{"ref":"MO-HSP-AIDE-01","title":"Hospice Aide and Homemaker Services","category":"Clinical tasks","summary":"Sets out who may work as a hospice aide in Missouri (a person who meets 42 CFR 418.76 as incorporated by 19 CSR 30-35.010 as last amended August 6, 2009), training and competency evaluation, the 24-month lapse rule, twelve hours of in-service training in every twelve months, the registered nurse's written aide assignment and care instructions, RN supervisory visits at least every two weeks, the annual on-site observation of each aide, aides permanently assigned to a hospice facility, homemaker services assigned and coordinated by an IDG member, and coordination with Medicaid personal care.","inShort":["Only qualified hospice aides give aide care. An aide who has not worked for pay as an aide for 24 months in a row must be trained or tested again.","Do only the tasks on the RN's written instructions. The RN must have seen and assessed the patient first.","Aides do not give medications. You may remind the patient and help with a medicine the patient takes alone if the instructions say so.","Write down the care you give at every visit. Call the nurse at once about falls, new pain, breathing trouble or signs of abuse.","An RN visits at least every two weeks to check the aide's care, and watches each aide give care at least once a year.","Every aide gets 12 hours of in-service training in each 12 months."],"primaryCitation":"19 CSR 30-35.010(2)(G)7","citations":["19 CSR 30-35.010(1)(A)14, 17","19 CSR 30-35.010(2)(G)1.E-H","19 CSR 30-35.010(2)(G)7","19 CSR 30-35.010(2)(H)9","19 CSR 30-35.010(2)(M)1","RSMo §§210.900-210.936"],"federalCitations":["42 CFR §418.76","42 CFR §418.202(g)","42 CFR §418.114(b)(2)"],"surveyorAsks":["Show me this aide's training and competency evaluation. When did the aide last work for pay as an aide?","Where are the written aide instructions, and did the RN who wrote them physically assess the patient?"],"forms":[{"ref":"MO-HSP-AIDE-01-A","title":"Hospice Aide Written Assignment and Care Instructions"},{"ref":"MO-HSP-AIDE-01-B","title":"Aide Supervisory Visit Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 30-35.010(2)(G)7; 42 CFR §418.76)","5. Who Is a Qualified Hospice Aide","6. Training and Competency Evaluation","7. In-Service Training","8. Assignments, Care Instructions and Duties","9. Supervision of Hospice Aides","10. Homemaker Services","11. Medicaid Personal Care and Other Caregivers","12. Contracted Aides and Background Screening","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-hospice","state":"Missouri","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}