Emergency Preparedness
Infection Control
HHCAHPS
Patient Safety
Survey Preparedness
100

What is our policy?

7-007

100

Hand Hygiene

Performed before and after coming into physical contact with patient.

100

Communication Note

Documentation if any verbal conveyance regarding patient care takes place out side the visit note.

100

Med Rec

OTC Medications must be included in this.

100

My Plan of Care Handout

This document is located in the SOC packet and is filled out on SOC and by every following discipline.

200

Earthquake Hazards

Bookcases, Cabinets, and Shelves.
Ceilings Lights and Fixtures.
Large Appliances (Refrigerators and Water Heaters).
Windows and Other Potential Broken Glass.

200

Bag Liner

You place this down every time you set your bag down on any surface in the patient's home.

200

Pain

This is considered the 5th vital sign.

200

The Right to Complaints

The patient's right to voice concerns/grievances about treatment or care is furnished inconsistently or inappropriately.

300

PSPS

Public Safety Power Shutoff. Severe high winds or extreme temperatures triggers this emergency action from Power Suppliers (PG&E/SoCal Edison).

300

Disinfecting Equipment

A clinician does this after using equipment on a patient. Also, must allow adequate dry time.

300

Medication Indication

This describes why a patient is taking a specific medication and is required in all medication reconciliations.

300

Oxygen Safety

If a patient is on this active therapy, a no smoking sign must be visible on their wall.

300

HIPAA

Federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge.

400

Active Shooter

In this event, you run (if possible), hide (if escape not possible), fight (only as last resort).

400

COVID PPE

Gloves, Mask, Goggles or Face Shield.

400

Home Safety

This entails checking for bathroom setup, throw rugs.

400
APS Report

Bedbound patient reports to you that their family does not bring food or water to them every day. What do you need to file?

400

CMS-485 Form

This is used to establish the patient treatment plan for the initial certification period and any continued re-certification period.

500

My Emergency Plan

This document, required to be filled out on SOC includes (but not limited to) the patient's transportation plan, items easy to carry, special considerations, List of contacts: emergency, local hospital, and PCP.

500

Care Coordination

This is timely and ongoing communication is the responsibility of each team member. Communication will be appropriate to the needs and abilities of the individual patient, and will be relevant to the care provided. Clinicians will be responsible for facilitating communication in the patient's status among the assigned personnel including the clinical manager.

500

Medication Reconciliation

The process of identifying the most accurate list of all medications the patient is taking, including the name, dosage, frequency and route by comparing the referral to an external list from patient or what is observed in home.

500

Fall Risk Assessment

Screening tool used to identify underlying risk factors to develop a care plan to reduce risk.

500

Annual Skills, & In-services, & Email

How the Agency updates clinical staff on policy and procedure changes and provides training.

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