Mubatsiri Wehutano Hwepamba Hapana-Show, Kusiiwa, kana Kubirwa kubva kuMukuru Anotambura¶

Kuziva kuti mubatsiri wehutano hwepamba anobhadharwa, mukoti ane certified mukoti (CNA), kana muchengeti wekugara atadza kuuya kubasa, akabuda pabasa achisiya mukuru ari pamubhedha kana kuti dementia ari ega, kana mabhuku echeki akabiwa, zvishongo, kana mishonga yemarwadzo. Munhu mukuru asingafambi akasara asina kutarisirwa kwemaawa mana kusvika kumatanhatu anotarisana nekushaya mvura mumuviri, kurasikirwa nemishonga yenguva-yakakosha (yakadai se insulini kana Parkinson's disease therapies), acute pressure ulcer tissue necrosis kubva pakurara muweti kana tsvina, uye njodzi inowira apo uchiedza kusvika muimba yekugezera usina kubatsirwa.

Gara uchichengetedza kurarama kwevakuru uye kugadzikana kwekurapa kutanga usati wasangana nemubatsiri kana kuongorora maakaundi ekubhangi. Kunyangwe muchengeti akabhadharwa kuburikidza nesangano rekuchengetedza imba rine rezinesi, chirongwa chehurumende cheMedicaid waiver, kana pachivande, zvichitevera kurongeka kwekiriniki, chirongwa chekukurumidzira chekuchengetedza vashandi, uye kuvharika kwehumbowo humbowo hunodzivirira hutano hwemudiwa wako uchichengetedza kodzero dzako dzepamutemo dzekudzosera mari dzakabiwa uye kubata vanopa vasina hanya kuti vazvidavirire.

Ita izvi ikozvino¶

1. Tora maziso enyama kumukuru nekukasika kana kukumbira kuongororwa rubatsiro rwechimbichimbi. Kana usipo pamba uye woziva kuti mubatsiri haana kusvika kana kubuda pamubhedha, anovimba neokisijeni, kana kuti akaremara mukuziva, enda kumba nekukurumidza kana kufonera muvakidzani waunovimba nekiyi yekusara. Kana pasina munhu anogona kusvika pamba mukati memaminitsi 30 uye mukuru asingakwanisi kudaira runhare kana kuvhura dhoo, fonera mapurisa emunzvimbo isiri ye emergency kana nhamba yako ye emergency (911 kuUnited States neCanada, 112 kuEuropean Union, 999 kuUnited Kingdom; ona nhamba dze emergency) uye kukumbira rubatsiro rwekuchipatara Welfare Check kumunhu mukuru anovimba naye akasiiwa asina kutarisirwa.
2. Ita ongororo yezveutano yemaminetsi mashanu paunosvika. Tarisa mafambiro emhepo, kufema, kusvinura, tembiricha yeganda, machira asina kuchena, shuga yeropa (kana ane chirwere cheshuga), uye kuti makamuri evanoronga mapiritsi emangwanani kana manheru akatorwa here. Kana mukuru akarara pasi, tevera gwara redu pa vakwegura vanodonha kupora kana vasingakwanisi kumira.
3. Fonera Mutariri Wemukoti weHome Care Agency kwemaawa makumi maviri nemana uye muvakumbire basa ravo rekuchengetedza remutemo. Kana mubatsiri wacho achishandira kambani, usangosiya meseji ine tafura yekugamuchira. Danai kutaura neRegistered Nurse (RN) Clinical Supervisor or Administrator On-Call, taurai kuti murwere weHigh-Acuity Priority-1 haana vashandi, uye anoda kuti mubatsiri anotsiva nechimbichimbi kana mukoti ashanyirwe mukati memaawa maviri.
4. Usafe wakatarisana nemubatsiri ari kupomerwa mhosva yekuba vachiri mumba nemukuru ari munjodzi. Kana ukaona cheki, mari, zvishongo, kana mishonga yechidhori isipo apo mubatsiri wacho ari pashifiti, mirira kusvika mumwe wemhuri kana anomuchengeta avepo kuti atarisire, wozodzinga mubatsiri wacho zvakadzikama pamusuwo wobva wadzora PIN bhokisi rekiyi.
5. Kana Schedule II kusvika V inopedza marwadzo kana sedative yakabiwa, isa chirevo chemapurisa nhasi kuti avhure kuzadzazve muchitoro chekukurumidza. Mafemasi nemarongwa einishuwarenzi anovharisa zviri pamutemo kudzoserwa kwekutanga kwezvinhu zvinodzorwa (senge oxycodone, hydrocodone, morphine, fentanyl zvigamba, kana lorazepam yeChiremba* kunze kwekunge ndapa Chirevo* chiremba.
6. Kumisa maakaundi ekubhangi akakanganiswa uye faira remutemo remitemo. Bata dhipatimendi rekubira rebhangi rako kuti umise kuongorora uye maakaundi echikwereti (ona kushandiswa kwemari kwevakuru uye kudzivirira scam), uye taura kusiiwa kana kubiwa kwemuchengeti ku Adult Protective Services (APS), State Department of Health Nurse Aide Registry yako, neinishuwarenzi yebonding yesangano iri.

