Home Health Ade No-Show, Kusiyidwa, Kapena Kubedwa kwa Mkulu Wachiwopsezo¶

Kuzindikira kuti wothandizira zaumoyo wapakhomo, wothandizira namwino wovomerezeka (CNA), kapena wosamalira omwe akukhalamo walephera kubwera kuntchito, adachoka pampando wapakati ndikusiya munthu wamkulu yemwe ali ndi bedi kapena wodwala matenda a dementia yekha, kapena kubedwa macheke, zodzikongoletsera, kapena mankhwala opweteka achipatala ndizovuta zachipatala komanso zamalamulo. Wachikulire wosasunthika yemwe watsala osayang'aniridwa kwa maola anayi kapena asanu ndi limodzi amakumana ndi vuto lotaya madzi m'thupi, kuphonya mankhwala ofunikira nthawi (monga insulini kapena mankhwala a Parkinson), kupanikizika kwambiri kwa zilonda zam'mimba necrosis chifukwa chogona mumkodzo kapena ndowe, ndi kugwa kowopsa akamayesa kupita ku bafa osathandizidwa.

Nthawi zonse tetezani moyo wa okalamba komanso kukhazikika kwachipatala kaye musanakumane ndi wothandizira kapena wowerengera maakaunti aku banki. Kaya wosamalirayo adalembedwa ntchito kudzera m'bungwe lovomerezeka losamalira kunyumba, pulogalamu ya boma ya Medicaid waiver, kapena mwamseri, kutsatira ndondomeko yokhazikika yachipatala, ndondomeko yosunga zosunga zobwezeretsera mwadzidzidzi, komanso kutsekeka kwaumboni wazamalamulo kumateteza thanzi la wokondedwa wanu uku mukusunga ufulu wanu wovomerezeka kuti mubweze ndalama zomwe zidabedwa ndikusunga osamalira osasamala.

Chitani izi tsopano¶

1. Yang'anani kwa munthu wamkuluyo nthawi yomweyo kapena pemphani kuti akuwonereni chithandizo chachangu. Ngati simuli panyumbapo ndikudziwa kuti wothandizira sanafike kapena anatuluka pabedi, yemwe amadalira mpweya wa okosijeni, kapena wolumala, pitani kunyumba nthawi yomweyo kapena itanani woyandikana naye wina wodalirika ndi kiyi yotsalira. Ngati palibe amene angafike panyumba pasanathe mphindi 30 ndipo wachikulire sangathe kuyankha foni kapena kutsegula chitseko, imbani foni ya apolisi a m’dera lanu kapena nambala yazadzidzi ya m’dera lanu (911 ku United States ndi Canada, 112 ku European Union, 999 ku United Kingdom; onani manambala angozi) ndipo pemphani chithandizo chamankhwala Kuwona Zaumoyo kwa munthu wamkulu yemwe amadalira yemwe watsala popanda munthu.
2. Muyezetsere zachipatala kwa mphindi 5 mukamafika. Yang'anani njira ya mpweya, kupuma, tcheru, kutentha kwa khungu, kabudula kakang'ono kapena zogona, shuga wamagazi (ngati ali ndi matenda a shuga), komanso ngati zipinda zokonzera mapiritsi a m'mawa kapena madzulo zidamwedwadi. Ngati wamkulu wagona pansi, tsatirani wotsogolera wathu okalamba amagwa kuchira akalephera kuyima.
3. **Imbani foni kwa Woyang'anira Namwino Wamaola 24 Wothandizira Namwino Wamaola 24 ndikuwapempha kuti asungitse ntchito yawo yosunga zobwezeretsera. Funsani kuti mulankhule ndi Namwino Wolembetsa (RN) Clinical Supervisor kapena Administrator On-Call, fotokozani kuti wodwala Wofunika Kwambiri Kwambiri-1 alibe antchito, ndipo amafuna kuti munthu wolowa m'malo mwadzidzi kapena namwino aziyendera pakadutsa maola awiri.
4. Osakumana ndi munthu yemwe akuimbidwa mlandu wakuba akadali m'nyumba ndi munthu wamkulu yemwe ali pachiwopsezo. Mukapeza macheke, ndalama, zodzikongoletsera, kapena mankhwala ozunguza bongo omwe akusoweka pamene wothandizira akugwira ntchito, dikirani mpaka wachibale kapena wowalera atakhalapo kuti amuyang'anire, ndiye amuchotsere pakhomo modekha ndikuchotsa nthawi yomweyo makiyi achinsinsi, makiyi achinsinsi.
5. Ngati Schedule II mpaka V zoletsa kupweteka kwa narcotic kapena zoziziritsa kukhosi zidabedwa, perekani lipoti la apolisi lero kuti atsegulenso malo osungiramo mankhwala mwadzidzidzi. Mafakitole ndi mapulani a inshuwaransi amaletsa mwalamulo kuwonjezeredwa koyambirira kwa zinthu zolamulidwa (monga oxycodone, hydrocodone, morphine, zigamba za fentanyl, kapena lorancidents Report* pokhapokha mutapereka Report*) dokotala.
6. Imitsani maakaunti aku banki omwe asokonezedwa ndikuyika malipoti ovomerezeka. Lumikizanani ndi dipatimenti yazachinyengo yaku banki yanu kuti muyimitse maakaunti aku banki ndi ngongole (onani kugwiritsa ntchito chuma chambiri komanso chitetezo chachinyengo), ndi kunena za kusiyidwa kapena kuba kwa wosamalira ku Adult Protective Services (APS), State Department of Health Nurse Aide Registry yanu, ndi inshuwaransi yobwereketsa ya bungweli.

