{"ref":"FL-HC-SP-01","title":"Client Assessment, Written Assignments, and Changes to Services","category":"Service delivery","summary":"Requires each client's needs to be assessed before services start and whenever they change, by the RN supervisor for personal care (licensed agency) or by the Administrator or a designee for homemaker and companion services; requires a written assignment for every home health aide or CNA (Rule 59A-8.0095(5)(l)1., F.A.C.) and a task plan for every homemaker and companion; involves the client in planning (s. 400.487(4), F.S.); and sets when the assignment and plan are reviewed and changed.","inShort":["Before your first visit, read your written assignment (aides and CNAs) or task plan (homemakers and companions), ask about anything unclear, and sign it.","Do only the tasks on it. Aides and CNAs do client-specific tasks only after the RN has taught them for that client.","Homemakers and companions never bathe, toilet, dress, feed or transfer a client, and never clip nails.","Watch for changes in the client and call the office before the end of the visit. Aides and CNAs report to the RN."],"primaryCitation":"Rule 59A-8.0095(3)(b), F.A.C.","citations":["Rule 59A-8.0095(3)(b)-(d), F.A.C.","Rule 59A-8.0095(5)(a), (l), (m), (p), F.A.C.","Rule 59A-8.0095(12), F.A.C.","Rule 59A-8.020(1), (3), F.A.C.","Rule 59A-8.025(8)(d)-(g), F.A.C.","s. 400.487(1), (4), F.S.","s. 400.462(8), (22), (27), F.S."],"federalCitations":[],"surveyorAsks":["Who assessed this client and when? Show me the written assignment for the aide.","How does the aide know exactly which tasks to do and which not to do?"],"forms":[{"ref":"FL-HC-SP-01-A","title":"Written Assignment for Home Health Aide or CNA"},{"ref":"FL-HC-SP-01-B","title":"Homemaker and Companion Task Plan"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Rule 59A-8.0095(3)(b), F.A.C.)","5. Who Assesses and When","6. What the Assessment Covers","7. Written Assignment for Home Health Aides and CNAs","8. Task Plan for Homemakers and Companions","9. Client Participation","10. Reviewing and Changing the Assignment or Task Plan","11. Reporting Changes by Direct Care Staff","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"fl-hca","state":"Florida","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}}