{"ref":"CA-HH-CC-02","title":"Supervisor Availability, Operating Hours, After-Hours Care, and Medical Emergencies","category":"Service delivery","summary":"Sets the Agency’s operating hours and makes sure the Director of Patient Care Services (or a registered nurse designee) and a nurse supervisor (or a registered nurse designee), at the parent office and every branch, are on the premises or immediately accessible by telecommunications during operating hours when patients are receiving services (22 CCR §§74703(a), 74705(a), 74609); sets the Agency’s after-hours on-call service; and sets the written plan to handle medical emergencies (§74721(c)(1)). If the Agency is Medicare-certified, the administrator or a pre-designated person, and a clinical manager, are available during all operating hours (42 CFR §484.105(b)).","inShort":["A registered nurse supervisor is always reachable while patients are getting care. Check the duty schedule.","Outside office hours, patients and staff reach the on-call nurse at (916) 555-0199.","In a medical emergency, call 911 first. Start CPR if trained, unless a valid POLST or DNR form says not to.","After any emergency, call your supervisor, write down what happened, and complete an incident report.","Make sure every patient knows when to call the Agency and when to call 911."],"primaryCitation":"22 CCR §74721(c)(1)","citations":["22 CCR §74721(c)(1)","22 CCR §74703(a)","22 CCR §74705(a)","22 CCR §74609","22 CCR §74693(f)","22 CCR §74718(c)","22 CCR §74705(b)","22 CCR §74742(c)(5)"],"federalCitations":["42 CFR §484.105(b)(1)(iii)","42 CFR §484.105(b)(2)","42 CFR §484.105(b)(3)"],"surveyorAsks":["What are your operating hours, and who is the supervising nurse on duty right now?","Show me the on-call schedule for last weekend, and how a patient reaches a nurse at night."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22 CCR §74721(c)(1))","5. Operating Hours and the Duty Schedule","6. Supervisor Availability","7. After-Hours On-Call Service","8. Information for Patients","9. Plan to Handle Medical Emergencies","10. Emergencies Involving Staff","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"ca-hha","state":"California","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}