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Hospital and Hospice Partnerships

Next Reply: Re:admission of hospice patients
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Post admission of hospice patients
Author: CaringNurse8
Date: Feb 7, 2012 10:43 pm
I have questions regarding admission of patients onto hospice services....Can an home hospice patient be admitted in the hospital prior to discharge and be "tucked in" after arriving home post discharge and what is an "tuck in" visit/ is it not required that a patient is admitted in his environment? Also is it appropriate for a 2 day admission of new hospice patients...if so when does the 24hr post admit visit occur?
Replies: order by [Date] [Author] [Subject]
Re:admission of hospice patients (by MKFedorchuk on 02/09/2012)
Prior to the new CoPs we used to complete admission paperwork at the hospital for new hospice patients being discharged home and then do a "tuck in" visit when they arrived home. The thinking was that they are sitting around the hospital anxiously awaiting discharge home and it would be convenient to complete the admission then rather than have to bother them too much once they arrived home. When the new CoPs came out in Dec 2008, they said the admission has to be completed where the patient will receive services. If you are going to be providing inpatient services for a couple of days prior to discharge home you could do the admission at the hospital but not if the first day of services is a routine home care day. Regs say that "a nursing assessment" must be completed within 24 hours of signing admission paperwork. Then an initial and complete assessment must be completed within 5 days.

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