Hospice Aide and Homemaker Services
Sets who may work as a hospice aide or homemaker for the Agency (the federal training and competency routes plus the District certification the Health Occupations Revision Act requires of nursing assistive personnel), how aide training, competency evaluation and 12 hours of yearly in-service are provided and recorded, how a registered nurse assigns aides and writes their care instructions, what aides may and may not do, and how aides are supervised: an RN on-site visit at least every 14 days, follow-up when a concern is noted, and an annual on-site observation of each aide.
- Policy number
- DC-HSP-AIDE-01
- Version
- 1.0
- Main rule
- 42 CFR §418.76
- Library
- Washington, DC hospice · 60 policies
- Category
- Clinical tasks
- Sections
- 24
In short
- Before your first visit you need a passed competency check and a current District aide certification.
- Follow the written care instructions from the RN. Do only the tasks on them.
- Do not give injections, count or set up controlled medicines, or take orders.
- Call the nurse during the visit about new pain, a fall, breathing trouble, skin breakdown or confusion.
- An RN checks your care at least every 14 days and watches you give care at least once a year.
- You need at least 12 hours of in-service training every 12 months.
What's inside
24 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 (When the Agency Trains Aides)
- 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
- 11. Hospice Homemakers
- 12. Medicaid Personal Care Aide 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 qualification route, District certification and nurse aide registry check.
- Where are the written care instructions for this aide, and who prepared them?
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