N.J. Admin. Code § 8:42C-7.5

Current through Register Vol. 56, No. 9, May 6, 2024

Section 8:42C-7.5 - Nursing entries in the medical/health record

(a) The hospice shall provide homemaker-home health aide services, which services shall be directed and supervised by a RN.

1. The registered professional nurse shall assign the homemaker-home health aide to a patient and shall give written instructions to the homemaker-home health aide regarding the hospice services to be provided. The homemaker-home health aide shall document the hospice services provided. Copies of the written instructions shall be kept in the patient's home and documentation of services provided shall be kept in the patient's medical/health record.

2. If the registered professional nurse delegates selected tasks to the homemaker-home health aide, the registered professional nurse shall determine the degree of supervision to provide, based upon an evaluation of the patient's condition, the education, skill, and training of the homemaker-home health aide to whom the tasks are delegated, and the nature of the tasks and activities being delegated. The registered professional nurse shall delegate a task only to a homemaker-home health aide who meets the requirements specified and who has demonstrated the knowledge, skill, and competency to perform the delegated tasks.

3. The registered professional nurse shall make supervisory visits to the patient's home and document these visits in the patient's medical record, in accordance with the facility's policies and procedures.

(b) The hospice shall not employ an individual as a homemaker-home health aide unless the individual shall have completed a training program approved by the New Jersey Board of Nursing, shall be certified by the Board of Nursing in accordance with N.J.A.C. 13:37-4, and shall provide verification of current certification for inclusion in the hospice personnel record.

(c) The homemaker-home health aide shall be responsible for providing at least personal care and homemaking services essential to the patient's health care and comfort at home, including shopping, errands, laundry, meal planning and preparation (including therapeutic diets), serving of meals, child care, assisting the patient with activities of daily living, and assisting with prescribed exercises and the use of special equipment, as necessary.

N.J. Admin. Code § 8:42C-7.5