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Before Anything Else

Start of Care · Episode 2

Before Anything Else

Brian walks in and reaches for the blood pressure cuff. Carmen has something to do first.

Key takeawayRights first, then careAt the first visit, introduce yourself, show your ID and explain why you're there before any care. Give and explain the patient's rights, the privacy notice, how to make a complaint and what care is planned. Ask about advance directives, get consent, and document that it was done. The patient can refuse any part of care.

In this scene

Brian: Good morning! I'm Brian, from the home health agency. Here's my badge.

Brian: Let's get started, Frank. Roll up your sleeve and I'll check your pressure.

Carmen: Hold on. He doesn't know yet what we're here for, or what his rights are.

Watch the episode to see what happens next.

Questions to think about

  • What comes first at the start-of-care visit?
  • The patient's rights include:
  • You also give the patient:

About this series

For home health nurses and therapists: the start-of-care in-home assessment. Timing, patient rights, homebound status, an accurate assessment, every medicine in the home, home safety, caregivers and emergency plans, screening, the patient's own goals, and closing the loop with the physician. Follow your agency's policies and the Medicare Conditions of Participation. See the whole series

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