Patient Rights
Mythes
Documentation
Medications
Etiquette
100
Patient does not have a right to refuse care or treatment
What is FALSE follow up - when does it affect eligibility?
100
Once on hospice, patient is discouraged from seeing specialist related to the hospice diagnosis. When they go anyway hospice nor medicare will pay for visit and will be at the patients out of pocket expense.
What is FALSE. This is considered part of the hospice diagnosis NOT aggressive treatment. There is actually a billing code for this reason.
100
This form is considered the consent for treatment and where the patient designates who their attending is going to be.
What is the NOE. Who signs this form?
100
If the attending physician or family refuses to dc a medication that is no longer beneficial but related to the hospice diagnosis, hospice must continue to pay for medication since it is related.
What is False. example: Namenda- what document do we use?
100
Nurses acting as the clinician in the field may disclose diagnosis prognosis with patient and family including effectiveness of treatment.
What is FALSE. We are not doctors!
200
A patient does not have the right to be involved in developing his or her Plan of Care. Plan of care is developed by the IDG team and enforced by RNCM.
What are FALSE
200
When choosing hospice, a cancer patient may no longer receive treatment (chemotherapy or radiation).
What is FALSE What is the limit? Who determines if hospice will cover?
200
The patient has to give written permission for the hospice medical director to give orders while under hospice care.
What is true. This is the physician addendum form.
200
Hospice pays for medications that are not related to the primary diagnosis like co morbidities.
What is TRUE. how is this determined? who determines and when?
200
When is not appropriate to give phone numbers to patients for patient care and satisfaction.
What is NEVER? Business Cards?
300
To protect a patient's personal information, only letting those who NEED TO KNOW access this information to deliver quality care.
What is confidentiality/protecting HIPPA PHONE CONVERSATIONS IN HALLWAYS, DISCUSSING PATIENTS OR FAMILIES IN HALLWAY, ETC
300
The form that is completed for the patient to acknowledge that a test,medication or procedure is not considered part of the hospice plan. Then chooses how to process billing.
What is an ABN? Advanced Beneficiary Notice
300
The attending has the right to choose to remain attending but not prescribe any pain management medications.
What is TRUE. THIS REQUIRES AN ORDER. When do we discuss this with the attending?
300
Placing comfort kits at time of admission is intrepid hospice policy.
What is true
300
Discussing patients with staff or taking calls in the hallway is ok since you stepped away from patient.
What is FALSE
400
Notice of rights and responsibilities will include information pertinent to Advance Directive policies, including applicable state law
What is TRUE Where is this form located and when is it discussed
400
Physical therapist are covered by hospice and may do in home visits.
What is TRUE
400
IDG team members must have a physician order to change frequencies.
What is TRUE. Where is this done and when is it signed?
400
Hospice does not provide any IV therapy in the home.
What is FALSE.
400
When a patient has a complaint, it only needs to be reported if you cant resolve issue on your own.
What is False.
500
Patient is asked to call Hospice line prior to 911 so the patient can revocate prior to going to hospital/ER.
What is FALSE.
500
If patient is in a LTCF and is on hospice, hospice directs and drives the plan of care not the facility.
What is FALSE. We are a guest/partner meant to give support to the facility to assist in the quality of care. READ CHART ORDERS EVERY VISIT
500
All communication including phone calls and IDG conversations must be documented and part of the patient record.
What is FALSE. phone calls? IDG conversations?
500
This opioid is very commonly used in hospice for treatment of pain
What is methadone. why are we using roxanol and ativan as routine medications??
500
When educating the coverage of medications to patient, family and/or medical partners, it is appropriate to discuss the expense that hospice can cover.
What is FALSE Show me where an amount or limit is stated in CMS guidelines??? The admin and medical director guides what is related and covered IF follows hospice plan of care.
M
e
n
u