In this case we provide non-medical personal care services to clients in the home setting through the assignment of employed Home Health Aides (HHAs). These aides give Personal care services, limited to individual assistance with/or supervision of activities of daily living, companion services, homemaker services, and reporting changes in client’s condition. These Personal care services do not include skilled services. Home attendants assisting with providing skilled services may:
- Assist clients with (i) activities of daily living, (ii) ambulation and prescribed exercise, and (iii) other special duties with appropriate training and demonstrated competency;
- Administer normally self-administered drugs as allowed by § 54.1-3408 of the Virginia Drug Control Act (Chapter 34 (§ 54.1-3400 et seq.) of Title 54.1 of the Code of Virginia);
- Measure and record fluid intake and output;
- Take and record blood pressure, pulse and respiration;
- Record and report to the appropriate health care professional changes in the client’s condition;
- Document services and observations in the client’s record; and
- Perform any other duties that the attendant is qualified to do by additional training and demonstrated competency as allowed by state or federal guidelines.
A. Prior to the initial delivery of services, the home attendant shall receive specific written instructions for the client’s care from the appropriate health care professional responsible for the care.
B. Home attendants shall work under the supervision of the appropriate health care professional responsible for the client’s care.
C. Relevant in-service education or training for home attendants shall consist of at least 12 hours annually. In-service training may be in conjunction with on-site supervision.
What kind of Supports are Provided?
HHAs care services may provide the following services:
- Basic personal care including bathing, grooming, dressing, and assistance with toileting;
- Assisting with incontinence, including bed pan use, changing urinary drainage bags, protective underwear, and monitoring urine input and output;
- Assisting the client with transfer, ambulation, and exercise as prescribed;
- Assisting the client with self-administration of medication;
Reading and recording temperature, pulse, and respiration;
Measuring and recording blood pressure, height and weight;
Observing, recording, and reporting the client’s physical condition, behavior, or appearance;
Meal preparation in accordance with dietary guidelines, and assistance with eating;
Implement universal precautions to ensure infection control;
Tasks related to keeping the client’s living area in a condition that promotes the client’s health and comfort;
Accompanying and/or transporting the client to medical and medically related appointments, to the client’s place of employment, and to recreational activities;
Assisting the client at his or her place of employment;
Shopping for items related to promoting the client’s nutritional status and other health needs; and providing companion services.