Orientation and Training
DHS 83.19 Orientation. Before an employee performs any job duties, the CBRF shall provide each employee with orientation training which shall include all of the following:
(1) Job responsibilities.
(2) Prevention and reporting of resident abuse, neglect and misappropriation of resident property.
(3) Information regarding assessed needs and individual services for each resident for whom the employee is responsible.
(4) Emergency and disaster plan and evacuation procedures under s. DHS 83.47 (2).
(5) CBRF policies and procedures.
(6) Recognizing and responding to resident changes of condition.
DHS 83.20 Department−approved training.
(1) APPROVED TRAINING. (a) Training for standard precautions, fire safety, first aid and choking, and medication administration
and management shall be approved by the department or designee and shall be provided by trainers approved by the department or
designee. Approvals for training plans and trainers for standard precautions, fire safety, first aid and choking, and medication
administration and management issued before April 1, 2009, shall expire April 1, 2010.
(b) The CBRF shall maintain documentation of the training in par. (a), including the trainer approval number, the name of the
employee, training topic and the date training was completed.
(2) APPROVED COURSES. (a) Standard precautions. All employees who may be occupationally exposed to blood, body
fluids or other moist body substances, including mucous membranes, non−intact skin, secretions, and excretions except sweat,
whether or not they contain visible blood shall successfully complete training in standard precautions before the employee
assumes any responsibilities that may expose the employee to such material.
(b) Fire safety. Within 90 days after starting employment, all employees shall successfully complete training in fire safety.
(c) First aid and choking. Within 90 days after starting employment, all employees shall successfully complete training
in first aid and procedures to alleviate choking.
(d) Medication administration and management. Any employee who manages administers or assists residents with prescribed or over−the−counter medications shall complete training
in medication administration and management prior to assuming these job duties.
DHS 83.21 All employee training.
The CBRF shall provide, obtain or otherwise ensure adequate training for all employees in all of the following:
(1) RESIDENT RIGHTS. Training shall include general rights of residents including rights as specified under s. DHS 83.32 (3).
Training shall be provided as applicable under ss. 50.09 and 51.61 and CHS. 54, 55, and 304, Stats., and ch. DHS 94, depending on the
legal status of the resident or service the resident is receiving. Specific training topics shall include house rules, coercion, retaliation, confidentiality, restraints, self−determination, and the
CBRF’s complaint and grievance procedures. Residents’ rights training shall be completed within 90 days after starting employment.
(2) CLIENT GROUP. (a) Training shall be specific to the client the group served and shall include the physical, social, and mental
Published under s. 35.93, Stats. Updated on the first day of each month. The entire code is always current. The Register date on each page
is the date the chapter was last published. Register December 2011 No. 672 health needs of the client group. Specific training topics shall
include, as applicable: characteristics of the client group served, activities, safety risks, environmental considerations, disease processes, communication skills, nutritional needs, and vocational
abilities. Client group-specific training shall be completed within 90 days after starting employment.
(b) In a CBRF serving more than one client group, employees
shall receive training for each client group.
(3) RECOGNIZING, PREVENTING, MANAGING AND RESPONDING TO
CHALLENGING BEHAVIORS. Specific training topics shall include, as
applicable: elopement, aggressive behaviors, destruction of property, suicide prevention, self−injurious behavior, resident supervision, and changes in condition. Challenging behaviors training
shall be completed within 90 days after starting employment.
in (1) made under s. 13.92 (4) (b) 7., Stats., Register January 2009 No. 637.
DHS 83.22 Task-specific training. The CBRF shall provide, obtain or otherwise ensure adequate training for employees
performing job duties in all of the following:
(1) ASSESSMENT OF RESIDENTS. All employees responsible for resident assessment shall successfully complete training in the
assessment of residents prior to assuming these job duties. Specific training topics shall include assessment methodology,
assessment of changes in condition, sources of assessment information, and documentation of the assessment.
(2) INDIVIDUAL SERVICE PLAN DEVELOPMENT. All employees
responsible for service plan development shall successfully complete training in individual service plan development prior to assuming these job duties. Specific training topics shall include:
identification of the resident’s needs and desired outcomes, development of goals and interventions, service plan evaluation, and review of progress.
(3) PROVISION OF PERSONAL CARE. All employees responsible
for providing assistance with activities of daily living shall successfully complete training prior to assuming these job duties.
Specific training topics shall include, as appropriate: bathing, eating, dressing, oral hygiene, nail, and foot care, toileting and incontinence care, positioning and body alignment, and mobility and transferring.
(4) DIETARY TRAINING. All employees performing dietary
duties shall complete dietary training within 90 days after assuming these job duties. Specific training topics shall include: determining nutritional needs, menu planning, food preparation and
food sanitation.
