Mixed Bag
The frequency that you see an individual receiving HCM with a HRST score of 3
Every 180 Days
COMAR 10.27.11
A HRST must be updated/reviewed within this timeframe when requested or with change in status
5 Business Days
In order of prioritization, these items should appear at the end of the nursing care plan
Activities of daily living
The Agencies are able to see this many days of your nursing visit schedule
60 Days
An individual that is a Level 3 for self-medication of routine medications, but Level 2 for PRN medications must be seen how frequently
Every 45 Days
The frequency that you must assess an individual when staff are performing topical wound care to stage 3 or 4 wounds
Every 7 days
How soon you have to return if an individual is not available for a routine nursing visit
Within one week (7 days)
How soon you have to return if an individual is not available for an ER/Urgent Care follow-up
Within 48 Hours
If an individual receiving nursing services is sent to the ER/Urgent Care from the day program, who is responsible for completing the interim follow-up?
Both the day program and residential nurses
The timeframe range that you have to complete 2-week visits
Within 12-18 Days
At this point, the physician can indicate that a seizure record is no longer required
If the person supported has remained seizure free for over 2 years
Staff training must occur within this timeframe if there is an update made to the POC
Within 2 Weeks
Staff training/competency verification must occur within this timeframe after assuming a new caseload
Within 90 Days
How many days since the last bowel movement requires an ER visit if the individual does not have a protocol/PRN medication from the MD?
5 or more days
The length of stay that requires an in-person assessment at the hospital when a person supported is admitted
ICU for 2 days or more OR hospital stay greater than 10 days
If a person supported is admitted to a rehabilitation facility for this length of stay, new initial paperwork (Baseline, POC, etc.) must be completed upon their return
45 Days or longer
When the nurse administers an IM injection, these items related to the medication must be documented on the interim form in addition to the individual's physical assessment and the injection location.
Manufacturer, Lot#, Expiration date
Age 50
Individuals that have these two (2) medical needs require annual nutritional evaluations
-G-tube
-Insulin
Aspiration, Bowel Obstruction, Dehydration, Seizures, Infection/Sepsis
-No changes in SS orders for minimally 3 months
-Person Supported has not had greater than 6 instances of BS reading 100 mg/dl above HI parameter in 3 months
-There have been no errors by CMTs for SSI administration for a period of 3 months
If an individual receiving delegation is not available for this timeframe, the individual will be removed from the active client list/delegation services?
Unavailable for 90 Days
If an individual is being discharged on room air after requiring supplemental oxygen during hospitalization, these two things are required:
-On room air with no oxygen requirements and a SaO2 of 92% or above for 24 hours
-Order for pulse ox checks with parameters for minimally 72 hours
Name 3 types (not products) of wound care that cannot be delegated
-Packing
-Sterile Dressings
-Debridement
-Wound Vac