Home Care RN caring for family member

One our nurse's mother is currently on service for home health care with
our agency. Questioning whether or not there are any guidelines/legal or
ethical issues for this nurse to case manage her mother's care or to
occasionally make the home care visit? Thanks!

Mary Dominic, RN

Quality Assurance Manager

mvi HomeCare, Inc.

4891 Belmont Ave.

Youngstown, Ohio 44505



  • Probably not the best practice.

    JoAnn Noel RN, MSN, COS-C, HCS-D
    Director of Regulation

    Valley Health Home Health
    333 W. Cork Street
    Winchester, VA 22601
  • edited May 2017
    We have a policy against it.
  • Yes how can the nurse be fully objective when it's a loved one?

    Melody Ford RN BSN CRNI
    Director of Clinical Services, Owner
    ABF Home Health Services, LLC
    P: 586-477-1402
    F: 586-477-1413
  • edited May 2017
    We try everything in our power not to have them involved with the care, for the very same reasons listed below.

    Cathy Lovell, R.N., B.S.N.
    Director Home Health & Hospice/Case Management
    Sidney Regional Medical Center
    Phone: 308-254-8087
    Fax: 308-254-4225

    Doing the right thing. Making a difference!
  • edited May 2017
    I think this falls under the general category of 'many things are legal,
    but not all things are prudent'.
    I cannot think of a Medicare/Medicaid regulation that would forbid it. I
    don't know about others (eg, Joint Commision). We do not forbid it by
    policy. But by practice, we try to avoid close relatives and sometimes
    even close friends. It helps to avoid problems with previous relationships
    if someone outside a patient's normal social circle is caring for them.
    However, if necessary, we will break that practice. I had no problem doing
    wound care once or twice on my grandparents. However, I would never have
    assisted with the wound care in the perineal area of my mother.

    Daniel P. Clark, RN
  • edited May 2017
    I believe the CoP guidelines describe family relationships and who
    can/cannot perform a billable visit. ​

    Best regards,
    Elizabeth C. Gridley, RN, BSN
    Web: www.aayct.com

    21 Church St. 339 Hemingway Avenue 507 E.
    Main St. Suite 305
    Naugatuck, CT 06770 East Haven, CT 06512 Torrington, CT
    Tel:203-720-9383 Tel:203-469-3831
    Fax:203-720-9268 Fax:203-469-5142
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