Hi! My name is Leane Brown. I'm the Business Development Manager and a
program consultant here at STAR Services. One question we commonly get in our
consulting department our training department and our online training
department is what training do I actually need? Also when do I need it, and
what do you offer that meets those training requirements? Hopefully I'm able
to clear that up for you today. We've actually created a pretty handy chart
that you can use print it out and reference it whenever you need to know
what trainings you need and when. We are going to go over two training areas today
orientation training and annual training so let's get started with orientation training.
The first thing a person needs to have is a job description and job
functions. They need to be trained on exactly what they are going to be doing
in their job and they need to have that signed in their file. You don't need to
do this every year, just as a person's job changes. The next area you need in
orientation training is responding to and reporting incidents. This class is
covered in our documentation online course it's also covered in our live
orientation to providing quality services course. Keep in mind with this
required area you also need to review your company's specific policies.
You have to make sure that, in addition to the general standards of 245D responding
to and reporting incidents, that the people that are working for you know
what your company does in those instances. The next area is safety
practices as established by the license holder and 245D.06.
This really relates to blood-borne pathogens and universal precautions.
This is something that you need to have - again - with your company policy but also our
online training course, blood-borne pathogens, will cover this area. This is
also covered in our first-aid course and in our orientation to providing quality
services live courses. The next area is your current policies
and procedures including the location, how staff can access them, and their
responsibilities related to your policies and procedures. Now we don't
have any courses for this because it's company specific. You need to make sure
your staff are trained on your policies and that they know what they need to do
related to those policies. The next area is Minnesota Data Privacy and HIPAA.
This is covered in our online course, data privacy, and in our live course,
orientation to providing quality services. The next area is service
recipient rights including staff's responsibility related to these rights
this is covered in our online rights course and - again - in our orientation to
providing quality services live course. The next area is Maltreatment of Minors
and the Vulnerable Adult Act. Now this is important to know: you need to make sure
that your staff are trained within 72 hours of first direct contact on this
area. We often get questions of what should I prioritize or which training
area should i do first? really for this one it's very important
that you get it done as soon as possible because it has to happen within 72 hours
of direct contact. Now how do we help you cover this area we go over this in our
online versions, Vulnerable Adult Act and Maltreatment of Minors Act, as well as
our live course orientation to providing quality services. Keep in mind there's
some additional requirements for the vulnerable adult and male treatment of
minors act courses. You need to train your staff on your company's specific
practices including who they can report to as internal reporting persons. An area
that's commonly missed under the vulnerable adult act and maltreatment of
minors act is making sure that your staff are trained in your program abuse
prevention plan if you have one. The next area is person-centered practices.
This is actually covered in the positive supports rule core training. We offer
that both live and online. Next is first aid now this
course you can either do annually by doing a first aid manual or reviewing an
online course or if a person gets certified and they get a card from the
American Heart Association or maybe the Red Cross those are usually good for two
years so if they have a card and it says it's good for two years then they only
need it every other year. For first aid we don't currently have an online course
but we do have our live courses that you are more than welcome to attend. Now
let's talk about CPR. This is an area people often get confused in. CPR is
actually only required if it says that it's required in a person CSSP or their
CSSP addendum. There's nothing that says that all staff who provide 245D services
have to be trained in CPR. Again, only if it's listed in the person's CSSP, or CSSP
addendum, do you need to train your staff in CPR. Again, we don't have this
available online but we do have it in a live course. The next area starts going
into person specific training. You have to train your staff in the person's CSSP,
their addendum, their IAPP, their SMA and all their other person specific
documents - so make sure that you are doing that. Of course, we don't have any
classes that go over that because it's about the person. The next area is
medication administration medication administration is required if staff are
administering meds if they aren't administering meds then they don't need
to have it. Keep in mind, you have to do an observed skill assessment as well.
We have the first part of medication administration available online, and now
we have meds part two available live where one of our nurses will go over the
observed skill assessment. The next area is emergency use of manual restraint and
prohibited procedures. Again, this is covered in the core positive supports
rule training. Now let's talk about the positive supports rule core. This
training is required prior to assuming responsibilities related to the positive
supports rule. Again, this is one of those courses
that you should take right away. When you're prioritizing what should staff
take and when, that positive supports rule core should be one of the first
things they do, because they have to do it before assuming their
responsibilities. So with the core, there's a bunch of topics in there and
as you know it has to be eight hours. If your company allows restraints the
person needs to both give and receive restraints. Obviously we can't do that
online. So we have a live course that's developed to supplement our online 8
hour core. Now if a person comes and takes our eight hour core here live that
emergency use of manual strength demonstration will be included in that
live course. The next area we'll discuss is fraud. You have to take an anti-fraud
course. You can either do this online or it's included in our live orientation to
providing quality services courses. Ok, let's get back to the positive supports
rule. For anyone who is a manager, you have to take a four hour function
specific course if that person oversees people who are implementing positive
support strategies or if they are writing positive support strategies.