flowchart TD
    A["Dambudziko rekubatsira hutano hwepamba: Hapana-show, yepakati-shift walkout, kana kufungidzirwa kuba"] --> B{"Mukuru ari ega parizvino uye haakwanise kuzviriritira here?"}
    B -->|"Hongu: Mubhedha, dementia, kana njodzi yekudonha"| C["Enda kumba nekukasira KANA kufonera Mapurisa/EMS kuti uwane nekukurumidza Welfare Check"]
    B -->|"Kwete: Nhengo yemhuri parizvino iri panzvimbo"| D["Ita musoro-ku-chigunwe chekiriniki cheki, kuongorora ganda, uye kuverenga mapiritsi"]
    C --> D
    D --> E{"Chii chinonzi emergency emergency?"}
    E -->|"Hapana-show kana pakati-shift kusiya"| F["Call Agency 24-Hr RN Supervisor: inoda Kukosha-1 kuchengetedza vashandi kana kukumbira Emergency Respite"]
    E -->|"Kuba mari, cheki, makadhi, kana zvishongo"| G["Verify mubatsiri haasi pamba; shandura lockbox/smart codes; kumisa maakaundi ekubhengi; faira Mapurisa & APS mushumo"]
    E -->|"Kuba/kutsauswa kwenarcotic kana mishonga yakaoma"| H["Verenga mapiritsi asara; tora Police Report # nekukasira; kumbira Doctor for early replacement override"]
    F --> I["Kana 0 backup iripo ye24+ hrs: ronga Medicare Hospice / SNF Respite kana kuchipatara basa rekugarisana nevamwe"]

Phase 1: Kurumidza kurapwa uye kutariswa kwemuviri kana mukuru anovimba awanikwa ari ega¶

Kana muchengeti anobhadharwa akatadza kuratidza kana kusiya nzvimbo yavo yepakati-shift, munhu mukuru akasungwa nemubhedha kana kusaziva akura anogona kutadza nekukurumidza. Usati wapedza awa wakamira nesangano revashandi, zadzisa iyi Nhatu-Point Bedside Clinical Audit panguva yaunofamba nepamusuwo.

Chikamu chechipiri: Kusiyanisa "No-Show" kubva kune zvisiri pamutemo "Kusiiwa Kwemurwere"¶

Kunzwisisa mutsauko wepamutemo pakati pekuronga pasina-show uye zviri pamutemo Kusiiwa Kwemurwere kunokupa kumira zviri pamutemo nekukurumidza paunenge uchikumbira vashandi vechimbichimbi kubva kusangano kana kukwidza zvichemo.

• Kuronga Kwete-Show (Kutyorwa kweKondirakiti / Kuregeredza kweAjensi): Kunoitika kana mubatsiri wehutano hwepamba akarongwa kana mushandi wekuchengeta munhu akatadza kusvika pakutanga kweshifiti pasina chiziviso chakakwana. Nepo mubatsiri wega asina kumbobvira apinda mukati achionekwa seakaita basa kwete-show pane kusiya munhu rezinesi rezinesi, ** iyo ine rezinesi Utano Hwepamba kana Home Care Agency pachayo inoramba iine mutoro wepamutemo pasi pemitemo yerezinesi yehutano yehurumende ** kuchengetedza Emergency Preparedness uye Backup Staffing Plan Yekutanga-1 (yakakwirira-acuity, mutengi).
• Kusiiwa Kwemurwere Kunotongerwa (Kuregeredzwa Kwemhosva & Kubviswa Kwerezinesi): Kunoitika kana mukoti, Certified Nursing Assistant (CNA), kana Home Health Aide ** anotambira basa remurwere (mawachi mukati kana kutarisira kumba) obva abuda kana kugura mutarisiri-murwere nehukama hwehukama pasina kupa chiziviso chemumhuri. zvakarongwa **, zvichisiya munhu mukuru anovimba naye ari munjodzi inooneka. Zvinosanganisirawo kuramba uri mukati memba uchirara uchingogara uchichengeta, kudhakwa pabasa, kana kuvharira mukuru muimba yekurara kwemaawa pasina hanya.

