Policy Manual sample

MDT Home Health Care Agency, Inc. (x) All medications and treatments; (xi) Safety measures to protect against injury; (xii) A description of the patient’s risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors. (xiii) Patient and caregiver education and training to facilitate timely discharge; (xiv) Patient-specific interventions and education; measurable outcomes and goals identified by the HHA and the patient; (xv) Information related to any advanced directives; and (xvi) Any additional items the HHA or physician may choose to include. (3) All patient care orders, including verbal orders, must be recorded in the plan of care. Conformance with physician orders . (1) Drugs, services, and treatments are administered only as ordered by a physician. (2) Influenza and pneumococcal vaccines may be administered per agency policy developed in consultation with a physician, and after an assessment of the patient to determine for contraindications. (3) Verbal orders must be accepted only by personnel authorized to do so by applicable state laws and regulations and by our HHA’s internal policies. (4) When services are provided on the basis of a physician’s verbal orders, a nurse acting in accordance with state licensure requirements, or other qualified practitioner responsible for furnishing or supervising the ordered services, in accordance with state law and our HHA’s policies, we must document the orders in the patient’s clinical record, and sign, date, and time the orders. Verbal orders must be authenticated and dated by the physician in accordance with applicable state laws and regulations, as well as our HHA’s internal policies. Review and revision of the plan of care. (1) The individualized plan of care must be reviewed and revised by the physician who is responsible for the home health plan of care and our HHA as frequently as the patient’s condition or needs require, but no less frequently than once every 60 days, beginning with the start of care date. Our HHA will promptly alert the relevant physician(s) to any changes in the patient’s condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered. (2) A revised plan of care must reflect current information from the patient’s updated comprehensive assessment, and contain information concerning the patient’s progress toward the measurable outcomes and goals identified by our HHA and patient in the plan of care. (3) Revisions to the plan of care must be communicated as follows: (i) Any revision to the plan of care due to a change in patient health status must be communicated to the patient, representative (if any), caregiver, and all physicians issuing orders for our HHA plan of care. (ii) Any revisions related to plans for the patient’s discharge must be communicated to the patient, representative, caregiver, all physicians issuing orders for our HHA plan of care, and the patient’s primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from our HHA (if any). Coordination of care. Our HHA must: Home Health Agency Nursing Manual J-54