Roles
Forms
Common Disease Processes
Documentation
Necessities in the visit
100

This is your primary contact for any education or orientation needs

Who is the CDS (Kim) or Preceptor (Alissa)

100

This form should be given at least 48 hours prior to discharge and is only needed for agency discharges

What is a NOMNC (Notice of Medicare Non-Coverage)

100

Common symptoms of this disease process include weight gain, SOB, lower extremity edema, cough, and nocturia

What is Congestive Heart Failure (CHF)

100

The form in Epic Remote client to document your assessment of wounds, IV, pleurx, foley, SP, trach

What is the wounds/lines/drains form

100

These 2 things, located outside the contact of Epic Remote Client, should be reviewed at every visit to ensure there are no changes 

What are medications and allergies

200

This is your primary contact to help you with any follow up (MD phone calls, faxes, orders, MOU forms, etc.)

Who is the Team Facilitator (Tracy or Vivian)

200

This form should be given on the day of discharge and is only needed for discipline discharges

What is a HHCCN (Home Health Change of Care Notice) 

200
A key element of this disease process is education on proper foot care

What is diabetes

200

One of the areas where we document the education, skill, and patient's response/tolerance to help justify our skill for the visit to insurance

What are the interventions

200

This is the largest organ of the body and should be assessed at every visit for changes

What is the skin

300

This is your primary contact for any PTO requests, call outs, concerns about the job, feeling overwhelmed, kronos questions, productivity

Who is your Manager?

300

This form is for any service that is not be covered by Medicare, requiring the patient to pay out of pocket

What is the ABN (Advance Beneficiary Notice of Non-Coverage)

300

Often the first and most noticeable symptom in the elderly of this common GU issue is a change in mental status

What is a Urinary Tract Infection (UTI)

300

If a patient has a fall, we would document it in this form

What is the fall report form

300

This is a basic hygiene skill and should be performed with your vitals equipment after every patient

What is clean equipment

400

This is your primary contact for any scheduling needs - if a patient cancels and you need another, if you do not have enough visits, if you cannot get ahold of a patient, if a patient would like to be moved to another day.

Who is the Team Coordinator (TC) / Scheduler (Alexsandra/Melissa/Claire)

400

This form is given when services in addition to home care are in place. The form outlines responsibilities of each service and helps prevent duplication of services. Commonly used with ALF's, IV companies, and group homes

What is a Memo of Understanding (MOU)

400

Patients with this disease process may require speech therapy for thickened liquids, word finding, and speech, physical & occupational therapy to help with weakness and fine motor skills, and skilled nursing to educate on new blood thinners, statins, smoking cessation, and when to call 911 for re-occurrence. 

What is an ischemic stroke

400

A place in Epic Remote Client to send report to the primary care nurse of the patient you are seeing

What is the inbasket

400

This is a basic nursing skill and should be done at every visit. This skill requires the use of auscultation, palpation, and vision

What is a general head to toe assessment

500

This is your primary contact for questions regarding OASIS changes or if you need general help 

Who is the NCC (Liz, Nakeisha, Erica, Mary)

500

This form is located in Epic Remote Client and is required at every visit 

What is the Home Health E-Signature

500

Patient's with this disease process can get increasingly confused, anxious, sometimes combative, and are at risk for wandering at night 

What is sun downing with dementia

500

The place you document your routine visit note in (make sure to use the template!)

What is the discharge - visit note intervention

500

This should be done with your stethoscope to prevent unwanted sounds from skewing your assessment

What is auscultate underneath clothing

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