Ofie Akwahosan Boafo No-Show, Abandonment, anaa Korɔnbɔ a efi Ɔpanyin a Ɔyɛ mmerɛw hɔ¶

Sɛ wohu sɛ ofie akwahosan boafo a wotua no ka, ayarehwɛfo boafo a ɔwɔ adansedi krataa (CNA), anaasɛ ɔhwɛfo a ɔte hɔ no antumi ankɔ adwuma no mu, wagyae adwuma no wɔ adwuma no mfinimfini a ogyaw ɔpanyin bi a ɔda mpa so anaasɛ wayɛ basaa, anaasɛ wawia checkbook, agude, anaa ɛyaw nnuru a wɔakyerɛw ama no no yɛ aduruyɛ ne mmara mu ntɛmpɛ abien. Ɔpanyin a ne mfe akɔ anim a ontumi nkɔ baabiara a obiara nhwɛ no nnɔnhwerew anan kosi asia mpo hyia nsu a ɛho ayɛ fĩ a ɛde ne nkwa to asiane mu, nnuru a egye bere tenten (te sɛ insulin anaa Parkinson yare ho ayaresa) a ɔmpae, nhyɛso a emu yɛ den a ɛma akuru ntini a ɛyɛ mmerɛw esiane sɛ ɔda nsu anaa nsu mu nsu mu nti, ne asehwe a ɛyɛ hu bere a ɔrebɔ mmɔden sɛ obedu aguaree a obiara mmoa no.

Bere nyinaa di kan hwɛ ɔpanyin no nipadua mu nkwa ne n’aduruyɛ mu pintinn ansa na woahyia ɔboafo bi anaasɛ wobɛhwɛ sikakorabea akontaabu mu. Sɛ́ ebia wɔfaa ofie hwɛ adwumayɛbea a wɔwɔ tumi krataa, ɔman Medicaid nhyehyɛe a wɔde gyae adwuma, anaa kokoam no, sɛ wodi ayaresabea nhwehwɛmu a wɔahyehyɛ, adwumayɛfo a wɔboa wɔn ntɛm ho nhyehyɛe, ne asɛnnibea adanse a wɔatoto mu akyi no bɔ wo dɔfo no akwahosan ho ban bere a ɛkora hokwan a wowɔ wɔ mmara kwan so sɛ wubegye sika a wowiae na ama wɔn a wɔde mmoa ma a wɔyɛ anibiannaso no bu akontaa.

Yɛ eyi mprempren¶

1. Fa honam fam aniwa hwɛ ɔpanyin no ntɛm ara anaa bisa yiyedi ho nhwehwɛmu a egye ntɛmpɛ. Sɛ wunni fie hɔ na wuhu sɛ ɔboafo bi amma anaasɛ ofii adi wɔ ɔpanyin bi a ɔda mpa so, a ɔde ne ho to oxygen so, anaasɛ n’adwene mu yɛ no naa so a, kɔ fie hɔ ntɛm ara anaa frɛ ofipamfo bi a wowɔ ne mu ahotoso a fa safe a aka. Sɛ obiara ntumi nkɔ fie hɔ wɔ simma 30 ntam na ɔpanyin no ntumi mmue telefon no anaasɛ ontumi mmue ɔpon no a, frɛ mpɔtam hɔ polisifo telefon a ɛnyɛ ntɛmpɛ anaa wo mpɔtam hɔ nɔma a egye ntɛmpɛ (911 wɔ United States ne Canada, 112 wɔ Europa Aman Nkabom no nyinaa mu, 999 wɔ United Kingdom; hwɛ nɔma ahorow a egye ntɛmpɛ) na bisa aduruyɛ Welfare Check a egye ntɛmpɛ ma ɔpanyin bi a ɔhwɛ no a wɔagyaw no a obiara nhwɛ no.
2. Yɛ simma 5 aduruyɛ mu nhwehwɛmu fi wo ti kosi wo nan ase bere a woadu hɔ no. Hwɛ mframa kwan, ɔhome, ani a ɛda hɔ, honam ani hyew, ntade tiaa anaa mpa a ɛho agu fĩ, mogya mu glucose (sɛ asikreyare a ɛwɔ wo mu a), ne sɛ ebia wɔnom anɔpa anaa anwummere nnuru nhyehyɛe dan no ankasa. Sɛ ɔpanyin no da fam a, di yɛn akwankyerɛfo no akyi nkwakoraa ne mmerewa asehwe ho a wɔsan nya bere a wontumi nnyina hɔ no.
3. Frɛ Home Care Agency no nnɔnhwerew 24 On-Call Nursing Supervisor na frɛ wɔn mmara kwan so backup adwuma. Sɛ ɔboafo no yɛ adwuma ma adwumakuw bi a, nnyaw nkra bi kɛkɛ wɔ nhyehyɛe ho agyede pon so. Hwehwɛ sɛ wo ne Registered Nurse (RN) Clinical Supervisor anaa Administrator On-Call bɛkasa, ka sɛ High-Acuity Priority-1 ɔyarefo bi nni adwumayɛfo, na hwehwɛ sɛ ɔboafo a wɔde no besi ananmu ntɛm ara anaa ɔyarehwɛfo a ɔhwɛ so bɛsra no wɔ nnɔnhwerew 2 ntam.
4. Mma wo ne ɔboafoɔ a wɔabɔ no soboɔ sɛ wawia ade bere a wɔda so ara wɔ fie no mu ne ɔpanyin bi a ɔyɛ mmerɛw nhyia da. Sɛ wuhu sɛ check, sika, agude, anaa nnuru a wɔde di dwuma ɔkwammɔne so ayera bere a ɔboafo no reyɛ adwuma a, twɛn kosi sɛ abusua muni anaa ɔhwɛfo a obesi n’ananmu no bɛba honam fam sɛ obegye ɔhwɛ no, afei yi ɔboafo no fi adwumam brɛoo wɔ ɔpon no ano na fa wɔn smart-lock code, safe no mu ntɛm ara lockbox koodu, ne alarm PIN.
5. Sɛ wowiaa Schedule II kɔsi V nnuru a wɔde kum ɛyaw anaa nnuru a ɛma obi dwo a, fa polisifo amanneɛbɔ kɔma nnɛ na ama woabue nnurutɔnbea a wɔsan de ahyɛ mu ntɛm. Nnurutɔnbea ne insurance nhyehyɛe ahorow siw nnuru a wɔahyɛ da ahyɛ da (te sɛ oxycodone, hydrocodone, morphine, fentanyl patches, anaa lorazepam) a wɔbɛsan ahyɛ mu ntɛm no kwan wɔ mmara kwan so gye sɛ wode ** Polisifo Asɛm Ho Amanneɛbɔ Nnɔmba a ɛnyɛ mmara kwan so** ma. de kɔma oduruyɛfo a ɔkyerɛw nnuru no.
6. Freeze sikakorabea akontaabu a wɔasɛe no na fa mmara ho amanneɛbɔ a ɛyɛ ahyɛde ma. Di wo sikakorabea no nsisi dwumadibea hɔ nkɔgye checking ne credit accounts (hwɛ mpanyimfo sikasɛm mu mfaso ne nsisi ho banbɔ), na bɔ ɔhwɛfoɔ a wɔagyaw no hɔ anaa wawia no ho amanneɛ kyerɛ Adult Protective Services (APS), wo State Department of Health Nurse Aide Registry, ne adwumakuo no bonding insurer.

