Home Health Aide Assignment, Care 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 do and do not do under Ohio and federal rules, how aides report changes, and the federal supervisory visit schedule: for patients receiving skilled services, a supervisory assessment at least every 14 days (with at most one virtual assessment per patient in a 60-day episode) and an annual on-site observation of each aide; for patients receiving aide services only, an onsite visit by the RN every 60 days and a semi-annual on-site observation of each aide. Also covers retraining when a deficiency is verified and supervision of aides under arrangement.
- Policy number
- OH-HH-AID-02
- Version
- 1.0
- Main rule
- 42 CFR §484.80(g)
- Library
- Ohio home health · 59 policies
- Category
- Clinical tasks
- Sections
- 22
In short
- Follow the written care instructions for each patient. Do only the tasks listed.
- You may remind, hand, open and help a patient take his or her own medications, but never give medications.
- Never insert a catheter or do a nursing task that has not been delegated to you.
- Report changes in the patient’s condition to the nurse or therapist the same day. In an emergency, call 911 first.
- A nurse or therapist checks your care regularly and will watch you give care at least once or twice a year.
What's inside
22 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))
- 5. Assignment and Written Care Instructions
- 6. What Aides Do and Do Not Do
- 7. Help With Self-Administered Medications
- 8. Reporting Changes
- 9. Supervisory Visit Schedule
- 10. Scheduling and Tracking
- 11. Content of a Supervisory Visit
- 12. Deficiencies and Retraining
- 13. Aides Furnished Under Arrangement
- 14. Delegated Nursing Tasks
- 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 the written care instructions for this aide and this patient.
- Show me the supervisory assessments for this patient for the last 60 days.
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