Umufasha w'ubuzima bwo mu rugo Nta-Show, Guheba, canke Ubusuma bw'Umukuze Ashobora Gushikirwa n'Ingorane¶

Kumenya ko umufasha w’ubuvuzi wo mu rugo ahembwa, umufasha w’umuforoma yemewe (CNA), canke uwujejwe kwitwararika abana mu nzu yananiwe kwiyerekana ku musi w’akazi, akava ku kazi hagati y’akazi asiga umusaza ari mu gitanda canke afise ubumuga bwo mu mutwe wenyene, canke yivye ibitabu vy’amasheki, amabuye y’agaciro, canke imiti y’ivyihutirwa. Umuntu akuze adashobora gukora iyo asigaye ata wumucungera mbere n’amasaha ane canke atandatu, arashobora gutakaza amazi mu mubiri wiwe, akabura imiti ifata umwanya munini (nk’insuline canke imiti yo kuvura indwara ya Parkinson), agapfa kw’ibihimba vy’umubiri biva ku kuryama mu mavyi canke mu mavyi, no kugwa bikomeye iyo atariko arakora.

Igihe cose ubanza gukingira ubuzima bw’umubiri w’uwo mukuru n’ugushikama kw’ubuvuzi imbere y’uko uhura n’umufasha canke ugenzura amakonte ya banki. Yaba uwujejwe kwitwararika abana yakoreshejwe biciye mu kigo gifise uruhusha rwo kwitwararika abana mu rugo, porogarama ya leta yo kurekura Medicaid, canke mu bwiherero, hakurikijwe uburyo bwo gutoranya abarwayi butunganijwe, uburyo bwo gufasha abakozi vyihutirwa, n’ibimenyamenya vy’ubushakashatsi bikingira ubuzima bw’uwo ukunda mu gihe uzigama uburenganzira bwawe bwo gusubirana amahera yibwe n’amahera yibwe.

Ivyo ubikore ubu¶

1. Uce ubona umusaza ubwo nyene canke usabe ko asuzumwa vyihuse. Niwaba utari muhira ukamenya ko umufasha atashitse canke ngo asohoke ku muntu akuze ari mu gitanda, akoresha umwuka w’ikirere, canke afise ubumuga bwo mu mutwe, genda mu nzu ubwo nyene canke uhamagare umubanyi wizigirwa. Nimba ata n’umwe ashobora gushika mu nzu mu minota 30 kandi uwo muvyeyi adashobora kwishura telefone canke ngo yugurure urugi, hamagara abapolisi bo mu karere kawe ku murongo w’ivyihutirwa canke inomero y’ivyihutirwa yo mu karere kawe (911 muri Leta Zunze Ubumwe za Amerika na Kanada, 112 hirya no hino mu Bumwe bw’Uburayi, 999 mu Bwongereza; raba inomero z'ivyihutirwa) kandi usabe Igenzura ry’imibereho myiza ryihutirwa ry’ubuvuzi ku muntu akuze yitaho abana basigaye ata wumucungera.
2. Kora isuzuma ry’ubuvuzi ry’iminota 5 kuva ku mutwe gushika ku birenge ushitse. Suzuma inzira y’impwemu, guhema, ukuntu uri maso, ubushuhe bw’urukoba, impuzu zo mu mutwe canke ibitambaro vyo mu gitanda vyanduye, isukari mu maraso (niba urwaye diyabete), n’uko vy’ukuri ibice vy’ugutegura imiti yo mu gitondo canke ku mugoroba vyafashwe. Nimba umukuru aryamye hasi, kurikiza uburongozi bwacu ku abasaza baragwa iyo badashobora guhagarara.
3. Hamagara umucungerezi w’ubuvuzi bwo mu rugo akora amasaha 24 ku musi maze usabe igikorwa cabo co gufasha gitegekanijwe n’amategeko. Nimba uwo mufasha akorera ikigo, ntusige ubutumwa gusa ku biro vy’ukwakira abantu. Gusaba kuvugana n’umuforomakazi yiyandikishije (RN) Umucungerezi w’Ivuriro canke Umuyobozi w’Ivuriro**, kuvuga ko umurwayi w’Ikigo ca High-Acuity Priority-1 atagira abakozi, no gusaba umufasha canke umuforomakazi w’umugenzuzi wo kumusubirira mu masaha 2.
4. Ntukigere uhangana n’umufasha aregwa ubusuma igihe bakiri mu nzu n’umukuze ashobora gushikirwa n’ingorane. Niwabona amasheki, amahera, amabuye y’agaciro, canke imiti y’ibiyobyabwenge yabuze igihe uwo mufasha ari ku kazi, rindira gushika umufasha wo mu muryango canke uwuzomusubirira ariho kugira ngo yitwararike, rero do remedivo the immisdel kode yabo y’urufunguzo rw’ubwenge, kode y’urufunguzo rw’urufunguzo, na PIN y’inkengeri.
5. Nimba imiti igabanya ububabare canke imiti igabanya ububabare yo mu rutonde rwa II gushika ku V yibwe, shire raporo kuri polisi uno musi kugira ngo ufungure imiti yo gusubiramwo ivyihutirwa. Amafarumasi n’imigambi y’ubwishingizi birabuza mu buryo butegekanijwe n’amategeko gusubiramwo imiti igabanya ububabare hakiri kare (nk’imiti yitwa oxycodone, hydrocodone, morphine, unform Inomero ya Raporo y’Ivyabaye ya Polisi ku muganga atanga imiti.
6. Funga amakonti ya banki yashizwe mu kaga no gutanga raporo z’amategeko zitegekanijwe. Baza igisata c’ubuhendanyi ca banki yawe kugira ngo uhagarike amakonti yo gusuzuma n’ayo gutanga inguzanyo (raba gukoresha nabi amafaranga no kwikingira ubusuma).

