DC oasis
DC/TX summaries
SOC/ROC
General Oasis Misses
Miscellaneous
100
Patient discharged to home post knee surgery for (M2420) Discharge Disposition:
Patient remained in the community (without formal assistive services)
100
Outpatient therapy does not need to be answered on summaries. T or F
faaaalse. This question gets missed all of the time. It is very important you answer this question.
100
What Goals/Interventions are required for all SOC's. Which one can be goaled out the same day?
**Refer to playbook
-EMERGENCY PLAN, COVID, Fall, skin Integrity, Depression if DX, PAIN
100
(K0520) Nutritional approach: Patient has a diagnosis of HTN which should be answered.
(D) Therapeutic diet - This means all DM, HTN patients should have this marked
100
Braden Score- "DO I need to upload to Focura even if they are not at risk?"
yes. yes and again yes!!
200
What are the ONLY 2 reasons that "(M2420) Discharge Disposition: Where is the patient after discharge from your agency? " Would be answered as " 2 - Patient remained in the community (with formal assistive services)?"
1) Discharged and re-admitted due to insurance change.
2) Discharged to another home health agency
200
What is required by CMS to be in the DC summaries?
**Refer to check list**
200
Patient has an incision from a TKA, there is nothing specific in the DC papers stating what needs to be done with the incision/staples. 1) What would you do? 2) What is the answer for "does patient have a surgical wound?"
1) You need an order if you don't know if it needs to be OTA, covered, ect
2) If you click the "dressing to remain in place for 5 days" then QA needs to see an order for that on additional orders section. Otherwise you did not look at the surgical wound, which is not appropriate.
200
What "Scrubs" are due/needed with which Oasis Tasks?
ALL TASKS! DC, TX, SOC, ROC, RCT
-Oasis Check
-Oasis Analysis
- SHP
200
Does Kim A place allergies into the Oasis?
**What about PHARMACY? who enters this?
Whose responsible for checking to ensure these are CORRECT.
Yes, Kim places but it is YOUR responsibility to ensure that they are correct and accurate... this includes NKA
AS A CLINICIAN YOU MUST ENTER THE PHARMACY
300
When discharging a patient, what should be selected on: Patient Discharge Status:
(01) Discharged to home or self
300
High risk medications- ASA is ______________
Aspirin is an ANTIPLATLET NOT an Anticoagulant
**Also note that Antibiotics are being missed often on DC's
300
Kim A inputs all Medications off DC paperwork- what is the clinicians responsibility in the home?
Refer to Angie's medication Rec sheet.
**COMPARE** If they are not matching with what the DC orders have, order is needed in additional order section again. **REVIEW**
300
MSC: Under Orders For Discipline and Treatments, after you place your frequency. There is the drop down box for Additional orders. WHAT HAS to be placed here?
Management of injectable medications
Management of oral medications
300
During a SOC- Home health Aide is ordered. Under the frequencies, "Additional Orders" sections MUST HAVE WHAT TEMPLATE SELECTED?
Home Health Aide Frequency:
Home Health Aide to perform/assist with personal care and ADLs according to Home Health Aide care plan as established by:
[XX ] RN
[ ] PT
[ ] OT
Home Health Aide Goal(s):
[ X ] Patient will increase strength and ability to perform ADLs by the end of the certification period.
[ X ] Patient will have personal care needs met throughout the certification period.
Supervision of the home health aide will be provided q 14 days or less.
400
Surgical wounds: TKA LESS than 30 days old. Therefore "Does the patient have a surgical wound" needs to be marked??
YES- and then 1 - Newly Epithelized is an ideal answer.
400
SOC question: Where does the SOC Summary go?
Under Additional discharge plans
400
There is 2 places that mention rehab potential - Where are they?
What is important about these
- Patient History and Prognosis
- Prognosis
- Guarded
- Poor
- Fair
- Good
- Excellent
- Prognosis
- Orders For Discipline and Treatments
- Rehab Potential
- Good to achieve stated goals with skilled intervention and patient's compliance with the plan of care
- Fair to achieve stated goals with skilled intervention and patient's compliance with the plan of care
- Poor to achieve stated goals with skilled intervention and patient's compliance with the plan of care
400
Advanced Directives section on all Oasis Tasks- How do you make sure they MATCH
GO LOOK AT THE SOC ON EVERY. SINGLE. OASIS. TASK
400
Photos and Measurements of WOUNDS need to be done how often?
WEEKLY.
500
M2401 - How do I answer these?
**Review** You must go back to the careplans from SOC, and each discipline.
**Always look at the DX's especially for depression and PU's
**Sometimes play it safe and make sure these are in there from get go
500
MSC: I take edema wear from the back, Do I need to charge it out in my visit note?
YES YES YES
500
I have admitted a patient to Home Health Services, Oasis is submitted. COP's are checked off- What is very important step that I need to do last?
KMAIL REPORT TO ALL CLINICIANS INVOLVED- ESPECIALLY PTA'S AND LPN'S
500
What / Where do I find what needs to be written in SOC, ROC, DC, TX, RCT summaries
Playbook, Kate to show-
500
What "time points" are my documentation items due? OASIS / ROUTINE
Oasis- 24-48 hours
Routine- 12-24 hours