노인장기요양, 방문요양, 재가방문 관련 정보: 2월 2015

2015. 2. 4.

노인요양시설 서비스 가이드라인 책자, 무료 다운로드

노인요양시설 서비스 가이드라인 책자로 방문요양 가이드라인 책자와 같이 참고하면 노인장기요양에 관련한 대부분의 자료를 얻을 수 있다.

서식자료는 이후 개정된 것들이 많기때문에 노인장기요양 홈페이지 서식자료실을 참고하는게 좋다.

노인요양시설 서비스 가이드라인(1)최종 한글문서 다운로드

다음의 내용들을 포함

1장. 노인요양시설의 이해 / 1

1. 개념 1

2. 인력 기준 2

3. 시설 기준 3

4. 급여서비스 범위 및 수가 4

4.1 급여 서비스 내용 4

4.2 급여 수가 6

4.3 비급여 서비스 범위 및 수납 기준 7

5. 관련 법정 서식 10

2장. 노인요양시설의 일반 관리 / 13

1. 서비스 제공 원칙 13

1.1 기본 원칙 13

1) 장기요양급여 제공의 기본 원칙 13

2) 장기요양서비스 제공의 기본 원칙 13

1.2 입소 노인의 권리 14

1) 노인요양시설 생활노인의 권리선언 14

2) 서비스 실천 원칙 15

1.3 기관 운영방안 설정 19

1) 목적 및 비전 19

2) 행동 원칙 19

2. 직원 윤리 및 입소자 권리 보호 21

2.1 사생활 보호 21

1) 개인정보 관련 비밀 보장 21

2) 개별 사용공간 제공 22

2.2 이용자 의사존중 23

1) 신체구속 및 행위제한 최소화 23

2) 선택권 존중 23

3) 직원의 신분관련 정보 제공 24

2.3 입소자의 권리 및 책임 안내 24

2.4 운영위원회 운영 25

1) 위원회 구성 25

2) 활동 25

3. 인력 관리 25

3.1 인력 채용 및 교육훈련 25

1) 인력 채용 25

2) 채용 및 계속 교육 25

3.2 복무 관리 26

1) 직원의 기본복무 원칙 26

2) 업무 분장 27

3.3 복무 평가 및 후생 32

1) 직원용 공간 배려 32

2) 평가 및 보상 33

3) 건강 관리 33

3.4 자원봉사자 관리 33

1) 자원봉사자 요건 33

2) 자원봉사자 활동 내용 34

3) 자원봉사 동기유발 35

4. 시설 장비 관리 35

4.1 공간 배치 및 관리 35

1) 개인 단위 공간 35

2) 공용 공간 37

3) 사무관리 공간 39

4.2 기기 및 비품 배치 41

4.3 청소 관리 44

4.4 승강기 안전관리 45

4.5 비상전력장치 46

5. 안전관리 46

5.1 낙상 예방 46

1) 낙상위험도 평가 및 안내 46

2) 낙상예방 환경 정비 47

3) 낙상예방 활동 및 프로그램 운영 49

4) 낙상시 응급 대처 50

5.2 화재 예방 및 대처 50

1) 소화설비 설치 50

2) 방화관리 계획 및 실천 51

3) 가스 안전사고 예방 52

5.3 자살 예방 53

5.4 입소자 실종 예방 및 대처 54

1) 입소자 실종 예방 54

2) 입소자 실종 대처 55

5.5 응급상황 대처 57

1) 질식(기도 폐쇄) 57

2) 경련 57

3) 화상 58

6. 세탁물 및 침구관리 59

6.1 의복 세탁 및 보관 59

6.2 침구 관리 59

1) 침구 준비 59

2) 침구 교환 60

7. 입소 노인의 금전관리 61

7.1 소유 재산의 자율적 관리의 권리 안내 61

7.2 금전관리방법 예시 61

8. 정보 제공 및 관리 64

8.1 본인부담금 내역 제공 64

8.2 홈페이지 관리 64

8.3 기록물 보존 및 관리 65

1) 문서 편철 65

2) 기록물 작성 및 등록 65

3) 문서 보존 65

9. 배상보험 가입 68

9.1 의무 보험 68

9.2 가입 권장 보험 68

