Infection Control ................................................................................................................................40 Hand Hygiene .................................................................................................................................40 Emergency Preparedness and Response...........................................................................................41 Adverse/Inclement Weather .............................................................................................................41 Equipment Safety and Maintenance .................................................................................................41 Occurrence/Violence Incident Reports .............................................................................................41 Clinical Orientation ....................................................................................................................................43 Section 6: Professional Direct Care Staff ...............................................................................................43 Patient/Client Care Policies and Procedures ....................................................................................43 On-Call for Patient/Client Care ......................................................................................................43 Alternative Communication...........................................................................................................43 Advance Directives.........................................................................................................................45 Patient/Client Rights and Responsibilities ....................................................................................45 Medical Emergency Management .................................................................................................46 Change in Patient/Client Condition and Verbal Orders ................................................................46 Abuse, Neglect, and Exploitation ..................................................................................................46 Pain .................................................................................................................................................47 Supplies ..........................................................................................................................................47 Medical Equipment ........................................................................................................................48 Transfer and Discharge ..................................................................................................................48 Transfer and Discharge Notices .....................................................................................................49 Documentation ..................................................................................................................................49 Documentation Guidelines in Home Care .....................................................................................49 Documentation to Support Medical Necessity .............................................................................52 Agency Forms .................................................................................................................................53 Medication Profile .....................................................................................................................53 Care Coordination ..........................................................................................................................53 Communication Notes ...............................................................................................................53 Progress/Summary/Team Conference Notes ...........................................................................53 Transfer Summary ......................................................................................................................54 Discharge Summary ...................................................................................................................54 Section 7: Admission and Recertification..............................................................................................55 Criteria for Admission ........................................................................................................................55
