KAR 28-51-117 — Supportive care services

What this rule requires your agency to do

• 1Ongoing training on the supportive care services and equipment must be provided to each manager and worker annually or more often, with subject matter and dates documented in each file (subsection (d)).(KAR 28-51-117 — Supportive care services)
• 2Each licensee must ensure each supportive care worker demonstrates competency in the ten listed subject areas before serving a client without the manager present, and must reevaluate each worker annually (subsection (c)).(KAR 28-51-117 — Supportive care services)
• 3Written assignments/instructions prepared by a manager from the plan of care must state procedures for meeting the client's needs, when to report to the supervisor, and the requirement to document services each visit; managers must review them every three months or as the client's status changes (subsection (f)).(KAR 28-51-117 — Supportive care services)
• 4Each supportive-care applicant/licensee must maintain written admission-criteria policies and written scope-of-practice policies for supportive care workers consistent with the K.S.A. 65-5101 definition and this regulation (subsections (a), (b)).(KAR 28-51-117 — Supportive care services)
• 5Supportive care workers must not provide wound care, dressing changes, application of medications, catheter insertion/removal, suppositories, enemas, syringe/tube/IV feedings, or respiratory care; clients needing such care must be under a home-health-licensed agency (subsection (g)(2), (7), (13)(D), (15)).(KAR 28-51-117 — Supportive care services)
• 6Medication assistance is limited to preselected medications in marked reminder containers (inquiring, prompting, handing/opening); workers must not participate in medication administration and must immediately report medications taken incorrectly (subsection (g)(1)).(KAR 28-51-117 — Supportive care services)
• 7Each licensee must employ a manager available for questions at all times and provide on-site supervision of each worker at least every three months, including a client-satisfaction assessment and review of plan-of-care adherence (subsection (e)).(KAR 28-51-117 — Supportive care services)
• 8Workers may assist with ambulation, bathing, dressing, exercise, feeding, hair/mouth/nail care, positioning, shaving, toileting, and transfers only within the stated safety limits, and may set oxygen flow only with specific training and demonstrated competency (subsection (g)(3)-(16)).(KAR 28-51-117 — Supportive care services)