3장. 노인요양시설 서비스 과정 / 71

1. 입소상담 및 계약 72

1.1 입소신청 72

1.2 입소상담 72

1.3 입소계약 체결 73

2. 초기 사정 74

3. 서비스제공 계획 수립 75

3.1 서비스 우선순위 결정 75

3.2 목표 수립 76

3.3 서비스 내용 및 양 결정 77

4. 서비스 제공 77

5. 모니티링 및 재평가 77

5.1 시설 적응 평가 77

5.2 입소 노인의 재평가 78

6. 퇴소 및 적정서비스 연계 80

6.1 기본 원칙 80

6.2 서비스 연계 80

4장. 노인요양시설 서비스 제공 / 83

1. 신체활동 지원 83

1.1 세면 83

1.2 구강위생 84

1) 완전 구강관리 84

2) 칫솔질 86

3) 의치 손질 87

1.3 머리감기 89

1) 통목욕 시 머리감기 89

2) 침상 머리감기 90

1.4 옷 갈아입기 91

1) 편마비시 옷 갈아입기 93

2) 똑바로 누워서 옷 갈아입기 94

1.5 식사 95

1) 일반 식사 95

2) 경관 영양 98

1.6 투약 100

1) 경구약 복약 101

2) 약 보관 101

1.7 배설 102

1) 변기 사용 102

2) 침상 배변 104

3) 기저귀 교환 106

4) 유치도뇨관 사용 108

1.8 신체 부분 씻기 109

1) 손 씻기 109

2) 발 씻기 109

3) 회음부 씻기 110

1.9 목욕 112

1) 통 목욕 114

2) 침상 목욕 115

1.10 체위 변경 118

1) 측위(좌 또는 우 옆으로 누운 자세) 118

2) 앙와위(천정을 보고 똑바로 누운 자세) 119

3) 복위(엎드려 누운 자세) 120

4) 반좌위(상체를 올리고 기대어 앉은 자세) 120

1.11 이동 121

1) 침상 내 이동 121

2) 휠체어 이동 123

3) 걷기 126

4) 계단 오르내리기 128

5) 보행(보조)차 사용 129

2. 일상생활 지원 130

2.1 급식 및 영양 관리 130

1) 식단 구성 130

2) 일반식단 구성 131

3) 치료식단 구성 133

2.2 수면 지도 136

2.3 외출동행 및 일상업무 지원 137

1) 외출 동행 138

2) 심부름 138

3) 병원 동행 139

3. 간호서비스 제공 139

3.1 활력징후 측정 및 검사 139

1) 체온 측정 140

2) 맥박 측정 141

3) 호흡 측정 142

4) 혈압 측정 143

5) 혈당 측정 144

6) 뇨당 검사 145

3.2 투약 146

1) 근육주사 146

2) 정맥주사 148

3) 외용제 활용 149

4) 피하주사 152

3.3 구강 간호 154

3.4 통증 관리 155

1) 온요법 155

2) 냉요법 156

3.5 호흡기 간호 157

1) 기관지관 흡인 158

2) 기관지관 교환 및 관리 159

3) 산소요법 161

3.6 피부간호 162

1) 욕창 치료 162

2) 체위 변경 165

3) 단순 상처치료 166

4) 염증성 상처치료 167

5) 당뇨 발 관리 168

6) 등 마사지 170

3.7 영양간호 171

1) 비위관(L-tube) 교환 및 관리 171

2) 비경구부분 영양 173

3.8 배설간호 175

1) 단순 도뇨 175

2) 정체(유치)도뇨관 삽입 177

3) 방광 및 요도 세척 178

4) 장루 및 요루 관리 180

5) 배변 훈련 182

6) 관장 183

4. 정서지원 185

4.1 의사 소통 185

1) 친밀감 형성 185

2) 상황별 대화법 187

3) 스킨쉽 및 안마 190

4.2 여가활동 191

5. 신체활동 및 기능 훈련 192