Chikamu chechitatu: Maitiro ekuchengetedza emergency backup kuchengetedza mukati me2 kusvika kumaawa makumi maviri nemana¶

Kana mubatsiri wako wenguva dzose anyangarika uye uine zvisungo zvebasa, uchigara mune rimwe guta, kana kushaya simba rekutamisa vanhu vaviri uri wega, shandisa aya mashanu ari kuwedzera matanho ekuchengetedza emergency emergency.

flowchart TD
    A["Kukurumidzira mutarisiri gap kune akasungwa pamubhedha kana mukuru-anodiwa mukuru"] --> B["Tier 1: Enda kune Agency RN Supervisor & Administrator Pa-Kufona"]
    B -->|"Agency inoti hapana anotsiva anowanikwa"| C["Tier 2: Activate Medicare Hospice 5-Day Inpatient Respite kana Continuous Crisis Care (kana yakanyoreswa)"]
    B -->|"Private-hire aide kana agency inokundikana zvachose"| D["Tier 3: Call County Area Agency paKuchembera (AAA) / Medicaid Waiver Emergency Respite Pool"]
    C --> E["Tier 4: Yenguva Ipfupi Yakavanzika-Kubhadhara Resipite Kugamuchirwa kunzvimbo Yekugara Inobatsirwa kana Nzvimbo Yeunyanzvi Hwehukoti"]
    D --> E
    E --> F["Tier 5: Safe Emergency Department Social Work / Clinical Evaluation Kugamuchirwa kana mishonga isina kugadzikana"]

Tier 1: Kumanikidza iyo Home Care Agency kuti itumire yayo Supervisory RN kana Yekutanga-1 Backup Dziva¶

Kana murongi wepurogiramu anoti, “Ndine urombo, mubatsiri wenyu akadana kuti ari kurwara uye hatina mumwe munhu aripo nhasi,” usabvuma mhinduro iyoyo kana mukuru ari pamubhedha kana kuti asingagoni kusiiwa ari oga. Shandisa iyi script chaiyo:

"Mubereki wangu anorongerwa paEmergency Triage Plan yesangano rako sePriority-1 High-Acuity murwere ari pamubhedha uye haakwanisi kutamisa, chimbuzi, kana kutora mishonga inochengetedza upenyu pasina rubatsiro. Kusiya murwere uyu asina mushandi nhasi kunokonzera kutyisidzira nokukurumidza kuhupenyu nekuchengeteka. Ndapota nditumire pakarepo kune Registered Nurse-Castration Supervisor On Administrator Home Administrative Agency. mitemo, kana usina mubatsiri anotsiva aripo, ndiri kukumbira kuti mukoti anoona nezvemihoro kana maneja auye kumba kuzoita mushonga wakakomba, chimbuzi, nekuchengetedza nzvimbo, kana kuti sangano rako riite kondirakiti shoma neanoshanda naye achikubhadharira nhasi."

Danho rechipiri: Kumbira Medicare Hospice "Mazuva mashanu Inpatient Respite" kana "Kuramba Kuchengeta Kumba" (Kana paHospice)¶

Kana mudiwa wako parizvino akanyoreswa mu Medicare Hospice Benefit (kana kuti yakaenzana chirongwa chehospice), une 100-percent kubva muzana inopihwa mvumo yekuchengetedza iyo mhuri dzinowanzokanganwa kushandisa: 1. 5-Day Inpatient Respite Care: Pasi pemitemo yemubatanidzwa yeMedicare (42 CFR § 418.204), sangano rega rega rinochengeta varwere rinodiwa zviri pamutemo kuti ripe mari inosvika 5 mazuva akatevedzana ekurapwa kwevarwere munzvimbo ine Medicare-yakasimbiswa Skilled Nursing Facility, hospice inpatient unit, kana chipatara chinorwara kana munhu apera simba. mukaha wekuchengeta usingatarisirwi. Dana mutsara wemukoti wehospice wemaawa makumi maviri nemana izvozvi uye uti: * "Mutarisiri wedu wepamba akasiya kuchinja kwavo uye tine dambudziko remuchengeti. Tinofanira kushandura pakarepo 5-day Medicare Inpatient Respite kubvuma nhasi."* 2. Kuramba Kuchengeta Kumba (Kuchengeta Dambudziko): Kana mukuru ari kusangana nedambudziko rechiratidzo (zvakadai sekurwadziwa kwakanyanya, kutadza kufema, kudedera, kana kurutsa kusingadzoreki), hospice inogona kufambisa Kuenderera Kunochengeta Kumba, kuisa mukoti ane rezinesi wepachipatara kana mukoti wepamubhedha kwemaawa mana pazuva 8 mubatsiri wepamusha kwemaawa mana inodzikamisa.

