{"ref":"MO-HC-SVC-04","title":"Advanced Personal Care and Advanced Respite","category":"Clinical tasks","summary":"If the Agency provides advanced personal care (APC) or advanced respite, this policy sets the conditions: an APC addendum to the Title XIX personal care agreement and an MMAC contract that includes APC; the ability to provide authorized nurse visits; qualified aides certified in each task; an APC care plan developed by the Agency's registered nurse with DSDS and approved by the participant's physician; the nine APC tasks and their limits; a nurse visit every month; an RN evaluation at intervals of no more than six months; referral when complications arise; and 21 days' written notice before discharge.","inShort":["Only certified APC aides do advanced personal care, and only tasks on the care plan.","Never do an APC task you have not been observed and certified in by the nurse.","Stop and call the nurse at once if a stoma, catheter or skin looks wrong, or the participant has pain or fever.","A nurse visits every APC participant each month, and the RN evaluates at least every six months.","The RN can be reached by phone at (573) 555-0113 whenever APC is being given."],"primaryCitation":"13 CSR 70-91.010(5)","citations":["13 CSR 70-91.010(5)(A)-(F)","13 CSR 70-91.010(1)(C)1.F","13 CSR 70-91.010(3)(K)3","13 CSR 70-91.010(6)(D)5-6","19 CSR 15-7.021(6)(A), (C)","19 CSR 15-7.021(11)","19 CSR 15-7.021(16)(D)","19 CSR 15-7.021(17)(C)","19 CSR 15-7.021(19)(D)","MO HealthNet Personal Care Provider Manual §§2.6, 2.7","MMAC In-Home Services General Information"],"federalCitations":[],"surveyorAsks":["Show me this participant's APC care plan, who developed it, and the physician's approval.","Where is the RN's most recent on-site evaluation, and when was the one before it?"],"forms":[{"ref":"MO-HC-SVC-04-A","title":"Advanced Personal Care Registered Nurse Evaluation"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (13 CSR 70-91.010(5))","5. Before APC Begins","6. Advanced Personal Care Tasks","7. Advanced Personal Care Aides","8. Nurse Supervision of APC","9. When the Participant's Condition Changes","10. Advanced Respite","11. Discharging an APC Participant","12. APC Records","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":"mo-hca","state":"Missouri","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}}