flowchart TD
    A["Ofie akwahosan boafo ahokyere: Wɔnkɔ, wɔn a wɔankɔ adwuma no mfinimfini, anaasɛ wosusuw sɛ wɔabɔ korɔn"] --> B{"So mprempren ɔpanyin no nkutoo na ontumi nhwɛ wɔn ho?"}
    B -->|"Yiw: Daa a wɔbɛda, adwenemhaw, anaasɛ asiane a ɛwɔ hɔ sɛ obi bɛhwe ase"| C["Kɔ fie ntɛm ara ANAA frɛ Polisifo/EMS ma wɔnyɛ Welfare Check a egye ntɛmpɛ"]
    B -->|"Dabi: Abusua muni bi wɔ beae hɔ mprempren"| D["Yɛ ayaresabea nhwehwɛmu fi wo ti kosi wo nan ase, wo honam ani nhwehwɛmu, ne nnuru dodow a wɔde di dwuma"]
    C --> D
    D --> E{"Dɛn ne ntɛmpɛ titiriw?"}
    E -->|"No-show anaasɛ mid-shift abandonment"| F["Frɛ Agency 24-Hr RN Supervisor: hwehwɛ Priority-1 backup adwumayɛfo anaasɛ frɛ Emergency Respite"]
    E -->|"Sika, check, kaad, anaa agude a wowia"| G["Hwɛ sɛ aide no nni fie; sesa lockbox/smart koodu ahorow; sikakorabea akontaabu ahorow a wɔbɛma ayɛ nwini; file Polisifo & APS amanneɛbɔ"]
    E -->|"Nnuru a ɛyɛ nnubɔne anaa nea ɛho hia a wowia/dan kɔ baabi foforo"| H["Kan nnuru a wɔde sa yare a aka; nya Polisifoɔ Amanneɛbɔ # ntɛm ara; bisa Oduruyɛfo sɛ ɔmma no override a wɔde besi ananmu ntɛm"]
    F --> I["Sɛ 0 backup wɔ hɔ ma 24+ hrs a: yɛ Medicare Hospice/SNF Respite anaa ayaresabea asetena mu adwumayɛ ho nhyehyɛe"]

Ɔfã 1: Aduruyɛ ne nipadua mu nhwehwɛmu ntɛm ara bere a wɔahu ɔpanyin bi a ɔhwɛ no nkutoo no¶

Sɛ ɔhwɛfo a wotua no ka antumi ankɔ anaasɛ ogyae wɔn adwuma wɔ bere a wɔreyɛ adwuma no mfinimfini a, ɔpanyin a ne mfe akɔ anim a ɔda mpa so anaasɛ n’adwene mu yɛ no naa betumi asɛe ntɛmntɛm. Ansa na wobɛtra dɔnhwerew biako wɔ adwumayɛbea bi a ɛhwɛ adwumayɛfo so no, wie saa Six-Point Bedside Clinical Audit yi bere a wobɛfa ɔpon no mu no.

Ɔfã 2: Nsonsonoe a ɛda "No-Show" ne "Patient Abandonment" a mmara mma ho kwan ntam.¶

Sɛ wote mmara mu nsonsonoeɛ a ɛda nhyehyɛeɛ a wɔmfa nkɔ ne mmara kwan so Ɔyarefoɔ a wɔgyae wɔn ntam a, ɛma wo nya mmara kwan so gyinabea ntɛm ara berɛ a worehwehwɛ adwumayɛfoɔ a wɔdi ntɛm firi adwumakuo bi hɔ anaasɛ wode mmara kwan so anwiinwii kɔdan no.

• Scheduling No-Show (Breach of Contract / Agency Negligence): Ɛba bere a ofie akwahosan boafo anaa ankorankoro hwɛ sohwɛfo a wɔayɛ nhyehyɛe no antumi ankɔ adwuma no mfiase a wɔmmɔ no amanneɛ sɛnea ɛsɛ. Bere a wɔtaa bu ankorankoro boafo a wankɔ mu da sɛ wayɛ adwuma a ɔmfa ne ho nhyɛ mu sen sɛ obegyae ankorankoro tumi krataa no, Fie Akwahosan anaa Ofie Hwɛ Dwumadibea a wɔwɔ tumi krataa no ankasa da so ara da so ara wɔ mmara kwan so asɛyɛde wɔ ɔman akwahosan tumi krataa mmara ase sɛ wɔbɛkɔ so akura Emergency Preparedness and Backup Staffing Plan mu ama Priority-1 (high-acuity, bedbound) clients.
• Statutory Patient Abandonment (Criminal Neglect & License Revocation Offense): Ɛba bere a ɔyarehwɛfo, Certified Nursing Assistant (CNA), anaa Home Health Aide gye ɔyarefo dwumadi no tom (ɔde dɔn kɔ mu anaasɛ ɔfa ɔhwɛ wɔ fie) na afei ofi adi anaasɛ ɔtwa ɔhwɛfo ne ɔyarefo ntam abusuabɔ mu a ɔmfa amanneɛbɔ a ntease wom mma ɔhwɛfo anaa abusua muni bi sɛnea ɛbɛyɛ a wɔbɛtoa ɔhwɛ no so nhyehyɛe, na ɛma ɔpanyin bi a ɔde ne ho to asiane mu wɔ asiane a wotumi hu mu. Nea ɛka ho nso ne ofie no mu a wobɛtra bere a ɔda wɔ ɔhwɛ a ɛkɔ so daa mu, ɔbow nsa bere a ɔreyɛ adwuma, anaasɛ ɔpanyin no a ɔbɛto ɔdan mu nnɔnhwerew pii a ɔhwɛ no.

