ch 2
Outcome and Assessment Information Set (OASIS)
-A standard core assessment data tool developed to measure the outcomes of adult patients receiving home health services under the Medicare and Medicaid programs (CMS 2013) -""Results are used to improve overall quality improvement efforts."
Qualities of a home healthcare nurse
-Knowledgeable and skilled -Independent in making decisions -Accountable -improvises when providing care
What should the school nurse working in the elementary school setting be aware is one of the most frequent health care problems to affect this population? You Selected: Emotional problems
Correct response: Infections
A novice nurse is learning the difference between community-based nursing and community-oriented nursing. Which scenario does the nurse recognize as a role of the community-oriented nurse? You Selected: Occupational health nurse immobilizing a fractured extremity of an injured employee
Correct response: Nurse working a booth at a health fair performing blood pressure and glucose screenings
A client in an acute care facility is assigned a case manager to oversee and coordinate care. What important function does a case manager have? You Selected: Make home visits to see that the client is taken care of after discharge.
Correct response: Provide early, thorough discharge planning.
The nurse is caring for a patient who is to be discharged from the acute care facility to a rehabilitation unit after having a stroke. What type of prevention is this considered to be? Secondary Rehabilitation Primary Tertiary
Tertiary
A nurse educator for a local home care company is teaching staff nurses on the use of the Outcome and Assessment Information Set (OASIS). What statement will the nurse include when teaching about the OASIS?
You Selected: "This document is required but is only used for reimbursement." Correct response: "Results are used to improve overall quality improvement efforts."
Chart 2-1 Safety Precautions in Home Health Care •
Learn, or preprogram a phone with, the telephone numbers of the agency, police, and emergency services. Most agencies provide phones for their nurses so that the agency can con tact the nurse and the nurse can easily contact the agency. • Carry agency identification and a charged phone to make telephone calls if you become lost or have problems. . Let the agency know your daily schedule and the telephone numbers of your patients so that you can be located if you do not return when expected. • Know where the patient lives before leaving to make the visit, and carry a map or global positioning device for quick referral. . Keep your car in good working order, and have sufficient gas in the tank. • Park the car near the patient's home, and lock the car during the visit. • Do not drive an expensive car or wear expensive jewelry when making visits. . Know the regular bus schedule, and know the routes when using public transportation or walking to the patient's house. . When making visits in high-crime areas, visit with another person rather than alone (if possible). . Try to schedule visits during daylight hours (when possible). • Never walk into a patient's home uninvited. • If you do not feel safe entering a patient's home, leave the area. • Become familiar with the layout of the house, including exits from the house. . If a patient or family member is intoxicated or hostile, leave and reschedule the visit. • If a family is having a serious argument or abusing the patient or anyone else in the household, leave, reschedule the visit, contact your supervisor, and report the abuse to the appropriate authorities.
