䝘䞊䝅䞁䜾䞉䝩䞊䝮䊠
㻝㻤㻥㻜ᖺ㛤タ䚹䜹䝸䝣䜷䝹䝙䜰䛷୍␒ྂ䛔䝘䞊䝅䞁䜾䝩䞊䝮䚹タ䛿䚸㻯㻯㻾㻯䛻⨨䛧 䛶䛚䜚䚸䝁䝭䝳䝙䝔䜱ෆ䛻䛿䚸㧗㱋⪅ఫᏯ䚸䜰䝅䝇䝔䝑䝗䞉䝸䝡䞁䜾䜒䛒䜚䚸⏝⪅䛾
ㆤ䝺䝧䝹䛻ᛂ䛨䛶⛣䜚ఫ䜐䛣䛸䛜䛷䛝䜛䚹タ⊂⮬䛾⫋ဨ㓄⨨䛜≉ᚩⓗ䛷䛒䜛䚹
䝘䞊䝅䞁䜾䞉䝩䞊䝮䊡
♫䛿㻝㻥㻤㻥ᖺ❧䚹♫䛜⤒Ⴀ䛩䜛⚟♴䝃䞊䝡䝇䛿䚸⡿䛷㻞㻜㻜௨ୖ䛒䜚䚸▷ᮇⓗ
䛺䜿䜰䜔䝸䝝䝡䝸䝔䞊䝅䝵䞁䚸㧗㱋⪅ఫᏯ䛻䛚䛔䛶ㆤ䛸་⒪䝃䞊䝡䝇䜢ᥦ౪䛧䛶䛔 䜛䚹䜰䝹䝒䝝䜲䝬䞊Ჷ䜒䛒䜛䚹㻿㻺㻲䛸䛧䛶ㄆᐃ䚹♫⊂⮬䛾䜸䞁䝷䜲䞁ᩍ⫱カ⦎䝅䝇 䝔䝮䜢᭷䛩䜛䚹
䜰䝅䝇䝔䝑䝗䞉䝸䝡䞁䜾䊠 ♫䛿㻝㻥㻥㻜ᖺタ❧䚸㻞㻜䛾䜰䝅䝇䝔䝑䝗䞉䝸䝡䞁䜾䜢⤒Ⴀ䚹䝇䝍䝑䝣ホ౯䛾䝅䝇䝔䝮䜢 ᑟධ䚹⫋ဨ䛾⚟ཌ⏕䛜ᐇ䚹
䜰䝅䝇䝔䝑䝗䞉䝸䝡䞁䜾䊡 㻝㻥㻥㻣ᖺタ❧䚸㻟䛴䛾ᕞ䛷㻞㻤䛾タ䜢⤒Ⴀ䚹㻞㻜㻝㻝ᖺ䛻㼁㻿㻯㻭䜘䜚䚸㻯㼍㼜㼕㼟㼠㼞㼍㼚㼛㻌㻮㼑㼍㼏㼔 㻭㼣㼍㼞㼐䠄㈹䠅䜢ཷ㈹䚹ാ䛝䛜䛔䛾䛒䜛♫䛸䛧䛶ఱᗘ䜒⾲ᙲ䜢ཷ䛡䛶䛔䜛䚹
㻵㻰 ⫋ົ ᛶู බⓗ㈨᱁ ົ⤒㦂 㣴ᡂᩍ⫱䛾
⤒㦂
◊ಟᣦᑟ⪅
䛾⤒㦂 ົඛ
㻭 ┳ㆤᖌ㛗 ዪ 㻾㻺 㻝㻤ᖺ䠄┳ㆤᖌ㛗䛸䛧䛶䠅 㻝㻞ᖺ ᭷ 䠪䠤䊠
㻮 ┳ㆤᖌ㛗 ⏨ 㻾㻺 㻝㻤ᖺ䠄Ώ⡿๓ྵ䜑䛪䠅 䛺䛧 ᭷ 䠪䠤䊡
㻯 ㆤ⫋䠄㼏㼍㼞㼑㻌㼓㼕㼢㼑㼞䠅 ዪ 䛺䛧 㻝㻡ᖺ 䛺䛧 ᭷ 䠝䠨䊠
㻰 ᗈሗᢸᙜ⪅ ⏨ 䛺䛧 䇷 䇷 ᭷ 䠪䠤䊡
㻱 ᗈሗᢸᙜ⪅ ⏨ 䛺䛧 䝩䝔䝹䛺䛹 䇷 ᭷ 䠝䠨䊡
㻲 䝣䜱䝑䝖䝛䝇䞉䝕䜱䝺䜽䝍䞊 ዪ 䛺䛧 䜹䞁䝖䝸䞊䜽䝷䝤䛺䛹 䇷 ᭷ 䠝䠨䊠
㛫
ヂ
ㄒ ᮏ
᪥
⪅ ㄽ
ᩥ ཎ
1The aging process and physical limitations and special needs of the elderly.