Ɔfa 3: Sɛnea wobɛbɔ ntɛmpɛ backup caregiving ho ban wɔ nnɔnhwerew 2 kosi 24 mu¶

Sɛ wo boafo a ɔboa wo daa no yera na wowɔ adwuma ho asɛyɛde ahorow, wote kurow foforo mu, anaasɛ wunni honam fam ahoɔden a wode bɛyɛ nnipa baanu a wobɛkɔ baabi foforo nkutoo a, fa saa sika a wɔde tua ntɛmpɛ ho sika anum a ɛkɔ soro yi di dwuma.

flowchart TD
    A["Ɔhwɛfo nsonsonoe a egye ntɛmpɛ ma mpapahwekwa a wɔada mpa so anaa wɔn a wohia mmoa kɛse"] --> B["Tier 1: Ɛkɔ soro kɔ Agency RN Supervisor & Administrator On-Call so"]
    B -->|"Agency kyerɛ sɛ ɔboafo biara nni hɔ a obesi ananmu"| C["Ɔfa 2: Ma Medicare Hospice Nnafua 5 Ayarefo a Wɔda Ahomegye anaa Ɔhaw a Wɔkɔ So Hwɛ (sɛ wɔakyerɛw wɔn din a) nyɛ adwuma ."]
    B -->|"Private-hire aide anaa adwumakuw bi di nkogu koraa"| D["Tier 3: Frɛ Mantam Mpɔtam Dwumadibea a Ɛhwɛ Mpanyinyɛ So (AAA) / Medicaid Waiver Emergency Respite Pool"]
    C --> E["Ɔfa 4: Bere Tiaa mu Ankorankoro Akatua Ahomegye Gyegye wɔ mpɔtam hɔ Assisted Living anaa Skilled Nursing Facility"]
    D --> E
    E --> F["Tier 5: Safe Emergency Department Social Work / Clinical Evaluation Sɛ wɔgye obi kɔ ayaresabea sɛ aduruyɛ mu ntumi nnyina a"]

Tier 1: Hyɛ Home Care Agency no ma wɔmfa ne Supervisory RN anaa Priority-1 Backup Pool nni dwuma¶

Sɛ nhyehyɛe ho ɔhwɛfo bi ka sɛ, "Mepa wo kyɛw, wo boafo frɛɛ ɔyarefo na yenni obi foforo biara a yebetumi anya nnɛ," a, nnye saa mmuae no ntom sɛ ɔpanyin no da mpa so anaasɛ wontumi nnyaw no nkutoo a. Fa nkyerɛwee yi pɛpɛɛpɛ di dwuma:

"Wɔde m'awofo ahyɛ wo adwumayɛbea no Emergency Triage Plan mu sɛ Priority-1 High-Acuity ɔyarefo a ɔda mpa so na ontumi nkɔ baabi foforo, nkɔ tiafi, anaa ɔnom nnuru a ɛma nkwa a obiara mmoa no. Sɛ wogyae ɔyarefo yi a onni adwumayɛfo nnɛ a, ɛde asiane ba nkwa ne ahobammɔ so ntɛm ara. Mesrɛ wo fa me kɔ Registered Nurse Clinical Supervisor On-Call ne Agency Administrator nkyɛn ntɛm ara. Under state." ofie hwɛ tumi krataa ho mmara, sɛ wunni ɔboafo a obesi ananmu a, merebisa sɛ ɔyarehwɛfo anaa adwuma sohwɛfo a ogye akatua mmra fie hɔ mmɛyɛ nnuru a ɛho hia, tiafi, ne ɔhwɛ a wɔsan de si baabi foforo, anaasɛ w’adwumakuw no ne adwumakuw bi a wo ne no yɛ adwuma no nyɛ apam ketewaa bi wɔ wo ka so nnɛ."

Tier 2: Frɛ Medicare Hospice "Nnafua 5 Ayarefo a Wɔda Ayarefo Ahomegye" anaa "Fie Hwɛ a Wɔkɔ So" (Sɛ wowɔ Hospice a) .¶

Sɛ mprempren wo dɔfo no akyerɛw ne din wɔ Medicare Hospice Benefit (anaasɛ palliative hospice nhyehyɛe a ɛne no sɛ) mu a, wowɔ ahobammɔ afiri a aban no hyɛ ntɛm ara, ɔha biara mu nkyem 100 a mmusua werɛ taa fi sɛ wɔde bedi dwuma: 1. Nna 5-Ayarefoɔ a Wɔda Ahomegyeɛ Hwɛ: Wɔ aban Medicare mmara (42 CFR § 418.204) ase no, mmara hwehwɛ sɛ ayaresabea adwumayɛbea biara de ahomegyeɛ hwɛ a ɛkɔsi nnafua 5 a ɛtoatoa soɔ ma ayarefoɔ a wɔda ayaresabea wɔ Ayarehwɛfoɔ a Wɔn Ho Nkonimdibea a Medicare agye atom, ayaresabea a wɔhwɛ ayarefoɔ a wɔda ayaresabea, anaa ayaresabea berɛ biara a ɔhwɛfoɔ titire no abrɛ, ɔyareɛ, anaa ohyia ɔhwɛ mu nsonsonoe a wɔnhwɛ kwan. Frɛ hospice nnɔnhwerew 24 ayarehwɛfo line mprempren na ka sɛ: "Yɛn fie hwɛfo gyaee wɔn shift na yɛwɔ ɔhwɛfo ahokyere. Ɛsɛ sɛ yɛma nnafua 5 Medicare Inpatient Respite admission ntɛm ara yɛ adwuma nnɛ." 2. Continuous Home Care (Crisis Care): Sɛ ɔpanyin no rehyia ɔhaw a emu yɛ den wɔ sɛnkyerɛnne ahorow ho bere koro mu (te sɛ ɛyaw a emu yɛ den, ahome a ɛyɛ tiaa, adwenemhaw a ɛyɛ basaa, anaasɛ ɔfe a ennyae) a, hospice betumi ama Continuous Home Care ayɛ adwuma, de ɔyarehwɛfo a ɔwɔ tumi krataa a ɛwɔ ayaresabea anaa ofie akwahosan boafo ato mpa no nkyɛn 8 kosi 24 nnɔnhwerew da biara kosi sɛ ɔhaw no bɛkɔ so ayɛ den.

