{"ref":"OH-HH-AID-02","title":"Home Health Aide Assignment, Care 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 do and do not do under Ohio and federal rules, how aides report changes, and the federal supervisory visit schedule: for patients receiving skilled services, a supervisory assessment at least every 14 days (with at most one virtual assessment per patient in a 60-day episode) and an annual on-site observation of each aide; for patients receiving aide services only, an onsite visit by the RN every 60 days and a semi-annual on-site observation of each aide. Also covers retraining when a deficiency is verified and supervision of aides under arrangement.","inShort":["Follow the written care instructions for each patient. Do only the tasks listed.","You may remind, hand, open and help a patient take his or her own medications, but never give medications.","Never insert a catheter or do a nursing task that has not been delegated to you.","Report changes in the patient’s condition to the nurse or therapist the same day. In an emergency, call 911 first.","A nurse or therapist checks your care regularly and will watch you give care at least once or twice a year."],"primaryCitation":"42 CFR §484.80(g)","citations":["ORC 3740.01(H)","OAC 3701-60-01(Y)","OAC 4723-13-02(C)","OAC 4723-13-05","OAC 4723-13-07","OAC 5160-12-01(G)","OAC 5160-46-04"],"federalCitations":["42 CFR §484.80(g)","42 CFR §484.80(g)(4)","42 CFR §484.80(h)","42 CFR §484.80(h)(4)","42 CFR §484.80(c)","42 CFR §484.60(a)","42 CFR §484.105(c)"],"surveyorAsks":["Show me the written care instructions for this aide and this patient.","Show me the supervisory assessments for this patient for the last 60 days."],"forms":[{"ref":"OH-HH-AID-02-A","title":"Home Health Aide Care Plan and Assignment"},{"ref":"OH-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))","5. Assignment and Written Care Instructions","6. What Aides Do and Do Not Do","7. Help With Self-Administered Medications","8. Reporting Changes","9. Supervisory Visit Schedule","10. Scheduling and Tracking","11. Content of a Supervisory Visit","12. Deficiencies and Retraining","13. Aides Furnished Under Arrangement","14. Delegated Nursing Tasks","15. Responsibilities","16. Records and Compliance Monitoring","17. Staff Training","18. References","19. Related Policies and Forms","20. Approval","21. Revision History"],"version":"1.0","sample":false,"pack":"oh-hha","state":"Ohio","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}}