Wis. Admin. Code DHS § DHS 133.17

Current through November 25, 2024

Section DHS 133.17 - Home health aide services

(1) PROVISION OF SERVICES. When a home health agency provides or arranges for home health aide services, the services shall be given in accordance with the plan of care provided for under s. DHS 133.20, and shall be supervised by a registered nurse or, when appropriate, by a therapist.

(2) DUTIES. Home health aide services may include, but are not limited to:

(a) Assisting patients with care of mouth, skin and hair, and bathing;

(b) Assisting patients into and out of bed and assisting with ambulation;

(c) Assisting with prescribed exercises which patients and home health aides have been taught by appropriate health personnel;

(d) Preparing meals and assisting patients with eating;

(e) Household services essential to health care at home;

(f) Assisting patients to bathroom or in using bedpan;

(g) Assisting patients with self-administration of medications;

(h) Reporting changes in the patient's condition and needs; and

(i) Completing appropriate records.

(3) ASSIGNMENTS. Home health aides shall be assigned to specific patients by a registered nurse. Written instructions for patient care shall be prepared and updated for the aides at least each 60 days by a registered nurse or appropriate therapist, consistent with the plan of care under s. DHS 133.20. These instructions shall be reviewed by the immediate supervisors with their aides.

(4) TRAINING OF AIDES.

(a)Curriculum. In addition to the orientation required by s. DHS 133.06(4) (a), the agency shall ensure that all home health aides providing service have successfully completed a course of training covering at least the following subjects:

1. The role of the home health aide as a member of the health services team;

2. Instruction and supervised practice in in-home personal care of the sick, including personal hygiene and activities of daily living;

3. Principles of good nutrition and nutritional problems of the sick and elderly;

4. Preparation of meals, including special diets;

5. The needs and characteristics of the populations served, including the aged and disabled;

6. The emotional problems accompanying illness;

7. Principles and practices of maintaining a clean, healthy, and safe environment;

8. What, when and how to report to the supervisor; and

9. Record-keeping.

(b)Training. Training, if provided by the agency, shall be directed by a registered nurse. Physicians, nutritionists, physical therapists, medical social workers, and other health personnel shall provide relevant training when pertinent to the duties to be assigned.

Wis. Admin. Code Department of Health Services DHS 133.17

Cr. Register, May, 1984, No. 341, eff. 6-1-84; CR 07-060: am. (1) and (3) Register November 2007 No. 623, eff. 12-1-07.