Home Health and standing orders

[rachelar21]

I just recently took a position as a Nursing Supervisor with a home health agency working with individuals affected by Spinal cord injuries and Traumatic Brain Injuries. They do not work with Medicaid or Medicare but with Auto insurance. We are working on our Community Health Accredidation (CHAP). I have experience working with Private duty nursing as well as experience with spinal cord injuries as a bedside nurse. I am new to this more administrative position. I do not know where to start with CHAP with policies and procedures. I was also told to look into "standing orders" for our clients. I did some research and I keep finding that standing orders are not appropriate and cannot be used for home health as each care plan must be individualized to the client. I hope there is someone that has experience with this and can help. If I am not allowed to use standing orders which I had always used in hospitals and nursing homes, what is a way that I can have this set up and have the doctor write the order for.?

[Mupchurch2000]

My agency has standing orders in our policy manual that have been approved by our medical director. When a patient is admitted that the order would apply to we send the standing order to the overseeing MD to either agree, agree with changes, or disagree. That way it is still the overseeing MD order and your care plan is still patient focused