Tier 3: Bata iyo Area Agency paKuchembera (AAA), Medicaid Waiver Case Manager, kana Local Authority Duty Team¶

• MuUnited States: Fonera dunhu rako Area Agency on Aging (AAA) (tsvaga kuburikidza neEldercare Locator pa 1-800-677-1116) kana yemubereki wako Medicaid Kumba uye Nharaunda-Based Services (HCBS) Waiver Case Manager. Matunhu mazhinji anochengeta Emergency Respite Care Voucher Fund kana kuti on-call registry yevanopa rubatsiro rwechimbichimbi vakaongororwa. Kana mubereki wako ari murwi wemauto ekuUS (kana kuti wawakaroora asara), fonera VA Caregiver Support Line pa1-855-260-3274 kukumbira emergency VA kufukidzwa kwekuzorora.
• MuUnited Kingdom: Fonera Local Authority Adult Social Care Emergency Duty Team (Yekunze Kwemaawa Social Work Team). Pasi peCare Act 2014, kana rubatsiro rwemunhu mukuru ari munjodzi rukadonha kamwe kamwe, Local Authority ine basa remutemo rekupindira nekuronga kutsiva kwechimbichimbi rubatsiro rwemusha kana mubhedha wenguva pfupi wekugara.
• MuCanada neAustralia: KuCanada, fonera purovhinzi yako Imba neCommunity Care Support Services (yakadai seOntario Health atHome) murongi wekuchengetedza kuti akurudzire kukurumidza kwePSW (Personal Support Worker) kana kuiswa kwekuzorora kwenguva pfupi. KuAustralia, fonera Carer Gateway pa1800 422 737 (maawa makumi maviri nemana pazuva, mazuva manomwe pasvondo) kuronga Emergency Respite Care inopihwa mari neHurumende yeAustralia, iyo inotumira mushandi werutsigiro wepamba kana mabhuku mubhedha wekukurumidzira wekugara muchembere wekuzorora mukati memaawa.

Tier 4: Bhuka Emergency Yenguva Yenguva Pfupi Yekubhedha panzvimbo Yenzvimbo Yeunyanzvi Mukoti kana Nzvimbo Yekugara Inobatsirwa.¶

Mazhinji ane marezinesi eSkilled Nursing Facilities (SNFs) uye Assisted Living Facilities anochengetedza akatsaurirwa Dzimba dzeNguva Yenguva Pfupi Yokuzorora idzo dzinogona kugamuchira munhu mukuru kuti agare kwemazuva 3 kusvika ku14 kana kutarisirwa kumba kwapera. Chengetedza kopi yenhoroondo yenguva pfupi yapfuura yeChiremba nePhysical (H&P) yemubereki wako, Rondedzero yeMishonga, uye TB yemvumo mu "Go-Folder" kuitira kuti nzvimbo yeko igone kugadzirisa zuva rimwechete rekuzorora kwechimbichimbi.

Chikamu chechishanu: Maitiro ekuita akachengeteka ari ega padivi pemubhedha kwemaawa gumi nemaviri anotevera¶

Kana iwe uchifanira kutarisira mukuru wepamubhedha iwe pachako kusvikira rubatsiro rwekutsiva rwasvika, ** usamboedza kusimudza munhu mukuru akafa pasi pehapwa dzavo **, izvo zvinokonzera mutarisiri zvakanyanya spinal disc herniation uye inobvisa majoini epfudzi asina kusimba emukuru. - Shandisa Drawsheet Roll yeKuchinja Kupfupi uye Kuiswa paMubhedha: Chengetedza mukuru ari pamubhedha pane kuedza kufambisa wiricheya wega. Peta bheti redonje rakapfava muhafu pasi pemuviri wavo (kubva pamapfudzi kusvika muzvidya). Mira pedyo nemetiresi wakakotama mabvi ako, bata kumucheto kwepepa redhirowa pedyo nebendekete remukuru uye muhudyu, uye shandura uremu hwemuviri wako kumashure kuti ukungurudze mukuru zvakanaka padivi pavo pakona ye30-degree. Svetera chipfupi chipfupi uye chisingapindi mvura chuck pad nechepakati pasi pemusana wavo, wodzoreredza pamusoro pehump kune rimwe divi, uye dhonza padhi yakachena. Kuti uwane zvakadzama matanho ekutendeuka, ona pressure maronda, Stage 3-4 kutapukirwa, uye immobile murwere kutendeuka.

Chikamu chechina: Zvekuita kana mubatsiri wehutano hwepamba akaba mari, zvishongo, kana mishonga¶

Kubiridzirwa kwemari uye kutamiswa kwemishonga nevashandi vepamba ndedzimwe dzemhosva dziri kukurumidza kukurumidza kuitirwa vanhu vakuru nekuti vabatsiri vane mukana usina kutariswa wemakamuri ekurara, tsamba, mafoni, uye makabati emishonga kwemaawa masere kusvika makumi maviri nemana pazuva. Vapari vemhosva vanovimba nekusaziva kwevakuru, kutya kutsiva, kana kutsamira panyama kuvanza humbavha kwemwedzi yakawanda.

