What is the protocol for reporting missed visits?
Notify the team via the patient slack channel
Per Calstro policy, what is the time given to submit documentation for a visit?
24 Hours
Why is it important to check the "Phone Order/Read Back" box on the bottom of the physicians order?
- documents that you have confirmed the order with the ordering physician
- "unlocks" the order for the pharmacy to see/fill the requested order
What are the 5 components of a wound order?
- Location
- Detailed steps to be taken
- Specifics of supplies to be used
- Frequency of care
- Duration of time until reassessment
How do you request Over Time?
Message DPCS (Liz)
- include reason and time needed to complete your task
Why is it important to communicate schedule changes?
- compliance
- safety
- communication between field staff, office staff and families/facilities
When is it ok to copy and paste into your note?
Only when placing the template into your documentation
How long do we have to deliver an antibiotic to a patient after receiving the new order?
4 hours unless family requests no late delivery
When should a wound order be re-evaluated for a skin tear?
7 Days
Are 24-hour Follow-Up visits documented as routine or PRN?
It depends on the frequency. When in doubt ask the scheduler (Vanessa)
You receive your audit on Monday and note there is an error. What should you do next?
Contact Vanessa, Scheduler, and she can review the audit with you for compliance.
Where do you find QAPI+ in-services? How often do they need to be completed?
- Monthly
A nurse orders a medication for "Next Day" delivery, what timeframe should the nurse tell the family and/or facility to expect the medication delivery?
By 5PM the following day
When should a wound order be reevaluated for a Stage 1 and greater?
14 Days
Who is Gina and what is her role at Calstro?
Gina sits at the desk behind the administrative assistant. Gina assists us in staying in compliance with HR files. To include:
- CPR
- Auto Insurance
- Licensure
- Setting up evaluations
How often are RN-Supervisory visits due?
Every 14 days
When should you complete an incident/occurrence report in HMD?
- Fall
- Infection/Antibiotic
- Medication Error
- Wounds
- Skin Tears
Does Calmoseptine require an order?
Yes
What are the components of wound documentation?
- Location
- Type
- What do you feel, see, smell
- Measurement (RN only)
- detailed steps taken (should match order)
- How pt tolerated the care
Which orders require management approval?
- PT eval/additional PT visits
- Wound Specialist
- LAL mattress
- Speech therapy
When would you update a visit frequency?
Every time it changes
-RN ONLY
- POC
- Physicians order
- Notify the team
Who can you reach out to for QAPI assistance?
Jessica
- zoom meetings
- in Montclair on Tuesdays
- via your slack qapi channel
- incident reports, documentation help, unlocking notes, and much more
Are stop dates required for antibiotic orders?
Yes
Which member of the team is responsible for staging wounds
RNCM
What are the 4 components of a Discharge Documentation?
- Discharge Summary (72 Hours)
- Discontinue all orders
- Discharge order
- Death Visit documentation