CSS Corp staff are encouraged to use “universal precautions” when working with consumers. The following precautions are recommended:

  1. Gloves should be worn for touching blood and body fluids, mucous membrane, or non-intact skin of all consumers.
  2. Never perform invasive procedures
  3. Needles should not be recapped, purposely bent or broken by hand, removed for disposable syringed, or otherwise manipulated by hand.
  4. Universal/ Standard Precautions are to be observed for all consumers.
  5. Mouthpieces, resuscitation bags, or other ventilator devices should be used instead of mouth-to-mouth resuscitation.
  6. Report all suspected infection to CSS Corp’s RN who will perform a preliminary investigation.
  7. Soiled lines should be handled as little as possible. Gloves should be worn to handle soiled linen.
  8. Keep clean and dirty items separated.



CSS Staff and clients will have a clear and accurate definition of TB, including types treatments, and complications of TB infection or exposure. CSS Staff will follow the following procedure for positive TB skin test or TB infection/ exposure.


Positive Skin Test:

  1. Notify your Primary Care Physician (PCP) for further diagnostic testing and evaluation.
  2. Notify CSS Healthcare Service within 48 hours. (mandatory)
  3. All the people in contact with that consumer should be tested for TB exposure.
  4. CSS will in contact with the caregiver

Active TB:

  1. Report to the PCP for immediate respiratory isolation per State/ CDC.
  2. Follow the procedure from steps 2 – 4 list above.



The Hepatitis B Vaccination series is available at cost incurred by the local Health Department after training and within 10 days of initial assignment to caregivers identified in the exposure determination section of this plan. Vaccination is encouraged unless:

  1. Documentation exists that the employee has previously received the series,
  2. Antibody testing reveals that the employee is immune, or
  3. Medical evaluation shows that vaccination is contraindicated.

However, if an employee chooses to decline vaccination, the employee must sign a declination form. Employees who decline may request and obtain the vaccination at a later date at no cost. Documentation of refusal of the vaccination is kept in the employees file.

 Hepatitis B Vaccine Declination (Mandatory)

All caregivers must accept a Hepatitis B Vaccination or sign a declination form as an acknowledgement of their choice. This is required.



 CSS Healthcare Services will ensure that all Caregivers are instructed and trained on the proper use and management of medical devices in general – such as the Hoyer Lift, Wheelchair and hospital bed and provide additional support on any device that may be specific to the individual for whom care is being provided. This will be achieved through the Annul In-Service Training in the Medical Device Act and Medical Device Reporting. Caregivers, whether staff, family members, or others will demonstrate and explain an understanding of the use and management of medical devices. Caregivers, staff and family members should notify/report to CSS Healthcare Services supervisors if a medical device is not working, malfunctioning or missing.

Any CAREGIVER who discovers, witnesses or is informed of a potential MDR Reportable Event, such as a death, serious illness, or injury of an  individual being served, shall immediately notify designated contact person within the organization, such as the Director of Nursing, etc., who then immediately reports the event to the FDA. In addition, the CAREGIVER must complete an Incident Report form.



Administration of Medications

Only the attending physician may prescribe therapeutic or preventive medications. Only a Registered Nurse may administer medication, and only on direct orders from the physician.

Assistance with Self-Administered Medications

 An aide may assist the member with physician-prescribed medications that are to be self-administered. Assistance is limited to the following:

  1. Reminding the member to take the medicine
  2. Reading to the member the correct dosage and frequency indicated on the container label
  3. Assisting the member with pouring or inserting the medication in food if applicable

The aide will report to the RN supervisor any changes in the member’s condition, including those which may be related to medications.