- Patients are seen within 24 hours of discharge from hospital except when patients otherwise make other arrangements (ie physician visits, patient preference, etc.)
- Lab services can be done at home while patient is under home health services.
- Weight scales and log forms are provided for closer monitoring and RN review and follow up.
- 24 hour/7 days a week, available on-call RN for triage and support, questions or concerns, physician coordination as needed
- Services available: Registered Nurses, Physical Therapy, Occupational Therapy, Speech Therapy, Medical Social Worker, Registered Dietician, and Certified Home Health Aides
- Medical social worker available to help patient and family with community resources as well as to begin any upcoming counseling needs so that patient/family may receive the appropriate referrals.
- Case Management is filtered through RN Supervisors in the office to ensure that a physician can always contact a and coordinate with an RN.
- RNs will monitor contributing diagnoses to help with effective management and coordinate with the appropriate following physician.
- Registered Dietician available for individualized dietary and nutritional planning
At Each Visit
- Nurses on the case will perform head to toe assessment, vital signs, weights, and any other ordered care such as labs, wound care, etc. Any abnormal findings such as difficulty urinating, fever, skin rash, edema, and changes in urine status will be communicated to the physician so that the nurse can effectively aid in its management.
- Medications will be checked for proper dose, frequency, route, side effects, and knowledge of action.
- The plan of care includes: disease process education, safety measures, emergency plan and management of patient’s overall condition which may include social work, dietary consultation, and certified nursing assistant.
Hospital Case Management, 2010 February; 18(2):22,27.
The Medicare Payment Advisory Commission (MedPAC) has advised congress that of the 30% re-hospitalizations, 76% of these readmissions may be preventable. Through the use of Victory Home Care Services, we can all work together as a team to reduce re-hospitalizations (Eva Ward, RN Administrator, Victory Home Care)
For referrals or questions please feel free to contact (480) 726-6553 or fax (480) 726-3329.9.