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Complex Care Tasks and Higher-Level Community Living Supports Tasks

Sets out which complex care tasks (Home Help) and higher-level community living supports tasks (MI Choice) Sample Agency, LLC accepts, the three tiers the Agency uses (accepted with client-specific training, accepted only with governing body approval and registered nurse delegation, never accepted), and the steps that must be complete before a worker performs any such task: written client-specific instructions, review by the supervising nurse, training, a supervised return demonstration recorded on Form MI-HC-SVC-03-A, and ongoing supervision and re-checks.

Preview: full text with a package
About this policy
Policy number
MI-HC-SVC-03
Version
1.0
Main rule
MPM Home Help §2.3
Library
Michigan home care · 50 policies
Category
Clinical tasks
Sections
19

In short

  • Never do a complex care task (catheter, ostomy, feeding tube, wound care) until you are trained for that client.
  • The supervising nurse must check your return demonstration and sign the training record.
  • Follow the written instructions exactly; if anything is different, stop and call.
  • Some tasks, like injections, need written approval and nurse delegation first.
  • We never do tasks such as tracheal suctioning, ventilator changes or IV lines.

What's inside

19 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 (MPM Home Help §2.3)
  • 5. Complex Care Tasks Named in the Home Help Chapter
  • 6. Higher-Level Tasks for MI Choice Participants
  • 7. Which Tasks the Agency Accepts
  • 8. Before a Worker Performs a Complex Care Task
  • 9. Registered Nurse Delegation
  • 10. Performing and Recording the Task
  • 11. Supervision and Re-Checking Competence
  • 12. Responsibilities
  • 13. Records and Compliance Monitoring
  • 14. Staff Training
  • 15. References
  • 16. Related Policies and Forms
  • 17. Approval
  • 18. Revision History

An inspector may ask

  • Which complex care tasks does your agency accept, and who decided that?
  • Show me the instructions and the training record for the worker who empties this participant's catheter bag.

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