© 2018 by Helms Home Care

 

1697 N. Highway 16

Denver, NC 28037

704-802-9625 (P)

888-502-5390 (F)
service@helmshomecare.com

CARE COORDINATION

critical lab results

STandard infusion pay

HOLIDAY PAY

TIME sensitive lab draws

Critical Lab Results: During Business Hours

  1. Call pharmacy to report value.

  2. Ask if they are going to report to the MD or if they would like us to.

    • If they ask us to report to MD, verify MD info with pharmacy contact

      • Call MD and report value

  3. Add update in Dapulse indicating the critical value (date, test, value), who you spoke with from the pharmacy, who agreed to report to MD, and any other relevant details (e.g.: re-draw request, dose change/hold, etc.)

    • If we agreed to report to MD, include who was contacted at MD office.

Critical Lab Results: After Hours & Weekends

  1. Call MD to report value (leave triage message if necessary).

  2. Call pharmacy to report value and indicate the name of the MD the value was reported to and any decisions made by the MD (e.g.: hold dose, pharmacy to adjust dose, etc.). Leave message if necessary.

  3. Add update in Dapulse indicating the critical value (date, test, value), who you spoke with from the pharmacy, who you spoke with at MD office, and all relevant details (e.g.: re-draw request, dose change/hold, etc.).

    • Tag the appropriate CC and Lab Coordinator so they can follow-up with pharmacy during business hours.

Standard Infusion Pay

The first hour of each visit pays $50 (minimum rate, you won't get any less if the visit is less than an hour).

The $50 flat rate compensates you for your time with patient (up to 1 hour) and a reasonable drive to and from the patients house.

After 1 hour in the patient's home, your visit time is paid at your hourly rate and prorated in 15 minute increments. (Visit time is time spent at the patients house and does not include your drive to/from home or at a lab facility.)

For the mileage/drive time, we consider patients within 1 hour or 50 miles (round-trip) to be within the "reasonable" distance mentioned above and covered by the flat rate pay.

If a patient is beyond 50 miles or 1 hour (round-trip) you are paid per mile ($0.54) extra or per your extra time ($30/hr), (whichever is to your advantage).

Driving and time spent delivering a lab specimen should be documented as travel, not visit time. (Visit time and travel are two completely separate things.)

Holiday Pay

HOLIDAY visits are paid as "Time & a Half" where:
 

  • "Time" is your normal visit pay, and

  • "Half" is the total number of hours worked that day times half of your hourly rate


Please contact Chris on your VN & Pay Thread with any questions

Time Sensitive Lab Draws

Medications Requiring Timed Lab Draws:

  • Vancomycin

  • Tobramycin

  • Gentamycin

  • Amikacin


Lab Tests: Names & Timing

 

  • Trough - labs drawn 30-60 minutes prior to an upcoming dose (seeking the lowest level of medication in the body)

    • Example: Dosing Q8 hrs at 6a, 2p, 10p: Labs should be drawn around  5a, 1p, or 9p

  • Peak - labs drawn 30-60 minutes after completion of a dose (seeking the highest level of medication in the body)

    • Example: Dosing Q12 hrs at 6a & 6p (assuming dose is administered over 1 hour): Labs should be drawn around  8a or 8p

 

  • Random - labs drawn approximately 7 hours after completion of a dose

    • Example: Dosing Q24 hrs at 6a (assuming dose is administered over 1 hour): Labs should be drawn around  2p

Time Sensitive Lab Draws

Medications

Time Sensitive Lab Draws

Med