SECTION 310:675-19-4. Facility requirements

(a)   The nursing facility, specialized nursing facility, or skilled nursing facility must maintain a record of each individual who has successfully completed the approved training course. For each individual feeding assistant employed by the facility, the facility must maintain:

(1)   A copy of a staff competency checklist completed and signed by the instructor on the form specified in OAC 310:675-19-8;

(2)   A copy of a certificate of completion signed by the instructor on the form specified in OAC 310:675-19-8;

(3)   Verification that the facility checked with the Feeding Assistant Registry to ensure the individual is eligible for employment; and

(4)   Verification of compliance with the Criminal History Background Check in 63 O.S. Supp. 2004, Section 1-1950.1.

(b)   Each feeding assistant must work under the supervision of a registered nurse or licensed practical nurse. In an emergency, the feeding assistant must call a supervisory nurse for help using the resident call system if the nurse is not present during the feeding of a resident.

(c)   The facility must ensure that a feeding assistant only assists residents who have no complicated feeding problems. The facility must base resident selection on the charge nurse's assessment and the resident's latest assessment and plan of care. Complicated feeding problems include but are not limited to:

(1)   Difficulty swallowing;

(2)   Recurrent lung aspirations; or

(3)   Tube or parenteral/IV feedings.

(d)   Instructor time shall not count toward minimum staffing requirements.

(e)   The facility shall check the Feeding Assistant Registry before hiring a person to work as a feeding assistant. If the registry indicates that the individual has been found to be personally responsible for abuse, neglect, exploitation, or misappropriation of resident property, that individual shall not be hired by the facility.

(f)   The facility must maintain proof of compliance with this subchapter at all times at the facility site.

[Source: Added at 23 Ok Reg 557, eff 12-22-05 (emergency); Added at 23 Ok Reg 2415, eff 6-25-06]