flowchart TD
    A["Ikibazo c'umufasha w'ubuzima bwo mu rugo: Nta kwigaragaza, gusohoka hagati mu kazi, canke kwikekwa ko ari ubusuma"] --> B{"Mbega ubu uwo mukuru ari wenyene kandi adashobora kwitwararika?"}
    B -->|"Ego: Gufata mu gitanda, kwihebura, canke ingorane yo kugwa"| C["Genda muhira ubwo nyene CANKE hamagara Polisi/EMS kugira ngo basuzumwe vyihuse"]
    B -->|"Oya: Uwo mu muryango ubu ari ku kibanza"| D["Gusuzuma ubuvuzi kuva ku mutwe gushika ku birenge, gusuzuma urukoba, no guharura imiti"]
    C --> D
    D --> E{"Ni igiki gihambaye cane?"}
    E -->|"Nta-yerekanwa canke hagati y'umusi wo guheba"| F["Hamagara ikigo 24-Hr RN Supervisor: usabe Imbere-1 abakozi bo gufasha canke uhamagare ikiruhuko c'ivyihutirwa"]
    E -->|"Ubusuma bw'amahera, amasheki, amakarata canke amabuye y'agaciro"| G["Genzura ko umufasha ari hanze y’i muhira; guhindura lockbox/amakode y’ubwenge; gufunga amakonti ya banki; dosiye raporo ya polisi na APS"]
    E -->|"Ubusuma/uguhindura ibiyayuramutwe canke imiti ikomeye"| H["Harura ibipimo bisigaye; ubone Raporo ya Polisi # ubwo nyene; Basabe Dogiteri akusubirize hakiri kare"]
    F --> I["Niba 0 y'inyuma iriho mu masaha 24+: utunganye ikiruhuko ca Medicare/SNF canke kwakirwa mu bitaro vy'abakozi b'imibano"]

Icigwa ca 1: Gutoranya ubuvuzi n'umubiri ubwo nyene iyo umukuze yitwararitse asanzwe ari wenyene¶

Iyo uwujejwe kwitwararika abavyeyi ahembwa ananiwe kwiyerekana canke akareka igikorwa ciwe co hagati mu kazi, umuntu akuze ari mu gitanda canke afise ubumuga bwo mu mutwe arashobora kwononekara ningoga. Imbere yo kumara isaha yose uhagaze n’ishirahamwe ry’abakozi, heza iyi Igenzura ry’ubuvuzi ry’inyuma y’igitanda ry’ibintu bitandatu igihe cose unyura mu muryango.

Icigwa ca 2: Gutandukanya "No-Show" n'"Uguheba Umurwayi" bitemewe n'amategeko.¶

Gutahura itandukaniro ry’amategeko hagati y’ugutegura ukutaza n’itegeko Guheba umurwayi biguha uburenganzira bwo guca mu mategeko igihe usaba abakozi vyihutirwa mu kigo canke utanga ibirego vy’amategeko.

• Scheduling No-Show (Irenga ku masezerano / Uburangare bw’Ishirahamwe): Bishika iyo umufasha w’ubuvuzi wo mu rugo canke uwujejwe kwitwararika umuntu yategekanijwe ananiwe gushika mu ntango y’umusi w’akazi ata n’umwe abimenyeshejwe bihagije. Naho umufasha w’umuntu ku giti ciwe atigeze yinjira muri rusangi abonwa ko yakoze igikorwa co kutagaragara aho guheba uruhusha rw’umuntu ku giti ciwe, Ishirahamwe ry’Ubuzima bwo mu Rugo canke ry’Ukwitwararika abantu mu Rugo ubwaryo riguma rifise inshingano zitegekanijwe n’amategeko agenga uruhusha rw’ubuvuzi rwa Leta kugira ngo rigumye rifise umugambi w’ivyihutirwa n’umugambi wo gufasha abakozi. abaguzi.
• Guheba umurwayi bitegekanijwe n'amategeko (Icaha co gusuzugura no gukuraho uruhusha): Bishika iyo umuforoma, umufasha w'umuforoma yemerewe (CNA), canke umufasha w'ubuzima bwo mu rugo yemeye igikorwa c'umurwayi (afata amasaha yinjira canke afata ubuvuzi bwo mu rugo) hanyuma akagenda canke akabura uburenganzira bwo kwitwararika umurwayi umucungerezi canke uwo mu muryango kugira ngo ugukomeza kwitwararika bishobore gutunganirizwa, bikasiga umuntu akuze yitaho mu kaga gashobora kuboneka. Birimwo kandi kuguma mu nzu mu gihe umuntu asinziriye biciye mu gihe c’ugukomeza kwitwararika, kuborerwa igihe ari ku kazi, canke gufunga uwo muvyeyi mu cumba c’uburaro amasaha menshi ata co amwitaho.

