www.ohca.com Oregon Health Care Association 9 In addition, all staff must have:6 • 12 hours of annual continuing education in topics related to the provision of care for persons in a community-based care setting, including training on chronic diseases in the facility population and dementia training. Beginning July 1, 2023, training in infectious disease outbreak and infection control will also be required In-Home Care Agencies All in-home care staff are required to participate in 4 hours of initial orientation that includes multiple care-related topics. In addition, all staff must have:7 • 8 hours of initial training • A further 4 hours of basic, non-injectable medication training for caregivers who provide medication services must be obtained prior to providing medication services • 6 hours of annual continuing education Additionally, a competency evaluation must be conducted and must include a combination of direct observation and written or oral testing. Skilled Nursing Facilities In addition to adhering to all regulatory, compliance, and training requirements set forth on a national level by the Centers for Medicare and Medicaid Services (CMS), Oregon nursing facilities have strict requirements at the state level, including the following training requirements. All staff must have: • An orientation to ensure the safety and comfort of all residents is assured in accordance with facility policies which is to be carried out by a registered nurse Certified nursing assistants (CNAs) in these settings must complete:8,9 • An Oregon State Board of Nursing OSBN approved nursing assistant training program (155 hours) • Pass an OSBN-administered examination that qualifies them to obtain certification as a nursing assistant in Oregon • 12 hours of annual continuing education (at least 3 per quarter) Sample of Care Training Requirements by Licensed Setting LICENSED SETTING INITIAL/ PRE SERVICE ANNUAL CONTINUING EDUCATION Nursing Facility (SNF) Certified Nursing Assistant (CNA) 155 hours and Exam 12 hours (3/quarter) Assisted Living/Residential Care (ALF/RCF) Direct care worker Demonstrate proficiency in multiple care topics 12 hours including 6 hours in dementia specific topics In-Home Care Direct care worker 4 hours orientation 8 hours training 4 hours medication (for staff providing medication) 6 hours Sources: Oregon Administrative Rules: OAR 333-536-0070; OAR 411-054-0070; OAR 411-086-0310.
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