Hospice Aide and Homemaker Services, Competency and Supervision
Sets out who may work as a hospice aide or homemaker under LAC 48:I §8217.G (and 42 CFR §418.76 if Medicare-certified), the registered nurse competency evaluation before patient care, the written care instructions, what aides may and may not do (no medications, no sterile or invasive procedures), clinical notes each visit, registered nurse supervisory visits at least every 14 days, the annual aide-present visit and annual performance review.
About this policy
- Policy number
- LA-HSP-AIDE-01
- Version
- 1.0
- Main rule
- LAC 48:I §8217.G
- Library
- Louisiana hospice · 60 policies
- Category
- Clinical tasks
- Sections
- 26
In short
- You may care for patients only after a registered nurse has checked your skills and signed your competency evaluation.
- Follow the nurse’s written care instructions. Do only the tasks listed there.
- Never give or measure medicines, and never do IV, catheter, tube or other sterile or invasive procedures. Rectal temperatures and enemas only if the nurse instructs.
- Write a note for every visit, and call the nurse at once about falls, new pain, changes, unsafe homes or signs of abuse.
- A registered nurse visits your patients at least every 14 days and watches you give care at least once a year.
What's inside
26 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (LAC 48:I §8217.G)
- 5. Who May Work as a Hospice Aide or Homemaker
- 5.1 Requirements on every route
- 5.2 Homemakers
- 6. Competency Evaluation
- 7. Orientation, Training and In-Service
- 8. Assignment and Written Care Instructions
- 9. What Aides and Homemakers Do
- 9.1 Medications
- 10. What Aides and Homemakers Never Do
- 11. Clinical Notes and Reporting
- 12. Registered Nurse Supervision
- 13. Annual Performance Review
- 14. Medicaid Personal Care and Other Caregivers
- 15. State Certified Hospice Attendants
- 16. Responsibilities
- 17. Records and Compliance Monitoring
- 18. Staff Training
- 19. References
- 20. Related Policies and Forms
- 21. Approval
- 22. Revision History
An inspector may ask
- Show me this aide’s competency evaluation and the date of the aide’s first patient visit.
- Where are the registered nurse’s written care instructions for this patient’s aide?
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