Hospice Aide and Homemaker Services
Sets out who may work as a hospice aide in Missouri (a person who meets 42 CFR 418.76 as incorporated by 19 CSR 30-35.010 as last amended August 6, 2009), training and competency evaluation, the 24-month lapse rule, twelve hours of in-service training in every twelve months, the registered nurse's written aide assignment and care instructions, RN supervisory visits at least every two weeks, the annual on-site observation of each aide, aides permanently assigned to a hospice facility, homemaker services assigned and coordinated by an IDG member, and coordination with Medicaid personal care.
- Policy number
- MO-HSP-AIDE-01
- Version
- 1.0
- Main rule
- 19 CSR 30-35.010(2)(G)7
- Library
- Missouri hospice · 59 policies
- Category
- Clinical tasks
- Sections
- 20
In short
- Only qualified hospice aides give aide care. An aide who has not worked for pay as an aide for 24 months in a row must be trained or tested again.
- Do only the tasks on the RN's written instructions. The RN must have seen and assessed the patient first.
- Aides do not give medications. You may remind the patient and help with a medicine the patient takes alone if the instructions say so.
- Write down the care you give at every visit. Call the nurse at once about falls, new pain, breathing trouble or signs of abuse.
- An RN visits at least every two weeks to check the aide's care, and watches each aide give care at least once a year.
- Every aide gets 12 hours of in-service training in each 12 months.
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 (19 CSR 30-35.010(2)(G)7; 42 CFR §418.76)
- 5. Who Is a Qualified Hospice Aide
- 6. Training and Competency Evaluation
- 7. In-Service Training
- 8. Assignments, Care Instructions and Duties
- 9. Supervision of Hospice Aides
- 10. Homemaker Services
- 11. Medicaid Personal Care and Other Caregivers
- 12. Contracted Aides and Background Screening
- 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 this aide's training and competency evaluation. When did the aide last work for pay as an aide?
- Where are the written aide instructions, and did the RN who wrote them physically assess the patient?
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