What a Grand-Aide does and does not do

  1. There is no assessment by the Grand-Aide and no delegation of decision-making. Grand-Aides DO NOT make decisions and DO NOT practice medicine.
  2. The Grand-Aide is supervised directly by the nurse before every phone call is completed.
  3. Every home visit connects the patient and the nurse on telephone or video.
  4. The Grand-Aide asks yes/no questions and transmits them verbatim to the nurse.
  5. The Grand-Aide observes, records and reports, and reinforces only what the nurse told the patient to do.
  6. At no time is the Grand-Aide involved in suggesting or dispensing prescription medication
  7. The nurse involves the physician in the same way as current practice.