www.ohca.com Oregon Health Care Association 13 In addition, all staff must have: • Twelve hours of annual continuing education in topics related to the provision of care for persons in a community-based care setting, including training on infectious diseases outbreak, infection control, Home and Community Based Services (HCBS), and dementia training. Beginning January 1, 2025, training on LGBTQIA2S+ rights and protections will be required biennially.24 In-Home Care Agencies All in-home care staff are required to participate in four hours of initial orientation that includes multiple care-related topics. In addition, all staff must have:25 • Eight hours of initial training • A further four hours of basic, non-injectable medication training for caregivers who provide medication services must be obtained prior to providing medication services • Six hours of annual continuing education; if providing medication administration, additional 1 hour related to medication administration 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:26,27 • An Oregon State Board of Nursing (OSBN) approved nursing assistant training program (105 hours) • Pass an OSBN-administered examination that qualifies them to obtain certification as a nursing assistant in Oregon • Twelve hours of annual continuing education (at least three per quarter) to include resident rights (LGBTQIA2S+ rights and protections required biennially), identifying/reporting abuse, dementia, preventing wandering, and emergency procedures/disaster plan Sample of Care Training Requirements by Licensed Setting LICENSED SETTING INITIAL / PRE SERVICE ANNUAL CONTINUING EDUCATION Nursing Facility (SNF) Certified Nursing Assistant (CNA) 105 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; Additional training is required for memory care endorsed facilities In-Home Care Direct care worker 4 hours orientation 8 hours training 4 hours medication (for staff providing medication) 6 hours; additional 1 hour for medication administration
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