Hospice Aide and Homemaker Services
Sets out who may work as a hospice aide or homemaker for the Agency, the aide training, competency evaluation and 12-hour in-service requirements, how aides are assigned and given written care instructions, the registered nurse supervisory visit at least every 14 days and the annual on-site observation, and how homemaker and Medical Assistance personal care services are coordinated.
About this policy
- Policy number
- PA-HSP-AIDE-01
- Version
- 1.0
- Main rule
- 42 CFR §418.76
- Library
- Pennsylvania hospice · 60 policies
- Category
- Clinical tasks
- Sections
- 25
In short
- You may work as a hospice aide only after passing the Agency's competency evaluation.
- Do only the tasks on your written care instructions (Form PA-HSP-AIDE-01-A). Never give medications; you may only help with medicines the patient takes on their own.
- You need at least 12 hours of in-service training every 12 months to keep working with patients.
- An RN visits each patient who has aide services at least every 14 days, and observes each aide giving care at least once a year.
- Report changes, falls, refused care, missing medicine and any safety or abuse concern to the RN before you leave the home.
What's inside
25 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 §418.76)
- 5. Who Is a Qualified Hospice Aide
- 6. Hospice Aide Training Program
- 7. Competency Evaluation
- 8. In-Service Training
- 9. Assignment, Care Instructions and Duties
- 10. Supervision of Hospice Aides
- 10.1 Supervisory visit at least every 14 days
- 10.2 When there is a concern
- 10.3 Annual on-site observation
- 10.4 Provisional employees
- 11. Homemakers
- 12. Medical Assistance Personal Care Services
- 13. Contracted Aides and Homemakers
- 14. Responsibilities
- 15. Records and Compliance Monitoring
- 16. Staff Training
- 17. References
- 18. Related Policies and Forms
- 19. Approval
- 20. Revision History
An inspector may ask
- Show me this aide's competency evaluation, including the tasks observed with a patient or pseudo-patient.
- When was the last RN supervisory visit for this patient's aide services? And the one before?
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