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Clinical Respiratory Services and Home Medical Equipment and Supplies

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.

Preview: full text with a package
About this policy
Policy number
NC-HH-CS-04
Version
1.0
Main rule
10A NCAC 13J .1109
Library
North Carolina home health · 57 policies
Category
Clinical tasks
Sections
18

In short

  • 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.

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 (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

An inspector may ask

  • Do you provide clinical respiratory services? Who supervises them and how is competency shown?
  • Show me the on-call schedule for respiratory emergencies.

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