FAQ's
"Medically Related Activities"
Means activities such as but not limited to observing and reporting changes in a client's condition, arranging trips to the doctor, picking up prescription drugs, accompanying clients on medical appointments, documenting client's food and/or liquid intake or output, reminding clients to take medication, and assisting with self-administration of medication; such activities shall not include professional services that are subject to regulation under professional practice and licensing statutes.
Rules
" Medically related activities " as used in these rules do
not include activities which by law must be performed by a nurse, such
as administration of medication, wound care,ventilator care, deep suctioning
of a tracheostomy, and g-tube care. Refer to the decision tree produced
by the Georgia Board of Nursing for assistance in determining whether
an activity must be performed by a nurse:
Services Description. A provider shall establish and implement written policies and procedures that define the scope of private home care services it offers and the types of clients it serves. No provider shall provide services that are prohibited by these rules, the applicable legal authority, or other laws. Service Agreements. No provider shall offer to provide a client any private home care services that it cannot reasonably expect to deliver in accordance with these rules.
The service agreement must be between the client and the PHCP actually providing the services at the client's residence. Service agreements with third parties are not acceptable. A provider shall establish and implement policies and procedures for service agreements. All services provided to a client shall be based on a written service agreement entered into with the client or the client's responsible party, if applicable.
Supervision of Services. Services shall be supervised by qualified staff
of the provider.Each staff member providing services to a client shall
be evaluated in writing by his or her supervisor, at least annually,
either through direct observation or demonstration, on the job tasks
the staff member is required to perform. No supervisor shall knowingly
permit an employee who has been exposed to tuberculosis or hepatitis
or diagnosed with the same to provide services to clients until it is
determined that the employee is not contagious.
(a) Supervision of Nursing Services. If a provider provides nursing services, it shall employ fully licensed Georgia registered professional nurse to supervise the provision of such services and the employees who provide the services. Such supervisor may perform other duties provided he or she is able to fulfill the supervisory responsibilities described in these rules. A supervisor shall complete the client's service plan in accordance with rule .11 and in coordination with the appropriate staff who will be providing the client's
Services.
(b) Supervision of Personal Care Tasks. If a provider offers personal care task services, the provider shall employ supervisor(s) that have been determined to be qualified by education, training and experience to supervise the provision of such tasks in accordance with accepted standards of care. A licensed registered professional or practical nurse shall supervise the provision of personal care tasks for clients determined to be medically frail or medically compromised. If such supervision is provided by a licensed practical nurse,the licensed practical nurse shall report to a licensed registered professional nurse who will continue to be responsible for the development and management of the service plan. Such supervisor may perform other duties provided he or she is able to fulfill the supervisory responsibilities described in these rules.
1. The appropriate supervisor as specified in these rules shall complete
the client's service plan in accordance with rule .11 and in coordination
with the appropriate staff who will be providing the client's services.
For clients who are determined to be medically frail or compromised,
a licensed registered professional nurse shall complete the initial
service plan. Subsequent revisions to the service plan may be made by
a licensed practical nurse who is supervising the provision of personal
care tasks services to the client. Revisions made by the licensed practical
nurse will be reviewed in a timely manner by the provider's licensed
registered professional nurse ultimately responsible for the management
of the client's care.
2. The appropriate supervisor shall make a supervisory home visit to each client's residence at least every 92 days, starting from date of initial service in a residence or as the level of care requires to ensure that the client's needs are met. The visit shall include an assessment of the client's general condition, vital signs, a review of the progress being made, the problems encountered by the client and the client's satisfaction with the services being delivered by the provider's staff. Such supervision shall also include observations about the appropriateness of the level of services being offered. Routine quarterly supervisory visits shall be made in the client's residence and shall be documented in the client's file or service plan. Supervision of Companion or Sitter Tasks. If a provider provides companion or sitter tasks, supervision of such tasks shall be provided by a qualified supervisor (e.g.,registered professional nurse, licensed practical nurse, the administrator, or any other staff member assigned responsibility for supervision of the delivery of care).
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