Home Health Care

  1. Which of these is covered by Medicare Part A/B: (select all that apply)

    a. Part-time or intermittent skilled nursing care and home health aid care
    b. PT
    c. 24-hour-a-day care at home
    d. OT
    e. Meals delivered to your home
    f. Custodial or personal care (bathing, dressing, etc.)
    g. Speech-language pathology services
    h. Medical social services
    i. Homemaker services
    • a. Part-time or intermittent skilled nursing care and home health aid care
    • b. PT
    • c. 24-hour-a-day care at home
    • d. OT
    • e. Meals delivered to your home
    • f. Custodial or personal care (bathing, dressing, etc.) **not eligible when this is the only thing the patient needs**
    • g. Speech-language pathology services
    • h. Medical social services
    • i. Homemaker services
  2. List the three main things that you need (either with one or more of the three) to be eligible for Medicare A/B
    • 1. Intermittent skilled nursing care (other than drawing blood)
    • 2. PT, speech-language therapy, continued OT
    • 3. Must be homebound, and a doctor must certify that you're homebound.
  3. T or F: you are not eligible for home health benefit if you need more than part time or intermittent skilled nursing care.
    True
  4. When a patient is receiving PT, speech therapy, or continued OT, what are the qualifications needed for these services to be covered.
    • These services are only covered when they are specific, safe, and effective for the patient's condition. To be eligible:
    • 1. pt's condition must be expected to improve in a reasonable and generally predictable period of time
    • 2. pt needs a skilled therapist to safely and effectively make a maintenance therapy for their condition.
    • 3. pt needs a skilled therapist to safely and effectively do maintenance therapy for condition.
  5. Define homebound
    • 1. leaving home is not recommended by MD
    • 2. Must have help to leave home (device or person)
    • 3. It's a major effort to leave home
  6. Which age groups receives the highest percentage of homecare?



    C.
  7. List examples of skilled care provided; both direct care and teaching
    • Direct care: 
    •  - wound care
    •  - IV abx for sepsis
    •  - chemo
    •  - lab draws
    •  - hemodialysis
    •  - blood product administration
    •  - assess and observe
    • Education:
    •  - selfcare
    •  - self med
    •  - tasks and pain management
  8. List the "home care team"
    • PT
    • OT
    • ST
    • Social work
    • Certified Home Health Aid
  9. List responsibilities of the Nurse Care Manager and RN with home care
    • Hands-on clinician
    • Team case manager
    • Reimbursement Specialist
    • Coordinates among specialists
  10. List steps for the "first visit assessment" (6)
    • 1. Decide if pt meeds Medicare criteria
    • 2. Evaluate safety of home and if caregiver is needed
    • 3. Decision Point and consent
    • 4. Exam patient: overall and functional 
    • 5. Medication Reconciliation
    • 6. Plan of tx and orders based on assessment
  11. T or F: a RN must have 6 months professional RN experience to be qualified
    False: 1 year
  12. According to Title 22, phone orders must be signed by ____ days.
    30
  13. List equipment needed (minimum) that a RN brings for PPE and disposing/cleaning of equipment
    • Gloves
    • Goggles
    • Masks and gown
    • Sharps container
    • Plastic bags for soiled dressing
    • Hand wash
    • Bleach cleanser
Author
edeleon
ID
341866
Card Set
Home Health Care
Description
ADN-D Exam 1
Updated