Icigwa ca 3: Uko woronka ubufasha bwihutirwa mu masaha 2 gushika kuri 24¶

Igihe umufasha wawe asanzwe azimiye kandi ufise amabanga y’akazi, uba mu kindi gisagara, canke udafise inkomezi zo gukora ibikorwa vy’ukwimurira abantu babiri wenyene, koresha izo nzira zitanu zigenda zirushirizaho zo kwivuza vyihutirwa.

flowchart TD
    A["Ikinogo c'uwujejwe kwitwararika abakuze bari mu gitanda canke bakeneye cane"] --> B["Urugero rwa 1: Gushika ku Mugenzuzi w'Ikigo RN n'Umuyobozi ku Guhamagara"]
    B -->|"Ishirahamwe rivuga ko ata mufasha wo kumusubirira ariho"| C["Igitigiri ca 2: Gukoresha Medicare Hospice Imisi 5 y’Ikiruhuko c’Abarwayi canke Ukwitwararika Ivy’Ibibazo Bikomeza (niba yiyandikishije)"]
    B -->|"Umufasha canke ikigo c'abikorera ku giti cabo kirananirwa rwose"| D["Urugero rwa 3: Hamagara ikigo c'intara ku bijanye n'ugukura (AAA) / Medicaid Waiver Pool y'Ikiruhuko c'Ivyihutirwa"]
    C --> E["Urugero rwa 4: Ukwinjira mu gihe gito c'akaruhuko k'abantu ku giti cabo mu kigo c'abaforomo bafashwa canke c'abaforomo b'abahinga"]
    D --> E
    E --> F["Igitigiri ca 5: Igisata c'ivyihutirwa gitekanye Ibikorwa vy'imibano / Isuzuma ry'ubuvuzi Ukwakira iyo ubuvuzi budakomeye"]

Igitigiri ca 1: Guhatira Ishirahamwe ry’Ukwitwararika mu Rugo gukoresha RN yaryo y’Ubugenzuzi canke Priority-1 Backup Pool¶

Iyo umuhuzabikorwa w'urutonde rw'ibikorwa avuze ngo "Mbabarira, umufasha wawe yahamagaye arwaye kandi nta wundi dufise uno musi," ntukemere iyo nyishu nimba uwo mukuru ari mu gitanda canke adashobora gusigara wenyene. Koresha iyi nyandiko nyayo:

*"Umuvyeyi wanje ari mu rutonde rw'abarwayi b'ivyihutirwa rw'ikigo canyu nk'umurwayi w'ububabare bwinshi afise ubumuga bwo mu gitanda kandi adashobora kwimurirwa, kuja mu bwiherero, canke gufata imiti yo kumufasha kubaho ata wumufashije. Gusiga uwo murwayi ata bakozi afise uno musi bitera ingorane zihutirwa ku buzima bwiwe no ku mutekano wiwe. Umucungerezi w'ubuvuzi ku gihe n'umuyobozi w'ikigo hakurikijwe amategeko agenga uruhusha rwo kwivuza mu rugo, nimba udafise uwugusubirira, ndasaba ko umuforoma canke umuyobozi w'umugenzuzi atanga umushahara aza mu rugo kugira ngo akore imiti ihambaye, kwiyuhagira, no guhindura ikigo cawe.

Igitigiri ca 2: Guhamagara Medicare Hospice "Ikiruhuko c'iminsi 5 c'abarwayi mu bitaro" canke "Ukwitaho abarwayi mu rugo" (Nimba uri mu bitaro)¶

Nimba uwo ukunda ubu yanditswe muri Medicare Hospice Benefit (canke porogarama ingana n’iyo y’ubuvuzi bwo gufasha abarwayi), urafise urusenga rwo kwikingira rwo mu gihe nyene, 100 kw’ijana rwategetswe na Leta Zunze Ubumwe za Amerika, imiryango ikunda kwibagira gukoresha: 1. Imisi 5 yo kwitaho abarwayi bari mu bitaro: Hakurikijwe amategeko ya Leta Zunze Ubumwe za Amerika (42 CFR § 418.204), ikigo cose c’ubuvuzi bw’abarwayi gisabwa n’amategeko gutanga gushika ku imisi 5 ikurikiranye y’ubuvuzi bw’abarwayi mu bitaro mu bitaro vyemewe na Medicare, igihe cose ari ikigo c’ubuvuzi c’abahinga, igihe cose ari ikigo c’ubuvuzi c’abarwayi, arwaye, canke akagira ikibazo co kwitwararika ataco yiteze. Hamagara abaforomokazi bakora amasaha 24 ku musi ubu nyene maze uvuge uti: "Umufasha wacu wo mu rugo yahevye igikorwa ciwe kandi dufise ingorane y'abamufasha. Turakeneye guca dutanga uburenganzira bwo kwakirwa mu bitaro vy'iminsi 5 uno musi." 2. Ukwitaho mu rugo gukomeza (Crisis Care): Iyo umukuze ariko arashikirwa n’ingorane y’ibimenyetso bikomeye (nk’ububabare bukomeye, guhumeka nabi, guhagarika umutima, canke gutakaza ububabare), umuganga w’abarwayi ushobora gukoresha Ukwitaho mu rugo gukomeza, gushiramwo umuganga w’umuvyeyi afise uruhusha rwo kwivuza mu rugo ku ruhande rw’umuvyeyi. Amasaha 24 ku musi** gushika iyo ngorane ihagaze.

