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A home health nurse is preparing for an initial home visit. Which information should be included in the patient's home care medical record?

a.Nursing process form

b.Step-by-step skills manual

c.A list of possible procedures

d.Reports to third-party payers

1 Answer

4 votes

Final answer:

The information that should be included in the patient's home care medical record is a list of possible procedures, a nursing process form, and reports to third-party payers.

Step-by-step explanation:

The information that should be included in the patient's home care medical record is a list of possible procedures. This would provide a clear reference for the nurse to understand the specific treatments or interventions that may be required for the patient. It would also help ensure continuity of care if the patient's condition changes or if there is a need for follow-up visits.

Including a nursing process form in the medical record would also be beneficial. This form documents the systematic approach to nursing care, including assessment, planning, implementation, and evaluation. It helps guide the nurse in providing appropriate care and can serve as a reference for other healthcare professionals who may be involved in the patient's care.

Reports to third-party payers may be required for billing purposes. These reports provide the necessary documentation and information for reimbursement. They typically include details about the services provided, the dates of service, and the charges associated with each service.

User Matt Leyland
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