5.1 물리적 방법 192

1) 온열요법 193

2) 전기요법 194

3) 운동요법 194

5.2 기능 훈련 195

5.3 질환별 기능훈련 사례 197

1) 뇌졸중 197

2) 파킨슨병 198

3) 치매 200

6. 의료서비스 제공 202

6.1 협약 의료기관 및 촉탁의 연계 202

1) 의사(촉탁의 등) 처방전 발급 202

2) 인근 병원 및 협력의료기관 이용 202

3) 건강기록부 및 진료기록부 작성 202

6.2 응급이송시스템 가동 203

7. 사회활동 프로그램 203

7.1 여가활동 프로그램 203

1) 음악요법 203

2) 이완요법 204

3) 레크리에이션 205

4) 발 마사지 208

5) 아로마 요법 209

7.2 인지기능 향상 프로그램 211

1) 회상요법 211

2) 미술요법 213

7.3 일상동작훈련 프로그램 214

1) 맨손체조 214

2) 맷돌체조 216

3) 산책 216

7.4 특별활동 프로그램 217

1) 생신 잔치 218

2) 야외 나들이 218

3) 명절 행사 218

4) 어버이날 행사 219

5) 노인의날 행사 219

5장. 입소자의 질환별 관리 / 221

1. 뇌졸중(중풍) 221

1.1 관리의 기본원칙 221

1) 뇌졸중 노인을 위한 공간 구성 221

2) 서비스 제공시 주안점 222

1.2 응급상황 대처 222

1) 뇌졸중 전조증상 222

2) 응급 대처 223

1.3 뇌졸중 치료 223

1) 위험요인 관리 223

2) 약물치료 224

3) 생활요법 224

4) 재활치료 225

5) 의사소통 226

1.4 영양 관리 226

1) 식사 원칙 226

2) 식단 예시 228

2. 치매 230

2.1 치료적 환경 조성 230

2.2 문제행동 대처 232

2.3 의사소통 233

1) 경증 노인 233

2) 중등증 노인 234

3) 중증 노인 234

2.4 영양 관리 235

1) 식사 원칙 235

2) 식단 예시 236

3. 호스피스 및 임종 237

3.1 호스피스 기본 원칙 237

1) 개념 237

2) 호스피스 대상자 결정 237

3.2 서비스 내용 238

1) 호스피스 프로그램 운영 238

2) 임종 준비 239

3.3 임종 관리 239

1) 임종 관찰 239

2) 임종 증상관리 240

3) 임종 후 처치 241

6장. 노인요양시설 질 관리 / 243

1. 감염 예방 243

1.1 손 씻기 243

1.2 전염성 질환 관리 245

1) 법정 전염병의 종류 245

2) 전염성 질환자 발견시 대처 246

1.3 폐기물 및 유해물질 관리 247

1) 폐기물 관리 247

2) 유해물질 보관 247

1.4 급식 위생 248

1) 식료품 관리 원칙 248

2) 조리실 청결관리 249

3) 조리원 위생관리 249

1.5 해충 방제 250

2. 서비스 질 관리 251

2.1 담당 직원 지정 251

2.2 입소자 및 가족 만족도 조사 251

2.3 입소자 상태변화 평가 252

1) 장기요양서비스요구 변화 평가 252

2) 건강상태 평가 252

2.4 QI 활동 253

1) QI 활동 원칙 253

2) 질관리위원회 운영 253

3) 사례관리 회의 254

2.5 불만 및 고충처리 체계 운영 254

1) 불만 및 고충처리 방법 안내 254

2) 불만 및 고충 접수․처리 255

3) 기록 및 보고 255

7장. 노인요양시설 서비스 제공 사례 / 257

1. 노인요양시설 일과 운영 사례 257

2. 개별적 서비스 제공 사례 265

1) 일일 일정 265

2) 주간 일정 266

3) 월간 일정 267

