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H08- 071 – Procedure
October 8, 2008
|TO: |Area Agency on Aging (AAA) Directors |
| |Home and Community Services (HCS) Division Regional Administrators |
| |Division of Developmental Disabilities (DDD) Regional Administrators |
|FROM: |Bill Moss, Director, Home and Community Services Division |
| |Linda Rolfe, Director, Division of Developmental Disabilities |
|SUBJECT: |Revisions to Long-term Care Manual Chapter 24, Nursing Services and Skin Observation Protocol Related to DDD |
| |Clients |
|Purpose: |To notify staff of updates to the Skin Observation Protocol (SOP) to include direction to DDD Case Resource |
| |Managers. |
|Background: |In June 2007, all DDD clients began to be assessed using the Comprehensive Assessment Reporting Evaluation |
| |(CARE) tool. Embedded within the CARE assessment is the Skin Observation Protocol and its associated data |
| |elements. Clients who had not previously been assessed in CARE, and have no access to usual Nursing Services|
| |resources, are now triggering the Skin Observation Protocol. |
| | |
| |The directions and revisions to the Skin Observation Protocol specifically address the needs of DDD clients |
| |who do not have access to Medicaid Personal Care or Waiver Personal Care nursing resources (e.g. Nursing |
| |Services or Nurse Delegation) for completion of the Skin Observation Protocol. |
|What’s new, changed, or |The following has been added to the Skin Observation Protocol: |
|Clarified |A Skin Observation Protocol Referral Tree for DDD clients. |
| |A client letter describing the Skin Observation Protocol and suggestions for follow-up care. |
| |Educational materials for clients and caregivers. |
| | |
| |The Long-term Care Manual, Nursing Services Chapter, is currently being updated to include these changes. |
|ACTION: |Effective immediately: |
| |Use the Updated Nursing Services Chapter |
| |DDD Case Resource Managers will follow the instructions on the Skin Observation Protocol Referral Tree for |
| |referral and resource information. |
| |MIP and ADH program managers shall distribute SOP provider memos to contracted organizations. |
| |DDD Case Resource Managers will provide a copy of the Client Referral Letter to clients without access to |
| |nursing resources. |
|Related |Educational Materials (Healthy Skin 1 & 2, Taking Care of Pressure Sores) |
|REFERENCES: | |
|ATTACHMENT(S): |Long-term Care Manual, Nursing Services Chapter changes: |
| |[pic] |
| |Skin Observation Protocol Referral Tree: |
| |[pic] |
| |MIP Provider Memo: |
| |[pic] |
| |ADH Provider Memo: |
| |[pic] |
| |SOP Pressure Ulcer Assessment and Documentation: |
| |[pic] |
| |Basic Skin Assessment: |
| |[pic] |
| |Client Letter: |
| |[pic] |
|CONTACT(S): |Candace Goehring, Unit Manager |
| |Clinical Effectiveness and Performance Improvement Unit |
| |(360) 725-2562 |
| |goehrcs@dshs. |
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