in all of the following:

DHS 83.21(1)(1) Resident rights. Training shall include general rights of residents including rights as specified under s. DHS 83.32 (3). Training shall be provided as applicable under ss. 50.09 and 51.61 and chs. 54, 55, and 304, Stats., and ch. DHS 94, depending on the legal status of the resident or service the resident is receiving. Specific training topics shall include house rules, coercion, retaliation, confidentiality, restraints, self-determination, and the CBRF’s complaint and grievance procedures. Residents’ rights training shall be completed within 90 days after starting employment.

DHS 83.21(2)(2) Client group.

DHS 83.21(2)(a)(a) Training shall be specific to the client group served and shall include the physical, social and mental health needs of the client group. Specific training topics shall include, as applicable: characteristics of the client group served, activities, safety risks, environmental considerations, disease processes, communication skills, nutritional needs, and vocational abilities. Client group specific training shall be completed within 90 days after starting employment.

DHS 83.21(3)(3) Recognizing, preventing, managing and responding to challenging behaviors. Specific training topics shall include, as applicable: elopement, aggressive behaviors, destruction of property, suicide prevention, self-injurious behavior, resident supervision, and changes in condition. Challenging behaviors training shall be completed within 90 days after starting employment.

DHS 83.21 HistoryHistory: CR 07-095: cr. Register January 2009 No. 637, eff. 4-1-09; correction in (1) made under s. 13.92 (4) (b) 7., Stats., Register January 2009 No. 637.

DHS 83.22DHS 83.22 Task specific training. The CBRF shall provide, obtain or otherwise ensure adequate training for employees performing job duties in all of the following:

DHS 83.22(1)(1) Assessment of residents. All employees responsible for resident assessment shall successfully complete training in the assessment of residents prior to assuming these job duties. Specific training topics shall include: assessment methodology, assessment of changes in condition, sources of assessment information, and documentation of the assessment.

DHS 83.22(2)(2) Individual service plan development. All employees responsible for service plan development shall successfully complete training in individual service plan development prior to assuming these job duties. Specific training topics shall include: identification of the resident’s needs and desired outcomes, development of goals and interventions, service plan evaluation and review of progress.

DHS 83.22(3)(3) Provision of personal care. All employees responsible for providing assistance with activities of daily living shall successfully complete training prior to assuming these job duties. Specific training topics shall include, as appropriate: bathing, eating, dressing, oral hygiene, nail and foot care, toileting and incontinence care, positioning and body alignment, and mobility and transferring.

DHS 83.22(4)(4) Dietary training. All employees performing dietary duties shall complete dietary training within 90 days after assuming these job duties. Specific training topics shall include: determining nutritional needs, menu planning, food preparation and food sanitation.

DHS 83.23DHS 83.23 Employee supervision. Until an employee has completed all required training, the employee shall be directly supervised by the administrator or by qualified resident care staff.

DHS 83.24(1)(1) Exemptions for completed training. Employees who have completed department-approved training in standard precautions, fire safety, first aid and choking, and medication administration and management prior to or on April 1, 2009, or who receive such training within one year after April 1, 2009, shall be exempt from the training specified under s. DHS 83.20 (2).

DHS 83.24(2)(2) General exemptions. A practitioner, licensed pharmacist, registered nurse or licensed practical nurse is exempt from training specified in ss. DHS 83.20 (2) (a), (c) and (d), 83.21 and 83.22.

DHS 83.24(3)(3) Exemptions from standard precautions training. Except as stated in subs. (1) and (2), the following individuals are exempt from training in standard precautions:

DHS 83.24(3)(b)(b) Employees who can provide documentation that they have had training from a regulated health care entity in the practice of standard precautions within the previous year.

DHS 83.24(4)(4) Exemptions from fire safety training. Except as stated under sub. (1), firefighters are exempt from training in fire safety.

DHS 83.24(5)(5) Exemptions from first aid and choking training. Except as stated in subs. (1) and (2), the following individuals are exempt from training in first aid and choking:

DHS 83.24(6)(6) Exemptions from medication administration and management training. Except as stated under subs. (1) and (2), the following individuals are exempt from medication administration and management training: