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Plan of Care, 15-Day Review and Caregiver Education

Sets out how the individualized plan of care is written from the comprehensive assessment, the nineteen items California requires it to contain, who approves and signs it (the attending physician or, only if there is none or the attending is unavailable, the Medical Director or Designee), how changes are approved in writing before they are made, the review at least every 15 days, and how caregivers are taught and their teaching recorded.

Preview: full text with a package
About this policy
Policy number
CA-HSP-IDG-02
Version
1.0
Main rule
22 CCR §74868(c)
Library
California hospice · 60 policies
Category
Hospice care
Sections
18

In short

  • Give care only as the current plan of care says.
  • Do not change the plan until the physician has approved the change in writing.
  • The plan is reviewed at least every 15 days.
  • Teach caregivers their tasks in their own language and write down what you taught.
  • Give written instructions on controlled substances and their safe disposal, and get a signature showing the family received and understood them.

What's inside

18 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (22 CCR §74868(c))
  • 5. The Initial Plan of Care
  • 6. Content of the Plan of Care
  • 7. Approval and Signature
  • 8. Modifications
  • 9. The 15-Day Review
  • 10. Caregiver Education
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • Show me this patient's current plan of care. Who approved and signed it?
  • Show me the last change to the plan. Where is the physician's written approval, and was it given before the change was made?

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