8장. 기록 서식 / 269

1. 입소자 단위 기록 서식 269

1.1 장기요양서비스 요구 평가서 269

1.2 노인요양시설 입소 계약서 275

1.3 노인요양시설 서비스 제공계획지 279

1.4 입소자 관리카드 281

1.5 입소자 건강기록지 282

1.6 입소자 진료기록지 283

1.7 노인요양시설 서비스 제공기록지 284

1.8 욕창관리 기록지 285

1.9 서비스 연계 기록지 286

1.10 불만 및 고충처리 기록지 287

1.11 입소만족도 조사지(전화용) 288

1.12 입소만족도 조사지(면접용) 290

1.13 외출․외박증 293

1.14 연계의뢰 요청서 294

1.15 사망자 유류금품 인수인계서 295

1.16 사망자 유류금품 일지 296

1.17 사례관리 회의 양식 297

2. 기관단위 기록서식 298

2.1 시설 물품 관리대장 298

2.2 지역사회 자원 관리대장(자원) 299

2.3 지역사회 자원 관리대장(인력) 300

2.4 직원 인사기록 카드 301

•참고 문헌 / 303

•부 록 / 305

1. 응급상황 대처법 305

1.1 질식(기도․폐쇄) 대처법 305

1.2 기본 심폐소생술 306

2. 노인요양시설 관련 법제도 311

재가 방문요양 서비스 가이드라인(5) 최종본 한글문서 무료 다운로드

재가 방문요양 서비스 가이드라인 최종본 책자 한글문서

방문요양 센터를 운영하는데 필요한 기본 개념부터 운영규정, 서비스 과정과 제공방법, 관리까지 총채적인 정보가 들어있는 책자로 센터운영에 도움이되고, 평가인증시에 필요한 자료들도 다수 들어있다.

서식부분은 이후 개정된 부분이 많기때문에 책자에 있는것보다는 노인장기요양 홈페이지에 있는 서식자료실에 있는것을 사용하는게 좋다.

방문요양 서비스 가이드라인(5)최종본 한글문서 다운로드 : 다운로드 아이콘 또는 컨트롤+S로 가능
방문요양 서비스 가이드라인(5)최종본 PDF 다운로드 : 다운로드 아이콘 또는 컨트롤+S로 가능

다음의 내용을 포함

1장. 방문요양 서비스 이해 / 1

1. 개념 ·············································································································· 1
2. 인력 기준 ········································································································· 2
3. 시설 기준 ········································································································· 3
4. 급여 서비스 범위 및 수가 ·················································································· 4
4.1 급여 서비스 범위 ························································································· 4
4.2 급여 수가 ···································································································· 6
5. 관련 법정 서식 ································································································· 8
2장. 방문요양 서비스 일반관리 / 11

