Policy Manual sample

MDT Home Health Care Agency, Inc. 2. Patient has an abscess seen on direct examination, during a surgical operation, or during a histopathologic examination. GI-GASTROINTESTINAL SYSTEM INFECTION GE-Gastroenteritis Gastroenteritis must meet at least 1 of the following criteria: 1. Patient has an acute onset of diarrhea (liquid stools for more than 12 hours) with or without vomiting or fever (.38 o C) and no likely noninfectious cause (eg, diagnostic tests, therapeutic regimen other than antimicrobial agents, acute exacerbation of a chronic condition, or psychologic stress). 2. Patient has at least 2 of the following signs or symptoms with no other recognized cause: nausea, vomiting, abdominal pain, fever (.38 o C), or headache GIT-Gastrointestinal tract (esophagus, stomach, small and large bowel, and rectum) excluding gastroenteritis and appendicitis Gastrointestinal tract infections, excluding gastroenteritis and appendicitis, must meet at least 1 of the following criteria: 1Patient has an abscess or other evidence of infection seen during a surgical operation or histopathologic examination. 2Patient has at least 2 of the following signs or symptoms with no other recognized cause and compatible with infection of the organ or tissue involved: fever (.38 o C), nausea, vomiting, abdominal pain, or tenderness HEP-Hepatitis Hepatitis must meet the following criterion: Patient has at least 2 of the following signs or symptoms with no other recognized cause: fever (.38 o C), anorexia, nausea, vomiting, abdominal pain, jaundice, or history of transfusion within the previous 3 months and at least 1 of the following: a. positive antigen or antibody test for hepatitis A, hepatitis B, hepatitis C, or delta hepatitis b. abnormal liver function tests (eg, elevated ALT/ AST, bilirubin) c. cytomegalovirus (CMV) detected in urine or oropharyngeal secretions. IAB-Intraabdominal, not specified elsewhere including gallbladder, bile ducts, liver (excluding viral hepatitis), spleen, pancreas, peritoneum, subphrenic or subdiaphragmatic space, or other intraabdominal tissue or area not specified elsewhere Intraabdominal infections must meet at least 1 of the following criteria: 1Patient has organisms cultured from purulent material from intraabdominal space obtained during a surgical operation or needle aspiration. 2Patient has abscess or other evidence of intraabdominal infection seen during a surgical operation or histopathologic examination. 3Patient has at least 2 of the following signs or symptoms with no other recognized cause: fever (>38 o C), nausea, vomiting, abdominal pain, or jaundice. NEC-Necrotizing enterocolitis Necrotizing enterocolitis in infants must meet the following criterion: Infant has at least 2 of the following signs or symptoms with no other recognized cause: vomiting, abdominal distention, or prefeeding residuals and persistent microscopic or gross blood in stools Home Health Agency Nursing Care & Procedures K-144