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Changes in Condition and Needs Beyond Personal Care Services

Sets out what aides watch for and report about a client's condition and how fast, how a registered nurse responds to each report, and the Agency's written criteria, procedure and time frames for referral, transfer or discharge when a client is found to need services beyond personal care services, as 22-B DCMR §9912.1 requires. It also covers what happens when a client declines a referral.

Preview: full text with a package
About this policy
Policy number
DC-HC-SP-03
Version
1.0
Main rule
22-B DCMR §9912.1
Library
Washington, DC home care · 50 policies
Category
Service delivery
Sections
19

In short

  • Watch for changes at every visit: falls, pain, confusion, skin sores, not eating, breathing trouble, or readings outside the plan limits.
  • Emergency: call 911 first, then the on-call person.
  • Urgent change: call the registered nurse or on-call person before you leave the home, and stay with the client until you get instructions.
  • Record every change in your visit notes. Routine changes go to the office before the end of your shift.
  • Never do a skilled task such as wound care, injections or giving medications, even if asked. The nurse arranges a referral.

What's inside

19 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 (22-B DCMR §9912.1)
  • 5. What Aides Watch For
  • 6. How Fast to Report
  • 7. How the Registered Nurse Responds
  • 8. When a Client Needs Services Beyond Personal Care Services
  • 9. The Agency's Time Frames
  • 10. When the Client Declines a Referral
  • 11. Keeping Everyone Informed
  • 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

  • What does an aide do if a client has a new sore on the heel or is more confused than usual?
  • Show me a change-in-condition report and what the registered nurse did about it.

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