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20.3.1 Supervision of Home Health Aides
Supervision, as defined by the Texas Nurse Practice Act, is the process of directing, guiding, and influencing the outcome of an individual's performance of an activity.
An RN or physical or occupational therapist must provide the HHA written instructions for all the tasks delegated to the HHA.
The requirements for HHA supervision are as follows:
• When skilled nursing (SN), physical therapy (PT), or occupational therapy (OT) visits are provided in addition to an HHA visit, an RN must make a supervisory visit to the client's residence at least once every two weeks. The supervisory visit must occur when the HHA is providing care to the client.
•When only PT or OT visits are provided in addition to HHA visits, the appropriate therapist may make the supervisory visit in place of an RN. The supervisory visit must occur when the HHA is providing care to the client.
•Documentation of HHA supervision must be maintained in the client's medical record.
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