Ɔfa 3: Di Mpɔtam hɔ Dwumadibea a Ɛhwɛ Mpanyinyɛ So (AAA), Medicaid Waiver Case Manager, anaa Mpɔtam Hɔ Aban Asoɛe Kuw no nkitaho¶

• Wɔ United States: Frɛ wo mantam Area Agency on Aging (AAA) (hwehwɛ denam Eldercare Locator so wɔ 1-800-677-1116) anaa w’awofoɔ Medicaid Home and Community-Based Services (HCBS) Waiver Case Manager. Mantam bebree hwɛ Emergency Respite Care Voucher Fund anaasɛ on-call registry a ɛkyerɛ wɔn a wɔhwɛ wɔn a wɔhwɛ ntɛm wɔ fie a wɔahwɛ mu. Sɛ w’awofoɔ yɛ U.S. asraafoɔ a wɔadi ako (anaasɛ ɔhokafoɔ a ɔda so te ase) a, frɛ VA Caregiver Support Line wɔ 1-855-260-3274 na bisa VA ahomegyeɛ ho sika a ɛhia ntɛm.
• Wɔ United Kingdom: Frɛ wo Local Authority Adult Social Care Emergency Duty Team (Asetra mu Adwuma Kuw a Wɔyɛ Nnɔnhwerew Nnɔnhwerew). Wɔ Care Act 2014 ase no, sɛ ɔpanyin bi a ɔyɛ mmerɛw hwɛ nhyehyɛe no hwe ase mpofirim a, Mpɔtam Aban no wɔ mmara kwan so asɛyɛde sɛ wɔde wɔn ho hyɛ mu na wɔyɛ nhyehyɛe ma ntɛmpɛ a wɔde besi ananmu wɔ fie hwɛ anaasɛ bere tiaa mu ahomegye mpa.
• Wɔ Canada ne Australia: Wɔ Canada no, frɛ wo mantam Fie ne Mpɔtam Hwɛ Mmoa Dwumadibea (te sɛ Ontario Akwahosan wɔFie) ɔhwɛ ntamgyinafo no ma ɔkanyan PSW (Ankorankoro Mmoa Adwumayɛfo) a ɛkɔ soro ntɛm anaasɛ ahomegye bere tiaa bi a wɔde bɛto hɔ. Wɔ Australia no, frɛ Carer Gateway wɔ 1800 422 737 ( nnɔnhwerew 24 da biara, nnafua 7 dapɛn biara) na yɛ nhyehyɛe Emergency Respite Care a Australia Aban de sika boa, a ɛde ntɛmpɛ adwumayɛfo a wɔboa wɔn wɔ fie anaasɛ wɔkyerɛw mpa a wɔde hwɛ wɔn a wɔn mfe akɔ anim a wɔhwɛ wɔn a wɔn mfe akɔ anim a egye ntɛmpɛ wɔ nnɔnhwerew kakraa bi mu.

Tier 4: Fa Ntɛmntɛm Bere tiaa mu Ahomegye Mpa to hɔ wɔ mpɔtam hɔ Ayarehwɛfo a Wɔn Ho Akokwaw anaa Asetra a Wɔboa¶

Skilled Nursing Facilities (SNFs) ne Assisted Living Facilities dodow no ara a wɔwɔ tumi krataa no hwɛ Short-Term Respite Facilities a wɔatu ho ama a ebetumi agye ɔpanyin a ne mfe akɔ anim ama nnafua 3 kosi 14 atra hɔ bere a ofie hwɛ asɛe no. Fa w'awofoɔ Oduruyɛfoɔ Abakɔsɛm ne Nipadua (H&P), Nnuruyɛ Kyerɛwtohɔ, ne TB ho adansedie a ɛtwa toɔ no bi sie "Go-Folder" sɛdeɛ ɛbɛyɛ a mpɔtam hɔ adwumayɛbea bi bɛtumi adi da koro no ara ntɛm ahomegyeɛ check-in ho dwuma.

Tier 5: Sɛnea wɔyɛ mpa ho hwɛ a ahobammɔ wom wɔ nnɔnhwerew 12 a edi hɔ no mu¶

Sɛ ɛsɛ sɛ w’ankasa wohwɛ ɔpanyin bi a ɔda mpa so anadwo kosi sɛ mmoa a wɔde besi ananmu bɛba a, mmɔ mmɔden da sɛ wobɛma ɔpanyin a ne mu duru awu so wɔ wɔn nsateaa ase, a ɛma ɔhwɛfo no akyi berɛmo mu ntini a ɛyɛ mmerɛw na ɛma ɔpanyin no mmati nkwaa a ɛyɛ mmerɛw no tu. - Fa Drawsheet Roll di dwuma ma In-Bed Brief Changes and Repositioning: Fa ɔpanyin no to mpa so sen sɛ wobɛbɔ mmɔden sɛ wobɛfa mmubuafo akongua a ɔno nkutoo bɛkɔ baabi foforo. Bobɔ mpa a wɔde kotoku ayɛ a ɛyɛ tratraa mu abien wɔ wɔn nipadua ase (ɛtrɛw fi mmati so kosi asen so). Gyina mattress no ho a wo nkotodwe abɔ, fa drawsheet no ano a wɔabobɔw no mu wɔ baabi a ɛbɛn ɔpanyin no mmati ne n’asen, na dan wo nipadua mu duru kɔ w’akyi na ama woabobɔ ɔpanyin no akɔ wɔn nkyɛn yiye wɔ digrii 30 mu. Fa chuck pad tiawa a ɛho tew na nsu ntumi nkɔ mu no hyɛ wɔn akyi fã, bobɔ wɔn san fa hump no so kɔ ɔfã foforo no, na twe pad a ɛho tew no fa mu. Sɛ wopɛ anammɔn a wɔfa so dannan nneɛma kɔ akyiri a, hwɛ nhyɛso akuru, Stage 3-4 yare mmoawa, ne ɔyarefo a ɔdan ne ho a ontumi nkɔ baabiara.

