Hospice Policies & Procedures PATIENT CARE
Copyright 2017 by Weatherbee Resources, Inc. All rights reserved. Purchasers of Hospice Policies and Procedures: Patient Care are permitted to use and reproduce the policies and procedures contained herein for internal use at one location only. Other than that exception, no part of this publication may be reproduced in any form or by any means, electronic or mechanical including photocopying, recording or by any information storage and retrieval system and shared with third parties without prior written permission of Weatherbee Resources, Inc. To license the use of these policies and procedures at more than one location, please contact Weatherbee Resources, Inc. at info@weatherbeeresources.com. These policies and procedures are provided for informational and educational purposes only. It is specifically understood that this publication is not intended to provide legal, technical or other professional services or advice. In addition, utilization of these policies and procedures does not guarantee compliance with the regulations that govern hospices. ISBN: 978-1-4507-9527-2 Fourth Edition Weatherbee Resources, Inc. info@weatherbeeresources.com www.weatherbeeresources.com
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Subscription Option Weatherbee s Hospice Policies and Procedures: Patient Care product is updated as needed when there are changes in regulations or patient care practices that affect hospice programs. An optional annual subscription fee assures that your hospice policies and procedures are in a constant state of readiness for surveys as well as reflecting current regulatory requirements. To receive these updates, please be certain that your hospice subscribes to the updates, renews annually, and provides Weatherbee with current contact information. Updates are not provided without a current subscription. Questions? Our hope is that you will find this product useful and of assistance in helping you to build a strong infrastructure for your hospice. Please do not hesitate to contact us if you have any questions or need additional information. We also appreciate any feedback, comments or suggestions to help us improve our products and services to the hospice community. Call us: 866 969 7124 Send us an email: info@weatherbeeresources.com The Fine Print Your purchase and download of this product indicates your understanding that you may customize and use these materials for internal purposes at one location only, and that you will not disclose the contents of this product to any third party, or allow any third party to use the materials for any purpose without the prior written permission of Weatherbee Resources. If you need information regarding licensing this product for use at more than one location, please contact Weatherbee Resources, Inc. at 866-969-7124 or info@weatherbeeresources.com.
Hospice Policies and Procedures: Patient Care Table of Contents POLICY TITLE POLICY # Abbreviations Abuse, Neglect, Mistreatment and Exploitation Admission to Hospice Care Admission Orders Advance Beneficiary Notice of Non-Coverage Advance Directives Attending Physicians Availability 24/7 Bereavement - Care Planning Bereavement - Files Bereavement - Mailings Bereavement - Services Bereavement - Tracking and Evaluation Certification of Terminal Illness Change of Designated Hospice Clinical Records Community Resources Complementary Therapies Comprehensive Assessment of the PAtient Comprehensive Assessment - Content Comprehensive Assessment - Initial Comprehensive Assessment - Patient Outcome Measures Comprehensive Assessments - Updates Continuation of Care PC.A10 PC.A15 PC.A20 PC.A25 PC.A35 PC.A40 PC.A45 PC.A50 PC.B10 PC.B15 PC.B20 PC.B30 PC.B35 PC.C05 PC.C10 PC.C15 PC.C25 PC.C30 PC.C31 PC.C32 PC.C33 PC.C34 PC.C35 PC.C36 1
POLICY TITLE POLICY # Continuity of Care Coordination of Services Core Services Death of a Hospice Patient Dietary Services Discharge from Hospice Care Documentation Requirements Durable Medical Equipment (DME) Election of the Medicare Hospice Benefit Eligibility for Hospice Care Face-to-Face Encounters Hazardous Waste Management and Disposal Homemaker Services Home Visit Procedure for Non-Hospice Employees Hospice Aide Assignments and Duties Hospice Aide In-service Training Hospice Aide Services Hospice Aide Supervision Hospice Care for Nursing Facility Residents Hospice Care for Nursing Facility Residents - Coordination of Services Hospice Care for Nursing Facility Residents - Hospice Plan of Care Hospice Care for Nursing Facility Residents Reporting Suspicion of a Crime Hospice Care for Nursing Facility Residents - Written Agreements Infection Control - Bloodborne Pathogens Exposure Control Plan Infection Control - Education Infection Control - Hand Hygiene Infection Control - Personal Protective Equipment PC.C40 PC.C45 PC.C50 PC.D10 PC.D15 PC.D20 PC.D25 PC.D30 PC.E10 PC.E15 PC.F10 PC.H05 PC.H10 PC.H15 PC.H20 PC.H22 PC.H25 PC.H30 PC.H35 PC.H40 PC.H45 PC.H48 PC.H50 PC.I15 PC.I20 PC.I25 PC.I36 2
POLICY TITLE POLICY # Infection Control - Program Infection Control - Standard and Transmission-Based Precautions Interdisciplinary Group Interdisciplinary Group Meeting Laboratory - Services Levels of Care Levels of Care - Continuous Home Care Levels of Care - General Inpatient Care Levels of Care - Inpatient Respite Care Medical Device Reporting Medical Director Medical Supplies Medications - Administration Medications - Adverse Drug Reactions Medications - Crushing Medications Medications Drug Diversion Medications - Errors Medications - Financial Responsibility Medications - Labeling Medications - Management Medications - Orders Medications - Profile Medications - Use and Disposal of Controlled Substances Non-Discrimination - Communication Challenges Notification of Medicare Non-Coverage Nursing Services On-Call Services Pain and Symptom Management PC.I40 PC.I50 PC.I55 PC.I60 PC.L10 PC.L15 PC.L20 PC.L25 PC.L30 PC.M05 PC.M10 PC.M20 PC.M25 PC.M30 PC.M35 PC.M38 PC.M40 PC.M42 PC.M45 PC.M50 PC.M55 PC.M60 PC.M70 PC.N.02 PC.N10 PC.N15 PC.O10 PC.P10 3
POLICY TITLE POLICY # Patient / Family Education Patients Without Primary Caregivers Physical, Occupational, Speech and Other Therapies Physician Narratives Physician Orders Physician Services Plan of Care Plan of Care - Content Professional Management Readmission to Hospice Care Recertification of Terminal Illness Referrals from Acute Care Facilities Referrals to Hospice Care Revocation of the Medicare Hospice Benefit Safety - Home Visit Safety - Patient/Family Social Work Services Spiritual Care Services Standards of Practice Suicide Transfer of a Hospice Patient Traveling Hospice Patients Volunteers - Assignment Volunteers - Documentation Volunteers - Services PC.P15 PC.P20 PC.P25 PC.P28 PC.P30 PC.P35 PC.P40 PC.P45 PC.P50 PC.R05 PC.R10 PC.R12 PC.R13 PC.R15 PC.S10 PC.S15 PC.S20 PC.S25 PC.S30 PC.S35 PC.T10 PC.T15 PC.V10 PC.V15 PC.V20 4