{"ref":"NC-HC-SUP-01","title":"Supervision of In-Home Aides, Supervisory Visits, and Nurse Availability","category":"Service delivery","summary":"Requires a registered nurse to supervise every in-home aide, to make a supervisory visit to each client's home every 90 days and, at least annually, while the aide is providing care, to document each visit with the date, findings and signature, to record any corrective action in the employee's record, and to be available for supervision during all hours in-home aide services are provided. Adds the NC Medicaid personal care services visit requirements and the Agency's own scheduling safeguards.","inShort":["A registered nurse visits each in-home aide client at home at least every 90 days.","At least once a year the nurse visits while you are giving care.","A registered nurse is available by phone during all hours you work: (919) 555-0100 or (919) 555-0199.","The nurse reviews the client's condition, the plan of care and your records, and gives you feedback.","Any corrective action is written down and kept in your personnel file."],"primaryCitation":"10A NCAC 13J .1110","citations":["10A NCAC 13J .1110(a)-(g)","10A NCAC 13J .1001(a)(3), (c)","10A NCAC 13J .1107(f)","10A NCAC 13J .1202(a), (c)","10A NCAC 13J .1401(b)","10A NCAC 13J .0901(11), (14), (25)","G.S. 90-640(a)","G.S. 131E-144.3(10), (11)","NC Medicaid Clinical Coverage Policy 3L, §7.10(a), (b)","DHSR Home Care Frequently Asked Questions, Q43, Q45, Q46, Q47","10A NCAC 13J .1111(a)(6), (7)"],"federalCitations":[],"surveyorAsks":["Show me the last four supervisory visits for this client. Were they every 90 days, and when was the aide present providing care?","Who made these visits? Show me that the person is a registered nurse."],"forms":[{"ref":"NC-HC-SUP-01-A","title":"In-Home Aide Supervisory Visit Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1110)","5. Who Supervises","6. Registered Nurse Availability and On-Call","7. Supervisory Visit Schedule","8. What the Registered Nurse Does at Each Visit","9. Documenting the Visit","10. Corrective Action","11. Late, Missed or Postponed Visits","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":"nc-hca","state":"North Carolina","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}}