Danho 1: Ziva nzira mbiri dzakasiyana dzekubira muchengeti¶

Danho 2: Ita iyo 60-miniti Yenyama, Digital, uye Zvemari Lockdown¶

Kana munhu anofungidzirwa kuti anobatsira abuda mumba zvakachengeteka, zadzisa runyoro urwu kuitira:

• 1. Chinja Zvese Zvekuwanikwa Zvekuwanikwa Pakarepo:
• Chinja iwo mana-manhamba emuchina musanganiswa pane chero kunze realtor/muchengeti kiyi yekukiya bhokisi (uye fambisa bhokisi rekukiya kuti usaonekwe).
• Dzima PIN yemubatsiri kana kiyi yeBluetooth kubva kune ese ** smart deadbolts **, makiyipadhi egonhi regaraji, uye maaramu ekuchengetedza imba.
• Kana mubatsiri wacho akambobata kiyi yeimba yesimbi yemuviri (kunyangwe maminetsi gumi ekufamba nembwa), tora $3 hardware-store duplicate yakachekwa; rekey kana kutsiva silinda yakafa nhasi (ona makiyi akarasika epamba, emota, kana ehofisi)
• 2. Ongorora Pakati uye Kuseri kweCheckbook Yese uye Freeze Bank Accounts:
• Mbavha dzinenge dzisingambodambure cheki kubva pamberi pebhuku rinoshanda rerejista; vanodhonza 3 kusvika ku5 macheki asina chinhu kubva ku **kuseri kwebhuku ** kana kubva kubhokisi risina kuvhurwa rekutsiva cheki mudhirowa redhesiki.
• Fonera bhanga reBakuru Kubiridzira Dhipatimendi kuti vamise account yekutarisa, vavhure account nhamba itsva, kupokana chero cheki dzechitsotsi kana kusatenderwa ACH/debit transactions pasi pe ** Regulation E (12 CFR § 1005.6)** uye Uniform Commercial Code (UCC) § 4-406, uye isa Equifarian uye mahara nechikwereti, Transnifa uye mahara. mukuru wekushandisa mari uye scam kudzivirira gwara.
• 3. Ongorora Mukuru's Smartphone, Tablet, uye Voice Assistants:
• Vhura smartphone yevakuru uye tarisa ** Zvirongwa> Chiso ID / Bata ID & Passcode ** kuti uone kana yechipiri "Alternate Chitarisiko" kana isingazivikanwe zvigunwe zvakanyoreswa nemubatsiri.
• Tarisa ** Zelle, Venmo, Cash App, PayPal, Apple Cash, uye Amazon** odha nhoroondo, uye tarisa ** Trash / Ichangobva Kudzimwa ** folda muMeseji neMeseji maapplication (mbavha dzinogarodzima ma 2-factor echokwadi macode eSMS uye marisiti ekutamisa kubhengi avakabvisa kubva pafoni yemukuru).
• 4. Ita Forensic Pill Count uye Visual Pill Identification:
• Dururirai bhodhoro rimwe nerimwe rinodzorwa pandiro yepepa chena yakachena. Verenga nhamba chaiyo yemapiritsi asara woienzanisa neakanyorwa mazita Date Rekupihwa, Quntity Dispensive, uye Daily Directions.
• Ongorora imprint code yakadhindwa papiritsi rega rega uchishandisa chiziviso chepiritsi chepamutemo (kana kuendesa bhodhoro kumushori wako wemishonga) kuti uone kuti mapiritsi ari mubhodhoro anowirirana here nemushonga wakatarwa uye haana kuchinjirwa nepamusoro-the-counter look-alike.

Danho rechitatu: Mawaniro echimbi-chimbi anotsiva kuzadzazve kwemishonga yakabiwa narcotic kana inodzorwa¶

