Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 119 - REGULATIONS GOVERNING THE LICENSING AND FUNCTIONING OF HOME HEALTH CARE SERVICES
Chapter 6 - QUALIFICATIONS FOR HOME HEALTH PARAPROFESSIONAL PERSONNEL
Universal Citation: 10 ME Code Rules ยง 6
Current through 2024-38, September 18, 2024
6.A. Qualifications for Home Health Care Paraprofessional Personnel
6.A.1.
Paraprofessional personnel for the purpose of these regulations, are home
health aides and/or certified nursing assistants who are listed on the Maine
Registry of Certified Nursing Assistants. The Home Health Care Services
Provider must have proof that the home health aide and/or certified nursing
assistant is on the Registry prior to hiring.
6.A.2. In addition to basic certified nursing
assistant training and orientation, the home health aide and/or certified
nursing assistant shall receive on-the-job instruction and at least twelve (12)
hours of inservice training on an annual basis. Home Health Care Services
Providers may fulfill the annual twelve (12) hour inservice training
requirement on a prorated basis for the home health aide and/or certified
nursing assistant's first year of employment and on a calendar year basis
thereafter. Documentation of on the job instruction may be applied to the
twelve (12) hours of inservice training.
6.A.3. A home health aide orientation program
shall be taught by a registered professional nurse. Physicians, dietitians,
physical therapists, medical social workers and other health personnel may be
involved in appropriate aspects of the orientation program.
6.A.4. The home health aide orientation
program shall consist of at least the following components:
a. An introductory section of the program
which will define the functions and responsibilities of a home health aide as a
member of the multi-disciplinary teams for a Home Health Care Services
Provider.
b. Information about:
1. Nursing policies and procedures of the
Home Health Care Services Provider,
2. Employment practices of the Home Health
Care Services Provider,
3. The
importance of developing an appropriate relationship between the Home Health
Care Services Provider and the patient/client. This section shall discuss
patient/client employee confidentiality and ethics issues and issues related to
the medical and social needs of patients/clients being provided home haft care
services.
4. Universal Precautions:
The Home Health Care Services Provider shall have documentation of Universal
Precautions.
6.B. Duties of Home Health Paraprofessional Personnel
Duties of home health aides and certified nursing assistants shall be assigned in accordance with the rules and regulations of the Maine State Board of Nursing, Chapter 5, Section 1.A.1. , and may include, but shall not be limited, to the following:
6.B.1. Helping patient/client with bath, care
of mouth, skin, hair,
6.B.2.
Helping patient/client in and out of bed and assisting with
ambulation;
6.B.3. Helping with
health care treatment as determined in patient's/client's plan of
care;
6.B.4. Preparing meals and
helping patient/client with eating;
6.B.5. Helping patient/client to bathroom or
with use of bedpan;
6.B.6.
Performing household services which support the patient's/client's self-care
program at home to prevent or postpone institutionalization,
6.B.7. Reporting changes in the
patient's/client's condition and needs and assisting in emergency situations;
and
6.B.8. Completing appropriate
records and signing full name, title and date.
6.C. Paraprofessional Staff Hiring
6.C.1. Prior to hiring a certified nursing
assistant or home health aide, the home health agency must:
a. Obtain criminal history information;
and
b. Verify with the Maine
Registry of Certified Nursing Assistants that the individual is listed on the
Registry.
6.C.2. The
agency may not employ an individual who:
a.
Has been found by the State Survey Agency to have abused, neglected or
misappropriated the property of an individual, corporation or entity in a
health care setting, and annotated on the Maine Registry of Certified Nursing
Assistants; or
b. Has been
convicted in a court of law of a crime involving abuse, neglect or
misappropriation of the property of an individual, corporation or entity in a
health care setting, or
c. Has a
prior criminal conviction within the last ten (10) years of:
(1) A crime for which incarceration of three
(3) years or more may be imposed under the laws of the State in which the
conviction occurred; or
(2) A crime
for which incarceration of less than three (3) years may be imposed under the
laws of the State in which the conviction occurred involving sexual misconduct
or involving abuse, neglect, or exploitation in a setting other than a health
care setting.
Disclaimer: These regulations may not be the most recent version. Maine may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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