High Risk Meds
Is Aspirin a antiplatelet or anticoagulant?
Antiplatelet
How often should I check for expired supplies
Monthly
Because state survey teams operate under strict federal guidelines, this is the amount of advance notice a facility typically receives before a standard recertification survey begins.
zero notice
surveys are unannounced
Important to always be ready!
When can a patient receive a survey?
Anytime while on services
How can I find the authorization information for a TRIWEST patient
In the coord notes listed as "VA"
In the attachments labeled as "consultation sheet"
is amitriptyline high risk?
YES
antidepressant causes sedation , hypotention and cardiac arrhythmias.
What is the timeframe for timely initiation of care?
48 hours
If it is after 48 hours approval for delay is required from the MD
If a home health clinician documents a severe, life threatening clinical change (such as dangerously high blood pressure) but fails to take this action. An IJ citation for neglect may occur
What is this most important action?
notifying the doctor and seeing immediate emergency intervention
Be mindful of two way communication documentation for vital sign alerts
How do we ask for a 10 without asking for a 10
• “I want to provide you with an excellent experience. Let me know if there is anything that is not up to your standards, so we can make it better.”
• “I hope you had an A-plus visit with me today. Is there anything that I can do to
improve your care?”
• “Thank you for speaking with me today. Our goal is to provide you with an excellent experience. Have I answered all your concerns today?”
How soon should I report a level one medication interaction?
Same Day notification
is ferrous sulfate a high risk med?
NO,
Iron supplement
Side effects, gatrointestinal complications
dark stools
a patient has two bottles of the same medication with different doses. What should the clinician do before determining which dose the patient should take.
Clarify with MD
A patient regularly leaves home for non medical social activities without considerable difficulty. What medicare eligibility issue should the agency consider?
Home Bound status
explain how you talk about survey readiness in the home
open discussion
This staging term describes a pressure injury with full thickness skin loss where adipose tissue is visible, but bone, tendon, or muscle are not exposed
stage 3 pressure injury
Name the 6 categories of high risk meds
1) antipsychotic 6) Hypoglycemic
2)anticoagulant
3)antiplatelet
4)antibiotic
5)opioid
A patient has been admitted to the hospital and you are completing the 44, when is it ok to use "other" as an admitting diagnosis?
Never use other without first reaching out to the back office to find the admitting diagnosis. The coord notes are a good place to look for the admitting diagnosis.
This helps us drilldown why our patients are going to the hospital and how we can prevent it
How often should I check for expired supplies?
Monthly
What is the return rate goal?
Return rate goal is greater than 30%
remind the patients that the envelope will now have our logo on the top.
How often does a supervisory visit need to be plotted for a home health aid
every two weeks
is meperidine a high risk med
YES
Analgesic
side effects can include tremors, muscle twitching, respiratory depression
What buddy code does a heart failure patient need?
PT90WT
PA90WT
SN90WT
RN90WT
What should be on a wound stick or "ruler" for photos
Patient Name
Date of birth
Date measurements taken
Location of wound
Length, Width, depth of wound
Where can I log a complaint
in the QI reports
When is the only time you do not put PDO in for yourself.
Major Holidays recognized by the company
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