Relias Impact Blog

Performance improvement through staff training and workforce development.

Relias Impact Blog

17 Posts

Infection Control and Prevention in Long Term Care

Infection control is a serious public issue, and it is vital for healthcare workers and others working with the public to understand how to prevent infection. Controlling and preventing infection in long-term care settings is possible. In fact, the Centers for Disease Control and Prevention (CDC) says that when healthcare professionals are aware of infections and they take steps to prevent...

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First Steps in Emergency Management for Home-Based Care

In September of 2016, the Centers for Medicare and Medicaid Services (CMS) published a final rule for the Condition of Participation (CoP) on emergency preparedness requirements for Medicare and Medicaid certified agencies. The new Appendix Z of the Medicare State Operations Manual is specifically designed for emergency preparedness. It focuses on specific principles of protecting access to...

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Pressure Injury/Pressure Ulcer: Learn the TNT Acronym

Pressure injuries in the U.S. are common and costly, affecting an estimated three million people per year and generating expenses of close to $11 billion (Raetz & Wick, 2015). Pressure injuries occur most often in acute care hospitals, nursing facilities, and home care settings (Agency for Healthcare Research and Quality [AHRQ], 2013).

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Developing an Interdisciplinary, Individualized Plan of Care in Home Health Care

According to recent statistics, home health referrals after acute care hospitalization have exploded, growing 65% to 3.7 million in slightly more than a decade (Jones, Bowles, Richard, Boxer, & Masoudi, 2017). Individualized patient care planning has always been the cornerstone of efficient and effective care delivery in home healthcare, and this focus is now considered a non-negotiable part...

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Caregiver Rules for Assisting with the Self-Administration of Medications

You have known Miss Kelly for over three years, as you have been caring for her and her sister. The two of you have a special connection, so it is particularly distressing to you when you watch her slowly, over time, deteriorate because of her arthritis and heart condition. You have always aided with bathing, meal preparation, and light chores, but she has taken care of her own medications....

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Managing Symptoms in Palliative Care

Meet Marvin. Marvin is a 68-year-old retired welder who lives with his wife in their home by the ocean. He suffers from occupational emphysema, a breathing disorder, and lives most of his life in his air-conditioned living room in a recliner, watching TV. Marvin tries to avoid going outside, as the moist, warm air often exacerbates his respiratory symptoms. He develops severe shortness of...

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Throwing It All Away: The Hidden Hazards of Medical Waste Disposal

Sam and Sally have lived in their cozy home together for their entire 50-year marriage. Sam has diabetes and takes insulin, and Sally has breathing problems from a condition known as COPD. Sally also has poor blood flow in her legs which has recently caused a wound to form on her ankle. The nurse visits daily to assess Sally’s ankle wound and change the dressing.

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Managing Medical Waste Disposal in the Home

Working in a home-based environment often presents many challenges. One of these challenges is determining how to properly manage waste, especially medical waste. There is a proper way to manage medical waste in the home setting. It includes identifying medical waste items, following the regulations that govern medical waste disposal in the home, and acknowledging the proper procedure for the...

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Home Health Conditions of Participation Summary of Changes for 2017

Final Rule

“The Centers for Medicare & Medicaid Services (CMS) released a final rule (CMS-3819-F) that modernizes the Home Health Agency Conditions of Participation (CoPs). The final rule, effective July 13, 2017, will improve the quality of health care services for all home health patients and strengthen patients’ rights. The regulation reflects the most current home health agency practices...

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A Heart for Employee Retention

As you probably know, February is American Heart Month. Yes, it is meant to draw attention to heart (read ‘cardiac’) health, but let’s talk for a moment about the other reason February is the time to share the love. You will soon be surrounded by the exchange of chocolate, flowers, and heart-bearing Cupids stamped on Valentine’s Day cards bearing tidings of friendship and more. What better...

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