Home Health Aide Assignment, Written Instructions, and Supervision
Sets out how a registered nurse or therapist assigns each aide to a specific patient with written patient care instructions, what aides may and may not do, how aides report changes, and the supervisory schedule in 42 CFR §484.80(h): for patients also receiving skilled services, a supervisory assessment at least every 14 days (rarely by two-way audio-video, not more than once per patient in a 60-day episode) and an annual on-site observation of each aide; for patients receiving aide services only, an on-site RN visit every 60 days and a semi-annual on-site observation; plus retraining when a deficiency is verified.
- Policy number
- MO-HH-AID-02
- Version
- 1.0
- Main rule
- 42 CFR §484.80(g) and (h) (adopted by 19 CSR 30-26.010(1)(A))
- Library
- Missouri home health · 57 policies
- Category
- Clinical tasks
- Sections
- 23
In short
- Follow the written care instructions the nurse or therapist prepared for each patient. Do only the tasks listed.
- Never give medications, injections or sterile care, and never take orders from a doctor.
- Report any change in the patient, a fall, or any sign of abuse right away. In an emergency, call 911 first.
- A nurse or therapist checks your patient's care at least every 14 days. If the patient gets aide care only, a registered nurse visits every 60 days.
- A supervisor will watch you give care at least once a year (twice a year for aide-only patients) and whenever there is a concern.
What's inside
23 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §484.80(g) and (h) (adopted by 19 CSR 30-26.010(1)(A)))
- 5. Assignment
- 6. What Aides May and May Not Do
- 7. Written Patient Care Instructions
- 8. Reporting Changes and Completing Records
- 9. Supervision When the Patient Also Receives Skilled Services
- 10. Supervision When the Patient Receives Aide Services Only
- 11. What Supervision Covers
- 12. Deficiencies and Retraining
- 13. Aides Furnished Under Arrangement
- 14. Scheduling and Tracking Supervision
- 15. MO HealthNet Participants
- 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 the written instructions this aide follows for this patient. Who prepared them?
- When was the last supervisory assessment of the aide services for this patient, and was it on site?
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