flowchart TD
    A["Mavuto othandizira azaumoyo: Osawonetsa, kuyenda koyenda pakati, kapena kuba komwe kukukayikira"] --> B{"Kodi wamkulu pano ali yekha ndipo sangathe kudzisamalira okha?"}
    B -->|"Inde: Kugona, kusokonezeka maganizo, kapena kugwa"| C["Pitani kunyumba nthawi yomweyo KAPENA itanani Apolisi/EMS kuti mukafufuze za Ubwino Wamsanga"]
    B -->|"Ayi: Achibale ali patsamba lino"| D["Chitani kafukufuku wam'mutu mpaka chala, kufufuza khungu, ndi kuchuluka kwa mapiritsi"]
    C --> D
    D --> E{"Kodi vuto lalikulu ladzidzidzi ndi chiyani?"}
    E -->|"Kusiyidwa kopanda chiwonetsero kapena kusiyidwa kwapakati"| F["Call Agency 24-Hr RN Supervisor: funani Patsogolo-1 ogwira ntchito osunga zobwezeretsera kapena pemphani Kupuma Mwadzidzidzi"]
    E -->|"Kuba ndalama, macheke, makadi, kapena zodzikongoletsera"| G["Onetsetsani kuti wothandizira ali kunja; sintha lockbox/smart codes; kuyimitsa akaunti yakubanki; lipoti la Police & APS"]
    E -->|"Kuba / kusokoneza mankhwala osokoneza bongo kapena mankhwala ovuta"| H["Werengani mapiritsi otsala; pezani Lipoti la Police # nthawi yomweyo; funsani Dokotala kuti achotse msanga m'malo"]
    F --> I["Ngati 0 zosunga zobwezeretsera zilipo kwa 24+ hrs: konzani Medicare Hospice / SNF Respite kapena kuvomerezedwa kuchipatala"]

Gawo 1: Kuyesedwa mwamsanga kwachipatala ndi thupi pamene wamkulu wodalira apezeka yekha¶

Pamene wolera wolipidwa alephera kuwonekera kapena kusiya ntchito yawo yapakati, munthu wamkulu wolumala kapena wosadziwa bwino akhoza kuwonongeka mofulumira. Musanacheze ndi ola limodzi ndi bungwe loona za anthu ogwira ntchito, malizitsaniMfundo Zisanu ndi Zimodzi Zachipatala za Bedside mukangodutsa pakhomo.

Gawo 2: Kusiyanitsa "No-Show" ndi "Kusiya Odwala" kosaloledwa¶

Kumvetsetsa kusiyana kwalamulo pakati pa kusawonetsa masewero ndi malamulo alamulo Kusiyidwa kwa Odwala kumakupatsani mwayi wovomerezeka mwalamulo mukafuna anthu ogwira ntchito mwadzidzidzi ku bungwe kapena kusungitsa madandaulo owongolera.

• Kukonzekera No-Show (Kuphwanya Mgwirizano / Kunyalanyaza kwa Agency): Kumachitika pamene wothandizira zaumoyo wapakhomo kapena wothandizira payekha alephera kufika kumayambiriro kwa kusintha popanda chidziwitso chokwanira. Ngakhale wothandizira yemwe sanalowemo nthawi zambiri amawonedwa kuti sanachitepo chiwonetsero cha ntchito m'malo mongosiyidwa ndi chilolezo, ** Bungwe lovomerezeka la Home Health kapena Home Care Agency palokha limakhalabe ndiudindo pansi pa malamulo achitetezo aboma** kuti akhalebe ndi Kukonzekera Kwadzidzidzi ndi Kusunga Mapulani Ogwira Ntchito Patsogolo-1 (makasitomala apamwamba, ogona).
• Kusiyidwa kwa Odwala Mwalamulo (Kunyalanyaza Upandu & Kuchotsa Lamulo): Kumachitika pamene namwino, Wothandizira Namwino Wovomerezeka (CNA), kapena Home Health Aide ** avomereza ntchito yomwe wodwala apatsidwa (mawotchi kapena kuyang'anira kunyumba) ndiyeno amatuluka kapena kukatula wosamalira ndi wodwala paubwenzi popanda kumupatsa chisamaliro chokhazikika kapena kuwonekera mosalekeza. anakonza**, kusiya munthu wamkulu wodalira pa ngozi yowonekeratu. Kumaphatikizaponso kukhala m'nyumba mukugona nthawi zonse, kuledzera pa ntchito, kapena kutsekera wamkulu m'chipinda chogona kwa maola ambiri popanda chisamaliro.

