Aide and Personal Care Assignments, Written Instructions, and Supervisory Visits
Sets out how aides are assigned and supervised. A registered nurse (or, when the patient receives therapy but no skilled nursing, the therapist) assesses the patient and the care environment, assigns the aide, and writes the care instructions; aides do only the duties in 22 CCR §74710 and never administer medications; supervisory visits are made on site at least every two weeks for patients receiving skilled care and at least every 62 days, while the aide is giving care, for patients receiving only aide or personal care services, with registered nurse visits when a licensed vocational nurse is delegated. If the Agency is Medicare-certified, the 14-day, 60-day, annual, and semi-annual supervision rules in 42 CFR §484.80(h) also apply, and the stricter rule governs.
- Policy number
- CA-HH-AID-02
- Version
- 1.0
- Main rule
- 22 CCR §74709
- Library
- California home health · 58 policies
- Category
- Clinical tasks
- Sections
- 20
In short
- Follow the written care instructions for each patient. Do not do any task that is not on them.
- You may help a patient take medicines they normally take on their own, but never give medicine of any kind.
- Report any change in the patient’s condition to your supervising nurse or therapist the same day. In an emergency, call 911 first.
- Your supervisor will visit the home on a set schedule, and sometimes while you are giving care. This is normal.
- If a patient or family asks you to do something outside your instructions, say no politely and call the nurse supervisor.
What's inside
20 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (22 CCR §74709)
- 5. Assessment, Assignment, and Written Care Instructions
- 6. What Aides Do and Do Not Do
- 7. Supervisory Visit Frequency
- 8. Joint Supervisory Visits
- 9. What the Supervisor Checks
- 10. When a Problem Is Found
- 11. Aides Who Are Not Agency Employees
- 12. Licensed Vocational Nurses and Therapy Aides
- 13. Responsibilities
- 14. Records and Compliance Monitoring
- 15. Staff Training
- 16. References
- 17. Related Policies and Forms
- 18. Approval
- 19. Revision History
An inspector may ask
- Show me the written care instructions for this aide and this patient. Who wrote them, and when were they last updated?
- Show me the supervisory visit records for this patient for the last three months. Were they on site, and how often?
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