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Emergency Preparedness and Management of Emergency Care Situations in the Home

Sets out what staff do when a patient has a medical emergency in the home, as 10A NCAC 13J .1001(a)(5) requires, and the Agency’s all-hazards emergency preparedness program under 42 CFR §484.102: risk assessment, emergency plan, patient emergency priority levels and individual patient emergency plans, communication plan, continuity of operations, training at least every 2 years, and exercises at least annually, all reviewed at least every 2 years.

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About this policy
Policy number
NC-HH-EP-01
Version
1.0
Main rule
42 CFR §484.102
Library
North Carolina home health · 57 policies
Category
Emergency preparedness
Sections
22

In short

  • If a patient has an emergency, call 911, stay with the patient, and give responders the medication list and plan of care from the home folder.
  • Start CPR if you are trained, unless a valid do-not-resuscitate order or other directive applies. Then call the supervising nurse or on-call nurse.
  • Every patient has an individual emergency plan and a priority level. Keep the plan in the home folder and update it at recertification, resumption of care and any major change.
  • Before a hurricane or other forecast event, we call patients in priority order and help Level 1 patients prepare or evacuate.
  • Never travel when officials have closed roads or ordered people to shelter. Tell the office about any patient you cannot reach.
  • Know your place in the call tree. Emergency preparedness training is required at least every 2 years; the Agency gives it every year.

What's inside

22 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 .1001(a)(5); 42 CFR §484.102)
  • 5. Part A. Emergency Care Situations in the Home
  • 6. Preventing Emergencies and Equipment Backup
  • 7. Part B. Risk Assessment and Emergency Plan
  • 8. Emergency Priority Levels and Individual Patient Emergency Plans
  • 9. Emergency Policies and Procedures
  • 10. Communication Plan
  • 11. Activating the Plan
  • 12. Training
  • 13. Testing: Exercises
  • 14. Integrated Health Care System Program
  • 15. Responsibilities
  • 16. Records and Compliance Monitoring
  • 17. Staff Training
  • 18. References
  • 19. Related Policies and Forms
  • 20. Approval
  • 21. Revision History

An inspector may ask

  • What does an aide do if she finds her patient unresponsive?
  • Show me this patient’s individual emergency plan. When was it last updated?

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