Gawo 3: Momwe mungatetezere chisamaliro chadzidzidzi mkati mwa 2 mpaka maola 24¶

Wothandizira wanu wanthawi zonse akasowa ndipo muli ndi udindo wogwirira ntchito, kukhala mumzinda wina, kapena mulibe mphamvu zosinthira anthu awiri nokha, gwiritsani ntchito magawo asanu omwe akukulirakulira a chithandizo chadzidzidzi.

flowchart TD
    A["Mpata wopereka chithandizo mwachangu kwa akuluakulu ogona kapena osowa kwambiri"] --> B["Gawo 1: Pitani ku Agency RN Supervisor & Administrator On-Call"]
    B -->|"Agency imanena kuti palibe wothandizira wina"| C["Gawo 2: Yambitsani Medicare Hospice 5-Day Inpatient Respite kapena Continuous Crisis Care (ngati adalembetsa)"]
    B -->|"Wothandizira payekha-ganyu kapena bungwe likulephera kwathunthu"| D["Gawo 3: Call County Area Agency pa Kukalamba (AAA) / Medicaid Waiver Emergency Respite Pool"]
    C --> E["Gawo 4: Kuloledwa Kwanthawi Yaifupi-Kulipira Payekha pa Malo Othandizira Okhazikika kapena Malo Othandizira Anamwino Aluso"]
    D --> E
    E --> F["Gawo 5: Safe Emergency Department Social Work / Clinical Evaluation Kuloledwa ngati kusakhazikika kwachipatala"]

Gawo 1: Limbikitsani Bungwe Losamalira Pakhomo kuti ligwiritse ntchito Supervisory RN kapena Priority-1 Backup Pool¶

Pamene wogwirizanitsa ndandanda anena kuti, *“Pepani, mthandizi wanu wakuyitana wodwala ndipo tiribe wina aliyense amene alipo lerolino,” * musavomereze yankho limenelo ngati mkuluyo ali wogona kapena sangasiyidwe yekha. Gwiritsani ntchito script iyi:

"Makolo anga amaikidwa pa Emergency Triage Plan ya bungwe lanu ngati Wodwala Wofunika Kwambiri-1 High-Acuity yemwe ali pabedi ndipo sangathe kusamutsa, chimbudzi, kapena kumwa mankhwala ochiritsira moyo popanda kuthandizidwa. Kusiya wodwala uyu wopanda antchito lero kumayambitsa chiopsezo cha moyo ndi chitetezo. malamulo, ngati mulibe wina wokuthandizani, ndikupempha kuti namwino woyang'anira kapena manijala abwere kunyumba kudzapereka mankhwala owopsa, chimbudzi, ndi chisamaliro chapadera, kapena kuti bungwe lanu lipange mgwirizano ndi bungwe lothandizana nawo pamtengo wanu lero."

Gawo 2: Pemphani Medicare Hospice "Mpumulo wa Masiku 5" kapena "Chisamaliro Chokhazikika Chapakhomo" (Ngati Ali Pachipatala)¶

Ngati wokondedwa wanu panopa ali m'gulu la Medicare Hospice Benefit (kapena pulogalamu yofanana ndi yothandiza odwala), muli ndi chitetezo chanthawi yomweyo, 100 peresenti yomwe mabanja amayiwala kugwiritsa ntchito: 1. 5-Day Inpatient Respite Care: Pansi pa malamulo a federal Medicare (42 CFR § 418.204), bungwe lililonse losamalira odwala limafunikira mwalamulo kuti lipereke masiku 5 otsatizana a chithandizo chamankhwala ogona mu Malo Othandizira Anamwino Aluso ovomerezeka ndi Medicare, ku hospice, chipatala, chipatala, kapena chipatala chotopa. kusamalidwa kosayembekezereka kosayembekezereka. Imbani mzere wa namwino wa maola 24 pa hospice pakali pano ndipo nenani kuti: * "Wosamalira kunyumba kwathu anasiya ntchito yawo ndipo tili ndi vuto la osamalira. Tiyenera kuyambitsa kuvomereza mwamsanga kwa 5-day Medicare Inpatient Respite lero." 2. Chisamaliro Chapakhomo Chosalekeza (Chisamaliro Chakudwala): Ngati wachikulire akukumana ndi vuto lalikulu (monga kupweteka kwambiri, kupuma movutikira, kusanza kosalekeza, kapena kusanza kosalekeza), wothandizira odwala amatha kuyambitsa Chisamaliro Chapakhomo Chosatha, kuyika namwino wovomerezeka wachipatala kuti agone mpaka maola 24 atagona 8 pa tsiku imakhazikika.

