Before assuming job responsibilities, and at least annually thereafter, direct-care staff members must receive in-service training in the following areas:

  • reporting abuse, neglect or exploitation;
  • maintaining confidentiality of participant information, including data use agreements;
  • taking universal precautions (that is, following the approach to infection control established by the Occupational Safety and Health Administration);
  • conditions in which they should notify the facility manager;
  • understanding the participants' rights;
  • following emergency and evacuation procedures;
  • taking safety measures to prevent accidents and injuries;
  • following emergency first-aid procedures, including the Heimlich maneuver and what actions to take when a participant falls, suffers a laceration, or experiences a sudden change in physical or mental status;
  • managing disruptive behavior and implementing behavior management (for example, prevention of aggressive behavior and de-escalation techniques, practices to decrease the frequency of the use of restraint, and alternatives to restraints);
  • appropriate physical restraint procedures and techniques for staff members with direct participant contact;
  • fall prevention;
  • cardiopulmonary arrest (CPR) and basic life support (BLS) training; and
  • substance abuse training, including how to recognize substance abuse and understanding reporting protocols.