Igitigiri ca 3: Baza Ishirahamwe ry’Akarere ku bijanye n’Ugukura (AAA), Umuyobozi w’Ivy’Ukurekura Medicaid, canke Ishirahamwe ry’Ibikorwa ry’Ubuyobozi bw’Igihugu¶

• Muri Leta Zunze Ubumwe za Amerika: Hamagara intara yawe Ikigo c’Akarere kijejwe gusaza (AAA) (rondere biciye ku kigo kijejwe kwitwararika abageze mu zabukuru kuri 1-800-677-1116) canke umuvyeyi wawe Umucungerezi w’ivy’ugurekura ubuvuzi bwo mu rugo no mu kibano (HCBS). Intara nyinshi zifise Ikigega c’Ikigega co Kwitwararika Ivyihutirwa canke urutonde rw’abafasha mu gihe c’Iruhuko ryihutirwa basuzumwe. Nimba umuvyeyi wawe ari umusirikare wa kera w’Uburundi (canke uwo mwubakanye akiriho), hamagara umurongo w’ugufasha abajejwe kwitwararika VA kuri 1-855-260-3274 kugira usabe ubufasha bw’ikiruhuko c’ivyihutirwa bwa VA.
• Mu Bwongereza: Hamagara Ishirahamwe ry’Ibikorwa vy’Ivyihutirwa vy’Abakuze ry’Ubuyobozi bw’Igihugu (Ishirahamwe ry’Ibikorwa vy’Igihugu ry’Igihugu). Mu Itegeko ry’Ukwitwararika ryo mu 2014, iyo umugambi wo kwitwararika umuntu akuze ashobora gushikirwa n’ingorane usenyutse bukwi na bukwi, Ubuyobozi bw’Igihugu burafise inshingano itegekanijwe n’amategeko yo kwinjiramwo no gutegura ukwitaho umuntu mu rugo vyihutirwa canke igitanda co kuruhukiramwo c’igihe gito.
• Muri Canada na Australiya: Muri Canada, hamagara umuhuzabikorwa w’ubuvuzi wo mu ntara yawe Ibiro vy’ugufasha mu rugo no mu kibano (nk’ubuvuzi bwo mu rugo bwa Ontario) kugira ngo uvyure ivyihutirwa vy’ugutera imbere kwa PSW (Umukozi w’ugufasha umuntu ku giti ciwe) canke gushirwa mu kiruhuko c’igihe gito. Muri Australiya, hamagara Carer Gateway kuri 1800 422 737 (amasaha 24 ku musi, imisi 7 ku ndwi) kugira ngo utunganye Ukwitaho abarwayi mu gihe c’akaruhuko vyihutirwa guterwa inkunga na Leta ya Australiya, iyo na yo ikarungika umukozi wo gufasha abarwayi mu rugo mu gihe c’ivyihutirwa canke akarondera umuntu wo kuba mu bitaro vyihutirwa.

Igitigiri ca 4: Gusaba igitanda c’ikiruhuko c’igihe gito c’ivyihutirwa ku kigo c’abaforomo b’abahinga canke c’abafashwa¶

Ivyumba vyinshi vy’abaforomo b’abahinga (SNFs) n’ivy’abafashwa mu buzima bifise uruhusha bifise Ivyumba vy’Ikiruhuko c’Igihe Gito bishobora kwemera umuntu akuze mu misi 3 gushika kuri 14 iyo kwitaho abavyeyi mu rugo biheze. Bika kopi y'amateka y'umuganga n'umubiri (H&P), urutonde rw'imiti, n'ivyemezo vy'igituntu vy'umuvyeyi wawe mu "Go-Folder" kugira ngo ikigo co mu karere gishobore gukora ivy'ugusubira mu kiruhuko c'ivyihutirwa uwo musi nyene.

Urugero rwa 5: Uko wokwita ku buriri wenyene mu masaha 12 akurikira¶

Nimba utegerezwa kwitwararika umusaza ari mu gitanda wewe nyene ijoro ryose gushika imfashanyo yo kumusubirira ishitse, ntiwigere ugerageza guterura umuntu akuze afise uburemere bupfuye munsi y’ibirenge vyiwe, ivyo bikaba bituma umusaza agira ububabare bukomeye bw’umugongo kandi bigatuma ingingo z’ibitugu vy’uwo musaza zidakomeye zihungabana. - Koresha uruzitiro rw’ibishushanyo ku mpinduka ngufi zo mu gitanda no gusubira mu kibanza: Gumana umukuru mu gitanda aho kugerageza kwimurirwa mu ntebe y’ibimuga wenyene. Nimushire igitambaro co mu gitanda c’ipampa gisanzwe munsi y’umubiri wabo (kiva ku bitugu gushika ku matako). Hagarara hafi y’umusego amavi yawe apfutse, ufate uruhande rw’urupapuro rwo gushushanya rwazingiye hafi y’urutugu n’itako ry’uwo mukuru, hanyuma ushire uburemere bw’umubiri wawe inyuma kugira ngo uzungurutse neza uwo mukuru ku ruhande rwiwe mu mfuruka ya degre 30. Nimushire igitambaro gisukuye kandi kidashobora guterwa n’amazi hagati y’umugongo wabo, mubazungurutse hejuru y’igipfukisho ku rundi ruhande, hanyuma mukwegere igitambaro gisukuye. Ku bijanye n’intambwe zo guhindukira, raba ibisebe vy’umuvuduko, indwara y’inzira ya 3-4, n’uguhinduka kw’umurwayi adakora.

Icigwa ca 4: Ico wokora iyo umufasha w’ubuzima bwo mu rugo yivye amahera, amabuye y’agaciro canke imiti¶

Gukoresha nabi amahera no guhindura imiti n’abakozi bo mu rugo ni bimwe mu bikorwa vy’ubugizi bwa nabi vyihuta cane ku bakuze kubera ko abafasha bashobora gushika mu vyumba vyo kuraramwo, mu makete, mu matelefone ngendanwa no mu bikoresho vy’imiti amasaha 8 gushika kuri 24 ku musi ata wubacungera. Ababikora bizigira ubumuga bwo mu mutwe bw’uwo mukuru, ubwoba bwo kwihora canke ukuntu umuntu yizigira umubiri kugira ngo amezi menshi ahishe ubusuma.