Gawo 3: Lumikizanani ndi Area Agency on Ukalamba (AAA), Medicaid Waiver Case Manager, kapena Local Authority Duty Team¶

• Ku United States: Imbani chigawo chanu Area Agency on Aging (AAA) (pezani kudzera pa Eldercare Locator pa 1-800-677-1116) kapena Medicaid Home and Community-based Services (HCBS) Waiver Case Manager ya makolo anu. Maboma ambiri amakhala ndi Fundi ya Emergency Respite Care Voucher kapena kaundula wapa foni wa opereka chithandizo chadzidzidzi. Ngati kholo lanu ndi msirikali wakale wankhondo waku US (kapena mnzanu wotsalayo), imbani VA Caregiver Support Line pa 1-855-260-3274 kuti mupemphe thandizo ladzidzidzi la VA.
• Ku United Kingdom: Imbani ** Imbani gulu lanu la Local Authority Adult Social Care Emergency Duty Duty (Timu Yantchito Yamaola Ochepa). Pansi pa Care Act 2014, ngati chithandizo cha anthu achikulire omwe ali pachiwopsezo chagwa mwadzidzidzi, Local Authority ili ndi udindo wolowapo ndikukonza zosamalira anthu am'nyumba zadzidzidzi kapena bedi lanthawi yochepa lopumula.
• Ku Canada ndi Australia: Ku Canada, imbani foni woyang'anira chisamaliro wakuchigawo cha Home and Community Care Support Services (monga Ontario Health atHome) kuti muyambitse kukwera kwachangu kwa PSW (Personal Support Worker) kapena kuyika kapumira kwakanthawi kochepa. Ku Australia, imbani Carer Gateway pa 1800 422 737 (maola 24 pa tsiku, masiku 7 pa sabata) kuti akonze **Chisamaliro Chothandizira Mwadzidzidzi ** cholipiridwa ndi Boma la Australia, chomwe chimatumiza wogwira ntchito zadzidzidzi kunyumba kapena kusungitsa bedi lothandizira okalamba kunyumba mwachangu mkati mwa maola ochepa.

Gawo 4: Sungani Bedi Lanthawi Yadzidzidzi Kwakanthawi kochepa ku Unamwino Waluso Wapafupi kapena Malo Othandizira Othandizira¶

Malo ambiri omwe ali ndi zilolezo za Skilled Nursing Facilities (SNFs) ndi Assisted Living Facilities amakhala odzipereka Zipinda Zopuma Zanthawi Yaifupi zomwe zimatha kulandira munthu wachikulire kuti azikhala masiku 3 mpaka 14 chisamaliro chapakhomo chikatha. Sungani kope la Physician History and Physical (H&P) laposachedwa kwambiri la kholo lanu (H&P), Mndandanda wa Mankhwala, ndi chilolezo cha TB mu "Go-Folder" kuti malo amdera lanu akonzenso tsiku lomwelo kuti mupumule mwadzidzidzi.

Gawo 5: Momwe mungasamalire payekhapayekha maola 12 otsatira¶

Ngati mukuyenera kusamalira wamkulu wokhala ndi bedi usiku wonse mpaka chithandizo chothandizira chikafika, ** musayese kukweza munthu wamkulu wakufa pansi pa makhwapa **, zomwe zimapangitsa wosamalira kwambiri msana wa disc herniation ndikusokoneza mapewa osalimba a wamkulu. - Gwiritsirani ntchito Zolemba Zojambula Posintha Mwachidule ndi Kuyikanso Malo: Sungani wamkulu pabedi m'malo moyesa kuwayendetsa payekhapayekha. Pindani pepala la thonje lathyathyathya pakati pansi pa thunthu lawo (kuyambira pamapewa mpaka ntchafu). Imani pafupi ndi matiresi ndi mawondo anu opindika, gwirani m'mphepete mwa chojambulacho pafupi ndi phewa ndi m'chiuno mwa wamkuluyo, ndipo sinthani kulemera kwa thupi lanu chammbuyo kuti mugubuduze wamkuluyo kumbali yawo pamtunda wa madigiri 30. Tsegulani chuck pad yachidule yoyera komanso yopanda madzi pakati pa nsana wawo, tembenuzaninso pa hump kumbali inayo, ndikukokerani padi yoyera. Kuti mumve zambiri zosinthira, onani zilonda zam'mimba, matenda a Stage 3-4, ndi kutembenuka kwa odwala osasunthika.

Gawo 4: Zoyenera kuchita ngati wothandizira zaumoyo akubera ndalama, zodzikongoletsera, kapena mankhwala¶

Kugwiritsa ntchito ndalama komanso kusokoneza mankhwala ndi ogwira ntchito kunyumba ndi ena mwa milandu yomwe ikuchulukirachulukira kwa achikulire chifukwa othandizira alibe mwayi wopeza zipinda zogona, makalata, mafoni am'manja, ndi makabati amankhwala kwa maola 8 mpaka 24 patsiku. Ochita zoipa amadalira kusokonezeka kwa chidziwitso cha wamkulu, kuopa kubwezera, kapena kudalira thupi kubisa kuba kwa miyezi.

