26 Tex. Admin. Code § 277.41

Current through Reg. 49, No. 49; December 6, 2024
Section 277.41 - Allowable Tasks

The PHC Program, CAS Program, and FC Program include the following tasks:

(1) assistance with ADLs, including:
(A) bathing, which is:
(i) drawing water in sink, basin, or tub;
(ii) hauling or heating water;
(iii) laying out supplies;
(iv) assisting in or out of tub or shower;
(v) sponge bathing and drying;
(vi) bed bathing and drying;
(vii) tub bathing and drying; and
(viii) providing standby assistance for safety;
(B) dressing, which is:
(i) dressing the individual;
(ii) undressing the individual; and
(iii) laying out clothes;
(C) meal preparation, which is:
(i) cooking a full meal;
(ii) warming up prepared food;
(iii) planning meals;
(iv) helping prepare meals; and
(v) cutting an individual's food for eating;
(D) feeding/eating, which is:
(i) spoon-feeding;
(ii) bottle-feeding;
(iii) assisting with using eating and drinking utensils and adaptive devices, not including tube feeding; and
(iv) providing standby assistance or encouragement;
(E) exercise, which is walking with the individual;
(F) grooming, shaving, or oral care, which is:
(i) shaving;
(ii) brushing teeth;
(iii) shaving underarms and legs, when requested;
(iv) caring for nails; and
(v) laying out supplies;
(G) routine hair or skin care, which is:
(i) washing hair;
(ii) drying hair;
(iii) assisting with setting, rolling, or braiding hair, not including cutting or chemical processing of hair;
(iv) combing or brushing hair;
(v) applying nonprescription lotion to skin;
(vi) washing hands and face;
(vii) applying makeup; and
(viii) laying out supplies;
(H) assistance with self-administration of medication as defined in 26 TAC § 558.2(relating to Definitions);
(I) toileting, which is:
(i) changing diapers;
(ii) changing colostomy bag or emptying catheter bag;
(iii) assisting on or off bedpan;
(iv) assisting with the use of a urinal;
(v) assisting with feminine hygiene needs;
(vi) assisting with clothing during toileting;
(vii) assisting with toilet hygiene, including the use of toilet paper and washing hands;
(viii) changing external catheter;
(ix) preparing toileting supplies and equipment, not including preparing catheter equipment; and
(x) providing standby assistance;
(J) transfer, which is:
(i) non-ambulatory movement from one stationary position to another, not including carrying;
(ii) adjusting or changing the individual's position in a bed or chair (positioning); and
(iii) assisting in rising from a sitting to a standing position; and
(K) ambulation, which is:
(i) assisting in positioning for use of a walking apparatus;
(ii) assisting with putting on and removing leg braces and prostheses for ambulation;
(iii) assisting with ambulation or using steps;
(iv) assisting with wheelchair ambulation; and
(v) providing standby assistance; and
(2) assistance with IADLs, including:
(A) cleaning, including:
(i) cleaning up after the individual's ADLs;
(ii) emptying and cleaning the individual's bedside commode;
(iii) cleaning the individual's bathroom;
(iv) changing the individual's bed linens and making the individual's bed;
(v) cleaning floor of living areas used by the individual;
(vi) dusting areas used by the individual;
(vii) carrying out the trash and setting out garbage for pick up;
(viii) cleaning stovetop and counters;
(ix) washing the individual's dishes; and
(x) cleaning refrigerator and stove;
(B) laundry, including:
(i) doing hand wash;
(ii) gathering and sorting;
(iii) loading and unloading machines in residence;
(iv) using laundromat machines;
(v) hanging clothes to dry;
(vi) folding and putting away clothes; and
(C) shopping, including:
(i) preparing a shopping list;
(ii) going to the store and purchasing or picking up items;
(iii) picking up medication; and
(iv) storing the individual's purchased items; and
(D) escorting, including:
(i) accompanying the individual outside the home to support the individual in living in the community;
(ii) arranging for transportation, not including direct individual transportation;
(iii) accompanying the individual to a clinic, doctor's office, or location for medical diagnosis or treatment; and
(iv) waiting in the doctor's office or clinic with an individual if necessary due to client's condition or distance from home.

26 Tex. Admin. Code § 277.41

Transferred from 40 TAC § 47.41 Texas Register, Volume 49, Number 24, June 14, 2024, TexReg 4436, eff. 7/1/2024