77 Ill. Adm. Code 300.7050
Staffing
Section 300.7050Â Staffing
a)Â Â Â Â Â Â Â Â The
unit shall have a full-time unit director.
1)Â Â Â Â Â Â Â Â The director may have other
responsibilities, within the unit, in units with fewer than 40 residents.
2)Â Â Â Â Â Â Â Â The unit director may support off-unit
activities related to persons with Alzheimer's disease and related dementia,
such as providing training to facility staff, assessment of potential
residents, counseling to potential residents and their families, and
consultation/assessment/care planning for facility residents with Alzheimer's
disease and related dementia who do not reside on the unit.
3)Â Â Â Â Â Â Â Â The unit director shall have documented
course work in dementia care and ability-centered care, and shall meet at least
one of the following requirements:
A)Â Â Â Â Â Â Â Have an associate's or a bachelor's degree
and/or be a registered nurse and have at least one year of experience working
with persons with Alzheimer's disease and other dementia; or
B)Â Â Â Â Â Â Â Have a minimum of 5 years of experience
working with persons with Alzheimer's disease and other dementia, at least two
years of which are management experience working with persons with Alzheimer's
disease and other dementia.
4)Â Â Â Â Â Â Â Â The unit director shall obtain at least 12
hours of continuing education every year, especially related to serving
residents with Alzheimer's disease and other dementia.
b)Â Â Â Â Â Â Â Â The unit shall have assigned, consistent
staff. There shall be enough staff to meet the scheduled and unscheduled needs
of each resident, as defined in the care plan, taking into account the purpose
of the setting, the severity of dementia, and the resident's physical
abilities, behavior patterns, and social and medical needs.
c)Â Â Â Â Â Â Â Â All staff who ever work on the unit (e.g.,
nurses, CNAs, housekeepers, social services and activities staff, and food
service staff) shall receive at least four hours of dementia-specific
orientation within the first 7 days of working on the unit. This orientation
shall include:
1)Â Â Â Â Â Â Â Â Basic information about the nature,
progression, and management of Alzheimer's disease and other dementia;
2)Â Â Â Â Â Â Â Â Techniques for creating an environment that
minimizes challenging behavior from residents with Alzheimer's disease and
other dementia;
3)Â Â Â Â Â Â Â Â Methods of identifying and minimizing
safety risks to residents with Alzheimer's disease and other dementia; and
4)Â Â Â Â Â Â Â Â Techniques for successful communication
with individuals with Alzheimer's disease and other dementia.
d)Â Â Â Â Â Â Â Â Nurses, CNAs, and social service and
activities staff who work on the unit at least 50 percent of the time that they
work at the facility shall participate in a minimum of 12 additional hours of
orientation within the first 45 days after employment, specifically related to
the care of persons with Alzheimer's disease and other dementia. This
orientation shall be defined in facility policies and procedures; shall be in a
form of classroom, return demonstration, and mentoring; and shall define to new
staff the elements contained in Section 300.7050(e)(1)-(10).
e)Â Â Â Â Â Â Â Â Nurses, CNAs, and social services and
activities staff who work on the unit at least 50 percent of the time that they
work at the facility shall attend at least 12 hours of continuing education
every year, specifically related to serving residents with Alzheimer's disease
and other dementia. (Completion of the 12 hours of orientation in accordance
with subsection (d) of this Section may be counted as continuing education for
the year in which this orientation is completed.)Â Topics shall include, but
not be limited to:
1)Â Â Â Â Â Â Â Â Promoting the philosophy of an
ability-centered care framework;
2)Â Â Â Â Â Â Â Â Promoting resident dignity, independence,
individuality, privacy and choice;
3)Â Â Â Â Â Â Â Â Resident rights and principles of
self-determination;
4)Â Â Â Â Â Â Â Â Medical and social needs of residents with
Alzheimer's disease and other dementia;
5)Â Â Â Â Â Â Â Â Assessing resident capabilities and
developing and implementing services plans;
6)Â Â Â Â Â Â Â Â Planning and facilitating activities
appropriate for a resident with Alzheimer's disease and other dementia;
7)Â Â Â Â Â Â Â Â Communicating with families and others interested
in the resident;
8)Â Â Â Â Â Â Â Â Care of elderly persons with physical,
cognitive, behavioral, and social disabilities;
9)Â Â Â Â Â Â Â Â Common psychotropics and their side
effects; and
10)Â Â Â Â Â Â Â Â Local community resources.
f)Â Â Â Â Â Â Â Â Within 6 months after January
1, 2005, or within 6 months after hire, the facility administrator and
director of nursing shall attend the orientation for staff who work on the unit
at least 50 percent of the time in accordance with subsection (d).
g)Â Â Â Â Â Â Â Â For each training requirement in this
Section, staff shall be evaluated to determine if they have met or exceeded
stated learning objectives. Results shall be documented.
h)Â Â Â Â Â Â Â Â Training requirements of this Section are
in addition to requirements for nurse aide training. Orientation requirements
of this Section are in addition to regular staff orientation.