Ɔfã 4: Nea ɛsɛ sɛ woyɛ bere a ofie akwahosan ho ɔboafo bi wia sika, agude, anaa nnuru no¶

Sikasɛm mu mfaso ne nnuru a adwumayɛfo a wɔwɔ fie de dan wɔn ho no ka nsɛmmɔnedi a ɛrenya nkɔanim ntɛmntɛm tia mpanyimfo a wɔn mfe akɔ anim no ho efisɛ aboafo no tumi kɔ mpa, nkrataa, smartphone, ne nnuru nkotoku mu nnɔnhwerew 8 kosi 24 da biara. Wɔn a wɔyɛ bɔne no de wɔn ho to ɔpanyin no adwene mu yare, suro a osuro sɛ obetua so ka, anaa honam fam a ɔde ne ho to so so de korɔnbɔ sie asram pii.

Anamɔn 1: Hu ɔhwɛfo korɔnbɔ ahorow abien a ɛsono emu biara no¶

Anamɔn 2: Yɛ simma 60 Honam fam, Digitals, ne Sikasɛm mu Lockdown no¶

Sɛ nea wosusuw sɛ ɔyɛ ɔboafo no fi fie dwoodwoo ara pɛ a, hyehyɛ nhwehwɛmu kratasin yi nnidiso nnidiso:

• 1.1. Sesa Honam Fam Akwankyerɛ Nyinaa Ntɛm ara:
• Sesa 4-digit mfiri a wɔaka abom wɔ abɔnten realtor/caregiver key lockbox biara so (na fa lockbox no kɔ baabi a obiara ntumi nhu).
• Popa ɔboafoɔ no dwumadie PIN anaa Bluetooth safoa firi smart deadbolts, garage pon keypads, ne ofie ahobanbɔ alarm panels nyinaa mu.
• Sɛ ɔboafo no kura honam fam dade fie safe bi da (simma 10 mpo de nantew ɔkraman no) a, fa no sɛ wɔatwa $3 hardware-store duplicate; rekey anaa sesa deadbolt cylinder no nnɛ (hwɛ ofie, kar, anaa ɔfese nsafe a ayera).
• 2.1. Hwɛ Checkbook Biara Mfinimfini ne Akyi na Freeze Bank Accounts:
• Ɛkame ayɛ sɛ akorɔmfo ntetew check ahorow mfi checkbook a ɛyɛ adwuma no anim da; wɔtwe cheque 3 kosi 5 a hwee nni mu fi nhoma no akyi anaasɛ fi adaka a wɔanbue a wɔde check foforo asi ananmu wɔ desk drawer mu.
• Frɛ sikakorabea no Mpanyimfo Nsisi Dwumadibea no na wɔmfa sika a wɔde gye sika no nsie, bue akontaabu nɔma foforo, nnye check biara a wɔayɛ atoro anaa ACH/debit nkitahodi a wɔmma ho kwan wɔ Mmara E (12 CFR § 1005.6) ne Uniform Commercial Code (UCC) § 4-406 ase no ho akyinnye, na fa sika a wɔde gye sika no to Equifax, Experian, ne TransUnion a wɔde di dwuma no so yɛn mpanyimfo sikasɛm mu a wɔde di dwuma ne nsisi ho banbɔ akwankyerɛ.
• 3.1. Hwɛ Ɔpanyin no Smartphone, Tablet, ne Nne Aboafo:
• Bue ɔpanyin no smartphone na hwɛ Settings > Face ID / Touch ID & Passcode na hwɛ sɛ ebia "Alternate Appearance" a ɛto so abien anaa nsateaa nkyerɛwee a wonnim na ɔboafo no kyerɛw too hɔ anaa.
• Hwɛ Zelle, Venmo, Cash App, PayPal, Apple Cash, ne Amazon ahyɛde abakɔsɛm, na hwɛ Trash / Recently Deleted folda a ɛwɔ Messages and Mail apps no mu (akorɔmfo taa popa 2-factor authentication SMS codes ne bank transfer receipts a wɔkanyan fii ɔpanyin no fon so no).
• 4.1. Yɛ Forensic Pill Count ne Visual Pill Identification:
• Hwie nneɛma a wɔahyɛ da ahyɛ da toa biara gu krataa fitaa prɛte a ɛho tew so. Kan nnuru dodow pɔtee a aka na fa toto nnuru a wɔakyerɛw so no Da a Wɔde Ma, Dodow a Wɔde Ma, ne Daily Directions ho.
• Hwɛ imprint code a wɔakyerɛw so wɔ aduru biara so no denam aban aduru a ɛkyerɛ sɛnea nnuru no te so (anaasɛ fa toa no kɔma wo nnuruyɛfo) na hwɛ sɛ nnuru a ɛwɔ toa no mu no ne aduru a wɔakyerɛw ama no no hyia ankasa na wɔmfaa nnuru a ɛte sɛ nea wɔtɔn wɔ aduruyɛdan mu no ansesa.

Anamɔn 3: Sɛnea wobenya nnuru a wɔde nnubɔne a wowia anaa nnuru a wɔahyɛ da ahyɛ da ahyɛ mu ma a wɔde besi ananmu ntɛm ara¶