Intambwe ya 1: Menya uburyo bubiri butandukanye bw’ubusuma bw’abarera¶

Intambwe ya 2: Shira mu ngiro iminota 60 y'ugufunga ivy'umubiri, ivy'ubuhinga bwa none n'ivy'amahera¶

Uwo muntu akekwaho kuba umufasha akimara gusohoka mu nzu ata nkomanzi, wuzuze uru rutonde mu buryo bubereye:

• 1. Guhindura Ivyemezo Vyose Vyo Gushika ku Mubiri Ubwo nyene:
• Guhindura ihuriro ry’imirongo 4 ry’ubuhinga ku ruhande urwo ari rwo rwose rw’inyuma urufunguzo rw’urufunguzo rw’umucuruzi/uwitwararika (kandi ushire urufunguzo rw’urufunguzo kure y’aho umuntu abona).
• Sukura PIN y’ukoresha canke urufunguzo rwa Bluetooth rw’umufasha mu bipfukisho vyose vy’ubwenge, ku bipfukisho vy’umuryango w’igaraje, no ku bipfukisho vy’umutekano wo mu nzu.
• Nimba uwo mufasha yigeze gufata urufunguruzo rw’inzu y’icuma (mbere n’iminota 10 kugira ngo agende n’imbwa), wiyumvire ko igitabu c’iduka ry’ibikoresho vy’ubuhinga c’amadolari 3 caciwe; rekey canke usubirizeho igihimba c’umubiri gipfuye uno musi (raba yatakaje imfunguruzo z'inzu, imodoka canke ibiro).
• 2. Suzuma Hagati n'Inyuma y'Igitabo C'amasheki cose maze Ufunge Konti za Banki:
• Abasuma hafi ntibashobora gutabura amasheki imbere y’igitabu c’amasheki gikora; bakura amasheki 3 gushika kuri 5 atagiramwo ikintu inyuma y’igitabu canke mu gasandugu k’amasheki yo gusubirira ataco kafunguye kari mu kabati k’ameza.
• Hamagara Igisata c’Ubuhendanyi bw’Abakurambere muri banki kugira ngo gifunge konti yo gusuzuma, gufungura inomero nshasha ya konti, guhakana amasheki yose y’ibinyoma canke amafaranga yose y’ubuhendanyi ya ACH/debit atemerewe hakurikijwe Itegeko E (12 CFR § 1005.6) na **Itegeko ry’Ubucuruzi Rimwe (UCC) § 4,x andqui,04. TransUnion ikoresheje ivyacu Ubuyobozi bw'ikoreshwa nabi ry'amahera n'ubuhendanyi bwo kwikingira.
• 3. Gusuzuma Telefone ngendanwa, Tablet, n'Ijwi ry'Abakuze:
• Ugurure telefone y'umukuru maze usuzume Ivyagezwe > Face ID / Touch ID & Passcode kugira ngo umenye nimba "Ikigaragara c'Ubundi" ca kabiri canke urutoke rutazwi rwanditswe n'uwo mufasha.
• Suzuma Zelle, Venmo, Cash App, PayPal, Apple Cash, na Amazon amateka y’amategeko, hanyuma usuzume dosiye Ibikoko / Ivyaherutse gukurwaho muri porogarama z’Ubutumwa n’Ikete (abasuma bakunda gukuraho amakode ya SMS y’ukwemeza 2 n’amafaranga yoherezwa muri banki bavuye kuri telefone).
• 4. Gukora igiharuro c'imiti y'ubuvuzi n'ukumenya imiti y'amaso:
• Suka icupa ryose ry’ibintu bigenzurwa ku gipande c’impapuro zera gisukuye. Harura umubare nyawo w’imiti isigaye maze uyigereranye n’ibiri ku rupapuro rw’imiti Itariki yo gutanga, Igitigiri c’imiti, na Ibwirizwa ry’umusi.
• Suzuma imprint code iteye ikidodo ku ntungamubiri imwe imwe ukoresheje ikimenyetso c’intungamubiri (canke ujyane icupa ku muganga wawe) kugira ngo umenye neza ko imiti iri mu cupa ihuye vy’ukuri n’imiti yandikiwe kandi ko itahinduwe n’ibindi bisa n’ivyo umuntu agura.

Intambwe ya 3: Uko woronka umuti wo gusubirira mu buryo bwihutirwa imiti yibwe canke imiti igenzurwa¶

Iyo umufasha yivye umuti w'ububabare w'umuvyeyi wawe canke umuti wo kurwanya amaganya, mudasobwa y'ivuriro n'ubwishingizi PBMs bizokwiyumvira ko "Uwuzuza vuba cane." Kugira ngo unyure muri iyi block mu buryo butegekanijwe n’amategeko utarishe amajana y’amadolari mu mufuko canke ngo ureke umuvyeyi wawe aja mu gukura: 1. Hamagara igisata ca polisi co mu karere kawe ubwo nyene maze ushiremwo raporo y’ubusuma ivuga cane cane izina nyaryo ry’umuti, inkomezi, inomero ya Rx, izina ry’ivuriro, n’umubare nyawo w’imiti yibwe. Uronke Izina ry'Umupolisi, Inomero y'Ikimenyetso, n'Inomero y'Ivyabaye vya Polisi. 2. Hamagara umuganga (canke umuforoma wo mu bitaro) umuhe Inomero ya Raporo ya Polisi. Mu mategeko y’Ishirahamwe ry’Amerika rijejwe gukurikiza ibiyayuramutwe (DEA) be n’amategeko agenga ivy’ibiyayuramutwe vy’igihugu, umuganga arashobora gutanga urutonde rushasha rw’ibiyayuramutwe bigenzurwa mu rutonde rwa II-V hakiri kare iyo ubusuma bugaragajwe bubaye. 3. Saba umuganga w'imiti guhamagara ikigo c'ubufasha c'imiti y'ubwishingizi ku bijanye n'"Imiti yibwe Polisi-Raporo Override": Uhe umuganga w'imiti inomero ya raporo ya polisi kugira ngo bashobore kwinjiza Kode y'Isobanuro ry'Ivyashikirijwe irengeye "Refill Too Soon" kwanka.

