RN Supervision of Home Health Aides and 90-Day On-Site Visits
Sets out how registered nurses supervise every home health aide, how and when the on-site supervisory visit required at least once every 90 days is scheduled and carried out, what the nurse checks and records, how findings are acted on, and what happens when a visit is refused or falls overdue.
About this policy
- Policy number
- DC-HC-SUP-01
- Version
- 1.0
- Main rule
- 22-B DCMR §9918.2
- Library
- Washington, DC home care · 50 policies
- Category
- Service delivery
- Sections
- 20
In short
- A registered nurse supervises every aide.
- A nurse visits each client's home to supervise care at least once every 90 days.
- Clients cannot waive these visits; tell the nurse if a client refuses one.
- At the visit the nurse may watch you work, check your notes, and talk with the client.
- Call the nurse any time you have a question about a client or a task.
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 (22-B DCMR §9918.2)
- 5. Who Supervises
- 6. When Visits Are Made
- 7. What the Registered Nurse Does at the Visit
- 8. When the Aide Is Not Present
- 9. Acting on What the Visit Finds
- 10. If a Client Refuses or Misses a Visit
- 11. Overdue Visits
- 12. Supervision Between Visits
- 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 the on-site supervisory visits for this client over the last year. Was each within 90 days of the one before (22-B DCMR §9918.2)?
- Who supervises each of your aides, and how do you know you have an adequate number of registered nurses (§9918.3)?
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