1. 서비스 제공 원칙 ···························································································· 11
1.1 기본 원칙 필수 ················································································· 11
1.2 기관 운영방향 설정 ···················································································· 12
1) 목적 및 비전 필수 ········································································ 13
2) 행동 원칙 필수 ············································································· 13
2. 직원 윤리 및 이용자 권리 보호 ········································································ 15
2.1 개인정보 보호 필수 ··········································································· 15
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2.2 이용자 의사존중 ······················································································· 15
1) 신체구속 및 행위제한 최소화 필수 ················································ 15
2) 선택권 존중 필수 ·········································································· 16
3) 직원의 신분관련 정보 제공 필수 ··················································· 16
2.3 이용자의 권리 및 책임에 대한 안내 필수 ··········································· 16
3. 인력 관리 ······································································································· 17
3.1 인력 채용 및 교육 ···················································································· 17
1) 인력 채용 필수 ············································································· 17
2) 채용 및 계속 교육 필수 ································································ 18
3.2 복무관리 ·································································································· 18
1) 직원의 기본 복무 원칙 필수 ·························································· 18
2) 업무 분장 필수 ············································································· 19
3.3 평가 및 복리후생 ······················································································ 20
1) 직원용 공간 배려 필수 ·································································· 20
2) 평가 및 보상 필수 ········································································ 20
4. 안전관리 ······································································································· 20
4.1 낙상 예방 ·································································································· 20
1) 낙상예방 환경 정비 필수 ······························································ 20
2) 낙상시 처치 필수 ·········································································· 22
4.2 화재 예방 및 대처 ······················································································ 2
1) 소화설비 설치 필수 ······································································ 22
2) 방화관리 계획 및 실천 필수 ·························································· 22
3) 가스 안전사고 예방 필수 ······························································ 24
4.3 자살 예방 필수 ················································································· 25
4.4 이용자 실종 예방법 교육 필수 ··························································· 26
4.5 응급상황 대처 ···························································································· 27
1) 노인 질식(기도 폐쇄) 권장 ···························································· 27
2) 경련 권장 ····················································································· 27
3) 화상 권장 ····················································································· 27
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5. 정보 제공 및 관리 ··························································································· 28
5.1 서비스 비용 내역 제공 필수 ···························································· 28
5.2 홈페이지 관리 권장 ··········································································· 28
5.3 기록물 보존 및 관리 ··················································································· 29
1) 문서 편철 필수 ············································································· 29
2) 기록물의 작성 및 등록 필수 ·························································· 29
3) 문서 보존 필수 ············································································· 30
6. 배상보험 가입 ································································································· 32
6.1 의무보험 필수 ··················································································· 32
6.2 가입권장보험 권장 ··········································································· 32

3장. 방문요양 서비스 과정 / 35

1. 이용 상담 및 계약 ··························································································· 36
1.1 이용 신청 ································································································ 36
1) 상담 필수 ····················································································· 36
1.2 방문요양 이용 계약 체결 필수 ··························································· 36
2. 사정 필수 ······························································································· 37
3. 방문요양 서비스제공 계획 수립 ········································································ 38
3.1 서비스 우선순위 결정 필수 ······························································ 38
3.2 목표 수립 필수 ················································································· 38
3.3 서비스 내용 및 양 결정 필수 ···························································· 39
4. 서비스 제공 필수 ···················································································· 39
5. 모니티링 및 재평가 필수 ········································································· 39
6. 이용종료 및 적정서비스 연계 ··········································································· 40
6.1 기본 원칙 필수 ················································································· 40
6.2 서비스 연계 필수 ·············································································· 40
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4장. 방문요양 서비스 제공 / 43