⪁䛔䛾䝥䝻䝉䝇䚸㧗㱋ᮇ䛾≉ู䛺䝙䞊
䝈䚸㌟యⓗ䛺ไ㝈䛺䛹䛻䛴䛔䛶 䠎㛫௨ୖ
2
Importance and techniques of personal care services, including but not limited to, bathing, grooming, dressing, feeding, toileting, and universal precautions.
㌟䛵䛟䜝䛔䚸╔᭰䛘䚸ධᾎ䚸㣗䚸䛫 䛴䚸᪥ᖖⓗ䛺ண㜵⟇䛺䛹䚸䝟䞊䝋䝘䝹 䜿䜰䝃䞊䝡䝇䛾ᢏ⾡䛻䛴䛔䛶
䠏㛫௨ୖ
3Residents rights, as specified in Section 87468, Personal Rights.
㡯┠87468䛻䛚䛔䛶ᐃ䜑䜙䜜䛶䛔䜛ఫ Ẹ䛾ᶒ䛸䚸ಶே䛾ᶒ䛻䛴䛔䛶 つᐃ䛺䛧
4
Policies and procedures regarding medications, including the knowledge in Section 87411(d)(4)
㡯┠㻤㻣㻠㻝㻝䛻ᐃ䜑䜛䜘䛖䛻䚸ᒃఫ⪅䛜Ᏻ
䛻⸆䜢᭹⏝䛩䜛䛾䜢ᨭ䛷䛝䜛䜘䛖䚸
⸆䛻㛵䛩䜛▱㆑䛸ᡭ㡰䛻䛴䛔䛶
㻞㛫௨ୖ
㻻㻶㼀䜢ྵ䜑䛶䜒䜘䛔
5
Psychosocial needs of the elderly, such as recreation, companionship, independence, etc.
䝺䜽䝸䜶䞊䝅䝵䞁䚸䚸⊂❧ᚰ䛺䛹䚸㧗 㱋⪅䛾ᚰ⌮♫ⓗ䛺䝙䞊䝈䛻䛴䛔䛶 つᐃ䛺䛧
6Recognizing signs and symptoms of dementia in individuals.
ㄆ▱䛾≧䜔ೃ䛻㛵䛩䜛⌮ゎ䛻
䛴䛔䛶 つᐃ䛺䛧
ͤ 㡯 ┠
8746 8ࠊ 㡯 ┠
874 11 ࡘ ࠸ ࡚ ࡣ ト ࢆ ཧ ↷ ࡢ ࡇ
ὀ1 7 ),ὀ1 8 )ࠋ
S TAT E O F C A L I F O R N I A , H E A LT H A N D H U M A N S E RV I C E S A G E N C Y, D E PA R T M E N T O F S O C I A L S E RV I C E S . P E R S O N N E L R E Q U I R E M E N T S – G E N E R A L ; 8 7 4 11 . C O M M U N I T Y C A R E L I C E N S I N G D I V I S I O N㸸R E S I D E N T I A L C A R E FA C I L I T I E S F O R T H E E L D E R LY; Ti t l e 2 2 ; D i v i s i o n 6 ; C h a p t e r 8ࢆ ࡶ స ᡂ ࠋ
㸯㸬ᝈ⪅ࡓࡕࡢㄝ᫂ࠉ7㸸00㹼7㸸30 㸯㸬⟶⌮ࠊ⤌⧊ᵓ㐀ࠉ7㸸00㹼7㸸30 㸰㸬ᝈ⪅ࡢ᪥ᖖࠉ7㸸30㹼8㸸30 㸰㸬ࢧ࣮ࣅࢫࡢᥦ౪ࠉ7㸸30㹼8㸸00 㸱㸬ࢥ࣮ࣝࣛࢺࠊࣥࢱ࣮࣒࢝ࢩࢫࢸ࣒࡞
ࡢᶵჾࡢ⏝ࠉ8:30~9:00
㸱㸬ࡢㄝ᫂ࠊࢳ࣮࣒ࢥࣥࢺ࣮ࣟࣝࠉ8㸸00 㹼8㸸30
㸯㸬PTSࠊ❅ᜥࠉ9:00~10:00 㸲㸬ே᪉㔪ࠊ㌟࡙ࡃࢁ࠸ࡘ࠸࡚ࠉ8㸸30㹼 9㸸00
㸰㸬ⅆ 10:00~11:00 ࣃ࣮ࢺB ᕞࡸ㐃㑥ᨻᗓࡢつไࠉ9㸸00㹼10㸸00 㸱㸬⅏ᐖ 11:00~12:00 ࣃ࣮ࢺC ⤌⧊⌮ࠉ10㸸00㹼11㸸00