Intambwe ya 4: Uko wosubirana amahera canke amabuye y’agaciro yibwe biciye ku mpapuro z’ubuhemu n’ubwishingizi bw’Ikigo¶

Niwaba warakoresheje uwo mufasha biciye mu kigo gifise uruhusha rwo kwitwararika abantu mu rugo aho kumukoresha mu bwiherero munsi y’imeza, ntureke ngo nyen’ico kigo akubwire ko ubusuma ari ikintu c’ibanga hagati yawe n’uwo mukozi afise umushahara muto.

Mu bihugu vyinshi vyo muri Amerika no mu bihugu mpuzamakungu, amashirahamwe afise uruhusha rwo kwitwararika abana mu rugo aratangaza kandi asabwa gutwara ivyicaro bitatu vy’uburinzi bw’amahera: 1. Ikigega c’Ubudahemuka / Ubuhemu bw’Umukozi (Ubwishingizi bw’Ubugizi bwa nabi): Kidasanzwe gikingira ubusuma bw’amahera y’umukiriya, amasheki, canke ivy’umuntu ku giti ciwe (nk’impeta z’ubugeni n’amasaha) bwakozwe n’umukozi w’ikigo mu nzu y’umukiriya. Zirikana ko amabondi menshi y’ubudahemuka bw’ubudandaji arimwo "Ingingo y’Igihano" canke "Ingingo y’Iraporo ya Polisi" isaba gutanga raporo ya polisi yemewe (kandi rimwe na rimwe ugakurikirana) imbere y’uko uwujejwe ubwishingizi bw’amabondi ariha; gutanga raporo ya polisi ku musi wa 1 birakingira ikirego cawe co gutanga ingwati. 2. Ubwishingizi rusangi n’ubw’umwuga: Bukingira ibikomere vyo ku mubiri, kwononekara kw’itunga, n’ukugenzura ataco bimaze (nk’akarorero, iyo ikigo cananiwe gukora isuzuma ry’ivyaha ry’ubugizi bwa nabi rya Leta canke ryirengagije ibirego vy’ubusuma vy’imbere y’aho vyerekeye uwo mufasha nyene). 3. Ishirahamwe ry'ubudandaji ry'uburenganzira n'imigenzo y'ubudandaji y'ubuhendanyi: Iyo ikigo kimenyesheje abajejwe kwitwararika ko ari "abafise ubwishingizi, bafise ubwishingizi, kandi basuzumwe neza ivy'inyuma yabo," usabe mu nyandiko Icemezo c'ubwishingizi (COI) c'ico kigo n'izina n'inomero y'ubwishingizi bwabo **ubwishingizi.

Ijambo ku rindi: Ikete ryo gusaba Ishirahamwe ry’Ukwitwararika mu Rugo inyuma y’aho uwujejwe kwitwararika abana yibwe canke ahebwe¶

"Kuri: [Izina], Nyir'Ikigo / Umuyobozi, n'Igisata kijejwe Gucungera Ivyago kuri [Izina ry'Ikigo co Kwitwararika mu Rugo]. Re: Itangazo ry'Uwujejwe Kwitwararika [Ubusuma / Guheba], Gusaba Kuzigama Ivyemezo, n'Ikirego c'Ubwishingizi/Imbohe ku Mukiriya [Izina ry'Umukuru].

Urasavye umenye ko ku [Itariki], umukozi w'ikigo cawe [Izina ry'Umufasha] [yahevye igikorwa ciwe asiga umuntu akuze ari mu gitanda ata wumucungera / yiba itunga n'amahera y'Izina ry'Umukiriya, vyanditswe munsi ya Raporo y'Igisata ca Polisi #[Igitigiri]]. Ntureke ngo [Izina ry’Umufasha] asubire kuri [Aderesi y’Itongo] naho vyogenda gute.

*Turasaba ko uhita uzigama amakuru yose yerekeye akazi ka [Izina ry'Umufasha], harimwo n'isuzuma ry'ubugizi bwa nabi bwabo imbere y'uko bafata akazi, igenzura ry'Igitabu c'Umufasha w'Umuforoma, isuzuma ry'ibimenyetso, amakuru y'isaha y'injira/isohoka y'isuzuma ry'ugusura ry'ubuhinga bwa none (EVV), n'ikirego c'umukiriya c'imbere y'igihe.

Urasabwa kandi gutanga mu masaha 48 izina, inomero y'itegeko, n'amakuru y'ibirego vy'ikigo cawe c'ubwishingizi bw'abakozi b'ubuhemu / ubudahemuka n'ubwishingizi bw'uburenganzira rusangi/bw'umwuga kugira ngo dushobore gutanga ikirego cacu co gusubizwa [$Amount / itemized stolen items]. Kopi z'iri tangazo ziriko zirashikirizwa Ibiro vy'Ukurinda Abakuze, Igisata ca Leta c'Ubuzima c'Igisata c'Uruhusha rwo Kwitaho mu Rugo, n'Igisata ca Leta c'Abaforomo Bafasha Abaforomo."

