Emergency Plan
Same month every year (annually)
Complete the Agreement with another Agency. (Fax to us the information to complete/submit the Plan)
Same month every year (annually)
Complete the Agreement with another Agency. (Fax to us the information to complete/submit the Plan)
Renew License Form: 60 days before to expiration date. CLIA application form
Staff Chart Audit Form (at least Annually to all field and office staff):
ALL STAFF ORIENTATION:
NURSES (RN-LPN) ORIENTATION (Application date or before assigned any case):
Nurses Staff Orientation (RN-LPN)
AIDES (HHA or CNA) ORIENTATION (Application date or before assigned any case):
Aide Staff Orientation (HHA-CNA)
Therapist Staff Orientation (PT-PTA-OT-OTA-ST-MSW)
Other Support Materials:
(This forms must be filed in each employee chart Administrator/DON and their alternates)
During Absence Administrator During Absence of DON
Position Change Staff Orientation New DON Orientation
(all staff in new position must be trained/oriented in their new duties)
Position Change Orientation DON Orientation
New Alt. DON Orientation
Supervisor Staff Training/Orientation
Glucometer Competency (Professional Staff-Annual) Handwashing (all field staff) (Initial-Annual)
Glucometer Competency Handwashing Competency
Bag Technique Competency (all field staff) Hand Hygiene knowledge assessment
(Initial-Annual) (Initial-Annual)
Bag Technique Competency Hand Hygiene Knowledge
Bag technique, Patient Assessment, Handwashing procedures/staff training:
Yearly BP Gauges Check Log (Prof. Staff-Annual) Hand Hygiene Staff Survey (Annual)
BP Gauges Check Log Hand Hygiene Staff Survey
Disclaimer: Every template is only your Guide/Agenda to complete each report, your Agency Officials must assure that the meeting/evaluation occur, the quorum is acceptable, and every member had active participation in the discussion and confection of the Reports, Evaluations/Competencies, Documents.
The 24 hours must include two (2) hours on Prevention of Medical Errors. HIV/AIDS is now a one-time, 1-hour CE requirement to be completed prior to the first renewal. Domestic Violence (DV) CE is now a 2-hour requirement every third renewal. Since Domestic Violence (DV) is a 2-hour requirement, the licensee will have 26 hours of CE during the renewal period when DV is taken. For example, if you renew your license on July 31, 2008 and completed DV during the 2006-2008 licensure cycle, you are required to complete the Domestic Violence CE before the July 31, 2014 renewal.
CPR: must be with life person (not on-line)
All home health aides employed by home health agencies must complete an HIV/AIDS training course. They also are required to obtain and maintain a current certificate in cardiopulmonary resuscitation (CPR). Home health aides employed by Medicare and Medicaid home health agencies are required to have a total of 12 hours of in-service training during each 12-month period (this can be a calendar year or based on the date of hire). The HIV/AIDS training and CPR training may be counted toward meeting the 12 hours of in-service training.
All CNAs must complete a minimum of 12 hours of in-service training each calendar year. Every 2 years, in-service training hours shall include, but are not limited to, the following areas: Bloodborne Pathogens, Infection Control, Domestic Violence, Medical Record Documentation and Legal Aspects Appropriate to Nursing Assistants, Resident Rights, Communication with cognitively impaired clients, CPR skills, Medical Error Prevention and Safety
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