WOUNDS: HOW TO NOT GET IN TROUBLE
THE RN MUST VISUALIZE, ASSESS AND MEASURE EVERY WOUND EVERY-------DAYS.
WHAT IS 7?
THIS CONSOLO STEP MUST OCCUR AS SOON AS THE ADMISSION STARTS
WHAT IS FLIPPING THE CHART TO ADMIT STATUS?
THE POC MUST BE UPDATED NO LESS THAN EVERY_______ DAYS
WHAT IS 15?
NAME THE MAIN DIFFERENCE BETWEEN CHC AND GIP.
Continuous Home Care and General Impatient Care both involve treating beneficiaries with increased medical needs
Continuous Home Care manages the crisis while allowing the patient to remain at home. Generally inpatient care is managing the crisis for those who have symptoms that cannot be managed in the home.
THIS IS THE NUMBER 1 REASON FOR CALLS AFTER HOURS
WHAT IS MEDICATION REFILL?
RN MUST RECONCILE MEDICATIONS WEEKLY
WOUND CARE ORDER MUST INCLUDE THOSE 5 REQUIREMENTS
WHAT IS:
CLEANSING
MEDICATION
DRESSING
FREQUENCY
WHO IS RESPONSIBLE FOR COMPLETING THE WOUND CARE
THE INTAKE COORDINATOR ENTERS THE TEAM MEMBERS IN THE ASSIGNMENTS BUT HE ADMISSION RN MUST COMPLETE THIS STEP.
THIS IS THE BASIS FOR CARE PLAN UPDATE, NEW CARE PLAN BEING CREATED AND CARE PLAN RESOLUTION.
WHAT IS AN ASSESSMENT?
IN ADDITION TO A DAILY PHYSICIAN ORDER, THERE ARE 5 REQUIRED ITEMS THAT MUST BE INCLUDED IN THE PLAN OF CARE FOR GIP
GIP care plan including the symptom(s) causing need for GIP.
Specific interventions to be used to manage the patient's needs.
Copies of facility notes
Medications and treatment orders
Frequency of disciplines
THIS IS THE NUMBER 1 DOCUMENTATION FRAUD COMMITTED BY FIELD STAFF
WHAT IS COPY AND PASTE NARRATIVE
IN THE BEGINNING, I AM OFTEN CONFUSED WITH DIRT OR DRIED STOOL, AN ABRASION OR MAYBE LIKE THE SKIN WAS SCRAPPED OFF. I PROGRESS VERY FAST, IN A MATTER OF HOURS. I AM OFTEN NOT DOCUMENTED
WHAT IS A KENNEDY ULCER
NAME THE TOP 3 REASONS FOR A PETIENT BEING PLACED ON HIGH RISK PROTOCOL FOR LIVE DISCHARGE
WHAT IS:
HEART DISEASE DIAGNOSIS
COPD DIAGNOSIS
FULL CODE STATUS
DAILY DOUBLE:
NAME THE 5 ITEMS REQUIRED IN A PLAN OF CARE
WHAT IS:
INTERVENTIONS TO MANAGE PAIN AND SYMPTOMS
FREQUENCY OF ALL DISCIPLINE
MEASURABLE OUTCOME
DRUGS AND TREATMENT
MEDICAL SUPPLIES AND APPLIANCES
TOH BEST PRACTICE IS TO SEND A NP OR PHYSICIAN TO ASSESS A PATIENT WHO HAS BEEN ON CHC FOR MORE THAN _________ DAYS.
WHAT IS 3?
THIS IS THE MOST COMMON TYPE OF HOSPICE BILLING FRAUD
WHAT IS BILLING FOR INAPPROPRIATE LEVEL OF CARE?
WOUNDS MUST BE DOCUMENTED IN THE VISIT AND IN THIS DOCUMENT NO LESS THAN EVERY 15 DAYS.
WHAT IS IDG?
DOUBLE JEOPARDY:
THIS TEAM MEMBER IS MAINLY RESPONSIBLE FOR DNR PAPERWORK.
WHO IS EVERYONE?
THIS IDG TEAM MEMBER IS RESPONSIBLE FOR THE IMPLEMENTATION OF THE PLAN OF CARE
WHO IS THE RN CASE MANAGER?
In addition to encounter charting, physician orders, name the other document where the team should be documenting change in level of care, change in POC, precipitating factors and effectiveness of interventions.
WHAT IS IDG?
THIS COULD BE CONSIDERED A TYPE OF MEDICAL RECORD FRAUD- ALSO CALLED IMPOSSIBLE NUMBERS
WHAT IS BEING IN MULTIPLE PLACES AT THE SAME TIME: ONE CLINICAL STAFF DOCUMENTING MULTIPLE VISITS WITH OVERLAPPING TIMES
TRUE OF FALSE: THE FACILITY NURSE IS COMPLETING WOUND CARE SO I DON'T NEED TO DOCUMENT WOUND CARE INCLUDING CHANGES.
FALSE!!!!! THE CASE MANAGER'S RESPONSIBILITY IS TO COORDINATE CARE WITH FACILITIES INCLUDING WOUND CARE AND DOCUMENT ACCORDINGLY
NAME THE TOP 3 ITEMS THAT MUST BE TAUGHT BEFORE LEAVING AN ADMISSION
WHAT ARE:
1. EDUCATION ON MEDICATIONS INCLUDING COVERAGE, REFILLS AND COMFORT KIT
2. PHONE NUMBER: WHO TO CALL
3. INTRODUCTION OF THE TEAM
THIS HOSPICE TEAM MEMBER IS RESPONSIBLE FOR ENSURING TRAINING OF THE PRIMARY CAREGIVER AND DOCUMENTATION OF TRAINING
WHO IS THE WHOLE HOSPICE TEAM?
Name 4 patient care settings when CHC can NOT be provided
Skilled nursing facility
Inpatient hospital
Long term care hospital where skilled care is provided
Inpatient psychiatric facility
TRUE OR FALSE: PATIENT IS TRANSFERRING TO ANOTHER HOSPICE THEREFORE THE TEAM DOES NOT HAVE TO COMPLETE DISCHARGE PLANNING
FALSE: ALL LIVE DISCHARGES REQUIRE A DOCUMENTATED PROPER DISCHARGE PLANNING.