Kana mubatsiri akabira mubereki wako mushonga wemarwadzo kana mushonga wekudzivirira kuzvidya mwoyo, komputa yemuchitoro chemishonga neinishuwarenzi PBMs zvinongoramba kudzoserwazve se "Refill Too Soon." Kuti upfuure chivharo ichi zviri pamutemo usingabhadhare mazana emadhora muhomwe kana kurega mubereki wako achienda mukubvisa: 1. **Fonera dhipatimendi remapurisa epanzvimbo yako nekukasika uye isa gwaro rekubira ** richinyatso nyora **zita chairo remushonga, simba, nhamba yeRx, zita remushonga wemishonga, uye nhamba chaiyo yemapiritsi akabiwa **. Tora Zita reMupurisa, Nhamba Yebheji, uye Nhamba Yemushumo Wechiitiko cheMapurisa. 2. Fonera chiremba (kana mukoti wechipatara) wovapa Nhamba yemushumo wePolice. Pasi pemitemo yeUS Drug Enforcement Administration (DEA) uye mitemo inodzorwa nehurumende, chiremba anogona kupa mushonga mutsva wemagetsi weSchedule II-V inodzorwa zvinhu nekukurumidza kana kuba kwezvakanyorwa kwaitika. 3. Kumbira mutengesi wemishonga kuti afonere veinishuwarenzi Pharmacy Help Desk ye "Stolen Medication Police-Report Override": Ipa nhamba yemushumo wemapurisa kumufesi kuti vagoisa Submission Clarification Code inodarika "Refill Too Soon" kurambwa.

Nhanho 4: Maitiro ekudzosa mari yakabiwa kana zvishongo kuburikidza neAgency's Kusatendeseka Bond uye Inishuwarenzi¶

Kana iwe wakahaya mubatsiri kuburikidza neane rezinesi reKuchengeta Kumba Agency kwete pachivande pasi petafura, **usarege muridzi wesangano achikuudza kuti kuba inyaya yakavanzika pakati pako nemushandi anotambira mari shoma **.

Munyika zhinji dzeUS nenzvimbo dzepasirese, masangano ane marezinesi ekuchengeta pamba anoshambadza uye anosungirwa kutakura zvikamu zvitatu zvekuchengetedza mari: 1. Kuvimbika / Kusatendeseka Kwemushandi Bond (Inishuwarenzi yeMhosva): Inovhara zvakanyanya kubiwa kwemari yemutengi, cheki, kana midziyo yemunhu (senge mhete dzemuchato newachi) dzinoitwa nemushandi wesangano panzvimbo yemutengi. Ziva kuti zvisungo zvakawanda zvekutengeserana zvine chirevo che "Chisungo cheKutenda" kana "Chirevo cheMushumo weMapurisa" chinoda kuti upe mushumo wemapurisa wepamutemo (uye dzimwe nguva unomhan'arira) muchengeti weinishuwarenzi asati abhadhara; kuisa chirevo chemapurisa paZuva 1 kunodzivirira bhondi yako. 2. General and Professional Liability Inishuwarenzi: Inovhara kukuvara kwemuviri, kukuvadzwa kwemidziyo, uye kutarisisa zvisina hanya (somuenzaniso, kana sangano rakatadza kuongorora mamiriro ezvemhosva ehurumende kana kusateererwa zvichemo zvisati zvaitika zvekuba kune mubatsiri mumwe chete). 3. ** Direct Agency Vicarious Liability and Deceptive Trade Practices:** Kana sangano rakatengesa vanorichengeta se "vakasungwa, vane inishuwarenzi, uye vakanyatsotariswa kumashure," inoda mukunyora iyo agency ** Certificate yeInishuwarenzi (COI)** uye zita uye nhamba yepolicy yavo ** Fidelity Bond mutakuri** mukati memaawa makumi mana nemasere.

Shoko-ne-shoko script: Tsamba yekuda kuHome Care Agency mushure mekubirwa kwemuchengeti kana kusiiwa¶

"Kuna: [Zita], Muridzi weAgency / Administrator, uye Risk Management Department pa[Home Care Agency Agency]. Re: Chiziviso Chakarongwa CheMutarisiri [Kuba / Kusiya], Kudiwa Kwekuchengetedzwa Kweuchapupu, uye Inishuwarenzi/Bond Claim kune Mutengi [Zita reMukuru].

*Ndokumbira utarise kuti pa[Date], mushandi wesangano rako [Zita raAide] [akasiya shifiti yavo achisiya munhu mukuru anogara pamubhedha asina kutarisirwa / akaba midziyo nemari yeZita reMutengi, yakanyorwa pasi peChirevo chePurisa Dhipatimendi #[Nhamba]]. Usabvumire [Zita raAide] kudzokera ku[Property Kero] chero mamiriro ezvinhu.

Isu tinokukumbirai kuti muchengetedze marekodhi ese ebasa e[Zita raAide] nekukasika, kusanganisira cheki yavo yebasa vasati vashanda, Nurse Aide Registry verification, mareferensi ekutarisa, GPS Electronic Visit Verification (EVV) clock-in/clock-out logs, uye chero zvichemo zvemutengi zvakapfuura kana manotsi ekuranga.