Uko wokwirinda ubusuma n'uguheba abaje kwitaho abavyeyi bo mu rugo¶

Imbere y’uko uzana uwuzogusubirira mu nzu, nushireho izo nzitizi zine zikingira abakuze bashobora gushikirwa n’ingorane be n’ababitaho ata buryarya:

• 1. Shiraho akazu k’ugufunga (canke Keyed Med-Safe) k’imiti n’ibintu vy’agaciro bigenzurwa: Ntukigere usiga amacupa ya oxycodone, morphine, benzodiazepines, ibitabu vy’amahera, canke amabuye y’agaciro mu kabati k’ubwogero kafunguye canke mu kabati k’ijoro. Gumana igikoresho co gutanga imiti c’imisi 7 gipfungiwe ku giciro c’imiti isanzwe, kandi ufunge amacupa menshi y’imiti, ibipande vy’imiti vy’inyongera, ibitabu vy’amafaranga, n’amakarata y’inguzanyo y’inyuma imbere mu gitereko gikomeye biometric fingerprint safe gishobora gufungurwa n’abagize umuryango gusa.
• 2. Koresha "Ikarata y'amahera y'umuvyeyi yishuwe mbere y'igihe" igenzurwa Aho gukoresha amahera canke ikarata y'amahera: Ntukigere uha umufasha ikarita y'amahera y'umuvyeyi, PIN, canke amasheki atagira umukono kugira ngo ugure ibifungurwa canke ibintu vyo mu farumasi. Koresha ikarita y’umuvyeyi yihariye (nk’iyitwa True Link canke ikarita ishobora gusubirwamwo) ibuza gukura amahera muri ATM, ibuza abacuruzi b’inzoga/ba casino, kandi ikarungika ubutumwa kuri telefone yawe mu gihe nyaco igihe cose umuntu aguze.
• 3. Gushiraho ama kamera aboneka mu bibanza rusangi n’ibitabo vy’igenzura vy’ubuhinga bwa Smart-Lock (Dukurikije amategeko ya Leta yemeza): Gushiramwo ama kamera aboneka ya Wi-Fi yerekanwa ku imiryango y’imbere/inyuma, aho imiti ikorera, no ku ahantu nyamukuru ho kuba/ho kwimurira (ntimwigere mu bibanza vyo kwogeramwo canke mu bibanza vy’abantu ku giti cabo). Mu bihugu vy’ugufata amajwi vy’abantu bose, zima ugufata amajwi canke ushiremwo Inyongezo y’Ukwemera Gukurikirana Amasanamu n’Amajwi yashizweko umukono mu masezerano y’ikigo co kwitwararika abantu mu rugo maze ushire itangazo riboneka ku muryango w’imbere. Ivyuma vy’ubwenge bifatanijwe n’icamera yo kwinjira biguha urutonde rw’igihe rudashobora guhakanwa rwerekana umunota nyawo umufasha yashitseko n’aho yavuyeko, bikagukingira ubuhendanyi bw’igihe c’ugusuzuma urugendo rw’ubuhinga bwa none (EVV).
• 4. Suzuma wigenga Igitabo c’Umufasha w’Umuforoma wa Leta n’Ivyaha Wewe Ubwiwe: Ntukigere ufata ijambo ry’ishirahamwe ry’abakozi ko uwujejwe kwitwararika abana yasuzumwe. Raba izina ryose ry’uwujejwe kwitwararika abavyeyi ku rubuga rwa bose rwa leta yawe Igitabo c’abafasha abaforomo (CNA / HHA Registry) na Igisata c’ubuzima c’urutonde rw’abakurwako n’ugusuzugura (canke Ibiro vy’umugenzuzi mukuru LEIE Exclusion Database muri Amerika, na **Igikorwa cabo co gutangaza ** mu UK.

Ibibazo bikunda kubazwa¶

Mbega ni icaha iyo umufasha w’ubuvuzi wo mu rugo ahembwa asohotse hagati mu gihe c’akazi, agasiga umuvyeyi wanje ari mu gitanda wenyene?¶

Ego, iyo uwujejwe kwitwararika abana, umufasha w’umuforoma yemerewe (CNA), canke umufasha w’ubuzima bwo mu rugo yemeye igikorwa co gukora kandi akaja kwitwararika umuntu akuze, ari ku buriri, canke afise ubumuga bwo mu mutwe, hanyuma akagenda ataco atanga ku muntu ashobora kumusubirira canke ngo atange itangazo ry’ubugizi bwa nabi ry’umurwayi. umuntu akuze. Raporo y’ugusohoka ubwo nyene ku bajejwe gukurikiza amategeko bo mu karere, Ibiro vy’Ukurinda Abakuze (APS), Igisata ca Leta c’Ubuzima co mu Rugo, n’Igihugu c’Igihugu c’Umufasha w’Abaforomo kugira ngo icemezo cabo gishirweko ibendera kandi gitohozwe.

Noronka gute ivuriro ryo kwuzuza umuti w’ububabare w’umuvyeyi wanje hakiri kare iyo umufasha w’ubuvuzi wo mu rugo yivye iyo miti?¶

Amafarumasi n’imigambi y’ubwishingizi birabuza mu buryo butegekanijwe n’amategeko kwuzuza hakiri kare ibintu bigenzurwa biri mu rutonde rwa II gushika kuri V (nk’imiti yitwa oxycodone, morphine, imiti yitwa fentanyl, canke lorazepam) kiretse iyo ufise inomero y’ivyabaye ya Polisi yemewe yerekana ubusuma. Hamagara igisata ca polisi co mu karere kawe ubwo nyene kugira ngo ushireho raporo y’ubusuma irimwo izina nyaryo ry’umuti, inomero y’imiti, n’igitigiri c’imiti ibuze, uhe iyo nomero ya raporo ya polisi umuganga aguha imiti kugira ngo ashobore gutanga umuti mushasha, kandi usabe umuganga w’imiti guhamagara ibiro vy’ubwishingizi bifasha mu kuvura umuntu yivye.

