Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 175 - HEALTH CARE FACILITIES AND SERVICES LICENSURE › Chapter 14 - HOME HEALTH AGENCIES › Section 175-14-002 - DEFINITIONS

Current through June 17, 2024
Definitions set out in the Health Care Facility Licensure
				  Act, the Uniform Credentialing Act, the Medication Aide Act, 175 Nebraska
				  Administrative Code (NAC) 1, and the following apply to this chapter.
002.01
ABUSE.
Any
				knowing, intentional, or negligent act or omission on the part of a person
				which results in physical abuse, sexual abuse, verbal abuse, or mental abuse,
				unreasonable confinement, cruel punishment, exploitation, or denial of care,
				treatment or services to a consumer.
002.02
BRANCH
				OFFICES.
Those locations from which the parent home health agency
				has been approved by the Department to provide the same full range of care,
				treatment, and services provided by the parent home health agency issued the
				license within a portion of the total approved geographic area served by the
				parent home health agency. Branch offices are a part of the parent home health
				agency and share administration, supervision, and services with the parent home
				health agency on a daily basis.
002.03
CAREGIVER.
Has the same meaning as caretaker found in Neb. Rev. Stat. §
									71-6721.
002.04
CERTIFIED SOCIAL
				WORKER.
An individual who holds an active master social worker
				certificate issued by the Department.
002.05
CHEMICAL
				RESTRAINT.
A psychopharmacologic drug that is used for discipline
				or convenience and is not required to treat medical symptoms.
002.06
CONSUMER'S
				RESIDENCE.
The actual place of temporary or permanent residence of
				a person, used as that person's home, other than a hospital or nursing
				home.
002.07
DEVICE.
An instrument, apparatus, implement, machine,
				contrivance, implant, in vitro reagent, or other similar or related article,
				including any component, part, or accessory, which is prescribed by a medical
				practitioner and dispensed by a pharmacist or other person authorized by law to
				do so.
002.08
DIALYSIS
. The process of removing waste products and
				excess fluid from the body when the kidneys are not able to adequately filter
				the blood. Types of dialysis include hemodialysis and peritoneal
				dialysis.
002.09
DIRECT
				SUPERVISION.
The responsible practitioner is physically present in
				the consumer care, treatment and service area and is available to assess,
				evaluate and respond immediately. Direct supervision does not mean the
				responsible practitioner must be in the same room or looking-over-the-shoulder
				of the staff providing care, treatment, or services to the consumer.
002.10
EXPLOITATION.
The taking of property of a consumer by means of undue influence, breach of a
				fiduciary relationship, deception, or extortion or by any unlawful
				means.
002.11
FULL-TIME
				BASIS.
Provision of services for a continuous 24-hour
				period.
002.12
GEOGRAPHIC AREA SERVED.
Includes all counties
				pre-approved by the Department where the home health agency can provide care,
				treatment and services. Counties must be contiguous with the county where the
				parent home health agency is located.
002.13
HOME.
The
				consumer's permanent or temporary residence, other than a hospital or a nursing
				home.
002.14
HOME CARE
				EQUIPMENT AND SUPPLIES.
Equipment or supplies used in the
				consumer's home and needed by the consumer to maintain the consumer's highest
				level of function in the home.
002.15
HOME HEALTH AIDE
				SERVICES.
The use of a trained, supervised paraprofessional to
				provide one or more of the following: personal care, assistance with activities
				of daily living, or basic therapeutic care to consumers of a home health
				agency.
002.16
INTERMITTENT BASIS.
The provision of services for less
				than 4 hours in any 24-hour period.
002.17
INTRAVENOUS
				THERAPY.
Initiating and monitoring therapy related to substances
				that are administered intravenously.
002.18
MEDICALLY FRAGILE
				PERSON.
An individual whose medical condition is unstable,
				requires medical or nursing judgment, and whose physical status may or may not
				be frail or fragile.
002.19
MEDICATION REMINDERS.
Verbal reminders to a person to
				take the person's medication which does not include touching or handling of the
				medication or the container where the medication is stored. Medication
				reminders do not include administration or provision of medication as defined
				in the Medication Aide Act and 172 NAC 95 and 96.
002.20
MENTAL ABUSE.
Humiliation, harassment, threats of punishment or deprivation, or other actions
				causing mental anguish.
002.21
NEGLECT.
A failure to provide care, treatment, or
				services necessary to avoid physical harm or mental anguish of a
				consumer.
002.22
PARENT
				HOME HEALTH AGENCY.
The home health agency issued the license and
				is responsible for consumer admissions; care, treatment, and services provided
				to consumers; implementation of the plan of care; and ensuring administrative
				and supervisory control of its branch offices.
002.23
PART-TIME
				BASIS.
The provision of services for less than 24 hours but more
				than 4 hours in any 24-hour period.
002.24
PHYSICAL
				ABUSE.
Hitting, slapping, pinching, kicking, or other actions
				causing injury to the body.
002.25
PHYSICAL RESTRAINT.
Any manual method or physical or
				mechanical device, material, or equipment attached or adjacent to the
				consumer's body that the consumer cannot remove easily and that restricts
				freedom of movement or normal access to the consumer's own body.
002.26
PRACTITIONER.
A nurse practitioner, osteopathic physician, physician, or physician
				assistant.
002.27
SEXUAL ABUSE.
Sexual harassment, sexual coercion, or
				sexual assault.
002.28
STAFF.
An individual who is a direct or contracted
				employee of the home health agency.
002.29
SUPERVISION.
The authoritative guidance which is given by a qualified person of the
				appropriate discipline. Supervision includes initial direction and periodic
				indirect and direct monitoring of services.
002.30
THERAPEUTIC
				SERVICE.
Any or all of the following services: skilled nursing
				care; physical therapy; speech pathology; occupational therapy; respiratory
				care; home health aide services; social work services; intravenous therapy; and
				dialysis.
002.31
VERBAL
				ABUSE.
The use of oral, written, or gestured language including
				disparaging or derogatory terms to consumers or within hearing distance of the
				consumer or within the consumer's sight.