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§ 3999.131. Nursing Onboarding.

15 CA ADC § 3999.131Barclays Official California Code of RegulationsEffective: July 1, 2023

Barclays California Code of Regulations
Title 15. Crime Prevention and Corrections
Division 3. Adult Institutions, Programs and Parole
Chapter 2. Rules and Regulations of Health Care Services
Subchapter 1. Health Care Governance and Administration
Article 4. Professional Workforce
Effective: July 1, 2023
15 CCR § 3999.131
§ 3999.131. Nursing Onboarding.
(a) The California Department of Corrections and Rehabilitation (CDCR) shall provide all newly hired civil service Registered Nurses (RN), Licensed Vocational Nurses (LVN), Psychiatric Technicians (PT), Certified Nursing Assistants (CNA), Office Technicians (OT), Medical Assistants (MA), and Nursing Registry/Contracted personnel who provide clinical and support services within the Department with orientation and training.
(b) Nursing Staff Onboarding orientation and training shall, at a minimum, include:
(1) An initial introduction to the institution including Human Resources and Information Technology departments, overview of the institution's missions and physical layout, overview of the new employee's work space, and issuance of the new employee's identification card and other essential work items.
(2) Non-Custody New Employee Orientation (NEO) for all employees.
(3) Nursing civil service staff onboarding for nursing employees to be completed prior to performing patient care duties.
(4) Electronic Health Record System training and competency validation, to be completed prior to providing and documenting patient care or scheduling in the system.
(5) For staff providing direct patient care, a minimum of four weeks of orientation and shadowing of nursing staff in patient care settings based upon the institution's health care missions.
(6) Orientation and shadowing of nursing staff in the specific areas and on the specific watches the new staff will be working.
(7) Transition to independent direct patient care duties shall begin no earlier than eight weeks after the hire date.
(8) An abbreviated onboarding plan may be developed for nursing staff who transfer from another CDCR institution that takes into account the onboarding, clinical competency, and professional performance evaluations conducted and the training provided for that staff at another institution.
(c) Registry/contracted nursing personnel onboarding orientation and training, at a minimum, shall include:
(1) An initial introduction to institution staff including overview of the institution's missions, physical layout, and issuance of an identification card, work space, computer, and other essential work items.
(2) Orientation and shadowing of nursing staff in the institution's relevant patient care settings within which the registry/contracted nursing personnel will work prior to performing patient care duties.
(3) Training and demonstrated competency for registry/contracted nursing personnel in the Electronic Health Record System prior to performing and documenting patient care duties or scheduling in the system.
(4) Registry/contracted nursing personnel shall be assigned where they can easily access other nursing staff familiar with their job duties for questions and assistance during the initial 14 days/watches of providing independent, direct patient care.
(5) For the first 14 days/watches after the registry/contracted nursing personnel begins independent, direct patient care duties, the Supervising RN III or II, or Unit Supervisor, or Nurse Instructor shall meet with the registry/contracted nursing personnel prior to the start of the shift and afterwards to debrief and answer questions.
(6) Registry/contracted nursing personnel who convert to permanent civil service status shall go through the new nursing staff onboarding process.
(d) The CDCR shall recruit, orient, train, evaluate, and integrate MA staff into the health care delivery system.
(1) The Clinical Supervisor is responsible for training and administrative supervision of MAs, providing the initial orientation, testing of proficiencies to perform technical support services prior to performing those tasks, and ongoing mentoring of MAs assigned to their institution.
(2) MA staff onboarding orientation, at a minimum, shall include pertinent information regarding the work environment, institution and headquarters resources, as well as job expectations.
(3) MA staff proficiency testing, at a minimum, shall include:
(A) Proficiency in expected tasks and procedures. This testing shall be administered by the Clinical Supervisor. A designated physician from the institution's clinical supervision shall verify the MA's proficiency in expected tasks and procedures prior to the MA functioning in the clinic.
(B) Completion of position specific onboarding and proficiency testing at their assigned institution within 30 calendar days of the date of hire, in addition to the NEO.
(C) One week of nursing onboarding training that is institution specific.

Credits

Note: Authority cited: Section 5058, Penal Code. Reference: Section 5054, Penal Code; and Plata v. Newsom (No. C01-1351 JST), U.S. District Court, Northern District of California.
History
1. New section filed 7-1-2019 as an emergency; operative 7-1-2019 (Register 2019, No. 27). Pursuant to Penal Code section 5058.3, a Certificate of Compliance must be transmitted to OAL by 12-9-2019 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 12-5-2019 as an emergency; operative 12-10-2019 (Register 2019, No. 49). Pursuant to Penal Code section 5058.3, a Certificate of Compliance must be transmitted to OAL by 3-9-2020 or emergency language will be repealed by operation of law on the following day.
3. New section refiled 3-9-2020 as an emergency; operative 3-10-2020 (Register 2020, No. 11). A Certificate of Compliance must be transmitted to OAL by 6-8-2020 or emergency language will be repealed by operation of law on the following day.
4. Certificate of Compliance as to 3-9-2020 order transmitted to OAL 6-8-2020 and filed 7-20-2020 (Register 2020, No. 30).
5. New subsection (d) filed 5-22-2023; operative 7-1-2023 (Register 2023, No. 21).
This database is current through 5/17/24 Register 2024, No. 20.
Cal. Admin. Code tit. 15, § 3999.131, 15 CA ADC § 3999.131
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