Sɛ ɔboafoɔ bi wiaa w’awofoɔ ɛyaw aduru anaa nnuru a ɛko tia dadwen a, nnurutɔnbea kɔmputa ne insurance PBM ahodoɔ no bɛpow sɛ wɔbɛsan ahyɛ no foforɔ sɛ "Refill Too Soon." Sɛ wobɛtwa saa block yi ho ahyia wɔ mmara kwan so a wuntua dɔla ɔhaha pii mfi wo kotoku mu anaasɛ woremma wo wofo nkɔgye sika a: 1. Frɛ wo mpɔtam hɔ polisifoɔ dwumadibea ntɛm ara na fa korɔnbɔ ho amanneɛbɔ a ɛfata a ɛkyerɛ aduru no din pɛpɛɛpɛ, ahoɔden, Rx nɔma, nnurutɔnbea din, ne tablet dodoɔ pɔtee a wɔawia no pɔtee. Nya Ɔsraani Din, Badge Nɔma, ne Polisifoɔ Asɛm a Ɛsisiiɛ Amanneɛbɔ Nnɔmba. 2. Frɛ oduruyɛfo a ɔkyerɛw nnuru (anaasɛ hospice nurse) na ma wɔn Police Report Number. Wɔ U.S. Nnubɔne Ho Dwumadibea (DEA) mmara ne ɔman no mmara a ɛfa nnuru a wɔhwɛ so ho ase no, oduruyɛfo betumi de ɛlɛtrɔnik krataa foforo ama nnuru a wɔahyɛ da ahyɛ da wɔ Nhyehyɛe II-V mu ntɛm bere a korɔnbɔ a wɔakyerɛw ho asɛm asi no. 3. Bisa nnuruyɛfo no sɛ ɔmfrɛ insurance Pharmacy Help Desk no mma "Stolen Medication Police-Report Override": Fa polisifo amanneɛbɔ nɔma ma nnuruyɛfo no sɛnea ɛbɛyɛ a wobetumi ahyɛ Submission Clarification Code a ɛboro "Refill Too Soon" pow no so.

Anamɔn 4: Sɛnea wobɛfa Agency’s Dishonesty Bond and Insurance so anya sika anaa agude a wowiae¶

Sɛ wonam Home Care Agency a ɔwɔ tumi krataa so faa ɔboafoɔ no sen sɛ wobɛfa no kokoam wɔ pon no ase a, mma adwumakuo wura no nnkyerɛ wo sɛ korɔnbɔ yɛ kokoam asɛm a ɛda wo ne odwumayɛni a n’akatua sua no ntam katee.

Wɔ U.S. aman ne amanaman ntam tumidi dodow no ara mu no, afie hwɛ adwumayɛbea ahorow a wɔwɔ tumi krataa bɔ dawuru na wɔhwehwɛ sɛ wɔde sikasɛm mu ahobammɔ abiɛsa kɔ: 1. Fidelity / Employee Dishonesty Bond (Crime Insurance): Titiriw no, ɛfa afɛfoɔ sika, check, anaa n’ankasa agyapadeɛ (te sɛ ayeforohyia nkapo ne dɔn) a adwumayɛbea adwumayɛfoɔ bi ayɛ wɔ afɛfoɔ no dan mu a wɔwia ho. Hyɛ no nsow sɛ aguadi mu nokwaredi nkrataa pii kura "Conviction Clause" anaa "Police Report Clause" a ɛhwehwɛ sɛ wode polisifo amanneɛbɔ a ɛyɛ aban de (na ɛtɔ mmere bi a wobɔ asɛm) ansa na bond insurance adwumakuw no atua; polisifo amanneɛbɔ a wode bɛkɔ Da a edi kan no bɔ wo bond krataa no ho ban. 2. General and Professional Liability Insurance: Ɛka nipadua mu opira, agyapadeɛ a wɔsɛee no, ne anibiannasoɔ a wɔhwɛ so ho ka (sɛ nhwɛsoɔ no, sɛ adwumakuo no antumi anyɛ ɔman no nsɛmmɔnedi ho nhwehwɛmu a ɛyɛ ahyɛdeɛ no anaasɛ wɔbuu wɔn ani guu korɔnbɔ ho anwiinwii a wɔadi kan de atia ɔboafoɔ korɔ no ara so a). 3. Direct Agency Vicarious Liability and Deceptive Trade Practices: Sɛ adwumakuw bi de wɔn a wɔhwɛ wɔn no gua sɛ "bonded, insured, and thoroughly background-checked," ahwehwɛ wɔ krataa a wɔde kyerɛw adwumakuw no Certificate of Insurance (COI) ne wɔn Fidelity Bond carrier din ne policy nɔma wɔ nnɔnhwerew 48 ntam.

Asɛmfua-asɛmfua nkyerɛwee: Hwehwɛ krataa a wɔde kɔma Home Care Agency bere a ɔhwɛfo no korɔn anaasɛ wɔagyaw no hɔ akyi¶

"De kɔma: [Edin], Dwumadibea Wura / Ɔhwɛfo, ne Asiane Ho Dwumadibea wɔ [Home Care Agency Name]. Re: Ɔhwɛfo no Amanneɛbɔ a Wɔhyɛ da De Kɔma [Korɔnbɔ / Gyae], Adanse a Wɔhwehwɛ sɛ Wɔkora Adanse So, ne Insurance/Bond Claim ma Ɔdetɔfo [Ɔpanyin Din].

Yɛsrɛ sɛ hyɛ no nsow sɛ wɔ [Date] no, wo adwumayɛbea no adwumayɛfo [Aide’s Name] [gyaw wɔn shift gyaw ɔpanyin bi a ɔda mpa so a obiara nhwɛ no / owiaa agyapade ne sika a ɛyɛ Client Name dea, a wɔakyerɛw wɔ Police Department Report #[Number] ase]. Mma [Aide’s Name] nsan nkɔ [Property Address] so wɔ tebea biara mu.

Yɛhwehwɛ sɛ wokora adwuma ho kyerɛwtohɔ nyinaa so ntɛm ara ma [Aide’s Name], a wɔn nsɛmmɔnedi ho nhwehwɛmu a wɔyɛ ansa na wɔakɔ adwuma, Nurse Aide Registry verification, reference checks, GPS Electronic Visit Verification (EVV) clock-in/clock-out logs, ne client anwiinwii anaa nteɛso ho nsɛm biara a wɔadi kan ayɛ ka ho.

Yɛsrɛ sɛ fa wo adwumayɛbea no Employee Dishonesty / Fidelity Bond carrier ne General/Professional Liability insurer no din, policy nɔma, ne claims contact information nso ma wɔ nnɔnhwerew 48 mu sɛnea ɛbɛyɛ a yebetumi de yɛn formal claim a yɛde bɛsan de [$Amount / itemized stolen items] no akɔma. Wɔde saa amanneɛbɔ yi bi rekɔma Adult Protective Services, State Department of Health Home Care Licensing Division, ne State Nurse Aide Registry."

