{"ref":"NC-HSP-AIDE-01","title":"Nurse Aide (Hospice Aide) and Homemaker Services","category":"Clinical tasks","summary":"Sets who may work as a nurse aide (hospice aide) or homemaker, how competency is evaluated and recorded before any task is assigned, the 12 hours of in-service each 12 months, the written assignment prepared by the registered nurse, what aides do and report, the North Carolina supervisory visit at least every two weeks and the federal visit no less than every 14 days, the annual observed visit, homemaker supervision, and coordination with NC Medicaid personal care services, including Form DMA-3165 within five days of hospice admission.","inShort":["You must be listed on the North Carolina Nurse Aide Registry, and a nurse must check your skills before you do any task.","Do only the tasks on your written assignment from the registered nurse. Ask if anything is unclear.","Call the nurse before you leave if the patient has new pain, trouble breathing, a fall, a new wound or signs that death is near.","A registered nurse visits at least every two weeks to check the care, and watches you give care at least once a year.","Complete at least 12 hours of in-service training every 12 months.","Write your aide note the same day: what you did and what you saw."],"primaryCitation":"10A NCAC 13K .0501(6)","citations":["10A NCAC 13K .0102(19)","10A NCAC 13K .0501(6)(a)-(c)","10A NCAC 13K .0401(c), (d), (e)(9)","10A NCAC 13K .0402(a), (b)","10A NCAC 13K .0901(b)(13)","21 NCAC 36 .0405","G.S. 131E-256(d2)","NC Medicaid Clinical Coverage Policy 3D, sections 6.1, 7.3.3.2"],"federalCitations":["42 CFR §418.76","42 CFR §418.202(g)","42 CFR §418.114(b)(2)"],"surveyorAsks":["Show me this aide's Nurse Aide Registry listing and the record of the competencies you verified before assigning tasks.","Where is the written assignment for this patient's aide, and who prepared it?"],"forms":[{"ref":"NC-HSP-AIDE-01-A","title":"Nurse Aide Written Assignment"},{"ref":"NC-HSP-AIDE-01-B","title":"Nurse Aide Supervisory Visit Record"},{"ref":"NC-HSP-AIDE-01-C","title":"Nurse Aide Competency Evaluation Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13K .0501(6); 42 CFR §418.76)","5. Who May Work as a Nurse Aide","6. Competency Evaluation Before Any Task","7. Orientation and In-Service Training","8. The Written Assignment","9. What Nurse Aides Do and Do Not Do","10. Reporting and Aide Notes","11. Supervision of Nurse Aides","11.1 Supervisory visit at least every two weeks","11.2 When there is a concern","11.3 Annual observed visit","11.4 What the supervising nurse assesses","12. Homemaker Services","13. NC Medicaid Personal Care Services","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"nc-hospice","state":"North Carolina","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}}