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Home Health Aides (Hospice Aides) and Homemakers

Sets who may work as a home health aide (hospice aide) or homemaker for the Agency, the training and competency evaluation every aide must pass under 42 CFR §418.76, 12 hours of in-service each year, written care instructions from a registered nurse, what aides do and never do, registered nurse supervisory visits at least every 14 days and a yearly on-site observation of each aide, and homemaker qualifications and supervision.

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About this policy
Policy number
FL-HSP-AIDE-01
Version
1.0
Main rule
42 CFR §418.76
Library
Florida hospice · 60 policies
Category
Clinical tasks
Sections
25

In short

  • Aides do only the tasks on the written care instructions from the registered nurse.
  • Aides never give, measure or decide on medication doses. You may remind the patient and read the label.
  • Call the nurse right away about pain, falls, breathing changes, new skin problems or any safety concern.
  • A registered nurse checks the aide’s care at least every 14 days and watches each aide give care once a year.
  • Aides complete at least 12 hours of in-service training every year.

What's inside

25 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (Rule 59A-38.009, F.A.C.; 42 CFR §418.76)
  • 5. Who May Work as an Aide
  • 6. Training Program
  • 7. Competency Evaluation
  • 8. In-Service Training
  • 9. Assignment and Written Care Instructions
  • 10. What Aides Do and Do Not Do
  • 11. Reporting by Aides
  • 12. Supervision of Aides
  • 12.1 Supervisory visit at least every 14 days
  • 12.2 When there is a concern
  • 12.3 Yearly on-site observation and what the nurse assesses
  • 13. Homemakers
  • 14. Medicaid Personal Care and Facility Staff
  • 15. Responsibilities
  • 16. Records and Compliance Monitoring
  • 17. Staff Training
  • 18. References
  • 19. Related Policies and Forms
  • 20. Approval
  • 21. Revision History

An inspector may ask

  • Show me how this aide qualified, the competency evaluation and the in-service hours for the last 12 months.
  • Where are the written care instructions for this aide, and who prepared them?

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