Sɛnea wobesiw daakye ofie hwɛfo korɔnbɔ ne gyaw a wobegyaw no ano¶

Ansa na wode ɔboafo foforo bɛba fie hɔ no, fa akwanside anan a ɛbɔ wɔn ho ban yi hyehyɛ wɔn a wɔn mfe akɔ anim a wonni ahobammɔ ne wɔn a wodi nokware nyinaa ho ban:

• 1.1. Fa Biometric Lockbox (anaa Keyed Med-Safe) hyɛ Nnuru ne Nneɛma a Ɛsom Bo a Wɔahyɛ So: Nnyaw oxycodone, morphine, benzodiazepines, checkbooks, anaa agude nkotoku wɔ aguaree kabinet a wɔabue mu anaa nightstand drawer mu da. Fa nnafua 7 a wɔatoto mu automated medication dispenser wɔ counter so ma daa meds, na lock bulk prescription bottles, extra fentanyl patches, checkbooks, ne spare credit cards mu wɔ biometric fingerprint safe a ɛyɛ duru a abusua mufo nkutoo na wobetumi abue mu.
• 2.1. Fa "Caregiver Prepaid Expense Card" a Wɔahyɛ So Di Dwuma Sen Sɛ wode Sika anaa Debit Kaad bedi dwuma: Mfa ɔpanyin no ankasa debit card, PIN, anaa check a wɔde wɔn nsa ahyɛ ase a hwee nni mu mma ɔboafo bi da mfa ntɔ nneɛma anaa nnurutɔnbea nneɛma. Fa kaad a wɔatu ho ama a wɔatua ho ka wɔ ɔhwɛfo ho (te sɛ True Link anaasɛ kaad a wotumi de nneɛma foforo gu mu a anohyeto nnim) a esiw sika a woyi fi ATM kwan, esiw nsa/yakyatow aguadifo kwan, na ɛde text message mena wo fon no bere ankasa bere biara a wɔbɛtwe adetɔ bi no di dwuma.
• 3.1. Deploy Visible Common-Area Cameras and Smart-Lock Audit Logs (Following State Consent Laws): Fa Wi-Fi cameras a wotumi hu a ɛkyerɛ anim/akyi apon a wɔde hyɛn mu, aduruyɛ ahobammɔ, ne mmeae atitiriw a wɔtra/wɔde kɔ baabi foforo (nhyɛ aguaree anaa ankorankoro ɔhwɛfo nna mu da). Wɔ aman nyinaa mu ɔdio a wɔkyere gu kasɛt so tebea mu no, dum ɔdio a wɔkyere gu kasɛt so anaa fa Video & Audio Monitoring Consent Addendum a wɔde wɔn nsa ahyɛ ase ka ofie hwɛ adwumayɛbea apam no ho na fa amanneɛbɔ a wotumi hu gu anim pon no so. Smart deadbolts a wɔde mfoninitwa afiri a wɔde hyɛn mu aka ho ma wunya bere nsɔano a wontumi nnye ho akyinnye a ɛkyerɛ simma pɔtee a ɔboafo bi duu hɔ na ofii hɔ, na esiw Electronic Visit Verification (EVV) bere krataa nsisi ano.
• 4.1. W’ankasa Hwɛ Ɔman Ayarehwɛfo Boafo Kyerɛwtohɔ ne Nsɛmmɔnedifo Nsɛm a Ɛfa Wo Ho: Mfa adwumayɛfo adwumayɛbea bi asɛm da sɛ wɔyɛɛ ɔhwɛfo bi nhwehwɛmu. Hwɛ ɔhwɛfoɔ no mmara kwan so din nyinaa wɔ wo mantam no ɔmanfoɔ Nurse Aide Registry (CNA / HHA Registry) ne Department of Health Abuse & Neglect Exclusion List (anaasɛ Office of Inspector General LEIE Exclusion Database wɔ US, ne Disclosure and Barring Service (DBS) wɔ UK) ansa na wɔayɛ adwuma a ɛdi kan.

Nsɛm a wɔtaa bisa¶

So ɛyɛ nsɛmmɔnedi sɛ ofie akwahosan ho ɔboafo bi a wotua no ka fi adi wɔ adwumayɛ bere mfinimfini na ogyaw m’awofo a wada mpa so no nkutoo?¶

Yiw, sɛ ɔhwɛfo a wotua no ka, Certified Nursing Assistant (CNA), anaa Ofie Akwahosan Boafo gye adwuma a wɔde bɛsakra no tom na ɔfa ɔpanyin bi a ɔhwɛ no, a ɔda mpa so, anaasɛ n’adwene mu yɛ no naa no hwɛ na afei ofi adi a ɔmfa ɔhwɛ mma obi a ɔwɔ ahobammɔ anaa ɔmmɔ amanneɛ wɔ ɔkwan a ntease wom so a, ɛyɛ mmara kwan so sɛ wɔagyaw ɔyarefo no hɔ na wɔabu ani agu ɔpanyin a ɔyɛ mmerɛw so wɔ nsɛmmɔnedi mu. Fa walkout no ho amanneɛ ntɛm ara kyerɛ mpɔtam hɔ mmarahyɛfoɔ, Adult Protective Services (APS), wo State Department of Health Home Care Licensing division, ne State Nurse Aide Registry sɛdeɛ ɛbɛyɛ a wɔbɛhyɛ wɔn adansedie no frankaa na wɔayɛ mu nhwehwɛmu.

Mɛyɛ dɛn ama nnurutɔnbea bi asan ahyɛ m’awofo nnuru a ɛma ɛyaw no ma ntɛm sɛ ofie akwahosan ho ɔboafo bi wiaa nnuru no a?¶

Nnurutɔnbea ne insurance nhyehyɛe ahorow siw nneɛma a wɔahyɛ da ahyɛ da ahyɛ Nhyehyɛe II kosi V mu (te sɛ oxycodone, morphine, fentanyl aduru, anaa lorazepam) a wɔbɛsan ahyɛ mu ma ntɛm no kwan wɔ mmara kwan so gye sɛ wowɔ Polisifo Asɛm Ho Amanneɛbɔ Nnɔmba a ɛyɛ aban de a ɛkyerɛw korɔnbɔ no. Frɛ polisifo dwumadibea a ɛwɔ wo mpɔtam hɔ ntɛm ara na fa korɔnbɔ ho amanneɛbɔ a ɛkyerɛw aduru no din pɔtee, nnuru a wɔkyerɛw ma no nɔma, ne nnuru dodow a ayera, fa saa Polisifo Amanneɛbɔ Nnɔmba no ma oduruyɛfo a ɔkyerɛw nnuru no sɛnea ɛbɛyɛ a wobetumi de nnuru foforo a wɔakyerɛw ama wɔn no akɔma obi, na ka kyerɛ nnuruyɛfo no sɛ ɔmfrɛ insurance adwumakuw no nnurutɔnbea mmoa pon no mma wɔmfa nnuru a wowiae no nyɛ adwuma.

