Question: I have a question about HHA’s and medication. I know the regulations about HHA’s not being allowed to administer medications, but we keep getting questions about eye drops either OTC or prescription and applying prescription creams for clients. If this is a need can the HHA assist under the training and monitoring of an RN, IF….1) RN trains the HHA on the special treatment and documents her training and return demo, 2) if the RN ads it to the care plan and reviews and make changes as necessary? I just want to clarify this as its more of a grey area.
Members: View the answer here
Non-Members: Please discuss in the comments or become a member for 24/7 access to our nurse consultants!
It’s been ages since we posted questions, but we’re back on track now. MHCA members can get questions like these answered by our Nurse Consultants.
Q: I am about to take on a client who has a new colostomy. She wears custom made appliances so they are not part of our normal inventory. We will not provide her bags like she needs during this episode. Is there a letter and form that agencies are using to explain that? It has not come up for us before. Do I just do a HHABN for the Ostomy bags?
A: If your Clinical Operations Policy and Procedures state that you use a specific formulary for your supplies and that you do not go outside your formulary for ostomy supplies, you do not have to provide supplies that are outside the formulary. The client must be informed of this in writing prior to admitting them to your agency. If this is the case, issuing a HHABN stating the specialized ostomy bag is not part of the agency’s formulary, would meet the requirement of informed consent.
If your Policy and Procedures do not identify specifically that you have a formulary for your supplies, you also have a right to refuse the patient due to the high cost of “specialized” ostomy supplies and that you do not carry them in your system.
Have you completed your upgrade to Version 5010? The deadline to do so is June 30th, 2012–that’s 18 days from now! Please refer to the CMS website for more information on the conversion to Version 5010. You need to be compliant by July 1st, so if you haven’t started on this, you need to start now.
Home care got a great shout-out in Time magazine! Any time home care gets press like this is cause for celebration! Thank you, Time, for getting that information out there!
Hello, dear readers. I received this lovely comment from a reader named Cindy on our post about National Nurses Week:
This is a late greeting to all nurses in the hospital or those giving home care. You all do an exceptional job. You are an important part of the society. Without nurses, we’re missing a limb.
Beautifully put, Cindy, and I can’t agree more.
Dear readers, I want to send out a special thanks to all of the hardworking home care nurses in honor of National Nurses’ Week. Nursing is hard job, no matter what the setting, but home care nurses face the unique challenge of working in an environment where their accomplishments often go unrecognized: in the home.
A hospital nurse will take excellent care of a patient with a broken hip after a fall. A home care nurse will notice the hazardous throw rug in the patient’s kitchen and get rid of it before the patient trips over it, preventing the fall, the injury and the hospitalization from ever happening in the first place. We usually don’t take notice when terrible things don’t happen, and yet preventing hospitalizations saves millions of dollars, preserves families and keeps people out of institutions.
I’d say they should make a movie depicting what the world would be like without home care nurses–but it would be one scary movie.
Tell home care nurses that you appreciate them–this week and every week!
Sometime in the last 24 hours, our blog hit 70,000 all-time views. I want to take a moment to thank all of our faithful readers for making this blog a success. We are proud and humbled to be the resource you rely on for tips that help your home care agency succeed.
We’ve been posting on this blog only sporadically–for that we apologize. We’ll get back on track with regular posts and great content after our Annual Meeting.
We hope you’ll continue to read, and that we can count on your for 70,000 more!