Gawo 1: Zindikirani mitundu iwiri yosiyana ya kuba kwa olera¶

Khwerero 2: Pangani Kutseka Kwathupi kwa mphindi 60, Pakompyuta, ndi Zachuma¶

Mthandizi amene akuganiziridwayo akangotuluka mnyumbamo bwinobwino, malizitsani mndandanda uwu mwandondomeko:

• 1. Sinthani Maupangiri Onse Opezeka Mwakuthupi Nthawi yomweyo:
• Sinthani makina ophatikizira manambala 4 pa bokosi lililonse lakunja lokugulitsa/wolera (ndikusuntha bokosi lokhoma kuti lisamawoneke).
• Chotsani PIN ya wothandizirayo kapena kiyi ya Bluetooth kuchokera ku smart deadbolt, makiyi a zitseko za garage, ndi ma alarm achitetezo apanyumba.
• Ngati wothandizirayo adakhalapo ndi kiyi yanyumba yachitsulo (ngakhale kwa mphindi 10 kuti ayende galu), lingalirani kuti sitolo ya $ 3 yobwerezedwa idadulidwa; rekey kapena kusintha silinda ya deadbolt lero (onani makiyi otayika a kunyumba, galimoto, kapena ofesi).
• 2. Yang'anani Pakatikati ndi Kumbuyo kwa Ma Checkbook aliwonse ndi Maakaunti Akubanki Oyimitsa:
• Akuba pafupifupi samang'amba macheke kutsogolo kwa kaundula wa cheke; amakoka macheke 3 mpaka 5 opanda kanthu kuchokera ku **kumbuyo kwa bukhu ** kapena kuchokera m'bokosi losatsegulidwa la macheke m'malo mu desiki.
• Imbani a Elder Fraud Department ku banki kuti ayimitse akaunti yoyang'anira, kutsegula nambala yaakaunti yatsopano, kutsutsa macheke abodza kapena zochitika zosavomerezeka za ACH/debit pansi pa Regulation E (12 CFR § 1005.6) ndi Uniform Commercial Code (UCC) § 4-406, ndi ikani Equion, Transifa ndi kumasula ngongole yathu. kalozera wazachuma komanso chitetezo chachinyengo.
• 3. Yang'anani ma Smartphone a Senior, Tablet, ndi Voice Assistants:
• Tsegulani foni yamakono ya wamkuluyo ndikuyang'ana ** Zikhazikiko> ID ya nkhope / ID ya Kukhudza & Passcode ** kuti muwone ngati "Mawonekedwe Ena" kapena chala chosadziwika chidalembedwa ndi wothandizira.
• Chongani Zelle, Venmo, Cash App, PayPal, Apple Cash, ndi Amazon kuyitanitsa mbiri, ndipo onani chikwatu cha **Zinyalala / Zochotsedwa Posachedwapa ** mu mapulogalamu a Mauthenga ndi Makalata (akuba nthawi zambiri amachotsa ma SMS otsimikizika a 2-factor ndi malisiti otengera ku banki omwe adatulutsa pafoni ya wamkulu).
• 4. Pangani Kuwerengera Mapiritsi a Forensic ndi Kuzindikiritsa Mapiritsi Owoneka:
• Thirani botolo lililonse loyendetsedwa pa pepala loyera loyera. Werengani chiwerengero chenicheni cha mapiritsi otsalawo ndi kuyerekezera ndiTsiku Loperekedwa, Kuchuluka Kwawo, ndi Malangizo a Tsiku ndi Tsiku*.
• Yang'anani ** imprint code** yosindikizidwa pa piritsi lililonse pogwiritsa ntchito chizindikiritso cha mapiritsi (kapena tengerani botolo kwa wamankhwala) kuti muwonetsetse kuti mapiritsi omwe ali m'botolo amagwirizana ndi mankhwala omwe aperekedwa ndipo sanasinthidwe ndi mawonekedwe akunja.

