JUL (Auth: HRS ; 42 C.F.R.

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1 TITLE17 HAWAII ADMINISTRATIVE RULES -ftfl.b Feeding assistant means an individual who has Definitions. As used in this Department means the department of human problems include difficulty swallowing, recurrent lung feed nursing facility residents who have no complicated feeding problems. Complicated feeding and who is paid by a nursing facility or is used under an arrangement with another agency or organization to assistant training program approved by the department services. successfully completed a state-approved feeding chapter , , 483.1) (Imp: 42 C.F.R O, JUL (Auth: HRS ; 42 C.F.R. approved feeding assistant training programs. [Eff is to establish administrative provisions, for itate Purpose. The purpdse of this chapter feeding assistant training program feeding assistance training program Purpose Definitions Application for a state-appróvéd Requirements for a state-approved Appeal STATE-APPROVED FEEDING ASSISTANT TRAINING PROGRAM CHAPTER 1443 SUBTITLE 9 ADULT AND COMMUNITY CARE PROGRAMS DEPARTMENT OF HUMAN SERVICES

2 department. to chapter 457, HRS. (IV) feeding. wnursing facility means a skilled nursing aspirations, and tube or parenteral or intravenous participation. nursing facility and receives needed professional facility or intermediate care facility or both, that or lessening of illness, disability, or pain. [Eff as meeting the requirements of medicare or medicaid is licensed and certified by the department of health licensed as a registered nurse in the State, pursuant the maintenance, improvement, or protection of health, services directed by the attending physician toward when it includes all of the requirements as specified the department on a departmental application form. S430.l0, , 483.1) (Imp: 42 C.F.R O, An incomplete application may be returned.to the approval from a nursing facility shall be submitted to feeding assistant training program. (a) Requests for in section shall be in the format as prescribed by the applicant without action. complete application is received by the department. review of the feeding assistant training program. application, the department shall provide the nursing feeding assistant training program has been approved. for approval, the department shall conduct on on-site facility with a written decision on whether or not the (f) Within ninety days of the date of JUL ) (Auth: HRS ; 42 C.F.R. Resident means an individual who resides in a Registered nurse means an individual who is Application for state-approved (b) The application shall be considered complete (d) The date of application shall be the date a (c) The submission of additional information (e) Prior to rendering a decision on the request (g) On-going approval of the, feeding assistant

3 curriculum as specified in section Such changes in registered nurse supervision or changes in training program shall continue unless there are demonstrates knowledge and proficiency while performing tasks on- another individual under the the Heimlich maneuver; the importance of reporting those changes to the supervisory nurse. feeding assistant training program. four hourb of practical training. Practical training include the following: care assurance, as part of the federally mandated (e) The department of health, office of health means training in which the individual learns and combination of classroom training and a minimum of of all feeding assistants who have successfully completed the feeding assistant training program. (b) The feeding assistant training program shall (1) Feeding techniques; (2) Assistance with feeding and hydration; (5) Safety and emergency procedures, including (4) Appropriate responses to resident behavior; (3.) Communication and interpersonal skills; minimum of ten hours of training, and shall include a (d) A nursing facility shall maintain a record eighteen years of age at the commencement of the (c) Individuals being trained shall be at least inconsistent with their normal behavior and (8) Recognizing changes in residents that are (7) Resident rights; and (6) Infection coxftrol; training program. (a) A feeding assistanl training direct supervision of a registered nurse Requirements for a feeding assistant program approved by the department shall include a (Auth: HRS ; 42 C.F.R. t431.1o) (Imp: HRS as specified in this section. [Eff JUL ) departmental approval through another approval process changes shall require the program to obtain ; 42C.F.R.44O.4Or 483.1, )

4 3074 In granted. department of human services are met by any such training program requirements established by the training program approved under this chapter provide this service in a nursing facility in the nursing facility that operates a feeding assistant as sufficient training for a feeding assistant to State, shall determine whether the feeding assistant surveys that it conducts of nursing facilities in the State that did not provide the actual training. [Eff training program by a nursing facility may be accepted written notice shall include: via certified mail to the nursing facility. The appeal the department s decision not to approve the program, the department shall mail a written notice the department does not approve a feeding assistant , , 483.1) (Imp: 42 C.F.R , hearing officer shall make the final decision for the Based on the evidence presented at the hearing, the department as to whether the approval shall not be opportunity for a hearing before a hearing officer. though inadmissible under rules. of evidence applicable examine witnesses. Evidence may be received even shall have the right to call, examine, and cross the nursing facility maybe represented by counsel and director of the department shall give notice of and an notice of the action. than thi±ty days after the date of the the director of the department, no later the department; and nursing facility s feeding assistant program. When Appeal. (a) A nursing facility may JUL ] (Auth: HRS ; 42 C.F.R. (1) The reasons f or the action being taken by (2) A statement explaining the nursing facility (b) Upon receiving a timely written appeal, the Cc) At any hearing provided for by this section, (f) Proof qf completion of a. feeding assistant right to appeal the department s decision to

5 writing, shall contain findings of fact and rulings of (d) The hearing, officer s decision shall be in under court procedures. a1a Wi ), (Auth: HRS 346-l4, ) (Imp: 42 C.F.R. certified or registered mail. feff JUL ) law, and shall be mailed to the nursing facility by