After-Hours Care, On-Call, and Back-Up Staffing
Keeps the Administrator (or the pre-designated alternate) and a clinical manager available during all operating hours, runs an on-call system so that patients can reach a registered nurse at any hour, sets how after-hours calls are handled, and keeps back-up staff available so that scheduled visits are made when regularly scheduled staff cannot make them, including the back-up plan and case manager notices for waiver patients.
About this policy
- Policy number
- OH-HH-CC-02
- Version
- 1.0
- Main rule
- 42 CFR §484.105(b)(3)
- Library
- Ohio home health · 59 policies
- Category
- Service delivery
- Sections
- 19
In short
- Patients and staff can reach a registered nurse at any hour at (614) 555-0199.
- The on-call nurse calls back within 15 minutes of being paged and documents every call.
- If you cannot make a scheduled visit, tell the scheduler or on-call nurse as early as possible, before the visit time.
- Back-up staff cover missed visits; the clinical manager tells the practitioner if a missed visit could affect the patient.
- For waiver patients, the back-up plan is used and the case manager is told about the absence.
What's inside
19 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §484.105(b))
- 5. Availability of the Administrator and Clinical Manager
- 6. The On-Call System
- 7. Handling an After-Hours Call
- 8. Back-Up When Assigned Staff Are Not Available
- 9. Waiver Patients
- 10. Testing the System
- 11. Visit Monitoring
- 12. Responsibilities
- 13. Records and Compliance Monitoring
- 14. Staff Training
- 15. References
- 16. Related Policies and Forms
- 17. Approval
- 18. Revision History
An inspector may ask
- Who is available today if the Administrator or the clinical manager is out?
- Call your after-hours number. Who answers, and how quickly does a nurse call back?
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