Khwerero 3: Momwe mungapezere chowonjezera chadzidzidzi chamankhwala omwe adabedwa kapena olamulidwa¶

Ngati wothandizira waba mankhwala opweteka a kholo lanu kapena mankhwala oletsa nkhawa, kompyuta ya pharmacy ndi PBMs ya inshuwaransi idzakana kuwonjezeredwa m'malo monga "Refill Too Posachedwapa." Kuti mudutse chipikachi movomerezeka popanda kulipira mazana a madola m'thumba kapena kulola kholo lanu kuti lichotsedwe: 1. Imbani foni ku dipatimenti ya apolisi m'dera lanu nthawi yomweyo ndikulemba lipoti lakuba ** kutchula dzina lenileni lamankhwala, mphamvu, nambala ya Rx, dzina lachipatala, ndi nambala yeniyeni yamapiritsi omwe abedwa. Pezani Dzina la Ofesi, Nambala ya Baji, ndi Nambala ya Lipoti la Zochitika Zapolisi. 2. Imbani kwa dokotala (kapena namwino wakuchipatala) ndikuwapatsa Nambala ya Lipoti la Apolisi. Pansi pa malamulo a US Drug Enforcement Administration (DEA) ndi malamulo oyendetsedwa ndi boma, dokotala atha kutulutsa mankhwala atsopano pakompyuta a chinthu cholamulidwa ndi Ndandanda II-V msanga ngati kuba kwachitika. 3. Pemphani katswiri wazamankhwala kuti ayimbire ku Inshuwaransi ya Pharmacy Help Desk kuti apeze "Stolen Medication Police-Report Override": Perekani nambala ya lipoti la apolisi kwa wamankhwala kuti alowetse Khodi Yofotokozera Zopereka Zoposa "Refill Too Soon".

Khwerero 4: Momwe mungabwezere ndalama kapena zodzikongoletsera zomwe zabedwa kudzera mu Bondi la Kusakhulupirika la Agency ndi Inshuwaransi¶

Ngati mudalemba ganyu wothandizira kudzera ku Bungwe Loyang'anira Pakhomo lomwe lili ndi chilolezo m'malo mwachinsinsi pansi pa tebulo, musalole eni ake akuuzeni kuti kuba ndi nkhani yachinsinsi pakati pa inu ndi wogwira ntchito yocheperako.

M'maboma ambiri aku US komanso m'maiko akunja, mabungwe omwe ali ndi zilolezo osamalira pakhomo amatsatsa ndipo akuyenera kukhala ndi magawo atatu achitetezo azachuma: 1. Bond ya Kusakhulupirika / Kusakhulupirika kwa Ogwira Ntchito (Inshuwaransi Yaupandu): Imakhudza makamaka kuba kwa ndalama zamakasitomala, macheke, kapena katundu wamunthu (monga mphete zaukwati ndi mawotchi) zochitidwa ndi wogwira ntchito kubungwe pamalo a kasitomala. Dziwani kuti ma bond ambiri okhulupilika amalonda ali ndi "Conviction Clause" kapena "Police Report Clause" yomwe ikufuna kuti mupereke lipoti lapolisi (ndipo nthawi zina mumazenga mlandu) wopereka inshuwalansi asanapereke; Kulemba lipoti lapolisi pa Tsiku 1 kumateteza chigamulo chanu cha bondi. 2. General and Professional Liability Insurance: Imateteza kuvulazidwa kwa thupi, kuwonongeka kwa katundu, ndi kuyang'anira mosasamala (mwachitsanzo, ngati bungwe linalephera kuyang'anira zomwe boma likufuna kuchita ndi mlandu kapena kunyalanyaza madandaulo akuba kwa wothandizira yemweyo). 3. Direct Agency Vicarious Liability and Deceptive Trade Practices: Ngati bungwe lidagulitsa omwe amawasamalira kuti ndi "omangidwa, ali ndi inshuwaransi, komanso owonetseredwa bwino," akufuna polemba Certificate of Insurance (COI) ya bungweli ndi dzina ndi nambala ya ndondomeko ya Fidelity Bond carrier mkati mwa maola 48.

Mawu-ndi-mawu: Kalata yofunsira ku Home Care Agency pambuyo poba kapena kusiyidwa¶

"Kwa: [Dzina], Mwiniwake / Woyang'anira, ndi Dipatimenti Yoyang'anira Zowopsa ku [Dzina la Agency Care Agency]. Re: Chidziwitso Chokhazikika cha Wosamalira [Kuba / Kusiyidwa], Kufuna Kusungidwa Kwa Umboni, ndi Inshuwalansi/Bond ya Kufuna Kwa Makasitomala [Dzina la Wamkulu].

*Chonde zindikirani kuti pa [Tsiku], wogwira ntchito kubungwe lanu [Dzina la Aide] [anasiya ntchito yawo ndikusiya munthu wamkulu wodalira pabedi osayang'aniridwa / waba katundu ndi ndalama za Client Name, zolembedwa pansi pa Lipoti la Police Department #[Number]]. Musalole [Dzina la Aide] kubwerera ku [Property Address] zilizonse.

Ife tikukupemphani kuti musunge nthawi yomweyo zolemba zonse za ntchito za [Dzina la Aide], kuphatikiza cheke chawo chaumbanda asanagwire ntchito, kutsimikizira kwa Nurse Aide Registry, cheke, zolembera za GPS Electronic Visit Verification (EVV), ndi madandaulo aliwonse amakasitomala kapena zolemba zolanga.

