01/14/2024
INITIAL RN COMPREHENSIVE ASSESSMENT (IRCA)
The purpose of the Initial RN Comprehensive Assessment (IRCA) is to help clarify for the client and their families the expected progression of their disease process(es). The goal is to highlight barriers and assets for the client’s self-care in their home.
Generally, two to three sessions (a minimum of 2 hours each) are required to generate The Comprehensive Assessment Report. The number of sessions required will be determined and agreed upon based on information from the the initial phone interview.
MEDICATIONS
Each medicine or treatment will be reviewed and detailed. Physicians and pharmacies will be contacted (if required) to ensure accuracy. An updated easy-to-read list will be generated and provided. Any concerns, questions, or duplicate therapies will be noted for review with the clients’ primary care provider (P*P).
BASIC VITAL SIGN ASSESSMENTS
Vital signs (BP, heart rate, respiratory rate, pulse ox sats) will be taken at intervals in various stages of activity. Any irregularities or concerns will be noted for review with the P*P.
COMPREHENSIVE RN PHYSICAL ASSESSMENT
A comprehensive assessment will be performed, noting any irregularities or abnormal findings not already receiving treatment for review with the P*P. This will include an assessment of transferring and walking abilities, the ability to provide adequate self-hygiene, the ability to prepare food and feed self, the ability to perform other standard activities of daily living, and cognitive functioning.
SUMMARY OF STRENGTHS AND WEAKNESSES
A summary of the clients physical, cognitive, and emotional strengths and weaknesses will be provided in easy to read, practical language. NO medical-speak. “Layman’s terms”
RECOMMENDED ADJUSTMENTS
Suggestions will be provided based on the Initial Comprehensive RN Assessment.
PROPOSED PLAN OF CARE
The observations and suggestions may or may not include an offer of provision of care by HBHC. It will not require, nor will it be implied, that HBHC will provide the services suggested for the client.