Form - Reporting Changes in Condition - HomeCentris Healthcare

Read the statement below on Reporting Changes in Condition. Enter your name and sign to acknowledge agreement. A copy will be sent to the HR Department upon completion.

Reporting Change in Condition

You agree to the following

A “change in condition” includes but is not limited to the following: Abnormal vital signs,
changes in behavior i.e., confusion, changes in appetite/intake or output, increases or decreases in urination/defecation, impaired skin integrity, non-compliance with care or taking medications, level of consciousness, falls, injuries like bruises, lacerations, or abrasions, emergency or urgent care visits, hospitalizations, noncompliance with various medical orders, etc.  As HomeCentris caregivers, you are our eyes and ears for our clients, and we appreciate you help with reporting changes as needed. As you continue to work more with your assigned client, you will familiarize yourself with your client’s baseline- that is, what the client can and cannot do for themselves and what their overall health status is. You might also become aware of a new diagnosis that the client may develop. Moreover, you will likely become more acquainted with their vital signs (VS) and mobility status (can they stand, pivot, transfer, walk, or turn in bed for example). If at any time you notice a “change of condition”, it is extremely important to report any change of condition to your designated Client Relationship Manger (CRM).

Acknowledgement

By my signature, I acknowledge that I have read, understand, and agree to
Report any changes in condition with any client as defined in this Reporting Changes in Condition outpatient welcome packet that I received.

Your Name

Date

Signature

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