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I have a question and I'm hoping someone can help.
I am an RN, I work for a private employer in their home taking care of a disabled woman. I was a new hire about a year ago but we have two other RN's that have worked with this family for 15 years. Besides the 3 of us there are also 6 CNA's. Recently the family hired another nurse from an agency to do some care management, this is the only person involved in the care of the patient that is through a state agency.
Here is the issue:
The state agency claims that the family is in violation of state law. They claim that RN's are not allowed to work with CNA's in unlicensed private home care. They also say that the CNA's are in violation as well because, as they are saying, CNA's cannot work in private households either. Although they claim it is a state law, I cannot find this information anywhere, not even with the board of nursing.
This agency has told the family they have 2 options, either to hire the agency to oversee all cares and provide caregivers (which means we will all be fired) or to apply for a state license to become their own home health agency.
Does anyone know how I can find out what exactly the law states or if this information is accurate?
NRSKarenRN, BSN, RN
10 Articles; 19,193 Posts
found that other states have similar regs:
minnesota home care/hospice licensure & medicare certification
minnesota law requires certain agencies and individuals that offer home care services, for a fee, to be licensed, registered or certified with the minnesota department of health (mdh).
registration: agencies and individual paraprofessionals who only perform two or more home management tasks (housekeeping, shopping, meal preparation) are required to register with the mdh. there are minimal regulations under registration.
http://www.mnaging.org/admin/tips/ooom_tip%20sheets_alt02.htm
what you need to know about home care paraprofessional services
from reading websites, there is discussion regarding different classes of rn license too. rn's need to understand that if they are relieving or reporting off to cna"s even in a private pay situation, there is a duty to supervise under this states regulations.
will look for more examples during my wanderings,
purpose of these regulations is to keep consumers safe from unscrupulous health care workers.