Basic Home Health Care Charts

Specialties Home Health

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Does anyone have some basic HHC charts, or sites with charts. My definition o f is basic in something with vitals, i&o's, feeding, linen changes, and meds. The adency that I will be working for says that their charting is a part of the patients file, so after I turn it in I won't have access to it, and I can't make copies, so I want my own, ya know just in case something comes up, and I need to back myself up, with my own documentaion.

Thanks.

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Does anyone have some basic HHC charts, or sites with charts. My definition o f is basic in something with vitals, i&o's, feeding, linen changes, and meds. The adency that I will be working for says that their charting is a part of the patients file, so after I turn it in I won't have access to it, and I can't make copies, so I want my own, ya know just in case something comes up, and I need to back myself up, with my own documentaion.

Thanks.

I have been looking also and have had no luck. If you find any good sites to obtain these, please let me know.

Thanks

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Specializes in MS Home Health.

I am trying to understand exactly what your looking for? Do you mean a travel chart while you are working and caring for a client or keeping documentation to protect you at some later point in time?

renerian

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My first thought was privacy act violation -- keeping duplicate charts at home.

What's wrong with keeping just a record of patient ID numbers in a day timer? Or do you think an agency is going to change your charting?

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I am trying to understand exactly what your looking for? Do you mean a travel chart while you are working and caring for a client or keeping documentation to protect you at some later point in time?

renerian

I am looking for Documentaion charts. I am a Medical Assistant and I do private in home caregiving. I am currently working with a SCI patient who recently was released from the VA in Seattle after he was struck by a car while riding his motorcyle last year. I made up a Spinal Cord Injury Handbook for this client with informational subjects for SCI's. And in it I have a section where i documents his I/O's, vitals, medication log, etc.. I am very carefull about recording everything !! The only thing I could find on the internet were I/O sheets and treatment planners. Stuff like that, but no good client documentation sheets. I just want plain ol' charting sheets. Nothing fancy. I guess I could just make my own up with "Works". Just thought I would ask anyway. I work 6 days a week plus i went back to school a couple months ago to work toward Bachelors in Science and also working towards Surgical Technology degree. I am so tired most the time I don't have it in me to do massive serches on something so minor. I have been using notebook paper, and wanted something a little more professional looking. Thank you for you reply !!! :

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Specializes in MS Home Health.

I think I gotcha now. I always make my own flow sheets on excel anywhere I have ever worked. Are you working agency on a private pay patient or as a privately hired caregiver? If your privately hired I wanted to be sure you were carrying enough .

renerian

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I think I gotcha now. I always make my own flow sheets on excel anywhere I have ever worked. Are you working agency on a private pay patient or as a privately hired caregiver? If your privately hired I wanted to be sure you were carrying enough malpractice insurance.

renerian

Yeah, basically a flow sheet. I tried to do it with Excel but I suck at that.

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My first thought was privacy act violation -- keeping duplicate charts at home.

What's wrong with keeping just a record of patient ID numbers in a day timer? Or do you think an agency is going to change your charting?

The only personal info I would need is something identifying , and a list of was was performed at what time, any problems that they complained of, and that is basically it. I am not sure if the agency would try to change my charting, but the AMA, the two office RN's, and the director truthfully are a little shiesty. I just want to be covered no matter what.

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Specializes in MS Home Health.

Unfortunately you cannot keep anything pertaining to the client-it is against hippa. Sorry.

Isn't your agency providing you with the needed paperwork?

renerian

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Unfortunately you cannot keep anything pertaining to the client-it is against hippa. Sorry.

Isn't your agency providing you with the needed paperwork?

renerian

I dont' work for an agency. I am self employed. Thanks anyway. I will make up

my own. And they are not for me to smuggle home a patients records. They are for me to keep daily records of activities and record vitals, bowel movements,I/O's, etc... I design and put together folders pertaining to individual clients needs and cicumstances. In this folder i keep a daily record of everything done with that client. Pretty smart, huh?!!

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I dont' work for an agency. I am self employed. Thanks anyway. I will make up

my own. And they are not for me to smuggle home a patients records. They are for me to keep daily records of activities and record vitals, bowel movements,I/O's, etc... I design and put together folders pertaining to individual clients needs and cicumstances. In this folder i keep a daily record of everything done with that client. Pretty smart, huh?!!

You are sounding either like you worry to much , or you are to suspicous. Don't you frett little one. I have plenty of insurance.

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Specializes in MS Home Health.

Sorry I did not mean smuggling records.

ren

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