Initial RN Assessment and Admission
Sets out the initial assessment that a registered nurse carries out, with a home visit, before any personal care service starts: who does it, what information is reviewed, what the assessment covers, how the nurse decides whether the client needs services outside personal care and whether the Agency can provide services safely and consistently, and the steps from acceptance to the first aide visit.
About this policy
- Policy number
- DC-HC-ADM-02
- Version
- 1.0
- Main rule
- 22-B DCMR §9910.4
- Library
- Washington, DC home care · 50 policies
- Category
- Service delivery
- Sections
- 18
In short
- No personal care service starts until a registered nurse has visited the home and completed the initial assessment.
- The nurse decides two things: that the client does not need services beyond personal care, and that the Agency can serve the client safely and consistently.
- The service plan and the signed service agreement must be in place before the first aide visit.
- Every aide is oriented to the client's service plan before his or her first visit.
- If a person needs skilled nursing or therapy, the Agency refers him or her to a licensed home care agency.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (22-B DCMR §9910.4)
- 5. Who Carries Out the Assessment
- 6. Before the Visit
- 7. The Home Visit
- 8. The Two Decisions
- 9. From Acceptance to the First Visit
- 10. Urgent Starts, Delays and Re-Admissions
- 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
- Show me the initial assessment for this client. Who did it, where, and on what date compared with the first day of services?
- How did the nurse decide that this client does not need skilled services?
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