Our mission statement is: CHC strives to provide quality nursing care in the home setting utilizing a comprehensive team approach to promote independence for individuals as well as nurture connections to the community through education, advocacy & empathy. VIEW BOARD

Our vision statement is: To be recognized as the premier provider of home health services in New England while achieving 100% patient and employee satisfaction. VIEW BOARD

CHC’s patient oriented goals to comply with Joint Commission’s National Patient Safety Goals are to identify patients correctly, use medicatons safely, prevent infection & falls, and identify any patient safety risks. VIEW BOARD

It is insurance fraud to submit a signed note that is blank/empty. VIEW BOARD

You can directly recruit clients to CHC regardless of actual skilled need. VIEW BOARD

The CHC Compliance officer is Jenna Barta. VIEW BOARD

You can be fined or sentenced to jail for not reporting abuse/neglect. VIEW BOARD

You have to report suspected abuse to your immediate Supervisor prior to filing a report with DPH. VIEW BOARD

All patients are instructed of their rights of confidentiality during the Admission process. VIEW BOARD

Signed consent for release of information is obtained from the patient at the time of Admission. VIEW BOARD

You can still get the current strain of flu if you are vaccinated against it. VIEW BOARD

If you got the flu shot last year, you don’t need to get it again this year. VIEW BOARD

You do not need to wash your hands after contact with inanimate objects (ie cell phone) or medical equiptment.VIEW BOARD

When hands are visibly soiled, you cannot use hand sanitizer, you must use soap & water. VIEW BOARD

Under the OSHA Act, employers are NOT responsible for providing a safe and healthful workplace. VIEW BOARD

According to the National Safety Council, the minimum safe following distance between you and the vehicle in front of you is one second. VIEW BOARD

When you are unsure of lifting/moving an object it is best to just go ahead and perform the action. VIEW BOARD

Using a wide base of support and your leg muscles while lifting is better than using an unsafe back position. VIEW BOARD

CHC does not promote fighting or threatening violence in the workplace. VIEW BOARD

Actions, words, jokes or comments based on an individual’s sex, race, ethnicity, age, or religion are acceptable at CHC. VIEW BOARD

CHC has a zero-tolerance policy for sexual abuse committed by an employee. VIEW BOARD

Open toed shoes are acceptable to wear while seeing patients. VIEW BOARD

Telling a patient about your divorce is maintaining professional boundaries. VIEW BOARD

When professional boundaries are becoming endangered, the clinician should ask for assistance from their supervisor and remove self from the case. VIEW BOARD

You can perform a comprehensive medical & psych assessment without using an interpreter if the client does not speak your language. VIEW BOARD

If you use family to interpret, you don’t need to document “family use with patients permission” in the chart. VIEW BOARD

A written incident report does not need to be completed if a patient falls. VIEW BOARD

After a reported incident with a patient, the clinician should review the current medication regimen and notify the Physician. VIEW BOARD

In order to assess the quality of care we provide to our patients, CHC utilizes SHP to send standardized Home Health Consumer Assessment of Health Care Providers and Systems (HHCAHPS) surveys to each patient per Centers for Medicaid and Medicare Service (CMS) guidelines. VIEW BOARD

The Massachusetts Substance Abuse Hotline is both free and confidential. VIEW BOARD

The Massachusetts Health promotion clearing house provides FREE health promotion materials for Massachusetts residents, health care providers, and social service providers. VIEW BOARD

CHC assesses all patients for fall risks. VIEW BOARD

If coughing in a patient’s home, you should always cough into your hand. VIEW BOARD

A “yellow” surgical mask is sufficient to wear when treating a client with tuberculosis. VIEW BOARD

For safety reasons, all CHC employees are not permitted to give clients a ride in their car for any reason. VIEW BOARD

In the event that a Clinician feels unsafe in a patient’s home, then they should leave the area immediately and report this to their Supervisor as soon as possible. VIEW BOARD

Personal Safety is the freedom from physical harm or threat of physical harm and freedom from hostility, aggression, harassment by anyone in the community or at work. One of the most important rules of personal safety is staying alert and being aware of your surroundings. VIEW BOARD

