Calendar Management
When are weekly schedules due to your CSM for offloading purposes?
Thursday by 12pm!
How many supplies should we be ordering for a client at a time. i.e. foleys, wound care supplies etc.
Clinicians should not order more than 2 weeks' worth if supplies at one time.
True/False:
Physical Therapy, & Occupational Therapy are the only disciplines that are required to document 2 sets of vitals?
False!
(PT, OT, AND ST are required to document 2 sets of vitals)
True or False: When taking a verbal order I do not need to get the name of the person I spoke with?
False!
Make sure to obtain the name of the person you spoke with as well as the physician associated.
What is the policy for requesting time off?
What is the policy for calling out sick? Do I need a doctors note?
Requesting time off requires a minimum of 2 week notice to your CSM.
Call the office number between the hours of 5pm-9pm the evening before OR the morning of between 6:30am-7:30am. If you will be out more than 3 days, we do require a doctor's note.
When a visit is missed, I do not have to notify the physician?
FALSE!
(Any missed visit requires you to notify the MD as this is considered a change in the POC)
True/False:
We can order gloves, prevalon boots, incontinence pads, and briefs through our agency for clients/caregivers?
False!
True/False:
Every client diagnosed with a UTI and started on antibiotics requires an Infection report to be entered?
FALSE!
Infection reports for a UTI are only to be entered if there is a catheter in place, otherwise this would require a regular occurrence report.
True/False:
When writing a verbal order, I do not need to change the physicians name at the top when receiving orders from a specialist?
False!
When obtaining a verbal order, the physician at the top should be adjusted. Please do not leave it as the PCP and write per Dr. Patel.....
How many states have a BAYADA office?
How many countries have BAYADA offices?
Currently in 22 states
Currently in 6 countries- USA, GERMANY, INDIA, SOUTH KOREA, IRELAND, NEW ZEALAND
What do I do if a client refuses a visit on Monday or Tuesday?
If they are 1x week, move the visit to later in the week and enter a care coordination note to reflect an attempt being made.
Who is responsible for setting a client up with supplies for ongoing ostomy management when we are no longer in the home?
The discharging clinician is responsible for setting the client up with a third-party supplier and also ordering 2 weeks' worth of supplies to carry them over.
DAILY DOUBLE!!!!!
Name 5 situations that require an occurrence report to be entered.
Billing
Breach of Confidentiality
Change in Client condition
Death-Expected/Unexpected
Equipment/product problem
Failure to follow orders
Falls
Inappropriate behavior (client/employee)
Property Damage
Safety Concerns
Suspected abuse
Theft
Trach Decannulation
Wound
Other
Who is responsible for changing a visit code from a discharge to recertification or vice versa?
The Clinician
What is the name of the BAYADA home health pharmacy?
ExactCare!
True/False:
When flipping a visit code from an 11 to a 19, I am required to write a physician order to remove any remaining visits? I am also required to complete HHCCN, NONMC, & D/C Instructions?
True
Whose responsibility is it to order ostomy supplies, IV supplies, Wound Vac supplies, tube feeding supplies?
Do they all come from our supply vendor??
Ostomy: clinician
Wound Vac Supplies: clinician/client
IV supplies: Clinician/client
Tube Feeding Supplies: Clinician/client
NO!
If a client is non-compliant with the POC, constantly refusing/cancelling visits, not taking medications as prescribed etc. I can discharge then at any time and there is nothing special to document?
Client may be discharged at any time during an episode after significant attempts and education have been provided.
However, the non-compliance and all attempts MUST be documented in the chart and also have an occurrence report.
What are the 5 components required in a wound care order?
Location
Cleansing agent
Primary Dressing
Secondary Dressing
Frequency
In the event a client refuses a visit, does not answer, or clinician is unable to accommodate the visit, what should you do with the visit?
Notify your CSM and send visit back as "REASSIGNED"
What are the Supervisory requirements for RN to LPN/HHA
What are the Supervisory Requirements for PT to PTA
What are the Supervisory Requirements for OT to OTA
RN to LPN is every 30 days
RN to HHA is every 14 days
PT to PTA is every 14 days
OT to OTA is 28 days
What is the process for DME ordering? i.e. bedside commode, walker, hospital bed, etc.
1. Call physician and request an order (provide height and weight)
2. Physician will them send order, facesheet to the DME provider of choice
3. Follow up with physician, client, and DME company as appropriate.
You have been seeing a wound care client for the past 90 days and want to discharge them as their wound is chronic in nature and treatment remains the same. Client says their wife can manage the wound care moving forward. Can we discharge?
Discharge is appropriate IF our documentation indicates we have not only taught the spouse to perform wound care but also observed return demonstration with 100% accuracy and set them up with a third-party supplier.
True/False:
I can add medication changes to 1 order at the same time even if they are from different physicians?
False
DAILY DOUBLE!!!!
What is the name of BAYADAS new CEO?
What year was BAYADA home health established?
Bryony Winn
1975