Mbega ikigo kijejwe kwitwararika abavyeyi bo mu rugo coba gifise uruhara mu vy’amahera iyo umukozi waco yivye amahera canke amabuye y’agaciro mu nzu y’umuvyeyi wanje?¶

Mu bihugu vyinshi, amashirahamwe afise uruhusha rwo kwitwararika abakozi mu rugo asabwa gutwara Ikete ry’Ubuhemu bw’Abakozi (Ikete ry’Ubudahemuka) n’ubwishingizi bw’uburenganzira, kandi arashobora kandi gufatwa nk’uwufise uruhara rwo gukoresha canke kugenzura ataco yitaho iyo bananiwe gukora ivyigwa vy’ubugizi bwa nabi vy’agahomerabunwa canke kwirengagiza ibirego vy’imbere y’igihe. Wohereze ikete ry’ugusaba ku muyobozi w’ikigo mu masaha 48 usaba izina n’inomero y’itegeko ry’ishirahamwe ryabo ry’ubwishingizi bwa Fidelity Bond n’ubwishingizi bw’uburenganzira, kandi ushiremwo kopi ya raporo yawe ya polisi n’urutonde rw’ivyo wahomvye kugira ngo ushireho ikirego co gusubizwa ataco uhinduye.

Noshobora gushiramwo "nanny cams" zihishijwe mu nzu y'umuvyeyi wanje kugira ngo mfate umufasha w'ubuzima bwo mu rugo ariko arabiba canke ariko arabirengagiza?¶

Uko ama kamera yo mu nzu y’umuntu yemewe n’amategeko bivana n’uko iyo kamera ifata amasanamu gusa canke amajwi, aho ishirwa, be n’amategeko agenga ugutega amatwi y’intara canke y’igihugu cawe. Amakamera akoresha amasanamu gusa mu bibanza rusangi, mu bibanza vy’amabarabara, mu bikoni, no mu vyumba vy’uburaro araremewe n’amategeko hafi mu bihugu vyose iyo yemerewe na nyen’inzu canke ububasha bwiwe butegekanijwe n’amategeko, mu gihe amakamera yo mu bibanza vyo kwogeramwo canke mu vyumba vy’uburaro vy’abantu bikorera ku giti cabo bitemewe n’amategeko, kandi gufata amajwi ata n’umwe yemerewe ushiraho itangazo ritomoye kandi ukaronka ukwemera kwanditse kwashizweko umukono igihe ukoresha.

Amasoko yasuzumwe¶

• Ibigo vy’ubuvuzi n’ubuvuzi (CMS, Leta Zunze Ubumwe za Amerika): Ivyangombwa vyo kwifatanya n’ibigo vy’ubuvuzi vyo mu rugo (42 CFR Igice ca 484: Ukwitegura ivyihutirwa n’ugutegura ubuvuzi bw’inyuma) n’Amategeko y’ubuvuzi bwo mu bitaro vy’ubuvuzi (42 CFR § 418.204).
• Inama y’Igihugu y’Inama z’Igihugu z’Ubuforoma (NCSBN, Leta Zunze Ubumwe za Amerika) n’Ivyanditswe vy’Abaforoma b’Igihugu: Uguheba Umurwayi n’Ingingo ngenderwako zijanye n’Itegeko ry’Uguheba Akazi.
• Ibiro vy’Ukurinda Amafaranga y’Abaguzi (CFPB, Leta Zunze Ubumwe za Amerika) n’Igisata c’Ubutungane Igikorwa kijanye n’Ubutungane bw’Abakurambere: Gutanga Raporo no Gusubirana Ivy’Ugukingira Amafaranga y’Abavyeyi bo mu Rugo n’Itegeko E / UCC § 4-406 Uburinzi.
• Ishirahamwe rijejwe gukurikiza amategeko agenga ibiyayuramutwe (DEA, Leta Zunze Ubumwe za Amerika): Itegeko ryerekeye ibiyayuramutwe bigenzurwa Impanuro z’abaganga ku bijanye no gusubirira hakiri kare imiti yibwe yo mu rutonde rwa II-V.
• Igisata c’ubuzima n’ubuvuzi bw’imibereho myiza y’abantu n’uburyo bwo kwitwararika ubuzima (CQC, Ubwongereza): Itegeko ry’ubuvuzi ryo mu 2014 Igice ca 42 Ibibazo vyo kurinda n’inshingano z’abatanga ubuvuzi bwo mu rugo.
• Igisata ca Leta ya Australiya kijejwe ubuzima n’ukwitaho abageze mu zabukuru: Irembo ry’abageze mu zabukuru 24/7 Ibikorwa vyo kwitaho abageze mu zabukuru mu bihe vy’akaruhuko vyihutirwa n’Igikorwa co gufasha abageze mu zabukuru mu bibazo bikomeye (SIRS).

Inyobora zifitaniye isano¶

• Ubumuga butunguranye bw'uwurera abana n'ugutabara kw'abakuze
• Ugukoresha nabi amafaranga no kwikingira ubusuma
• Ibisebe vy'umuvuduko, indwara y'inzira ya 3-4, n'uguhinduka kw'umurwayi adakora
• Imiti yatakaye, kuzuza vyihutirwa, no kwirinda kuyikuramwo
• Inomero z'ivyihutirwa kw'isi yose