The home health aide or CNA shall not change sterile dressings, irrigate body cavities such as giving an enema, irrigate a colostomy or wound, perform gastric irrigation or enteral feeding, catheterize a patient, administer medication, apply heat by any method, care for a tracheostomy tube, nor provide any personal health service which has not been included in the plan of care. Provides direct and indirect personal care to the patient in the home setting under the direction of a registered nurse.