Compatible case mix

Definition

How well a roster matches the caregivers, which for a delegated task is not a scheduling call.

Why It Matters

Washington turns a specific pairing into a legal instrument. Where a client's care includes a delegated nursing task, the registered nurse's written instructions are specific to one patient and not transferable to another, and specific to one aide and not transferable to another. The roster stops being fungible at that point: a shift on that client cannot be covered by moving somebody else onto it. Supervision runs at least every ninety days, and every two weeks for the first four where insulin injections are delegated. A supervisor or designee must be available during all hours of client care, which is a payroll floor on any agency running overnight, and the plan of care is reviewed on site and signed every twelve months and whenever needs change significantly. Ask which clients carry delegated tasks before reading the schedule.