{"ref":"DC-HC-SUP-01","title":"RN Supervision of Home Health Aides and 90-Day On-Site Visits","category":"Service delivery","summary":"Sets out how registered nurses supervise every home health aide, how and when the on-site supervisory visit required at least once every 90 days is scheduled and carried out, what the nurse checks and records, how findings are acted on, and what happens when a visit is refused or falls overdue.","inShort":["A registered nurse supervises every aide.","A nurse visits each client's home to supervise care at least once every 90 days.","Clients cannot waive these visits; tell the nurse if a client refuses one.","At the visit the nurse may watch you work, check your notes, and talk with the client.","Call the nurse any time you have a question about a client or a task."],"primaryCitation":"22-B DCMR §9918.2","citations":["22-B DCMR §9918.1","22-B DCMR §9918.2","22-B DCMR §9918.3","22-B DCMR §9907.6","22-B DCMR §9907.7","22-B DCMR §9908.2(j)","22-B DCMR §9913.4","22-B DCMR §9913.6","22-B DCMR §9914.2(k)","22-B DCMR §9914.2(l)","22-B DCMR §9916.2(d)","22-B DCMR §9916.2(k)","22-B DCMR §9917.10","22-B DCMR §9999.1","17 DCMR §9313.1","17 DCMR §9313.2","17 DCMR §9313.3"],"federalCitations":[],"surveyorAsks":["Show me the on-site supervisory visits for this client over the last year. Was each within 90 days of the one before (22-B DCMR §9918.2)?","Who supervises each of your aides, and how do you know you have an adequate number of registered nurses (§9918.3)?"],"forms":[{"ref":"DC-HC-SUP-01-A","title":"RN On-Site Supervisory Visit Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22-B DCMR §9918.2)","5. Who Supervises","6. When Visits Are Made","7. What the Registered Nurse Does at the Visit","8. When the Aide Is Not Present","9. Acting on What the Visit Finds","10. If a Client Refuses or Misses a Visit","11. Overdue Visits","12. Supervision Between Visits","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"dc-hca","state":"Washington, DC","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}