Table of Contents
Policy                                                    OPERATIONS
1.001.1 Definition of Organization          
1.002.1 Services Offered            
1.003.1 Service Area            
1.004.1 Payment for Services            
1.005.1 Hours of Operation            
1.006.1 Administrative Control          
1.007.1 Professional Advisory Committee        
1.008.1 Annual Evaluation            
1.009.1 Admission Criteria            
1.010.1 Discharge/Transfer from Service          
1.011.1 Contingency Plan            
1.011.2 Agency Closure Procedures          
1.012.1 Back-up Coverage of Services          
1.016.1 Professional Standards and Principles        
1.017.1 Financial Records  
HUMAN RESOURCES
2.002.1 Personnel Records            
2.002.2 Employment References          
2.002.3 Time Records            
2.003.1 Selection of Personnel          
2.003.2 Classification of Personnel          
2.003.3 Ethics              
2.003.4 Volunteers            
2.003.5 Employee Attire            
2.007.1 Orientation and Staff Development        
2.008.1 Policy and Procedure Agreement        
2.013.1 Performance Evaluation          
2.014.1 Employee Discipline            
2.015.1 Termination/Separation of Employment        
2.016.1 Employee Grievances          
2.021.1 Peer Review Process            
2.022.2 Professional Reporting          
2.022.3 Drug Testing            
RIGHTS,RESPONSIBILITIES, ETHICS
3.001.1 Client Conduct,Responsibility and Rights        
3.001.2 Non Discrimination            
3.002.1 Solicitation & Remuneration For Referrals        
3.003.1 Patient Complaints/Grievances          
3.004.1 Reporting Abuse,Neglect, or Exploitation        
3.004.2 Rights of the Elderly            
3.005.1 Criminal History Checks          
3.005.2 Criminal History Checks (Admin/Owner)        
3.005.3 Employee Misconduct Registry          
3.006.1 Out of Hospital Do Not Resuscitate Order        
3.007.1 Advanced Directives            
3.007.2 Declaration of Mental Health Treatment        
3.009.1 Coordination of Client Care          
3.010.1 Advance Beneficiary Notice (HHABN)        
3.011.1 Patient Privacy Rights          
3.012.1 Facilitating Communication
3.013.1 After Hours Care
ADMINISTRATIVE
4.001.1 Security of Clinical Information          
4.002.1 Retention of Clinical Records          
4.003.1 Timeliness of Entries in Clinical Record        
4.003.2 Client Records            
4.004.1 Physician Orders,Plan of Care          
4.004.2 Physician Signatures            
4.004.3 Physician Delegation            
4.004.5 RN Delegation            
4.005.1 Clinical Record Review/Quarterly Review        
4.006.1 Abbreviations            
4.007.1 Prohibition on Transporting Patient        
4.008.1 OASIS Information  
4.009.1 Medication Profile            
4.009.2 Medication Administration Record
NON-CLINICAL
5.001.1 Billing              
5.002.1 Verification of Primary Payor          
5.003.1 OASIS Corrections  
5.004.1 Staffing Issues                                                      
5.005.1 Faxing              
5.006.1 Protected Health Information Password/Usernames
CLINICAL
6.001.1 Inservice Education            
6.004.1 Wound care management          
6.011.1 Reporting Emergencies in the Home        
6.014.1 Sharp Debridement of non viable tissue        
6.015.1 Clinical Procedures            
6.016.1 Care Planning            
6.017.0 RN Pronouncment  
6.019.1 OASIS              
6.020.1 Nurse Supervision            
SAFETY/INFECTION CONTROL
7.001.1 Infection/Exposure control plan          
7.001.2 CLIA Waiver            
7.002.1 Universal Body Substance Precautions        
7.003.1 Management of Infections/Exposures        
7.004.1 Personal Protective Equipment          
7.005.1 Handwashing            
7.006.1 Aseptic Technique            
7.007.1 Sterile Technique            
7.009.1 Respiratory/TB Precautions          
7.010.1 TB Exposure Control Plan          
7.011.1 Contaminated Reusable Materials Disposition      
7.012.1 Contaminated Waste Disposal          
7.013.1 Therapy Bag Techniques          
7.015.1 Communication of Hazards to Personnel        
7.016.1 Hepatitis B Vaccination          
7.017.1 Information and Training          
7.018.1 Evaluating and Maintaining Records of infections      
7.019.1 Reporting of Communicable Diseases        
7.020.1 Record Keeping            
7.021.1 Medical Equipment Malfunction          
7.022.1 Hazardous Waste Handling/Labeling        
7.023.1 OSHA Bloodborne Pathogen Training        
7.024.1 Sentinel Event/Incident/Accident Reporting        
7.025.1 Agency Personnel Safety/Personal Safety        
7.026.1 Agency Personnel Safety/ Unsafe Home Visits      
7.027.1 Accidental Exposure            
7.028.1 Accidental Prevention          
7.029.1 Car Accident Reporting          
7.031.1 Emergency Preparedness          
QUALITY MANAGEMENT
8.001.1 Quality Assessment/Performance Plan        
8.002.1 Patient Satisfaction Survey          
8.004.1 Data Quality Audits            
                                        PROVISIONS OF INTRAVENOUS THERAPY    
9.001.1 Provisions of Intravenous Therapy        
9.002.1 Administration of IV Therapy          
9.003.1 Nurse Responsibility            
9.004.1 Patient Education            
9.005.1 Anaphylaxis Protocol            
9.006.1 Possession of Supplies          
9.007.1 Possession of Saline, Certain Vaccines and Dangerougs Drugs