{"ref":"LA-HC-SAF-02","title":"Medical Emergencies, Changes in Condition, and Death in the Home","category":"Service delivery","summary":"Tells workers exactly what to do in a medical emergency (call 911 first, support the client until help arrives, give responders the client's information and any advance directive or LaPOST form, then call the supervisor), how to respond to urgent changes in condition, a client who does not answer the door, and a death in the home, and how each event is reported, including OAAS critical incidents.","inShort":["In an emergency, call 911 first, then your supervisor.","While you wait, keep the airway open, check breathing and pulse, and press on bleeding. Do not give food or drink.","Give the responders the home folder with the medication list, allergies and any advance directive or LaPOST form. You never decide on resuscitation.","If a client does not answer the door, call your supervisor right away and do not leave. Never force your way in.","Fill in an incident report the same day after any emergency, fall or death."],"primaryCitation":"LAC 48:I.5055.H.1.c","citations":["LAC 48:I.5029.B.10","LAC 48:I.5055.F.3","LAC 48:I.5055.G.5","LAC 48:I.5055.G.6","LAC 48:I.5055.G","LAC 48:I.5055.H.1.c","LAC 48:I.5039.B.6","LAC 48:I.5057.A.5","LAC 48:I.5057.A.12","LAC 48:I.5057","LAC 48:I.5059","LAC 48:I.5003","La. R.S. 40:1155.1","Medicaid Services Manual, Chapter 30, §30.7","Medicaid Services Manual, Chapter 30, §30.9","OAAS-PC-21-004, Direct Service Provider Critical Incident Report Guide"],"federalCitations":[],"surveyorAsks":["What does a worker do first when a client collapses?","Where in the home would a worker find the client's medication list and any LaPOST form or advance directive?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I.5055.H.1.c)","5. Recognizing a Medical Emergency","6. What to Do in a Medical Emergency","7. Emergency Authorization, Advance Directives and LaPOST","8. Urgent Changes That Are Not Emergencies","9. When a Client Refuses Emergency Care","10. When a Client Does Not Answer","11. Death of a Client in the Home","12. Other Emergencies in the Home","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"la-hca","state":"Louisiana","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}