Ndokumbirawo mupe mukati memaawa makumi mana nemasere zita, nhamba yepolicy, uye ruzivo rwekufonerana rweMushandi Wekusavimbika / Fidelity Bond mutakuri wesangano rako uye General/Professional Liability inishuwarenzi kuitira kuti tigoendesa chikumbiro chedu chepamutemo chekudzoserwa kwe[$Mari / zvinhu zvakabiwa]. Makopi echiziviso ichi ari kuiswa kuAdult Protective Services, State Department of Health Home Care Licensing Division, uye State Nurse Aide Registry."

Nzira yekudzivirira kubirwa kwemuchengeti wemba mune ramangwana nekusiiwa¶

Usati waunza mubatsiri mumba, isa izvi zvipingamupinyi zvina zvinodzivirira vese vari panjodzi vakuru nevachengeti vakatendeseka:

• 1. Isa Biometric Lockbox (kana Keyed Med-Safe) yeMishonga Inodzorwa uye Zvinokosha: Usambofa wakasiya mabhodhoro eoxycodone, morphine, benzodiazepines, mabhuku echeki, kana zvishongo mukabati yakashama yekugezera kana dhirowa rekurara. Chengetedza 7-mazuva akakiyiwa otomatiki mishonga inodhiza pakaunda yemishonga yenguva dzose, uye kukiya mabhodhoro emishonga akawanda, mamwe fentanyl zvigamba, mabhuku echeki, uye akasiya makadhi echikwereti mukati meheavy-duty ** biometric zvigunwe zvakachengeteka ** izvo chete nhengo dzemhuri dzinogona kuvhura.
• 2. Shandisa Kadhi Rinodzorwa "Muchengeti Prepaid Expense Card" Panzvimbo peCash kana Debit Cards: Usambofa wakapa mubatsiri kadhi rekubhengi remunhu mukuru, PIN, kana cheki dzakasainwa dzisina kunyorwa kuti utenge girosari kana zvinhu zvemuchitoro chemishonga. Shandisa yakazvitsaurira muchengeti prepaid kadhi (seChokwadi Link kana yakaderera-muganho reloadable kadhi) inovharira ATM kubvisa mari, kuvharira doro/casino vatengesi, uye mameseji foni yako munguva chaiyo chero kutenga kunotsvaira.
• 3. Isa Inooneka Yakajairwa-Nzvimbo Makamera uye Smart-Lock Audit Logs (Ichitevera State State Consent Mitemo): Isa inooneka Wi-Fi makamera akanongedza ** kumberi/kumashure magonhi ekupinda **, ** mushonga wakachengeteka **, uye ** huru nzvimbo dzekugara / dzekutamisa ** (usambofa mukati medzimba dzekugezera kana muchengeti wega wekurara). Munzvimbo dzekurekodha dzemapato ese, dzima **kurekodhwa kweodhiyo ** kana sanganisira yakasainwa **Vhidhiyo & Audio Monitoring Mvumo Yekuwedzera ** muchibvumirano chevanotarisira pamba uye tumira chiziviso chinooneka pamusuwo wepamberi. Smart deadbolts pamwe nekamera yekupinda inokupa isingarambiki yakadhindwa logi inoratidza iyo miniti chaiyo mubatsiri asvika nekuenda, kudzivirira hutsotsi hwenguva yeElectroniki Kushanyira (EVV).
• 4. Wakazvimiririra Simbisa State Nurse Aide Registry neCriminal Background Iwe Pachako: Usambofa wakatora izwi rebazi revashandi rekuti muchengeti akaongororwa. Tarisa zita rakazara repamutemo remuchengeti paruzhinji rwenyika yako Nurse Aide Registry (CNA / HHA Registry) uye Dhipatimendi reKushungurudzwa Kwehutano & Neglect Exclusion List (kana Hofisi yeInspector General LEIE Exclusion Database muUS, uye Kufumura uye Kurambidza Service (DBS) kutanga kwavo kuUK.

Mibvunzo inowanzo bvunzwa¶

Imhosva here kana mubatsiri wehutano hwepamba anobhadharwa akabuda pakati pekuchinja osiya mubereki wangu akasungwa pamubhedha ari ega?¶

Ehe, kana muchengeti anobhadharwa, Certified Nursing Assistant (CNA), kana Home Health Aide akatambira basa rekuchinja uye achitarisira munhu mukuru anotsamira, akasungwa pamubhedha, kana asingagone kuziva obva abuda asina kupa rubatsiro kune anotsiva akachengeteka kana kupa chiziviso chine musoro, zvinoreva kusiiwa kwemurwere uye kuregeredza munhu mukuru ari munjodzi. Taura nezvekufamba nekukasika kune vezvemutemo veko, Adult Protective Services (APS), State Department of Health Home Care Licensing divisheni yako, uye State Nurse Aide Registry kuti zvitupa zvavo zvitariswe uye zviongororwe.