DHS 83.23 Employee supervision. Until an employee has completed all required training, the employee shall be directly
supervised by the administrator or by qualified resident care staff.
.DHS 83.24 Exemptions. (1) EXEMPTIONS FOR COMPLETED TRAINING. Employees who have completed department−
approved training in standard precautions, fire safety, first aid and
choking, and medication administration and management prior to
or on April 1, 2009, or who receive such training within one year
after April 1, 2009, shall be exempt from the training specified
under s. DHS 83.20 (2).
(2) GENERAL EXEMPTIONS. A practitioner, licensed pharmacist, registered nurse or licensed practical nurse is exempt from
training specified in ss. DHS 83.20 (2) (a), (c) and (d), 83.21 and 83.22.
(3) EXEMPTIONS FROM STANDARD PRECAUTIONS TRAINING.
Except as stated in subs. (1) and (2), the following individuals are
exempt from training in standard precautions:
(a) Emergency medical technicians.
(b) Employees who can provide documentation that they have
had training from a regulated health care entity in the practice of
standard precautions within the previous year.
(c) A nurse aide certified after 1999 and in good standing on
the Wisconsin Nurse Aide Registry.
(4) EXEMPTIONS FROM FIRE SAFETY TRAINING. Except as stated
under sub. (1), firefighters are exempt from training in fire safety.
(5) EXEMPTIONS FROM FIRST AID AND CHOKING TRAINING.
Except as stated in subs. (1) and (2), the following individuals are exempt from training in first aid and choking:
(a) Emergency medical technicians.
(b) Student nurses who have successfully completed related training.
(6) EXEMPTIONS FROM MEDICATION ADMINISTRATION AND MANAGEMENT TRAINING. Except as stated under subs. (1) and (2), the
following individuals are exempt from medication administration
and management training:
(a) Nurse aides who have completed a medication aide training program and are in good standing on the Wisconsin Nurse Aide
Registry.
(b) Student nurses currently enrolled in a nursing program that has successfully completed a medication administration course.
(c) Other licensed health care persons whose licensure and
scope of practice allows medication administration.
(7) EXEMPTIONS FROM CLIENT GROUP TRAINING, RESIDENT
RIGHTS TRAINING, AND CHALLENGING BEHAVIOR TRAINING. Except
as specified under subs. (1) and (2), all of the following individuals are exempt from client group training, resident rights training
, and challenging behavior training:
(a) Licensed nursing home administrators.
(b) Substance abuse counselors as defined under s. SPS 160.02
(26).
(c) Employees with a degree in social work, psychology or a
similar human services field.
(d) Student nurses who have successfully completed related
courses.
(e) A nurse aide in good standing on the Wisconsin Nurse Aide
Registry.
(8) EXEMPTION FROM PROVISION OF PERSONAL CARE TRAINING.
A nurse aide in good standing on the Wisconsin Nurse Aide Registry is exempt from provision of personal care training.
(9) EXEMPTIONS FROM ASSESSMENT AND INDIVIDUAL SERVICE
PLAN DEVELOPMENT TRAINING. Except under subs. (1) and (2), the
following individuals are exempt from assessment and individual
service plan development training:
(a) Licensed nursing home administrators.
(b) Substance abuse counselors as defined under s. SPS 160.02 (26).
(c) Employees with a degree in social work, psychology or a similar human services field.
(d) Student nurses who have successfully completed related courses.
(10) EXEMPTIONS FROM DIETARY TRAINING. Except under subs.
(1) and (2), the following individuals are exempt from training in
determining dietary needs, menu planning, food preparation and sanitation:
(a) Registered dietitians.
(b) Employees whose only responsibility is delivering meals.
(c) Employees who have completed an associate in applied science degree in culinary arts.
(d) A certified dietary manager.
155 DEPARTMENT OF HEALTH SERVICES DHS 83.28
DHS 83.25 Continuing education. The administrator and resident care staff shall receive at least 15 hours per calendar
year of continuing education beginning with the first full calendar year of employment. Continuing education shall be relevant to
the job responsibilities and shall include, at a minimum, all of the following:
(1) Standard precautions.
(2) Client group-related training.
(3) Medications.
(4) Resident rights.
(5) Prevention and reporting of abuse, neglect, and misappropriation.
(6) Fire safety and emergency procedures, including first aid.
DHS 83.26 Documentation. (1) The CBRF shall maintain documentation of all employee training under s. DHS 83.21
and task-specific training under s. DHS 83.22 and shall include the name of the employee, the name of the instructor, the dates of
training, a description of the course content, and the length of the
training.
(2) Employee orientation and hours of continuing education shall be documented in the employee’s file