NAC449.39519. Client to serve as managing employer and provide training to personal assistant; reporting of training to organization.

     1. The client of an intermediary service organization must serve as the managing employer of the personal assistant and must be responsible for the selection and termination of the personal assistant.

     2. Each client shall ensure that:

     (a) The personal assistant selected to provide services to the person with a disability under the direction of the client completes the training required pursuant to this section; and

     (b) The personal assistant is able to safely perform the services required to meet the needs of the person with a disability.

     3. Each client shall ensure that the personal assistant:

     (a) Receives instruction from the client or a person designated by the client at the location where the personal assistant will provide services to the person with a disability;

     (b) Within 120 days after being employed by the intermediary service organization, receives not less than 16 hours of training which must include, without limitation:

          (1) The rights of a client, including, without limitation, confidentiality of client information and state and federal laws relating to confidentiality;

          (2) First aid and cardiopulmonary resuscitation;

          (3) Universal precautions, as defined in NAC 441A.195, and the control of infection, including, without limitation, information on bloodborne pathogens and infection control procedures;

          (4) Body mechanics, transferring and mobility, including, without limitation, typical body movements, range of motion, prevention of back injury and potential fall hazards;

          (5) Household safety and accident prevention, including, without limitation, the preparation of a home for safety and accident prevention;

          (6) Basic communication skills, including, without limitation, techniques for sharing information with persons who require alternative modes of communication;

          (7) Information concerning advance directives as defined in NRS 449.905;

          (8) General awareness of issues relating to aging and disabilities, sensory, physical and cognitive disabilities, behavioral interventions targeted to specific populations, and the philosophy and principles of independent living; and

          (9) The prevention of abuse, neglect and exploitation of a person with a disability, including, without limitation, identifying and reporting the full range of serious occurrences, and reporting of suspected cases of abuse, neglect or exploitation in the manner prescribed in NRS 200.5093, 200.50935 and 632.472; and

     (c) Receives not less than 8 hours of training during each year of employment thereafter concerning such topics as determined by the client.

     4. The client shall submit to the intermediary service organization documentation which includes, without limitation:

     (a) The content of the training provided to the personal assistant pursuant to this section;

     (b) The date on which the training was completed;

     (c) The number of hours of training provided to the personal assistant; and

     (d) A certificate indicating successful completion of the training.

     (Added to NAC by Bd. of Health by R167-07, eff. 1-30-2008)—(Substituted in revision for NAC 427A.824)