Communication Note • The Communication Note, or similar electronic format, is used to inform or document a change in patient/client condition, or a telephone conversation with the patient/client and/or family member, etc. • It is used if a visit is attempted and not completed. • If you have questions about completion of this form for a specific incident, talk with the supervisor. Tips for Time Management • Organize your schedule for the week. • Review your schedule and care plans the day before the visits are scheduled. • Call the patients/clients to confirm their visit(s). • Start a Visit Note with the patient’s/client’s name and date. • Organize supplies needed by the patient/client. Put them in zip lock bags with the patient’s/client’s name. • When scheduling multiple patients/clients, schedule visits by area. This uses your time and fuel more efficiently. • Complete the Visit Note as soon as possible after the visit to ensure accurate documentation and timeliness of submission. Supervision of Aide Services Supervision of home health aides is as follows: • A registered nurse (RN) performs a supervisory visit in the patient’s/client’s residence at least every 14 days either with the aide present or absent. • If a patient/client is receiving only skilled therapy services, then a skilled therapist may make the supervisory visit. • If an issue is identified during the supervisory visit, the supervising clinician will make the next scheduled patient/client visit with the aide. If the issue is validated, the aide will complete the competency evaluation before being assigned further patients/clients. • An RN may perform a “joint” supervisory visit at any time and one is required at least annually. This supervision occurs with the aide present while furnishing patient/client care.
