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Checklist for Initial Evaluation |
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Manual: Home Infusion Therapy Policy and Procedure Manual (Ver 4) Department: INFUSION THERAPY SERVICES External Reference: (JC PC.4.10, PC.5.10, PC.6.10, RI.2.20, RI.2.80, RI.2.100, CHAP TII.5)
MCN’s customizable template, Checklist for Initial Evaluation, is taken from our Home Infusion Therapy Policy and Procedure Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals. Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards. Here is some sample content from Checklist for Initial Evaluation:
| | PURPOSE:
The purpose of this review is make sure that admission procedures have been followed, proper case documentation has been initiated, and that care plans to meet the identified needs of client have been developed.
POLICY:
At the start of care, a checklist for initial evaluation will be started by the professional who first sees the new client.
PROCEDURE:
A completed advance directive is to be obtained from client/caregiver:
Request a copy if one has already been completed, so it can be placed in the client's medical record.
If an advance directive has not been previously completed,... |
| Second excerpt: |
| | ... including:
Phone numbers for emergencies
A natural disaster plan
Activities of daily living and references to all needed disciplines will be given to the client after the first evaluation.
A calendar is left with the client/caregiver indicating the days of the week and estimated length of time the agency will be caring for/supervising the client.
With the client's/caregiver's participation, a plan of treatment is developed, and includes:
Client's statement of... |
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