{"ref":"TX-HH-AID-02","title":"Home Health Aide Assignment and Supervision","category":"Clinical tasks","summary":"Requires an RN or therapist to assign each aide to a patient with written care instructions, limits aides to tasks that are ordered, in the plan of care, allowed by Texas law, and within their training, and sets the supervisory visit schedule: every 14 days for patients receiving skilled services and every 60 days for patients who are not, with on-site observation of each aide and retraining when a deficiency is found.","inShort":["Follow the written aide care plan for each patient. Do not do tasks that are not on it, even if the patient or family asks.","Never give injections, fill pill boxes, change open-wound dressings, or take orders from a doctor unless an RN has delegated that task to you in writing.","Tell the RN or therapist the same day about any change in the patient, such as pain, a fall, confusion, or skin breakdown.","A nurse or therapist will check on your care regularly and will watch you give care at least once or twice a year.","If a problem is found, you will be retrained and checked again before you do that task alone."],"primaryCitation":"42 CFR §484.80(h)","citations":["26 TAC §558.701(c)","26 TAC §558.401","26 TAC §558.243","26 TAC §558.2","26 TAC §558.298","22 TAC ch. 224","22 TAC ch. 225"],"federalCitations":["42 CFR §484.80(g)","42 CFR §484.80(h)","42 CFR §484.60(e)"],"surveyorAsks":["Show me the written aide care instructions for this patient and who wrote them.","This patient receives nursing and aide services. Show me the supervisory assessments for the last 60 days."],"forms":[{"ref":"TX-HH-AID-02-A","title":"Home Health Aide Care Plan and Written Instructions"},{"ref":"TX-HH-AID-02-B","title":"Aide Supervisory Visit Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.80(h))","5. Assignment and the Aide Care Plan","6. What Aides Do and Do Not Do","7. Reporting Changes in the Patient’s Condition","8. Supervision When the Patient Receives Skilled Services","9. Supervision When the Patient Does Not Receive Skilled Services","10. Content of a Supervisory Visit","11. Deficiencies and Retraining","12. Aides Provided Under Arrangement","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":"tx-lhhs","state":"Texas","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 Home Health Agency","legalName":"Sample Home Health Agency, LLC","logo":null}}