Home Health Forms
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Miscellaneous Forms
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| F.A.Q |
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PAS Orientation Manual
PDF Samples Linked Below
Section I: Getting Started
| Name Badges | Chain of Command |
| Agency Services | Vision & Mission Statement |
| Client Rights | Agency Responsibilities |
Section II: Human Resources
| Employee Handbook | Acknowledgment of Employee Handbook (Sign & Return) |
| Drug, & Alcohol Abuse (Sign & Return) | Employee Supervision & Continuing Education Requirements |
| Inventory Checklist (Sign & Return) | Professional Agreement Addendum (Sign & Return) |
| Policy & Procedure Manual Agreement (Sign & Return) | Performance Evaluations |
| Agreement to Arbitrate Employment (Sign & Return) | Conditions of Employment (Sign & Return) |
| Direct Deposit Form (Sign & Return) | Confidentiality Agreement |
Section III: Office Policies
| Coverage Map | Office Policy & Procedural Manual |
| Fax Cover Sheet | Intake Referral Sheet |
| Visit Time Sheet | Complaint Form |
| Release of Information | Release of Information Authorization |
Section IV: New Patient Admissions
| New Admit Packet | Chart Organization |
Section V: Infection Control
| Blood-Born Pathogens | Infection Control Policies & Procedures |
| MRSA | Exposure Report (Sign & Return) |
| Hepatitis B Training | Hepatitis B Declination (If declined Sign & Return) |
| Home Care Bag Procedures | Maintaining Equipment in the Car |
| Equipment Cleaning | Spills in the home |
| Tuberculosis |
Section VI: Client Information
| Missed Visit Report | Physician Telephone Orders |
| Communication | Abbreviations |
| HHA Care Plan | 60 Day Summary |
| Case Conference | MAR |
Section VII: Location of Teaching Guides and Reference
Materials
| Office Policy & Procedural Manual | Nursing Policy & Procedural Manual |
| Drug Guide | ICD-9 Coding |
Section VIII: Safety
| Fire Extinguisher Locations & Usage | MSDS Manual Location |
Section IX HIPAA Training
| HIPAA Training | HIPAA Test |
| HIPAA Certificate |
Section X Aide Instruction
| Nutrition Components | Erikson's Stages of Development |
| Communication and Interpersonal Skills | Body Mechanics |
| Maslow's Hierarchy of Needs | Assistive Technology |
| The emotional effects of having a serious physical illness |
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Some forms utilize the ability of a Laser Printer to print nearly to the edge of the page. These forms will not print correctly on an ink jet printer.