ࣃ࣮ࢺD ἲⓗ⌮ⓗ㓄៖ࠉ11㸸00㹼12㸸00 㸯㸬⛣ࠉ12:30~1:00
㸰㸬ࣂࢱࣝࢧࣥ/ I&O㔜㔞 1:00~1:30 ࣃ࣮ࢺE ┳ㆤࡢ᪉㔪ᡭ㡰ࠉ12㸸30㹼1㸸30 㸱㸬ᝈ⪅ࡢ≧ែኚࡢሗ࿌ 1:30~1:45 ࣃ࣮ࢺF ᝈ⪅ࡢ⎔ቃᛌ㐺ࡉࠉ1㸸30㹼2㸸00 㸲㸬ᝈ⪅ࡢ࢟ࣕࣛࢡࢱ࣮ࡢᥗࡳ᪉ 1:45~2:00 ࣃ࣮ࢺG タࡢࢣࡢ⌮ᛕ㸦ᕞ㸧ࠉ2㸸00㹼2㸸30 㸳㸬ࢫ࢟ࣥࢣ 2:00~2:30 ࣃ࣮ࢺH ྥ⢭⚄⸆స⏝ࠉࠉ2㸸30㹼3㸸00 㸴㸬ᦤ㣗 2:30~2:45 ࢣࡢ⎔ቃࠉ3㸸00㹼3㸸30 㸵㸬౽ჾࡢ⏝ 2:45~3:00
㸶㸬࣋ࢵࢻ࣓࢟ࣥࢢ 3:00~3:15 㸷㸬ឤᰁᑐ⟇ 3:15~3:30
㸦Ᏻᛶࠊࢭ࢟ࣗࣜࢸࠊ᭷ᐖ≀㉁ࠊⅆ⅏ண 㜵ࠊ⥭ᛴែࡢഛ࠼ࠊ࣮ࣘࢸࣜࢸ/་⒪ᶵ ჾࡢ⟶⌮㸧
୍᪥┠ ᪥┠
ࣃ࣮ࢺ㸿
ࣛࣥࢳࠉ12㸸00㹼12㸸30
ࣃ࣮ࢺI
ࣃ࣮ࢺA
ࣃ࣮ࢺB
⥭ᛴᚑ࠺௧
ࣛࣥࢳࠉ12㸸00㹼12㸸30
ࣃ࣮ࢺC
⮫ᗋᐇ㊶
ͤ
NHϨ ࡚ ධ ᡭ ࡋ ࡓ ㈨ ᩱ ࢆ ࡶ ㄽ ⪅ ࡀ ᪥ ᮏ ㄒ ヂ
!"
Training Systems of Care Workers in the United States
Kimiko SHIRAHATA, Naoyoshi SATOU
This study aims to clarify the characteristics of the training system of care workers in the United States. In the four welfare facilities in California, data collection was performed. In addition, semi-structured interviews were conducted in six staff.
Qualification(CNA) is not required prior to hiring of all care workers.
But, in California, a person who works in a RCFE, shall obtain the training.
This training is intended to equip, the minimum knowledge and technology for all care staff in RCFE. This also serves to the bottom raising the difference of educational experience of before hiring.Like this, this training system will may be guaranteed minimum quality of care workers. However, the facts of which are dependent on the policy of the state government and facilities management.
Key words: United States, Care-Workers, Training Systems
