Infection Prevention
What is the time frame you need to allow cleaned equipment to dry before placing it back in your bag?
1-3 minutes depending on the cleaning product. Any time scissors are used, they must be cleaned prior to and after use.
What does QAPI stand for?
What 2 pieces of information are necessary to provide to the client so that they can contact us with any questions or concerns?
CM name and office phone number
What is needed for PRN meds?
Instructions on reason to take them - includes antibiotics
When does an emergency plan need to be given?
at SOC, and updated at recert and ROC and any time location/assistance changes
What must you do when you use your tablet in between client care?
Gel &/or wash your hands
Who needs to participate in QAPI?
Everyone - some clinicians representing various disciplines are selected to be on the team, but all clinicians should have knowledge of the items that the office is working on.
How does the client know who is coming and when?
Calendar
When is it necessary to update the med list?
Recert, ROC, and any subsequent visit where there is a new or discounted med or a change in med freq/duration/dose etc.
What is required of the clinician for home visit (appearance)?
Name tag (with photo), closed toed shoes, dress code per policy
What is needed to show equipment/supplies is handled appropriately in the home?
Barriers &/or hard clean surface for placement of supplies/equipment. Barriers must be defined as clean and dirty. Door knobs and other hard surface may be utilized to hang bag.
How often is the requirement to have a QAPI meeting?
At least quarterly
What is required to be left in the home at the 1st visit to ensure medication safety?
Med list (must be left in the home from 1st/SOC visit)
What would you do when you see the following on the dc med list? HS, PO, and PRN
Cross those out and write in "at bedtime", "by mouth", and "as needed" (with reason)
What should you have in an outside pocket of your bag?
Hand sanitizer, gloves
What is necessary to make sure your supplies, etc. storage is policy compliant?
What is office working on/office's project(s)?
VBP, STAR, etc.
How does the client know what to do when you are not in the home such as exercises, wound care, etc.
Home instructions including wound care step by step, fall safety bullet points, O2 safety posted, exercise programs, dc instructions
When should we ask about medications?
at EVERY visit
How does a client know to file a complaint?
Inform them at SOC on their client rights; address it with office via entering complaint in HCHB when client verbalizes it to you via phone or at the visit; educate client know HH is 24/7 availability for issues
What is the requirement for keeping supplies in the client's home?
Must be off the floor, in a box, box with lid/cover, no expired supply items
What does BAYADA do at least annually to ensure we have a solid quality program?
Internal QA audits including chart review, employee file review, office observation and home visits
What is necessary to give to client prior to HH dc visit?
NOMNC - at least 2 days prior to dc date; must have correct phone number for the payor source
What are the requirements for O2 safety?
Must have specific parameters for use (2 l/m continuous nasal cannula) (2 l/m at rest, 4 l/m with activity); O2 signs posted; O2 instructions; portable container if using concentrator; etc.
What are the requirements for supervision of HHA v. PTA/COTA?
CO: HHA 14d by RN if RN + other disciplines on case; if no RN/or RN discharged client, then therapy must supervise (not via phone, aide does not have to be present at that visit); Every cert period, HHA supervision must be in collaboration with client/aide/supervising clinician in person all present at same visit; For PTA/COTA/LPN, every 30d in person (not via phone, assistant does not have to be at the same visit)