Section 29. Supervision Of Secondary And Non-Licensed Personnel

A. Licensed practical nurses: Services and care provided by a licensed practical nurse will be furnished under the supervision of a registered nurse who has a minimum of one year home health experience or a minimum of two (2) years nursing experience. Such supervision will include, at a minimum: (1) Identify appropriate tasks to be performed by the licensed practical nurse. (2) Conduct and document a supervisory visit to at least one patient/client residence at least every sixty (60) days, or more often as indicated. B. Physical therapy assistants: Services and care provided by a physical therapy assistant will be furnished under the supervision of a physical therapist, with a minimum of one year experience. Such supervision will include, at a minimum: (1) Identify appropriate tasks to be performed by the physical therapy assistant. (2) Conduct and document a supervisory visit to the patient/client residence at least every thirty (30) days or as indicated. (3) Be on-call and readily available and within a 100 mile radius, or have appointed another physical therapist in their absence. (4) Supervise no more than two physical therapy assistants. C. Certified occupational therapy assistants: Services and care provided by a certified occupational therapy assistant will be furnished under the supervision of an occupational therapist, with a minimum of one (1) year experience. Such supervision will include, at a minimum: (1) Identify appropriate tasks to be performed by the certified occupational therapy assistant. (2) Conduct and document a supervisory visit to the patient/client residence: (a) at a minimum of every two weeks for intermediate-level certified occupational therapy assistants; (b) at a minimum of every 30 days for advanced-level certified occupational therapy assistants. D ill include, at a minimum: (1) Identify appropriate tasks to be performed by the certified occupational therapy assistant. (2) Conduct and document a supervisory visit to the patient/client residence: (a) at a minimum of every two weeks for intermediate-level certified occupational therapy assistants; (b) at a minimum of every 30 days for advanced-level certified occupational therapy assistants. D. Home health aides: Services and care provided by a home health aide will be furnished under the supervision of an appropriately licensed professional, such as, registered nurse, physical therapist, occupational therapist, or a speech language pathologist with a minimum of one year experience. Such supervision will include, at a minimum: 8.370.22 NMAC 10 (1) Preparation of written patient/client instructions which identify appropriate tasks to be performed by the home health aide. (2) Conduct and document a supervisory visit to the patient/client residence at least every 62 days or as often as the condition of the patient/client requires. Note: Patient/clients who have multiple home health aides require only one supervisory visit. This home health aide need not be present in the patient/client’s residence at the time of the supervisory visit. E. Personal care attendants or equivalent: Services and care provided by a personal care attendant or equivalent will be supervised by a licensed professional or by an appropriately qualified staff member who has one year direct patient care experience. Such supervision will include, at a minimum: (1) Preparation of written patient/client care instructions which identify appropriate tasks to be performed by the personal care attendant or equivalent. (2) Conduct and document a supervisory visit to the patient/client’s residence at least every sixty-two (62) days or as often as the condition of the patient/client requires. Note: Patient/clients who have multiple personal care attendants or equivalent require only one supervisory visit are instructions which identify appropriate tasks to be performed by the personal care attendant or equivalent. (2) Conduct and document a supervisory visit to the patient/client’s residence at least every sixty-two (62) days or as often as the condition of the patient/client requires. Note: Patient/clients who have multiple personal care attendants or equivalent require only one supervisory visit. The personal care attendant need not be present in the patient/client’s residence at the time of the supervisory visit. F. Homemakers: Services and care provided by a homemaker will be supervised by a licensed professional or by an appropriately qualified staff member who has one year direct patient care experience. Such supervision will include, at a minimum: (1) Preparation of written patient/client care instructions which identify appropriate tasks to be performed by the homemaker. (2) Conduct and document a supervisory visit to the patient/client’s residence at least every sixty-two (62) days or as often as the condition of the patient/client requires. Note: Patient/clients who have multiple homemakers require only one supervisory visit. The homemaker need not be present in the patient/client’s residence at the time of the supervisory visit.