{"ref":"TX-SVC-06","title":"Client Care Policies and Scope of Services","category":"Service delivery","summary":"Sets out which services the Agency provides and which it does not, how each client’s care is assessed, planned, started, paused, and ended, how staff handle emergencies and their own safety in the home, and how staff are supervised while they give care. It also sets out the workplace violence prevention committee, policy, plan, training and incident response that Texas Health and Safety Code Chapter 331 requires while the Agency employs at least two registered nurses.","inShort":["Only do the tasks in the client’s service plan. If asked to do anything else, say no kindly and tell the office.","Do not do nursing tasks like shots, wound care, or giving medicine unless the plan says so and you were trained.","In an emergency, call 911 first and stay with the client. Then call the office at (512) 555-0100.","If you are in danger in a home, you may leave. Call 911 if needed, then call the office right away.","A supervisor visits to check the care and support you. The client and family help decide how often.","Tell the office the same day about any threat, violence or weapon at work. You may also call the police. No one may punish you for reporting."],"primaryCitation":"26 TAC §558.281","citations":["26 TAC §558.281","26 TAC §558.404","26 TAC §558.2","26 TAC §558.243","26 TAC §558.256","26 TAC §558.288","26 TAC §558.301","22 TAC ch. 225","Tex. Fam. Code ch. 261","Tex. Health & Safety Code ch. 331","Tex. Health & Safety Code §331.001","Tex. Health & Safety Code §331.002","Tex. Health & Safety Code §331.003","Tex. Health & Safety Code §331.004","Tex. Health & Safety Code §331.005","Tex. Health & Safety Code §331.006","HHSC Provider Letter PL 2024-10"],"federalCitations":[],"surveyorAsks":["Show me your written client care policy. Which elements of 26 TAC §558.281 apply to your agency, and which do not?","What does an attendant do if a client asks for a dressing change, an injection, or a blood sugar check?"],"forms":[{"ref":"TX-SVC-06-A","title":"Workplace Violence Prevention Plan"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.281)","5. Scope of Services","6. Client Care Practices Required by 26 TAC §558.281","7. Assessment, Care Planning, and Changes to Services","8. Children and Clients with a Terminal Illness","9. Emergencies in the Home","10. Safety of Staff","10.1 Workplace violence prevention: when Chapter 331 applies (Tex. Health & Safety Code §331.001(3)(A))","10.2 Workplace violence prevention committee (Tex. Health & Safety Code §331.002)","10.3 Workplace violence prevention policy (Tex. Health & Safety Code §331.003)","10.4 Workplace violence prevention plan (Tex. Health & Safety Code §331.004)","10.5 Responding to and investigating an incident (Tex. Health & Safety Code §331.004(b)(4) and §331.005)","10.6 Changing assignments after abuse or threats (Tex. Health & Safety Code §331.004(b)(8))","10.7 Annual review, report to the governing body, and copies of the plan (Tex. Health & Safety Code §331.004(d)-(e) and §331.006)","11. Supervision of Staff (26 TAC §558.404(g))","12. Responsibilities","12.1 Staff Training","13. Records and Compliance Monitoring","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.1","sample":false,"pack":"tx-pas","state":"Texas","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Home Care Agency","legalName":"Sample Home Care Agency, LLC","logo":null}}