Page 166 - Business Development Orientation Binder
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Intake Patient Interview Guide—PANEL 3                                   Intake Patient Interview Guide—PANEL 4

        Current Disease / Condition Course and Hospital Course                   Other questions as per Intake Protocols
          Can you tell me the reason you came to the hospital?                    Protocols are available on the Intranet in  Sharepoint on the Business Development
          Has this ever happened to you before?                                     Team Site
          How frequently have you been to the hospital or ER in the past year? For what
            problem?                                                             General Tips
          If patient has difficulty ambulating consider asking: Since you’ve been in the hospital    Wash your hands upon entering & leaving the pt’s room
            have you been out of bed walking around? How far have you walked? Can you get     If appropriate, sit by patient and appear relaxed
            up to go the bathroom by yourself without any help?                    Ask clearly and concisely if patient would like you to assess them for homecare
                                                                                     services -  Do not make any promises, set expectations accordingly
        Pre-Hospitalization Home Management                                        Do not disagree w/ pt based on what the chart states
          How were you managing at home before you were hospitalized? Where you able to     Remember physician Interns are not necessarily the most accurate in
            move around, get to your MD appts, wash, clean, cook for yourself? How was that   documentation
            working for you? Were you able to go shopping alone or did you need assistance?
          Have you ever had any problem taking the meds that were ordered by your doctor?
          Have you been on a special diet? Have you had problems maintaining that diet at
            home?
          Do you use a walker or a cane? Has anyone from Physical therapy come to visit you
            while you were here? I’ll speak with your MD and see if he wants a Physical
            Therapist  to see you before you go home or once you are home to help you get
            stronger (say as appropriate)
          How are you planning on getting home from the hospital?
          How are you going to get your medications? You need to have them in your home
            the first time the nurse comes.

        Closing Up
          If pt is going home the day of interview: Have you received any d/c instructions or a
            d/c medication list or prescriptions from your doctor or nurse yet? (If no and d/c is
            imminent speak with hospital nurse)
          Here’s a brochure that talks about some of the points we‘ve discussed today and
            also gives you contact information. This phone number is for your use if you don’t
            hear from VNSNY the day after you go home. Call this number to find out when your
            homecare services will begin (show phone number 1-866-949-8205 on back of
            brochure)
          Do you have any other questions or is there anything else I can help you with?
          While you’re still in the hospital if you have any questions please feel free to call me
            (hand your business card and brochure)—here’s my direct cell phone number





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