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Texas Assisted Living Regulations

Texas
Assisted Living
Regulations

Nursing Home Administrator Continuing Education

Hours: 40 Hours
Frequency: Biennially

 

The 40 clock hours of continuing education required for license renewal must:


1. be completed during the previous two-year licensure period;
2. include one or more of the five domains of the NAB listed in §18.11 of this chapter (relating to Academic Requirements);
3. include at least six clock hours in ethics; and
4. be:
     A. approved by the National Continuing Education Review Service;
     B. a DADS-sponsored event; or
     C. an upper-division semester credit course taken or taught at a post-secondary institution of higher education accredited by an association recognized by the Texas Higher Education Coordinating Board.


DADS accepts no more than 34 clock hours of NAB-approved self-study courses toward the required 40 clock hours of continuing education.

Title 40; Part 1; Chapter 18; Subchapter C; RULE §18.35

For more information visit Texas Health and Human Services.

Assisted Living Manager Continuing Education

Hours: 12 Hours
Frequency: Annually

 

All managers must show evidence of 12 hours of annual continuing education.

This requirement will be met during the first year of employment by the 24-hour assisted living management course. The annual continuing education requirement must include at least two of the following areas:

1. resident and provider rights and responsibilities, abuse/neglect, and confidentiality;
2. basic principles of management;
3. skills for working with residents, families, and other professional service providers;
4. resident characteristics and needs;
5. community resources;
6. accounting and budgeting;
7. basic emergency first aid; or
8. federal laws, such as Americans with Disabilities Act, Civil Rights Act of 1991, the Rehabilitation Act of 1993, Family and Medical Leave Act of 1993, and the Fair Housing Act.

Title 40; Part 1; Chapter 92; Subchapter C; Rule §92.41

For more information visit Texas Health and Human Services.

Assisted Living Direct Care Staff Continuing Education

Hours: 6 Hours
Frequency: Annually

 

Direct care staff must complete six documented hours of education annually, based on each employee's hire date.

Staff must complete one hour of annual training in fall prevention and one hour of training in 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. Training for these subjects must be competency-based. Subject matter must address the unique needs of the facility. Suggested topics include:

1. promoting resident dignity, independence, individuality, privacy, and choice;
2. resident rights and principles of self-determination;
3. communication techniques for working with residents with hearing, visual, or cognitive impairment;
4. communicating with families and other persons interested in the resident;
5. common physical, psychological, social, and emotional conditions and how these conditions affect residents' care;
6. essential facts about common physical and mental disorders, for example, arthritis, cancer, dementia, depression, heart and lung diseases, sensory problems, or stroke;
7. cardiopulmonary resuscitation;
8. common medications and side effects, including psychotropic medications, when appropriate;
9. understanding mental illness;
10. conflict resolution and de-escalation techniques; and
11. information regarding community resources.

Title 40; Part 1; Chapter 92; Subchapter C; Rule §92.41

For more information visit Texas Health and Human Services.

RN/CNA/CMA In-Service Training

Hours: Topic Specific
Frequency: Annually

 

Facilities that employ licensed nurses, certified nurse aides, or certified medication aides must provide annual in-service training, appropriate to their job responsibilities, from one or more of the following areas:

1. communication techniques and skills useful when providing geriatric care (skills for communicating with the hearing impaired, visually impaired and cognitively impaired; therapeutic touch; recognizing communication that indicates psychological abuse);
2. assessment and interventions related to the common physical and psychological changes of aging for each body system;
3. geriatric pharmacology, including treatment for pain management, food and drug interactions, and sleep disorders;
4. common emergencies of geriatric residents and how to prevent them, for example falls, choking on food or medicines, injuries from restraint use; recognizing sudden changes in physical condition, such as stroke, heart attack, acute abdomen, acute glaucoma; and obtaining emergency treatment;
5. common mental disorders with related nursing implications; and
6. ethical and legal issues regarding advance directives, abuse and neglect, guardianship, and confidentiality.

Title 40; Part 1; Chapter 92; Subchapter C; Rule §92.41

For more information visit Texas Health and Human Services.

