{"ref":"NC-HSP-SAF-01","title":"Staff Safety, Home Safety and Emergencies in the Home","category":"Service delivery","summary":"Sets how the Agency keeps patients and staff safe in the home: a home safety assessment at admission and when things change, what staff do in a medical emergency during a visit, safety before, during and after visits including lone-worker check-in, workplace violence prevention, safe patient handling, hazardous chemicals, travel in bad weather, and reporting of staff injuries. Safety is a required training topic for all direct care staff (10A NCAC 13K .0402(b)(12)).","inShort":["Check the home for hazards at the first visit, such as fall risks, smoking near oxygen, and unsafe wiring, and tell the nurse.","Know the patient's code status. In an emergency, follow it: call the on-call nurse, or 911 if the patient wants resuscitation.","If you feel unsafe, do not go in, or leave politely, and call your supervisor. You will not be blamed.","Do not lift a patient alone. Use the transfer aids you were trained on.","On night visits or visits with a safety alert, check in when you arrive and when you leave.","Report every work injury or threat to your supervisor the same day."],"primaryCitation":"10A NCAC 13K .0402(b)(12)","citations":["10A NCAC 13K .0402(b)(12)","10A NCAC 13K .0504(b)(1), (4)","10A NCAC 13K .0601(5)","10A NCAC 13K .0301(a)(12)"],"federalCitations":["29 U.S.C. §654(a)(1)","29 CFR Part 1904","29 CFR §1910.1200","42 CFR §418.76(b)(3)(vi), (vii)"],"surveyorAsks":["Show me the home safety assessment for this patient and what you taught the family.","What does a nurse aide do if the patient falls or stops breathing during a visit?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13K .0402(b)(12))","5. Home Safety Assessment","6. Medical Emergencies During a Visit","7. Staff Safety on Visits","7.1 Before the visit","7.2 At the home","7.3 Lone-worker check-in","7.4 On the road","8. Workplace Violence and Unsafe Homes","9. Safe Patient Handling","10. Hazardous Chemicals","11. Weather, Outages and Disasters","12. Staff Injuries and Incidents","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":"nc-hospice","state":"North Carolina","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}