Assist clients with bathing. Home services workers may assist individuals who are unable to be bathed in a tub or shower only when the following requirements are met:

1. 1. The home services worker shall have been trained in the particular methods required to perform a bed bath;
   2. The client or client’s representative shall be able to participate in or direct the bathing process and provide ongoing feedback to the home services worker; and
   3. The agency shall have conducted a competency evaluation of the home services worker’s ability to employ the methods required to perform a bed bath.

Assist a client to/from the bathroom; provide assistance with bed pans, urinals, and commodes; provide pericare; or change clothing and pads of any kind used for the care of incontinence.

1. A home services worker may empty or change external urine collection devices, such as catheter bags or suprapubic catheter
2. A home services worker may empty ostomy bags and provide assistance with other client­ directed ostomy care only when there is no need for skilled skin care or for observation or reporting to a nurse.

Assist a client with medication reminding only when medications have been pre-selected by the client, a family member, a nurse, or a pharmacist and are stored in containers other than the prescription bottles, such as medication minders. Medication minder containers shall be clearly marked as to day and time of dosage.

Medication reminding includes: inquiries as to whether medications were taken; verbal prompting to take medications; handing the appropriately marked medication minder container to the client; and opening the appropriately marked medication minder container for the client if the client is physically unable to open the container. These limitations apply to all prescription and all over-the-counter medications. The home services worker shall immediately report to the supervisor any irregularities noted in the pre-selected medications, such as medications taken too often or not often enough, or not at the correct time as identified in the written instructions.

Assist a client with exercise. Passive assistance with exercise is limited to encouraging normal bodily movement, as tolerated, on the part of the client, and to encouragement with a prescribed exercise program.