5123:2-2-02; 5160-45-07; 9.010 Did the provider staff, while under final consideration for employment, sign a statement attesting that the staff person has never plead guilty to or been convicted of a disqualifying offense? 5123:2-2-02; 5160-45-07; 9.011 Did the provider have annual A staff signature is not required. notification explaining conduct for Agency must have a process to implement. which a DD employee may be included on the Abuser Registry? 5123:2-2-01 9.012 Did the agency provider verify that Review with provider their system to verify a high school the staff person has a high school diploma or GED. diploma, GED or a rule waiver from Staff enrolled in college are considered to meet this the department? requirement. 5123:2-2-01; 5123:2-3-01 9.013 If the provider/staff person is Family delegation is not permitted for agency providers. responsible for the following, do they Family delegation is permitted for agency staff when they are have the appropriate certification for: the paid provider and they live with the individual. Oral or topical medications Category 1 certification (Category 1) Authorizes Oxygen administration without delegation (in Health related activities (Category settings that do not require delegation of Cat 1 activities) 1) Authorizes use of OTC topical products for G-tube/J-tube (Category 2) musculoskeletal comfort without a prescription Insulin injections (Category 3)Family Authorizes 5 new health related activities: delegation is not permitted for agency providers. 1. Pulse Oximetry (for O2 saturation reading) 2. Bi/CPAP 5123:2-6-03; 5123:2-3-01 3. Application of Prescription Compression Hose 4. Application of a Percussion Vest
5123:2-2-02; 5160-45-07; 9.010 Did the provider staff, while under final consideration for employment, sign a statement attesting that the staff person has never plead guilty to or been convicted of a disqualifying offense? 5123:2-2-02; 5160-45-07; 9.011 Did the provider have annual notification explaining conduct for which a DD employee may be included on the Abuser Registry? 5123:2-2-01 A staff signature is not required. Agency must have a process to implement. 9.012 Did the agency provider verify that the staff person has a high school diploma, GED or a rule waiver from the department? 5123:2-2-01; 5123:2-3-01 Review with provider their system to verify a high school diploma or GED. Staff enrolled in college are considered to meet this requirement. 9.013 If the provider/staff person is responsible for the following, do they have the appropriate certification for: Oral or topical medications (Category 1) Health related activities (Category 1) G-tube/J-tube (Category 2) Insulin injections (Category 3)Family delegation is not permitted for agency providers. 5123:2-6-03; 5123:2-3-01 Family delegation is not permitted for agency providers. Family delegation is permitted for agency staff when they are the paid provider and they live with the individual. Category 1 certification Authorizes Oxygen administration without delegation (in settings that do not require delegation of Cat 1 activities) Authorizes use of OTC topical products for musculoskeletal comfort without a prescription Authorizes 5 new health related activities: 1. Pulse Oximetry (for O2 saturation reading) 2. Bi/CPAP 3. Application of Prescription Compression Hose 4. Application of a Percussion Vest
004%20AGENCY%20TOOL%204.1.18.docx