CNA Continuing Education

Hours: 24 Hours
Frequency: Every 2 years

 

Effective September 1, 2013, a nurse aide renewing a certification must complete at least 24 hours of in-service education every two years that includes training in geriatrics and the care of residents with a dementia disorder, including Alzheimer’s disease.

AC; Title 40; Part 1; Chapter 94; Rule §94.9

For more information visit Texas Health and Human Services.

Certified Alzheimer’s Assisted Living Facility Manager Continuing Education

Hours: 6 Hours
Frequency: Annually

 

The manager or supervisor must complete six hours of annual continuing education regarding dementia care.

Title 40; Part 1; Chapter 92; Subchapter C; RULE §92.53

For more information visit Texas Health and Human Services.

Certified Alzheimer’s Assisted Living Facility Direct Care Staff Continuing Education

Hours: 12 Hours
Frequency: Annually

 

Direct care staff must annually complete 12 hours of in-service education regarding Alzheimer's disease.

One hour of annual training must address behavior management, including prevention of aggressive behavior and de-escalation techniques, or fall prevention, or alternatives to restraints. Training for these subjects must be competency-based. Subject matter must address the unique needs of the facility. Additional suggested topics include:

    A. assessing resident capabilities and developing and implementing service plans;
    B. promoting resident dignity, independence, individuality, privacy and choice;
    C. planning and facilitating activities appropriate for the dementia resident;
    D. communicating with families and other persons interested in the resident;
    E. resident rights and principles of self-determination;
    F. care of elderly persons with physical, cognitive, behavioral and social disabilities;
    G. medical and social needs of the resident;
    H. common psychotropics and side effects; and
     I. local community resources.

Title 40; Part 1; Chapter 92; Subchapter C; RULE §92.53

For more information visit Texas Health and Human Services.

Certified Alzheimer’s Assisted Living Facility Activity Director Continuing Education

Hours: 6 Hours
Frequency: Annually

 

The activity director or designee must annually attend at least six hours of continuing education regarding Alzheimer's disease or related disorders.

Title 40; Part 1; Chapter 92; Subchapter C; RULE §92.53

For more information visit Texas Health and Human Services.

RN/LVN Continuing Education

Hours: 20 Hours
Frequency: Every 2 years

 

A nurse may choose to complete 20 contact hours of continuing nursing education (CNE) within the two years immediately preceding renewal of registration in his or her area of practice.

These hours shall be obtained by participation in programs approved by a credentialing agency recognized by the Board. A list of these agencies/organizations may be obtained from the Board's office or web site.  (f) Tick-Borne Diseases.

Nursing Jurisprudence and Nursing Ethics. Each nurse, including an APRN, is required to complete at least two hours of CNE, as defined in this chapter, relating to nursing jurisprudence and nursing ethics before the end of every third, two-year licensing period. The CNE course(s) shall contain information related to the Texas Nursing Practice Act, the Board's rules, including §217.11 of this title (relating to Standards of Nursing Practice), the Board's position statements, principles of nursing ethics, and professional boundaries.
The hours of continuing education required under this subsection shall count towards completion of the 20 contact hours of CNE required in subsection (a) of this section. Certification may not be used to fulfill the CNE requirements of this subsection.

Older Adult or Geriatric Care. A nurse, including an APRN, whose practice includes older adult or geriatric populations shall complete at least two contact hours of CE, as defined in this chapter, in every licensure cycle after January 1, 2014.
1. The minimum two contact hours of CE required by this subsection shall include information relating to elder abuse, age related memory changes and disease processes, including chronic conditions, and end of life issues. The minimum two contact hours of CE may include information related to health maintenance and health promotion of the older adult or geriatric populations.
2. Certification related to the older adult or geriatric populations that is approved by the Board may also be used to fulfill the CE requirements of this subsection. Further, the hours of continuing education completed under this subsection shall count towards completion of the 20 contact hours of CE required in subsection (a) of this section.

Title 22; Part 11; Chapter 216; RULE §216.3

For more information visit Texas Board of Nursing.

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