{"ref":"MO-HH-AID-02","title":"Home Health Aide Assignment, Written Instructions, and Supervision","category":"Clinical tasks","summary":"Sets out how a registered nurse or therapist assigns each aide to a specific patient with written patient care instructions, what aides may and may not do, how aides report changes, and the supervisory schedule in 42 CFR §484.80(h): for patients also receiving skilled services, a supervisory assessment at least every 14 days (rarely by two-way audio-video, not more than once per patient in a 60-day episode) and an annual on-site observation of each aide; for patients receiving aide services only, an on-site RN visit every 60 days and a semi-annual on-site observation; plus retraining when a deficiency is verified.","inShort":["Follow the written care instructions the nurse or therapist prepared for each patient. Do only the tasks listed.","Never give medications, injections or sterile care, and never take orders from a doctor.","Report any change in the patient, a fall, or any sign of abuse right away. In an emergency, call 911 first.","A nurse or therapist checks your patient's care at least every 14 days. If the patient gets aide care only, a registered nurse visits every 60 days.","A supervisor will watch you give care at least once a year (twice a year for aide-only patients) and whenever there is a concern."],"primaryCitation":"42 CFR §484.80(g) and (h) (adopted by 19 CSR 30-26.010(1)(A))","citations":["19 CSR 30-26.010(1)(A)","13 CSR 70-90.010(5)","13 CSR 70-3.320"],"federalCitations":["42 CFR §484.80(g)","42 CFR §484.80(h)","42 CFR §484.60(a)","42 CFR §484.110(b)"],"surveyorAsks":["Show me the written instructions this aide follows for this patient. Who prepared them?","When was the last supervisory assessment of the aide services for this patient, and was it on site?"],"forms":[{"ref":"MO-HH-AID-02-A","title":"Home Health Aide Care Plan and Written Instructions"},{"ref":"MO-HH-AID-02-B","title":"Home Health Aide Supervisory Visit Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.80(g) and (h) (adopted by 19 CSR 30-26.010(1)(A)))","5. Assignment","6. What Aides May and May Not Do","7. Written Patient Care Instructions","8. Reporting Changes and Completing Records","9. Supervision When the Patient Also Receives Skilled Services","10. Supervision When the Patient Receives Aide Services Only","11. What Supervision Covers","12. Deficiencies and Retraining","13. Aides Furnished Under Arrangement","14. Scheduling and Tracking Supervision","15. MO HealthNet Participants","16. Responsibilities","17. Records and Compliance Monitoring","18. Staff Training","19. References","20. Related Policies and Forms","21. Approval","22. Revision History"],"version":"1.0","sample":false,"pack":"mo-hha","state":"Missouri","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}