So adwumakuw bi a wɔhwɛ wɔn wɔ fie no wɔ sikasɛm mu asodi sɛ wɔn odwumayɛni wia sika anaa agude fi m’awofo fie a?¶

Wɔ aman dodow no ara mu no, wɔhwehwɛ sɛ ofie hwɛ adwumayɛbea ahorow a wɔwɔ tumi krataa no kura Adwumayɛfo Nokwaredi Bond (Fidelity Bond) ne asodi ho insurance, na wobetumi nso de asodi ato wɔn so wɔ anibiannaso a wɔfaa wɔn adwuma mu anaasɛ wɔhwɛɛ wɔn so sɛ wɔantumi anyɛ nsɛmmɔnedi ho nhwehwɛmu a ɛyɛ ahyɛde anaasɛ wobuu wɔn ani guu anwiinwii a wɔadi kan abisa so a. Fa krataa a wɔkyerɛw kɔma adwumakuw no sohwɛfo no wɔ nnɔnhwerew 48 ntam bisa wɔn Fidelity Bond ne liability insurance carrier no din ne policy nɔma, na fa wo polisifo amanneɛbɔ ne nneɛma a woahwere ho kyerɛwtohɔ no bi ma na fa krataa a wɔde bɛsan ama wo tẽẽ no akɔma.

So metumi de "nanny cams" a ahintaw ahyɛ m'awofo fie de akyere ofie akwahosan ho ɔboafo bi a ɔrewia anaasɛ ɔrebu n'ani agu so?¶

Sɛnea mfoninitwa mfiri a ɛwɔ ankorankoro fie yɛ mmara kwan so no gyina sɛ ebia mfoninitwa afiri no kyere video anaa ɔdio nkutoo, baabi a wɔde si, ne wo mantam anaa ɔman no mmara a ɛfa telefon a wotie ho no so. Ɛkame ayɛ sɛ mfoninitwa mfiri a wɔde video nkutoo di dwuma wɔ mmeae a nnipa pii te, akwan so, adididan ahorow, ne adan a wɔtra mu no yɛ mmara kwan so de wɔ tumidi biara mu bere a ofie wura no anaa wɔn Mmaranimfo Tumi a ɛwɔ mmara mu no ama ho kwan no, bere a mfoninitwa mfiri a ɛwɔ aguaree anaa ankorankoro a wɔhwɛ wɔn a wɔte mu no mpa mu no yɛ nea mmara mma ho kwan koraa, na sɛ́ wobɛkyere ɔdio a wonnye ntom no yɛ bɔne wɔ aman a afã horow nyinaa pene so no mu gye sɛ wode amanneɛbɔ a emu da hɔ to hɔ na woakyerɛw wo nsa ahyɛ ase pene a wɔpene so bere a wɔafa obi adwuma.

Sources a wɔhwɛɛ mu¶

• Centers for Medicare and Medicaid Services (CMS, United States): Tebea a wɔde wɔn ho hyɛ mu ma Ofie Akwahosan Dwumadibea ahorow (42 CFR Ɔfã 484: Ntɛmntɛm Ahosiesie ne Backup Care Nhyehyɛe) ne Medicare Hospice Respite Care Mmara (42 CFR § 418.204).
• Ɔman Bagua a ɛhwɛ Ɔman Ayarehwɛfo Boayikuw ahorow so (NCSBN, United States) ne Ɔman Ayarehwɛfo Boafo Kyerɛwtohɔ: Ɔyarefo a Wogyaw Wɔn Wo Ho vs. Adwuma a Wɔmma Wɔnkyerɛ Mmara a Wɔde Di Dwuma Gyinapɛn.
• Consumer Financial Protection Bureau (CFPB, United States) ne Department of Justice Elder Justice Initiative: Amanneɛbɔ ne Ahosan a Wɔbɛnya afiri Ofie Ɔhwɛfoɔ Sikasɛm mu Dwumadie ne Mmara E / UCC § 4-406 Ahobanbɔ.
• Drug Enforcement Administration (DEA, United States): Controlled Substances Act Practitioner Akwankyerɛ a ɛfa Schedule II-V Nnuru a Wɔawia a Wɔbɛsesa Ntɛmntɛm Ho.
• Department of Health and Social Care and Care Quality Commission (CQC, United Kingdom): Ɔhwɛ Mmara 2014 Ɔfa 42 Ahobanbɔ Nsɛmmisa ne Ofie Hwɛ Dwumadibea a Wɔde Ma no Di nkogudi Dwumadie.
• Australia Aban Akwahosan ne Nkwakoraa ne mmerewa Hwɛ Dwumadibea: Carer Gateway 24/7 Emergency Respite Care Services ne Nkwakoraa ne mmerewa hwɛbea a ɛyɛ hu ho mmuae nhyehyɛe (SIRS).

Akwankyerɛ ahorow a ɛfa ho¶

• Ɔhwɛfo a ontumi nyɛ adwuma mpofirim ne mpanyimfo a wɔde wɔn ho to wɔn so a wogye wɔn
• Senior sikasɛm mu a wɔde di dwuma ne nsisi ho banbɔ
• Nhyɛso akuru, Stage 3-4 yare mmoawa, ne ɔyarefo a ɔdan ne ho a ontumi nkɔ baabiara
• Nnuru a wɔkyerɛw ma obi a wɔhwere, nnuru a wɔsan de hyɛ mu ntɛm ara, ne nea wɔde siw ano a wɔde besiw ano
• Wiase nyinaa dodow a egye ntɛmpɛ