Did you say Discharge
You do this prior to discharge of patient for any reason other than revocation, transfer, or death.
What is get a discharge order from the Medical Director?
Routine, Continuous, General In-Patient, Respite
What are the four levels of hospice care?
Lung, liver, and nodes are common sites to find these.
What are cancer metastasis?
True or False:
Oxycontin 20mg/ml solution is a formulary medication.
False:
OPPC can compound Oxycontin 10mg/ml solution or 50mg/ml solution but not 20mg/ml.
Best practice, is the first visit of each week, however the CoP's state at least every 14 days
What is the HHA Supervisory visit
Extra points if you also include a full skin assessment for any chair bound patient, medication reconciliation, fill of med box.
This happens when a patient dies, revokes, or transfers to another hospice.
What is Discharge from Hospice?
The year was 1983.
What is the year the Hospice Medicare Benefit was created?
Status of these meds for all hospice patients: Furosemide, Dexamethasone, Nystatin, Trazadone, Morphine
What are covered meds for all Hospice patients regardless of diagnosis?
Noon for Sacred Heart Hospice, not yet available for Peace Harbor Hospice
What is the cut off time for same day delivery?
Florence does not have dame day delivery option available.
Includes sig for liquid Morphine, Haldol and/or Lorazepam in patient home.
What are prefilled syringes?
This process takes place beginning at admission in case a patient is at some point no longer considered terminally ill.
What is discharge planning?
This core discipline must provide at least 5% of all direct patient care hours for Medicare Certified Hospices.
Who are the Hospice Volunteers?
Requires MD signature in order for EMS to comply with this.
What is the POLST form?
True or False:
Range orders are preferred way to write pain medication order
False: Medication must have indication of need included in the sig
Mild, Moderate, Severe
X Additional HHA Orders
What is populated into the HHA that speaks to O2 use and directions during bathing, O2 safety concerns, Risk for Falls, Risk for Bleeding
A signed statement from the patient that includes an effective date and cannot be verbal.
What is hospice revocation?
Do you? Are you? Can you? Is that true that?
What are closed (yes/no) questions?
There is more to this skill than simply waiting to speak.
What is listening?
All at once in SBAR format through Secure Chat
the most efficient method of communication for medication order request
1 every month for 3 months
2 every week for 13 weeks
What are visits frequency sets.
This happens when there are extraordinary circumstances in which hospice would be unable to provide patient care safely.
What is discharge for cause to provide patient care safely?
DOUBLE JEOPARDY
In 1967 this doctor started the modern hospice movement in this country. Name the Dr. and the country.
What is the
Modern Concept of Hospice, developed in England in 1967 by Dr. Ciciely Saunders
Severe pain, suffocating, being helpless, making a mess, dying alone.
What are common fears of dying patients?
Distraction, relaxation, supportive counseling, education, massage, prayer, meditation, exercise and others
What are non-pharmacological approaches to pain management?
Prior to comfort pack medications being ordered these items need to be completed.
What are Consents, Election of Benefits, Initiation of nursing assessment and mediation review?