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Start of Care, Admission Visit, and the 48-Hour Assessment

Sets how the Agency starts care once a referral is accepted: confirming orders, scheduling within the Agency's start-of-care time frame, who makes the admission visit (a direct employee or contractor, a registered nurse when nursing is ordered), the Florida assessment of the patient's needs within 48 hours after the start of services, and, if the Agency is Medicare-certified, the initial assessment visit within 48 hours of referral or return home or on the ordered start of care date. It lists what happens at the admission visit and what the clinical record must hold at the start of care, including the special needs registry information required on admission.

Preview: full text with a package
About this policy
Policy number
FL-HH-ADM-02
Version
1.0
Main rule
s. 400.487(1), F.S.
Library
Florida home health · 57 policies
Category
Service delivery
Sections
20

In short

  • We start care within 48 hours of receiving the referral, or on the start date the practitioner ordered.
  • When nursing is ordered, a registered nurse who is our employee or contractor makes the admission visit.
  • The patient's needs must be assessed within 48 hours after services start.
  • At the first visit, give and explain the notices and agreement, review every medicine, and leave the visit schedule and our phone numbers.
  • Tell the patient about the special needs registry and write down the patient's emergency and evacuation plan.

What's inside

20 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 (s. 400.487(1), F.S.)
  • 5. Before the Admission Visit
  • 6. Who Makes the Admission Visit
  • 7. Time Frames at the Start of Care
  • 8. At the Admission Visit
  • 9. What the Clinical Record Holds at the Start of Care
  • 10. Emergency Planning at Admission
  • 11. When Care Cannot Start as Planned
  • 12. After the Admission Visit
  • 13. Responsibilities
  • 14. Records and Compliance Monitoring
  • 15. Staff Training
  • 16. References
  • 17. Related Policies and Forms
  • 18. Approval
  • 19. Revision History

An inspector may ask

  • Show me when this patient was referred, when services started, and when the 48-hour assessment was done.
  • Who made the admission visit? Is that person an employee or a contractor?

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