{"ref":"PA-HH-AID-01","title":"Home Health Aide Selection, Training, and Competency","category":"Clinical tasks","summary":"Sets out how home health aides are selected, trained and evaluated before they care for patients, and kept competent afterwards. The Agency meets the Pennsylvania standard (selection factors, at least 60 hours of classroom instruction in the subjects in 28 Pa. Code §§601.6 and 601.35(a), close supervision) and, for every aide, the stricter federal standard: a qualifying training and competency program, an RN competency evaluation before any assignment, the 24-month lapse rule, and at least 12 hours of in-service training each year.","inShort":["You may not care for any patient until you have finished your aide training and passed an RN’s skills check.","Your training must include at least 60 classroom hours on the subjects Pennsylvania requires.","If a skill is rated unsatisfactory, you may not do it alone until you are retrained and pass again.","You must complete at least 12 hours of in-service training every 12 months.","Tell your RN about any task you do not feel confident to do."],"primaryCitation":"28 Pa. Code §601.35(a)","citations":["28 Pa. Code §601.6","28 Pa. Code §601.35(a)","28 Pa. Code §601.21(f)","28 Pa. Code §601.32(b)"],"federalCitations":["42 CFR §484.80(a)","42 CFR §484.80(b)","42 CFR §484.80(c)","42 CFR §484.80(d)","42 CFR §484.80(e)","42 CFR §484.80(f)","42 CFR §484.2","42 CFR §484.115(d)"],"surveyorAsks":["Show me this aide’s training: how many classroom hours, and where?","Who did this aide’s competency evaluation, and which skills were observed with a patient or pseudo-patient?"],"forms":[{"ref":"PA-HH-AID-01-A","title":"Home Health Aide Competency Evaluation"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (28 Pa. Code §601.35(a))","5. Selection","6. Qualification Routes","7. The 24-Month Lapse Rule","8. Verification Before First Assignment","9. Aide Training Program (If the Agency Runs One)","10. Required Subjects and How Each Is Evaluated","11. Competency Evaluation","12. Unsatisfactory Ratings and Retraining","13. In-Service Training","14. Skills Beyond the Basic List","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":"pa-hha","state":"Pennsylvania","service":"Home health","guides":[{"path":"/guides/staff-policy-acknowledgment/","h1":"Staff policy acknowledgment: how read-and-sign works in home care"},{"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}}