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Services of a qualified nursing aide, up to 15 minutes

HCPCS code

Name of the Procedure:

Services of a Qualified Nursing Aide, up to 15 minutes (T1004)

  • Common Name: Nursing Aide Services
  • Technical Term: Nursing Aide Time-based Assistance

Summary

A qualified nursing aide provides personal care and assistance with daily activities for up to 15 minutes. These services can include help with hygiene, mobility, dressing, and other non-medical support.

Purpose

Nursing aide services are intended to support individuals who need help with day-to-day activities due to age, disability, illness, or during post-operative recovery. The goal is to enhance the quality of life, promote safety, and ensure well-being by assisting with necessary personal care tasks.

Indications

  • Individuals with limited mobility or physical disabilities
  • Elderly patients requiring assistance with daily living activities
  • Patients recovering from surgery or illness
  • Individuals with chronic health conditions impacting their ability to perform personal care tasks

Preparation

No significant preparation is needed. Patients should inform their healthcare provider of their specific needs and any allergies or sensitivities that may impact care.

Procedure Description

  1. Assessment: The nursing aide assesses the patient's immediate needs.
  2. Short-term Assistance: The aide provides services such as bathing, dressing, grooming, toileting, or mobility assistance.
  3. Monitoring: Continuous or periodic monitoring to ensure safety and comfort.
  4. Documentation: The nursing aide records the care provided and any observations relevant to the patient's health.

Tools and Equipment:

  • Basic toiletries (soap, shampoo, lotion, etc.)
  • Mobility aids (wheelchairs, walkers, etc.)
  • Protective gloves and other personal protective equipment

Anesthesia or Sedation: Not applicable for this service.

Duration

Each session lasts up to 15 minutes, with the possibility of multiple sessions based on patient needs and care plans.

Setting

Typically provided in various settings:

  • Patient’s home
  • Assisted living facilities
  • Nursing homes
  • Hospital wards

Personnel

  • Primary Provider: Qualified Nursing Aide
  • Supervisor (if needed): Registered Nurse or Healthcare Provider

Risks and Complications

  • Common Risks:
    • Minor skin irritation (e.g., from bathing products)
  • Rare Risks:
    • Falls or injuries during transfers or mobility assistance
  • Management: Immediate assessment and appropriate intervention by the aide or calling for additional medical support if needed.

Benefits

  • Improved personal hygiene and comfort
  • Enhanced mobility and independence
  • Reduced risk of complications from immobility (e.g., bedsores)
  • Psychological benefits of personalized care

Recovery

  • Post-service Care: No specialized recovery is needed. Patients may continue with their usual activities.
  • Follow-up: Depending on individual needs, follow-up sessions may be scheduled for ongoing care and support.

Alternatives

  • Home healthcare services
    • Pros: More comprehensive care, including medical services
    • Cons: Higher cost
  • Family caregiver assistance
    • Pros: Familiar caregiver environment
    • Cons: Potential for caregiver burnout, varying levels of expertise

Patient Experience

  • During the Procedure: Patients might experience minimal discomfort but generally feel secure and supported.
  • After the Procedure: Patients often feel more comfortable, clean, and refreshed, with minor to no residual effects.
  • Pain Management and Comfort: Nursing aides are trained to handle patients gently and ensure their utmost comfort throughout the service.

Medical Policies and Guidelines for Services of a qualified nursing aide, up to 15 minutes

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