POLICIES AND PROCEDURES for HME Companies,

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Amend other, this book has the following policies:

Table of Contents

A. MEDICAL EQUIPMENT MANAGEMENT PLAN

1.      Function and Organization . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . . 1

 2.      Mission Statement and Organization . . . . . . . . . . . . . . . . . . . . . . . . .10

                  Personnel Policies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Equipment Management Program. . . . . . . . . . . . . . . . . . . . . . . 20

         Equipment Management Program. . . . . . . . . . . . . . . . . . . . . . .20

         Technology Management Program. . . . . . . . . . . . . . . . . . . . . . 22

         Incoming Inspection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

         Inventory Entry and Deletion. . . . . . . . . . . . . . . . . . . . . . . . . . 26

         Equipment Inventory and Repair History. . . . . . . . . . . . . . . . . .28

         Equipment Electrical Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . 29

         Preventive Maintenance Program. . . . . . . . . . . . . . . . . . . . . . . 32

         Attachment A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34

         Non-Scheduled Maintenance Requests. . . . . . . . . . . . . . . . . . 35

         Equipment Modifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . .37

         Vendor Control for Equipment Maintenance. . . . . . . . . . . . . . . 38

         Loaned/Leased/Rented Equipment. . . . . . . . . . . . . . . . . . . . . .40

         Rechargeable Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

         Product Alerts. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . ..45

         Hazard Alert/Recall Information . . . . . . . . . . . . . . . . . . . . . . . 47

         Lockout/Tag out. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

         Equipment removed/relocated . . . . . . . . . . . . . . . . . . . . . . . . 49

         Transmitting Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

         Calibration of Test Equipment . . . . . . . . . . . . . . . . . . . . . . . . .51

         Incident/Accident Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

         Medical Device Incident Investigation . . . . . . . . . . . . . . . . . . .55

         Safe Medical Devices Report . . . . . . . . . . . . . . . . . . . . . . . . . . 58

3.      Policy on Plan of Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

4.      Quality Improvement Program . . . . . .. . . . . . . . . . . . . . . . . . . . . . . 60

5.      Safety Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

6.      Infection Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 64

7.      Hazardous Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

8.      Company Disaster Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

9.      Coordination of Patient Services . . . . . . . . . . . . . . . . . . . . . . . . . . .70

10.    Policy on Acceptance of Patients . . . . . . . . . . . . . . . . . . . . . . . . . . ..71

11.    Policy on Retention of Records . . . . . . . . . . . . . . . . . .. . . . . . . . . . . 72

12.    QA Forms, Physician Questionnaire . . . . .  . . . . . . . . . . . . . . . . . . . . 73

13.    Information for our Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74

14.    Job Description . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . . . . . . 75

         Director . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . . . . ..75

         Administrator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76

         General Manager . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . 77

         Delivery Personnel . . . . . . .. . . .. .. . . . . . . . . . . .. . . . . . . . . . . . . . 78

         Intake Coordinator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

15. Policy on Misrepresentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

16. Policy on Courtesy Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

17. Oxygen Concentrator Operating Guide . . . . . . . . . . . . . . . . . . . . . . . .  82

18. Oxygen Patient General Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . 83

19. Patient Training: Use of a Home Oxygen System . . . . . . . . . . . . . . . . .  84

20. Cleaning of Oxygen Concentrators and Tubing . . . . . . . . . . . . . . . . . .  86

21. Patient Training: Use of a Compressor-nebulizer . . . . . . . . . . . . . . . . . 87

22. Bill of Right . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88

23. Patient/Client right to make informed decision . . . . . . . . . . . . . . . . . . 89

24. Consent for Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

25. Advance Directives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92

26. Patient’s Privacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

27. Staff’s Rights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

28. Physical Inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96

29. Delivery of Equipment and supplies . . . . . . . . . . . . . . . . . . . . . . . . . . 97

30. Patient’s Data and Information/Home Care Record. . . . . . . . . . . . . . . . 99

31. Timely documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101

32. Retrieving Information from Home Care Records . . . . . . . . . . . . . . . . 102

33. Hazard, defects, and recalls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103

34. Equipment setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104

35. Routine and Emergency response procedures/Backup Systems. . . . . .  105

36. Office setting safety management program . . . . . . . . . . . . . . . . . . . .107

37. Reporting accident, injuries, safety hazards . . . . . . . . . . . . . . . . . . . 111

         Incident/Accident Occurrence Report . . . . . . . . . .. . . . . . . . . . . . . 114

38. Report of equipment malfunctioning . . . . . . . . . . . . . . . . . . . . . . . .  115

39. Emergency preparedness plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 116

40. Disaster Plan Forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118

41. Important Telephone Numbers . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . 120

42. Disaster Plan Policy . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . 121

43. Continuation of Necessary Services in Emergency . . . . . . . . . . . . . . . 123

44. Communication System During Emergency Situation . . . . . . . . . . . . .  124

45. Processing Home Medical Equipment for re-use . . . . . . . . . . . . . . . .  125

46. Patient training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

         Use of Wheelchair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

         Use of Hospital Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

47. Grievance Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  129

48. Warranties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  130

49. Rent/Purchase Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  131

         Letter to Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

50. Filling for Third Party Payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134

51. Client Agreement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 135

52. Grievance/Complaint Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  139

53. On Call Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . 140

54. Minimum Standard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  141

       This service reflects the author’s own opinions about Home Medical Equipment. Although the information and Policies are from sources deemed very reliable, they are not guaranteed. PN System © owner disclaims any personal liability for loss incurred as a result of the applications of any information offered in this application process, or in the use of our services. If expert, professional, medical, clinical assistance is required, the services of a component professional person should be sought. Your Director of Nursing, MUST review/approve the Policies/procedures/forms, also you and your Agency guarantee to comply with all Federal/Local/State laws to use our services.