The sequence for removing Personal Protective Equiptment (PPE) is: Gown & Gloves (roll away from body method), Goggles/Face Shield, Mask/Respirator, immediately wash hands. VIEW BOARD

You notice that all surfaces in the home are dirty and you lack a barrier to place down, in this case, you could hang your bag on a door knob or work directly from the bag over your shoulder. VIEW BOARD

PACE is a medicare program and medicaid state option that gives community based care & services, such as adult day care, to people 35 years and older. VIEW BOARD

We have a disaster practice plan that includes prioritization of our patients based on severity of their needs/conditions for the purpose of visits during an emergency or disaster. VIEW BOARD

Every patient needs to be evaluated upon each OASIS for emergency preparedness and requires 4 more questions to be answered, to assess priority, evacuation, transportation and any special needs. VIEW BOARD

Early diagnosis and treatment of sepsis with IV fluids and antibiotics significantly increases one’s changes of survival. VIEW BOARD

Systemic signs of sepsis can include: Fever or chills, bradycardia, & shortness of breath. VIEW BOARD

It is not my responsibility to ensure my patients see their community provider. VIEW BOARD

For new orders from the ER, Walk-In, Dentist, etc, you must write a clinical summary when you send the order to the MD who actually signs the 485. VIEW BOARD

After assessing a patient’s lung sounds, the clinician wipes their stethoscope down with an alcohol wipe and places it in the “clean” side of their bag. VIEW BOARD 1 VIEW BOARD 2

Clinicians can carry their own glucometers to use on any patient if needed. VIEW BOARD

Clinicians can purchase automatic BP cuffs to use on all their patients. VIEW BOARD

Advanced directives are assessed to be in place at SOC, and implemented when the patients Physician determines, in writing, that the patient is unable to make their own health care decisions and documented in the attributes tab. VIEW BOARD

You need to complete another white ABN form when you make increase changes to the VFO of your dual eligible Medicaid patient. VIEW BOARD

When performing a task for a patient, you do not need to document why they cannot do it themselves safely. VIEW BOARD

You need to call the MD & document in a quick note when a client falls “outside” of their VFO range. (Ie pt to be seen 5-7 times a week and you only saw them 4 times.) VIEW BOARD

Immunizations such as flu, pneumo, and shingles are documented in the immunization tab of the chart, not in call logs/quick notes. VIEW BOARD

It is okay to only change one thing on your new 485 upon recert and consider that enough of a change. VIEW BOARD

In place of case conference forms, you are required to document monthly in the CC/issues problems & plan box, in conjuction with the date of your case conference. VIEW BOARD

The patients rights are reviewed with the patient by the admitting clinician & as needed, and are listed on the back of the ABN form. VIEW BOARD

It is okay to use “end of certification” for a goal end date. VIEW BOARD

You must make a new goal entry every time a goal is met, before the end of the cert period. VIEW BOARD

When oxygen cylinders/canisters are not secured, they should be stored standing upright. VIEW BOARD

An order for oxygen use in home requires clinician to note: dose, flow rate, continuous or PRN in EMR & med list in home, as well as thorough assessment every visit. VIEW BOARD

It is acceptable to recap a needle only if there is no sharps container within arm’s reach. VIEW BOARD 1 VIEW BOARD 2

If the patient has the dexterity to do so, they should be the one to remove the insulin pen needle after use and dispose into the sharps container. VIEW BOARD

When assessing the intensity of pain, the nurse should offer the client a pain scale to objectify the information. VIEW BOARD

The client covered under Medicare, and select few insurances, must be homebound but don’t need it documented in each visit. VIEW BOARD

Homebound status documentation requires 3 key points in each note; 1. “yes” to homebound, 2. “what the taxing effort is” and 3. “what they require an assist of” (ie cane, walker & 1 person assist, etc) VIEW BOARD

It is okay to complete an entire OASIS assessment with the client sitting down. VIEW BOARD

It’s not important to capture the clients improvements in oasis (ie improvement in pain, ambulation, or transferring) upon discharge because the improvements aren’t reflected anywhere. VIEW BOARD