Chonde perekaninso mkati mwa maola 48 dzina, nambala yalamulo, ndi zidziwitso zolumikizirana ndi kampani yanu ya Employee Dishonesty / Fidelity Bond ya bungwe lanu ndi inshuwaransi ya General/Professional Liability kuti titha kupereka chiwongolero chathu chobweza [$Ndalama / zinthu zakuba]. Makope achidziwitsochi akutumizidwa ku Adult Protective Services, State Department of Health Home Care Licensing Division, ndi State Nurse Aide Registry."

Momwe mungapewere kuba ndi kusiyidwa kwa olera mtsogolo¶

Musanabweretse wothandizira m'nyumba, ikani zotchinga zinayi izi zomwe zimateteza omwe ali pachiwopsezo komanso osamalira moona mtima:

• 1. Ikani Biometric Lockbox (kapena Keyed Med-Safe) ya Mankhwala Olamulidwa ndi Zofunika: Osasiya mabotolo a oxycodone, morphine, benzodiazepines, macheke, kapena zodzikongoletsera mu kabati lotseguka losambira kapena kabati ya nightstand. Sungani choperekera mankhwala chotsekeka chamasiku 7 pa kauntala kuti mupeze mankhwala wamba, ndikutseka mabotolo ambiri, zigamba za fentanyl, macheke, ndi makhadi a kingongole mkati mwachitetezo cholemera ** chala chala cha biometric ** chomwe achibale okha ndi omwe angatsegule.
• 2. Gwiritsani Ntchito "Khadi Lolipiridwa Kwambiri Lolipiriratu Wosamalira" M'malo mwa Makhadi a Cash kapena Debit: Musamapatse munthu wothandizira kirediti kirediti kadi, PIN, kapena macheke osayinidwa opanda kanthu kuti mugule golosale kapena zinthu zakusitolo. Gwiritsani ntchito khadi yolipiriratu yodzipereka (monga True Link kapena khadi yotsegulanso yocheperako) yomwe imatsekereza kuchotsa ndalama kwa ATM, kuletsa amalonda amowa/kasino, ndikulembera foni yanu munthawi yeniyeni nthawi iliyonse mukagula.
• 3. Ikani Makamera Owoneka a Common-Area ndi Zipika za Smart-Lock Audit (Kutsatira Malamulo a Chilolezo cha Boma): Ikani makamera owoneka a Wi-Fi omwe akuloza **zitseko zolowera kutsogolo/kumbuyo **, zotetezedwa zamankhwala, ndi **malo akuluakulu okhala/osamutsa ** (osati mkati mwa zipinda zosambira kapena malo ogona ogona osamalira payekha). M'magawo onse ojambulira mawu, zimitsani ** kujambula mawu ** kapena phatikizani Chilolezo cha Video & Audio Monitoring Addendum chomwe chasainidwa mumgwirizano wa bungwe losamalira anthu osowa pokhala ndikuyika chidziwitso chowonekera pakhomo lakumaso. Maboti anzeru ophatikizika ndi kamera yolowera amakupatsirani chipika chosakanika chotsimikizira nthawi yeniyeni yomwe wothandizira wafika ndikuchoka, kupewa chinyengo chanthawi ya Electronic Visit Verification (EVV).
• 4. Tsimikizirani Payokha Kaundula wa Namwino Wothandizira Boma ndi Mbiri Yaupandu Nokha: Musamatenge mawu ochokera ku bungwe la ogwira ntchito kuti wosamalira anapimidwa. Yang'anani dzina lonse lalamulo la wosamalira pagulu la boma lanu Nurse Aide Registry (CNA / HHA Registry) ndi Department of Health Abuse & Neglect Exclusion List (kapena Ofesi ya Inspector General LEIE Exclusion Database ku US, ndi Kuwulura ndi Kuletsa Utumiki (DBS) poyamba pakusintha kwawo.

Mafunso omwe amafunsidwa pafupipafupi¶

Kodi ndi mlandu ngati wothandizira zaumoyo wapakhomo wolipidwa atuluka pakati pa shift ndikusiya kholo langa lokhala pabedi lokha?¶

Inde, pamene wolera wolipidwa, Certified Nursing Assistant (CNA), kapena Home Health Aide avomera ntchito yosinthira ndikuyang'anira munthu wamkulu wodalira, wosagona pabedi, kapena wolumala ndikutuluka osapereka chisamaliro kwa wolowa m'malo otetezeka kapena kupereka chidziwitso chomveka, kumapangitsa kuti wodwala asamadwale komanso kunyalanyaza munthu wamkulu yemwe ali pachiwopsezo. Nenani za zomwe zachitika nthawi yomweyo kwa aboma, Adult Protective Services (APS), gawo lanu la State Department of Health Care Licensing, ndi State Nurse Aide Registry kuti ziphaso zawo zitsimikizidwe ndikufufuzidwa.