So, if they're a supervisor or they're writing annual paperwork they need to
take the four-hour function specific training. We have that available both
online and live. Now for your executives, your license holders, or those who are in
charge of insuring your responsibilities for licensing: those high-level
individuals in your organization need to also take a two hour function specific
training required in the positive supports rule. Keep in mind: for some
people who do direct care, they're also managing managing and supervising staff
and they're also a license holder? They may have to take the 8 hour, the 4 hour
and the 2 hour, because they fill all of those responsibilities. Again, we offer
all of those courses both online and live. The next area is OSHA
Blood-Borne Pathogens. this again is covered in our Blood-Borne
Pathogens course online, or in our orientation to providing quality
services course in-person. The next area that's specific to a person is
specialized medical equipment that's used to sustain life. If your person that
you support uses any medical equipment that helps to keep them alive things
like a feeding tube or trach or anything else, you have to be trained on that
specific medical equipment. In addition that training needs to be done by either
a licensed health professional or a representative from the company.
Of course, we don't offer that online or in person because it's specific to the
person you're supporting. Now there may be other topics within the person's CSSP
that are required that all staff need to be trained on. Make sure you're reading
everyone's CSSP and their addendum to see if there's any specific training
Maybe they need a training on seizure disorders or fetal alcohol
spectrum disorders or something else that would be specific for that person.
Make sure your staff are trained in those areas as well.
Now, one training that a lot of people don't realize is required, is for people
who support individuals who have serious mental illness. If you support someone,
with serious mental illness, you have to take two additional classes
You need to take a suicide prevention class, and a crisis response class.
We offer both of those classes online and we also have a mental health
fundamentals course that we teach throughout the year that offers those
topics. Finally, if you are a community residential setting, there's some
additional topics that you might need - however, it's very rare. If a person's CSSP
specifically says that you need ADLs, IADLs, and healthy diet, then you must
train on them. If their CSSP or addendum doesn't mention these items
then you don't need to worry about it. Now, regarding orientation, a lot of
people ask: well, how many hours do I need and when do I need these courses by?
In the past there was required amount of hours within 60 days. That requirement is
no longer in place. You need to have all of the topics that
I listed, within the first 60 days, but there's no amount of hours that those
courses need to be - except for, of course, the positive supports rule. So keep that
in mind when you're training your staff. One thing we didn't mention is job
shadowing. A person needs to do some type of on-the-job skills training, so make
sure that is documented in your orientation training records as well.
The first thing we're going to look at is how many hours you need in a year.
It depends. Are you providing basic services or intensive services? If you're
providing basic services, and the staff has fewer than five years experience,
they need 12 hours each year. If they have five or more years of experience,
they need six hours each year. Now for intensive: if you're providing intensive
services and staff have fewer than five years of experience you're required to
provide them with 24 hours of training each year. If a staff has five or more
years of experience they need 12 hours of training each year.
Additionally, the commissioner may approve online training courses with
competence-based assessments instead of requiring specific number of annual
training hours. So what topics do they need? We need to have data privacy and
HIPAA, Service Recipient Rights, Maltreatment of Minors and Vulnerable
Adults, Person-Centered Practices, which is included in the Positive Supports
Rule courses. For First Aid, if you're only reading the manual and it's not a
certificate, you need to do that every year. Now if they have the card that says
every other year, you can go every other year, but if it's not a formal
certification you have to do it every year. The next thing is looking at the
person-specific documentation. All of the person's CSSP addendums, their IAPPs
those need to be reviewed as revised, so it should be at least once a year.
Your core training and your function-specific training: there's some different
requirements in there that you need to pay attention to. Each year, if a person
has been trained and needs the eight-hour core training, they need to
have a four-hour refresher on those topics. Now, if a person is a manager and
was required to have the four-hour function-specific training, then they're
required to have a refresher on that, that is four hours long. But keep in mind
if a person needs both the core and the management four-hour function-specific, you
can actually put those together and have a four-hour
core and function specific refresher that's all together. We have that
available for you online and in our live training. Now there's no annual training
requirement for the two-hour function specific so you don't need to worry
about that. OSHA, the Blood-Borne Pathogens and and Universal Precautions:
those are required every year. Next, those training topics that are required by the
person's CSSP. Maybe - again - it talks about staff need to be trained on seizure
disorders or fetal alcohol spectrum disorders or anything else. If the CSSP
says that staff need to be trained on a topic, they need to be trained on that
topic every year. The next area is if - again - that CSSP
talks about that community residential setting training, which included IADL, ADL
and healthy diet: if the CSSP or CSSP addendum says they need those topics
then yes, you need to do that every year. Policies and procedures, you need to
train your staff as they are revised. Any of the other topics we talked about you
don't need to do annually. So you don't need to do the specific mental illness
training every year unless it's in the CSSP addendum. You don't need to go over
incident reporting every year. You don't need to do medication administration
every year. So, you'll be able to see on the chart that we have provided what
courses you need. There's a column that says, "Required Annually?" Check that column.
If it says yes then you need to do it every year; if it says no, then you don't
need to do it every year. Pretty simple. One last thing to note for both
orientation and annual training, it is important to not only make sure the
staff have the topic and specific hours, if required, but that they are competent
in the subject area and are able to perform those responsibilities and tasks.
I hope this helped to answer some of your questions about what a person needs
for training and when they need that training - and if you have any questions
you can always feel free to call our consulting department. We'd be more
than happy to help you with those questions. Have a great day.
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