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Staff Safety, Home Safety and Emergencies in the Home

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)).

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About this policy
Policy number
NC-HSP-SAF-01
Version
1.0
Main rule
10A NCAC 13K .0402(b)(12)
Library
North Carolina hospice · 60 policies
Category
Service delivery
Sections
24

In short

  • 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.

What's inside

24 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 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

An inspector may ask

  • 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?

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