Wis. Admin. Code Department of Health Services DHS 131.26 - Non-core services
(1) GENERAL REQUIREMENTS. A hospice is
responsible for providing care and services to a patient and, as necessary, the
patient's family, based on the plan of care developed by the core team.
Volunteers shall participate in the delivery of program services. The hospice
may provide other services as follows:
(a)
Therapy services. Therapy services are provided in accordance
with the plan of care for the patient and by individuals who meet qualification
requirements for therapy service delivery such as evidence of current licensure
or registration and academic training. Therapy services shall consist of all of
the following:
1. Physical, occupational,
speech and language pathology or respiratory therapy.
2. The provision of a patient assessment as
directed by the plan of care.
3.
The development of a therapy plan of care.
(b)
Homemaker services. If
homemaker services are provided, they shall be provided in accordance with the
patient's plan of care and shall consist of:
1. Housekeeping activities.
2. Performing errands and shopping.
3. Providing transportation.
4. Preparing meals.
5. Other assigned tasks intended to maintain
the capacity of the household.
(2) NURSE AIDE SERVICES. The hospice may
provide nurse aide services as follows:
(a)
Assignment. Nurse aides are assigned to a specific patient by
a registered nurse that is a member of the interdisciplinary group. Written
patient care instructions for a nurse aide shall be prepared by a registered
nurse who is responsible for the supervision of a nurse aide as specified under
par. (c).
(b)
Plan of
care. The nurse aide shall provide care in accordance with the
patient's plan of care. Nurse aide services consist of, but are not be limited
to all of the following:
1. Assisting
patients with personal hygiene.
2.
Assisting patients into and out of bed and with ambulation.
3. Assisting with prescribed exercises which
patients and hospice aides have been taught by appropriate health care
personnel.
4. Assisting patients to
the bathroom or in using a bedpan.
5. Assisting patients with
self-administration of medications.
6. Administering medications to patients if
the aide has completed a state-approved medications administration course and
has been delegated this responsibility in writing for the specific patient by a
registered nurse.
7. Reporting
changes in the patient's condition and needs.
8. Completing appropriate records.
(c)
Supervision of nurse
aides.
1. A registered nurse shall
make an on-site visit to the patient's home no less frequently than every 14
days to assess the quality of care and services provided by the nurse aide and
to ensure that services ordered by the hospice interdisciplinary group meet the
patient's needs. The nurse aide does not have to be present during this
visit.
2. If an area of concern is
noted by the supervising nurse, then the hospice shall make an on-site visit to
the location where the patient is receiving care in order to observe and assess
the aide while the aide is performing care.
3. If an area of concern is verified by the
hospice during the on-site visit, then the hospice shall conduct, and the nurse
aide shall complete a competency evaluation.
4. A registered nurse shall make an annual
on-site visit to the location where a patient is receiving care in order to
observe and assess each aide while the aide is performing care.
(d)
Assessment of
aide. The supervising nurse shall assess an aide's ability to
demonstrate initial and continued satisfactory performance in meeting outcome
criteria that include all of the following, but is not limited to:
1. Following the patient's plan of care for
completion of tasks assigned to the nurse aide by the registered
nurse.
2. Creating successful
interpersonal relationships with the patient and family.
3. Demonstrating competency with assigned
tasks.
4. Complying with infection
control policies and procedures.
5.
Reporting changes in the patient's condition.
Notes
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No prior version found.