{"ref":"TX-HSP-AIDE-01","title":"Hospice Aide and Homemaker Services","category":"Clinical tasks","summary":"Sets out who may work as a hospice aide or hospice homemaker for the Agency, the aide training, competency evaluation and in-service requirements, how aides are assigned and instructed, the registered nurse supervisory visits every 14 days and every year, and how homemaker and Medicaid personal care services are coordinated.","inShort":["Do only the tasks on the patient’s written aide care instructions, and never give medicines.","Report any change in the patient, any fall or any concern to the RN before you leave the home.","An RN visits each patient who has aide services at least every 14 days, and watches each aide give care at least once a year.","You need 12 hours of in-service training every 12 months. Check your hours with the supervising nurse.","Homemakers help keep the home safe and clean. Homemakers never give personal or hands-on care."],"primaryCitation":"42 CFR §418.76","citations":["26 TAC §558.842","26 TAC §558.843","26 TAC §558.844","26 TAC §558.845","26 TAC §558.846","26 TAC §558.840","26 TAC §558.850(e)(4)","26 TAC §558.2(55)-(56), (119)"],"federalCitations":["42 CFR §418.76","42 CFR §418.202(g)","42 CFR §418.204(a)","42 CFR §418.3"],"surveyorAsks":["Show me the competency evaluation for this aide, including the tasks observed with a patient.","When was the last RN supervisory visit for this patient’s aide services? And the one before?"],"forms":[{"ref":"TX-HSP-AIDE-01-A","title":"Hospice Aide Care Instructions"},{"ref":"TX-HSP-AIDE-01-B","title":"Hospice Aide Supervisory Visit Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §§558.842-558.846; 42 CFR §418.76)","5. Who Is a Qualified Hospice Aide","6. Hospice Aide Training Program","7. Competency Evaluation","8. In-Service Training","9. Assignment, Care Instructions and Duties","10. Supervision of Hospice Aides","10.1 Supervisory visit at least every 14 days","10.2 When there is a concern","10.3 Annual on-site observation","11. Hospice Homemakers","12. Medicaid Personal Care Services","13. Contracted Aides and Homemakers","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":"tx-hospice","state":"Texas","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 Hospice","legalName":"Sample Hospice, LLC","logo":null}}