Ndikapeza bwanji sitolo yoti ndidzazitsenso mankhwala opweteka a makolo anga mwamsanga ngati wothandizira zachipatala ataba mapiritsi?¶

Mafakitole ndi mapulani a inshuwaransi amaletsa mwalamulo kudzazanso koyambirira kwa Ndandanda II kudzera muzinthu zoyendetsedwa ndi V (monga oxycodone, morphine, fentanyl patches, kapena lorazepam) pokhapokha ngati muli ndi Nambala ya Lipoti la Zochitika Pangozi za Apolisi zolembedwa zakuba. Itanani dipatimenti ya apolisi mdera lanu nthawi yomweyo kuti ipereke lipoti lakuba lomwe likutchula dzina lenileni la mankhwala, nambala yamankhwala, ndi kuchuluka kwa mapiritsi omwe akusowa, perekani Nambala ya Lipoti la Apolisi kwa dokotala yemwe akukulemberani kuti akupatsire mankhwala atsopano, ndipo funsani wa pharmacy kuti ayimbire desiki lothandizira la inshuwaransi kuti awononge mankhwala omwe abedwa.

Kodi bungwe losamalira anthu panyumba ndi limene limayang'anira ndalama ngati wantchito wawo aba ndalama kapena zodzikongoletsera kunyumba ya kholo langa?¶

M'madera ambiri, mabungwe osamalira pakhomo omwe ali ndi zilolezo amayenera kunyamula Employee Dishonesty Bond (Fidelity Bond) ndi inshuwaransi yamilandu, ndipo amathanso kukhala ndi mlandu wolemba ntchito mosasamala kapena kuyang'anira ngati alephera kuchita cheke chovomerezeka kapena kunyalanyaza madandaulo am'mbuyomu. Tumizani zofuna zolembedwa kwa woyang'anira bungwe mkati mwa maola 48 kufunsa dzina ndi nambala ya ndondomeko ya Fidelity Bond yawo ndi inshuwaransi yonyamula katundu, ndipo perekani kopi ya lipoti lanu la apolisi ndi mndandanda wazinthu zotayika kuti mupereke chiwongola dzanja chachindunji.

Kodi ndingathe kuyika "makamera a nanny" m'nyumba ya makolo anga kuti ndigwire wothandizira zaumoyo akubera kapena kuwanyalanyaza?¶

Kuvomerezeka kwa makamera m'nyumba yapayekha kumadalira ngati kamera imalemba mavidiyo okha kapena ma audio, komwe imayikidwa, ndi malamulo a boma kapena dziko lanu. Makamera amakanema okha m'malo opezeka anthu ambiri, makhonde, makhitchini, ndi zipinda zochezera ndizovomerezeka pafupifupi m'malo aliwonse akaloledwa ndi mwininyumba kapena Mphamvu Yawo Yamilandu, pomwe makamera azimbudzi kapena zipinda zogona zowasamalira anthu saloledwa, ndipo kujambula mawu popanda chilolezo ndi mlandu m'maboma onse ovomerezeka pokhapokha mutalemba chikalata chovomerezeka ndi kulandira chilolezo.

Magwero afufuzidwa¶

• Centers for Medicare and Medicaid Services (CMS, United States): Conditions of Participation for Home Health Agencies (42 CFR Part 484: Emergency Preparedness and Backup Care Planning) and Medicare Hospice Respite Care Rules (42 CFR § 418.204).
• National Council of State Boards of Nursing (NCSBN, United States) ndi State Nurse Aide Registries: Kusiya Odwala vs. Employment No-Show Regulatory Enforcement Standards.
• Consumer Financial Protection Bureau (CFPB, United States) ndi Department of Justice Elder Justice Initiative: Kupereka Lipoti ndi Kuchira kuchokera kwa Wosamalira Pakhomo pa Kugwiritsa Ntchito Ndalama ndi Malamulo E / UCC § 4-406 Chitetezo.
• Drug Enforcement Administration (DEA, United States): Controlled Substances Act Practitioner Guidance on Early Replacement of Stolen Schedule II-V Prescriptions.
• Dipatimenti ya Health and Social Care and Care Quality Commission (CQC, United Kingdom): Care Act 2014 Gawo 42 Kutetezedwa Kufufuza ndi Domiciliary Care Agency Provider Failure Duties.
• Dipatimenti ya Zaumoyo ndi Zosamalira Okalamba ku Boma la Australia: Carer Gateway 24/7 Emergency Respite Care Services and Aged Care Serious Incident Response Scheme (SIRS).

Maupangiri ogwirizana¶

• Kusagwira ntchito kwadzidzidzi ndi kupulumutsidwa kwa akuluakulu odalira
• Kugwiritsa ntchito ndalama zazikulu komanso chitetezo chachinyengo
• Zilonda zopanikizika, matenda a Stage 3-4, ndi kutembenuka kwa odwala osasunthika
• Mankhwala otayika, kuwonjezeredwa kwadzidzidzi, ndi kupewa kusiya kusiya
• Nambala zadzidzidzi zapadziko lonse lapansi