The non-skilled activities provided in the consumer’s place of residence or other independent living environment are specialized care, a type of home care service unique to the consumer’s care needs that are exempt from the licensure requirements under the Professional Nursing Law and Practical Nurse Law.
DCWs may perform these non-skilled services/activities, with evidence of competency or training, provided they do not represent or hold themselves out as being licensed nurses, licensed registered nurses, or registered nurses; or use in connection with their names, any designation tending to imply they are licensed to practice nursing.
- assistance with bowel and bladder routines;
- assistance with medication;
- ostomy care;
- clean intermittent catheterization;
- assistance with skin care; and
- wound care.
This policy clarification was issued by DHS in partnership with the departments of Health and State, in collaboration with ADAPT and Disability Rights Pennsylvania. Further guidance will be issued as appropriate to ensure successful implementation.
Click here to read the more about the Direct Care Worker Non-Skilled Services in Home and Community Based Services Settings Joint Policy Clarification.