Ndowana sei chitoro chemishonga kuti chizadzezve mushonga wemarwadzo emubereki wangu nekukurumidza kana mubatsiri wezveutano kumba akaba mapiritsi?¶

Pharmacies uye zvirongwa zveinishuwarenzi zvinovharisa zviri pamutemo kudzoserwa kwekutanga kweSheduli II kuburikidza neV inodzorwa zvinhu (senge oxycodone, morphine, fentanyl patches, kana lorazepam) kunze kwekunge uine yemapurisa Incident Report Number inonyora humbavha. Danai mapurisa emunzvimbo menyu nekukasika kuti anyore gwaro rekubira rinoratidza zita chairo remushonga, nhamba yemapiritsi, uye nhamba yemapiritsi yakashaikwa, ipai Police Report Number kuna chiremba anenge anyoresa kuti vatumire mushonga mutsva, uye kumbira mufesi kuti afonere dhesiki rerubatsiro remushonga weinishuwarenzi kuti mushonga wabiwa uwedzere.

Bazi rinochengeta pamba rine chekuita nemari here kana mushandi wake akaba mari kana zvishongo kubva kumba kwemubereki wangu?¶

Munzvimbo zhinji, masangano ekuchengetedza dzimba ane marezinesi anosungirwa kutakura Employee Dishonesty Bond (Fidelity Bond) uye inishuwarenzi yemhosva, uye vanogonawo kupihwa mhosva yekuregeredza kuhaya kana kutungamira kana vakatadza kuitisa matsotsi emhosva kana kusateererwa zvichemo zvisati zvaitika. Tumira zvinoda kunyorwa kumukuru wesangano mukati meawa makumi mana nesere uchikumbira zita uye nhamba yepolicy yavo yeFidelity Bond uye inotakura inishuwarenzi inotakura, uye ipa kopi yemushumo wako wemapurisa uye runyorwa rwekurasika rwakanyorwa kuti uise chikumbiro chekudzorera chakananga.

Ndinogona here kuisa "nanny cams" akavanzika mumba memubereki wangu kuti ndibate mubatsiri wehutano hwepamba achiba kana kuvaregeredza?¶

Kuve pamutemo kwemakamera mumusha wakavanzika zvinoenderana nekuti kamera inorekodha vhidhiyo chete kana odhiyo, painoiswa, uye yenyika yako kana nyika mitemo yewaya. Vhidhiyo-chete makamera munzvimbo dzakajairika, muhoro, kicheni, uye makamuri ekugara zviri pamutemo munharaunda yese kana yatenderwa nemuridzi wemba kana Simba ravo reGweta repamutemo, nepo makamera ari mudzimba dzekugezera kana mudzimba dzekurara dzevachengeti vepachivande hazvisi pamutemo, uye kurekodha odhiyo pasina mvumo imhosva mumvumo yebato rese kunze kwekunge watumira chiziviso chakajeka uye wawana mvumo yakanyorwa.

Kwatariswa¶

• Centers for Medicare and Medicaid Services (CMS, United States): * Mamiriro ekubatanidzwa kweHome Health Agencies (42 CFR Chikamu 484: Emergency Preparedness uye Backup Care Planning) uye Medicare Hospice Respite Care Mitemo (42 CFR § 418.204) *.
• National Council of State Boards of Nursing (NCSBN, United States) uye State Nurse Aide Registries: Patient Kusiiwa vs. Employment No-Show Regulatory Enforcement Standards.
• Consumer Financial Protection Bureau (CFPB, United States) uye Dhipatimendi reJustice Elder Justice Initiative: Kuzivisa uye Kudzoreredza kubva kuMumba Mutarisiri Wemari Kushandiswa uye Regulation E / UCC § 4-406 Dziviriro.
• Drug Enforcement Administration (DEA, United States): Controlled Substances Act Practitioner Guidance on Early Replacement of Stolen Schedule II-V Prescriptions.
• Dhipatimendi rehutano uye Social Care uye Care Quality Commission (CQC, United Kingdom): Care Act 2014 Chikamu 42 Chekuchengetedza Mibvunzo uye Domiciliary Care Agency Provider Failure Duties.
• Dhipatimendi reHurumende yeAustralia yeHutano neKuchengeta Kwevakwegura: Carer Gateway 24/7 Emergency Respite Care Services uye Aged Care Serious Incident Response Scheme (SIRS).

Mazano anoenderana¶

• Kamwe-kamwe muchengeti kusakwanisa uye kununurwa kwevanhu vakuru
• Vakuru kushandiswa kwemari uye scam kudzivirira
• Maronda emaronda, Stage 3-4 utachiona, uye immobile murwere kutendeuka
• Kurasika kwemishonga yemishonga, kuzadzazve nechimbichimbi, nekudzivirira kurega
• Nhamba dzepasi rose dze emergency