On SOC patient reports to SN that he showers every day without any issue and SN gives patient a 0 : Able to bathe self in shower or tub independently, including getting in and out of tub/shower. The SN never observed patient’s bathroom, or ambulation. Over the next 60 days, the SN has come to realize that patient is unable shower himself & has very poor ambulation, therefore not safe to shower independently. Upon Recert, the SN chose 0, again, for M1830 then proceeds to request a HHA to assist patient in the shower. The SN answered M1830 correctly on SOC and Recert and followed the correct procedure on requesting a HHA. VIEW BOARD

The above question has no bearing on the CHC star rating. VIEW BOARD

In order to answer this OASIS question (GG0170) properly, the clinician should have the patient first lay on his or her bed, and then have the patient sit on the side of the bed. VIEW BOARD

The discharge goal is decided by the clinician only. VIEW BOARD

An intercepted fall is considered a fall. VIEW BOARD

In order to properly answer the GG questions, although direct observation is preferred, one can also base their assessment off reports from the patient themselves, care staff, clinicians, and family. VIEW BOARD

Gloves should be worn when performing blood glucose and INR testing. VIEW BOARD

Before using the Coagu-check, you must be sure the code number on the test strip vial corresponds to the code number displayed. VIEW BOARD

If the patient’s finger appears to be clean, there is no need to clean it. VIEW BOARD

Medication & Diagnosis do not need to be verified with all providers upon SOC and ROC. VIEW BOARD

This is the correct way to write a medication order when the Doctor tells you the patient takes two tabs of Depakote 500mg each AM- “Depakote 1000mg PO every AM” VIEW BOARD

It is policy to enter the last dose of ANY/ALL long term injectibles into a quick note. VIEW BOARD

The first dose of Risperdal Consta, Invega Sustenna, and Abilify Maintena can be given in the home if the client has never take a PO dose before. VIEW BOARD 1 VIEW BOARD 2 VIEW BOARD 3 VIEW BOARD 4

If I am not changing the dressing, I don’t need to document anything about the wound. VIEW BOARD

ALL wounds are reported to the Education Team upon discovery & measured weekly in centimeters, using the head to toe for length, and hip to hip for width-technique, LxWxD, and documented in your notes. VIEW BOARD

Stage of This Wound is: VIEW BOARD

Proper direction to measure the length of this wound: VIEW BOARD

Location of undermining: VIEW BOARD

Proper Description of the wound bed: VIEW BOARD

Measurements are done in inches. VIEW BOARD

If you wear gloves while cleaning up bodily fluids, you should still wash your hands afterwards. VIEW BOARD

Blood borne pathogens are disease causing microorganisms that are present in human blood and body fluids that may contain blood. VIEW BOARD

Healthcare workers who received the Hepatitis B vaccine and develop immunity are at no risk for infection. VIEW BOARD

Blood borne pathogens can be transmitted through food or water. VIEW BOARD

If you are exposed to bodily fluid, the first thing you should do is wash the area thoroughly. VIEW BOARD

It is not important to report any exposure immediately after occurrence. VIEW BOARD

You should never attempt to wash or disinfect used disposable gloves, even if you think no exposure has occurred.

You can catch a blood borne disease if an infected material splashes into your eyes. VIEW BOARD

The hepatitis B virus can survive on environmental surfaces for at least one week. VIEW BOARD

Universal precautions require you to treat all bodily fluids as if they were not infected by blood borne pathogens. VIEW BOARD

While on a routine visit, if the patient does not have Covid-19, or symptoms of, you don’t need to at least wear a surgical mask. VIEW BOARD

Covid-19 is not passed through respiratory droplets. VIEW BOARD

When leaving a Covid-19 positive patients home, it is best practice to remove all PPE outside the home wherever able. VIEW BOARD

Handwashing and social distancing are two major ways to reduce the spread of Covid-19. VIEW BOARD

If there is suspicion of a positive case, your supervisor must be notified immediately. VIEW BOARD

The CDC is the best source of information and guidance related to Covid-19. VIEW BOARD

I can still visit my Covid-19 positive patient as long as I am wearing appropriate PPE. VIEW BOARD

I should come into work with a fever & feeling ill. VIEW BOARD

It is not necessary to wipe down all high touch surfaces with an approved sanitizer on a regular basis. VIEW BOARD

Whenever in common areas of CHC offices, a mask must be worn. VIEW BOARD