{"ref":"GA-HC-SVC-06","title":"Proxy Caregivers and Health Maintenance Activities","category":"Clinical tasks","summary":"Records whether the Agency delivers health maintenance activities through proxy caregivers and, if it does, sets out the written informed consent, written plan of care, training, competency checklists, medication administration conditions, prohibited assistance and Medication Assistance Record that Georgia's proxy caregiver rules require.","inShort":["Health maintenance activities are done only by trained proxy caregivers, and only if the Agency has approved proxy care.","Before you start, the client must have signed the informed consent and have a written plan of care.","Do only the activities on the consent and plan of care that a licensed professional checked you on.","Update the Medication Assistance Record every time a medication is offered or taken.","If the client's condition changes, call the licensed professional or on-call line before continuing (911 first in an emergency)."],"primaryCitation":"Ga. Comp. R. & Regs. 111-8-100","citations":["Ga. Comp. R. & Regs. 111-8-100-.03","Ga. Comp. R. & Regs. 111-8-100-.04","Ga. Comp. R. & Regs. 111-8-100-.05","Ga. Comp. R. & Regs. 111-8-100-.07","O.C.G.A. §43-26-12(a)(9)","Ga. Comp. R. & Regs. 111-8-65-.03(p)4"],"federalCitations":[],"surveyorAsks":["Do you use proxy caregivers? If so, for which clients and which health maintenance activities?","Show me the written informed consent and the written plan of care for this client."],"forms":[{"ref":"GA-HC-SVC-06-A","title":"Proxy Caregiver Informed Consent"},{"ref":"GA-HC-SVC-06-B","title":"Medication Assistance Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Ga. Comp. R. & Regs. 111-8-100)","5. The Agency's Decision","6. Proxy Caregivers Hired by the Client","7. Written Policies Required of the Agency","8. Disclosure to Prospective Clients","9. Written Informed Consent","10. Written Plan of Care","11. Qualifications, Training and Competency","12. Medication Administration by Proxy Caregivers","13. Prohibited Assistance","14. Medication Assistance Record and Medication Information","15. Responsibilities","16. Records and Compliance Monitoring","17. Staff Training","18. References","19. Related Policies and Forms","20. Approval","21. Revision History"],"version":"1.0","sample":false,"pack":"ga-phc","state":"Georgia","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}}