Policy Manual sample

MDT Home Health Care Agency, Inc. and at least 1 of the following abdominal radiographic abnormalities: a. pneumoperitoneum b. pneumatosis intestinalis c. unchanging ‘‘rigid’’ loops of small bowel. LRI-LOWER RESPIRATORY TRACT INFECTION, OTHER THAN PNEUMONIA BRON-Bronchitis, tracheobronchitis, bronchiolitis, tracheitis, without evidence of pneumonia Tracheobronchial infections must meet at least 1 of the following criteria: 1. Patient has no clinical or radiographic evidence of pneumonia and patient has at least 2 of the following signs or symptoms with no other recognized cause: fever (>38 o C), cough, new or increased sputum production, rhonchi, wheezing and at least 1 of the following: a. positive culture obtained by deep tracheal aspirate or bronchoscopy b. positive antigen test on respiratory secretions. LUNG-Other infections of the lower respiratory tract Other infections of the lower respiratory tract must meet at least 1 of the following criteria: 1Patient has organisms seen on smear or cultured from lung tissue or fluid, including pleural fluid. 2Patient has a lung abscess or empyema seen during a surgical operation or histopathologic examination. 3Patient has an abscess cavity seen on radiographic examination of lung. REPR-REPRODUCTIVE TRACT INFECTION EMET-Endometritis Endometritis must meet at least 1 of the following criteria: 1Patient has organisms cultured from fluid or tissue from endometrium obtained during surgical operation, by needle aspiration, or by brush biopsy. 2Patient has at least 2 of the following signs or symptoms with no other recognized cause: fever (>38 o C), abdominal pain, uterine tenderness, or purulent drainage from uterus. EPIS-Episiotomy Episiotomy infections must meet at least 1 of the following criteria: 1 Postvaginal delivery patient has purulent drainage from the episiotomy. 2 Postvaginal delivery patient has an episiotomy abscess. Comment: Episiotomy is not considered an operative procedure in NHSN. VCUF-Vaginal cuff Vaginal cuff infections must meet at least 1 of the following criteria: 1 Posthysterectomy patient has purulent drainage from the vaginal cuff. 2 Posthysterectomy patient has an abscess at the vaginal cuff. 3 Posthysterectomy patient has pathogens cultured from fluid or tissue obtained from the vaginal cuff. OREP-Other infections of the male or female reproductive tract (epididymis, testes, prostate, vagina, ovaries, uterus, or other deep pelvic tissues, excluding endometritis or vaginal cuff infections) Other infections of the male or female reproductive tract must meet at least 1 of the following criteria: Home Health Agency Nursing Care & Procedures K-145