{"ref":"MO-HC-SAF-01","title":"Participant Safety, Medical Emergencies, and Death in the Home","category":"Service delivery","summary":"How workers keep participants safe during visits and respond to emergencies: the Agency's emergency arrangements and posted instructions with the 911 number; calling 911 first, staying with the participant and then calling the office; falls, choking, a participant who is not breathing, other urgent problems, a participant who does not answer the door or is missing; Outside the Hospital Do-Not-Resuscitate orders and participants who have elected hospice; supervision during respite; a death in the home, with immediate written notice to DSDS; everyday home safety; and the emergency information sheet kept in each home.","inShort":["In an emergency, call 911 first, stay with the participant, then call the office.","Do not lift a participant who may be hurt after a fall; keep him or her comfortable and call 911.","If no one answers the door, call the office; never force your way in.","Tell 911 and responders about any Outside the Hospital DNR order, and never hide or remove it.","If a participant dies, call 911 (or the hospice) and the office; the Agency notifies DSDS in writing."],"primaryCitation":"19 CSR 15-7.010(6)","citations":["19 CSR 15-7.010(6)(A), (C)","19 CSR 15-7.010(8)","19 CSR 15-7.021(6)(A)1","19 CSR 15-7.021(16)(B)","19 CSR 15-7.021(21)(C)","19 CSR 15-7.021(22)(A)","13 CSR 70-91.010(1)(C)1.B","13 CSR 70-91.010(3)(D)","MO HealthNet Personal Care Provider Manual §§2.4, 2.16","RSMo 190.600, 190.603, 190.609, 190.612, 190.621"],"federalCitations":[],"surveyorAsks":["Who is designated and trained to take charge in an emergency?","Where are the written emergency instructions with the 911 number posted?"],"forms":[{"ref":"MO-HC-SAF-01-A","title":"Participant Emergency Information Sheet"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 15-7.010(6))","5. Emergency Arrangements","6. First Response to Any Emergency","7. Specific Emergencies","7.1 Falls","7.2 Choking","7.3 Participant not breathing or not responding","7.4 Other urgent problems","7.5 No answer at the door","7.6 Participant missing","8. Outside the Hospital DNR Orders and Hospice","9. Supervision During Respite","10. Death in the Home","11. Everyday Safety in the Home","12. After an Emergency","13. Emergency Information Sheet","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"mo-hca","state":"Missouri","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}}