{"ref":"NC-HH-CS-04","title":"Clinical Respiratory Services and Home Medical Equipment and Supplies","category":"Clinical tasks","summary":"Applies when the Agency provides clinical respiratory or ventilation services, or supplies medical equipment and supplies with its home care services: respiratory services are given by or under a respiratory therapist or a registered nurse with demonstrated competency under a physician-signed plan of care, with 24-hour on-call emergency response; equipment is set up, cleaned, maintained, tracked, recalled and backed up for power failure as 10A NCAC 13J .1112 requires; and NC Medicaid supply rules are followed. Also covers safety checks on equipment other suppliers provide.","inShort":["Respiratory services are given only by a respiratory therapist or a registered nurse who has shown competency, with someone on call 24 hours a day.","Check every piece of equipment at each visit and report any problem to the supplier and the case manager the same day.","Every patient on a ventilator or other life-sustaining equipment must have a backup plan for equipment or power failure.","Teach oxygen safety: no smoking, flames or heaters near oxygen. Staff never smoke in a patient’s home.","Give written instructions for each item of equipment or supplies the Agency provides."],"primaryCitation":"10A NCAC 13J .1109","citations":["10A NCAC 13J .0901","10A NCAC 13J .1109","10A NCAC 13J .1112","10A NCAC 13J .1001(a)(5)","G.S. 131E-143","NC Medicaid Clinical Coverage Policy 3A"],"federalCitations":["42 CFR §484.102","42 CFR §484.60(a)","42 CFR §484.75"],"surveyorAsks":["Do you provide clinical respiratory services? Who supervises them and how is competency shown?","Show me the on-call schedule for respiratory emergencies."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1109 and .1112)","5. Clinical Respiratory Services","6. Respiratory Emergency Response","7. Managing Equipment and Supplies the Agency Provides","8. Equipment Supplied by Others","9. Oxygen and Fire Safety","10. NC Medicaid Medical Supplies","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":"nc-hha","state":"North Carolina","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}}