O—Orders that are current,
complete and appropriate to the
patient’s plan of care:
• Are orders consistent with
HCC protocols?
• Is the medication profile
reconciled across EHR, the
nursing home chart and the inhome medication sheet?
Hospice and Community Care
expects each member of the
team to ask patients if they
have received new medications
or treatments. Non-nursing
disciplines must report this to the
nurse for follow up. If the patient
is in a nursing home, new orders
can be faxed to the clinical staff
to be entered into the patient’s
medication profile. Staff has a
responsibility to simplify the
treatment plan and understand the
goals of the interventions as they
meet the patient and family goals
(i.e., not just continue something
because it was already in place).
D—Documentation is complete
and entered on the day of service:
E—Effective provision of care
to meet the unique culture of
all households and the patient’s
needs and goals for their plan of
care:
• Did I honor the customs and
culture of each individual,
conveying respect both directly
and indirectly?
• Did I demonstrate acceptance
of the choices and decisions
made, regardless of my
personal view?
We want to ensure that Hospice
and Community Care provides
equal access to all aspects of
care across all settings. Thus,
continuous home care should be
offered to patients in the nursing
homes when it is appropriate; and
visit frequency and the length of
visits should be determined by the
patient’s needs and goals of care.
There should not be a standard
because each patient’s plan of care
is individualized.
continued on next page
• Does my documentation
support the patient’s limited
prognosis and level of care?
• Have I documented throughout
my shift/day?
• Is my documentation accessible
to all members of the team?
NewsLine
23
Table of Contents for the Digital Edition of NewsLine - March 2013