1. 신체활동 지원 ································································································· 43
1.1 세면돕기 필수 요양보호사 1급 ················································· 43
1.2 구강위생 ···································································································· 44
1) 완전 구강 관리 필수 요양보호사 1급 ··································· 44
2) 칫솔질하기 필수 요양보호사 1급 ········································· 46
3) 의치 손질하기 필수 요양보호사 1급 ····································· 47
1.3 머리감기 ···································································································· 49
1) 통목욕 시 머리감기기 필수 요양보호사 1급 ························· 49
2) 침상 머리감기기 필수 요양보호사 1급 ································· 50
1.4 옷 갈아입기 ······························································································· 51
1) 편마비시 옷 갈아입기 필수 요양보호사 1급 ························· 53
2) 똑바로 누워서 옷 갈아입기 필수 요양보호사 1급 ················· 54
1.5 식사 돕기 ·································································································· 55
1) 일반 식사 필수 요양보호사 1급 ··········································· 55
2) 경관 영양 필수 요양보호사 1급 ··········································· 58
1.6 약 복용 돕기 ····························································································· 60
1) 경구약 복약 돕기 필수 요양보호사 1급 ································ 60
2) 비경구약 이용하기 권장 요양보호사 1급 ································ 61
3) 약 보관하기 필수 요양보호사 1급 ········································ 62
1.7 배설 ·········································································································· 62
1) 변기 사용 돕기 필수 요양보호사 1급 ··································· 63
2) 침상 배변․배뇨 돕기 필수 요양보호사 1급 ························· 64
3) 기저귀 교환 필수 요양보호사 1급 ········································ 67
4) 유치도뇨관 사용 돕기 필수 요양보호사 1급 ························· 68
1.8 신체 부분 씻기 ·························································································· 69
1) 손 씻기 필수 요양보호사 1급 ·············································· 69
2) 발 씻기 필수 요양보호사 1급 ·············································· 70
3) 회음부 씻기 필수 요양보호사 1급 ········································ 71
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1.9 목욕 ·········································································································· 72
1) 통 목욕 필수 요양보호사 1급 ·············································· 74
2) 침상 목욕 필수 요양보호사 1급 ··········································· 76
1.10 체위 변경 ································································································ 78
1) 측위(좌 또는 우 옆으로 누운 자세) 필수 요양보호사 1급 ····· 78
2) 앙와위(천정을 보고 똑바로 누운 자세) 필수 요양보호사 1급 ··· 79
3) 복위(엎드려 누운 자세) 필수 요양보호사 1급 ······················· 80
4) 반좌위(상체를 올리고 기대어 앉은 자세) 필수 요양보호사 1급 ·· 80
1.11 이동 ········································································································ 81
1) 침상 내 이동 필수 요양보호사 1급 ······································ 81
2) 휠체어 이동돕기 필수 요양보호사 1급 ································· 83
3) 보행 돕기 필수 요양보호사 1급 ··········································· 86
4) 계단 오르내리기 필수 요양보호사 1급 ································· 88
5) 보행(보조)차 사용돕기 필수 요양보호사 1급 ························ 89
2. 일상생활 지원 ································································································· 90
2.1 식사 준비 ·································································································· 90
1) 식재료 선정 필수 요양보호사 2급 ········································ 90
2) 조리하기 필수 요양보호사 2급 ············································· 95
3) 설거지하기 필수 요양보호사 2급 ········································· 97
4) 식기 등 주방 정리하기 필수 요양보호사 2급 ························ 98
2.2 세탁하기 ···································································································· 99
1) 의복 세탁 및 관리 필수 요양보호사 2급 ······························ 99
2) 침구 관리 필수 요양보호사 2급 ··········································· 99
2.3 청소 및 주변정돈 ······················································································ 100
1) 청소 필수 요양보호사 2급 ·················································· 100
2) 수납장 정리 필수 요양보호사 2급 ······································ 101
2.4 외출동행 및 일상업무 지원 ········································································ 102
1) 외출 동행 필수 요양보호사 2급 ········································· 102
2) 심부름 필수 요양보호사 2급 ·············································· 102
3) 병원 동행 필수 요양보호사 2급 ········································· 103
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3. 정서지원 ······································································································· 103
3.1 의사소통 ································································································· 103
1) 의사소통 및 친밀감 형성 필수 요양보호사 2급 ··················· 104
2) 상황별 대화법 필수 요양보호사 2급 ··································· 106
3) 스킨쉽 및 안마 필수 요양보호사 2급 ································· 109
3.2 여가활동 지원 필수 요양보호사 2급 ······································· 110

5장. 방문요양 서비스 질 관리 / 111

1. 감염예방 관리 ······························································································· 111
1.1 손 씻기 필수 ················································································· 111
1.2 전염성 질환자 관리 필수 ································································· 113
1.3 쓰레기 및 오염물 관리 필수 ···························································· 113
1.4 음식물 위생 관리 필수 ···································································· 114
2. 서비스 질 관리 ······························································································ 115
2.1 담당 직원 지정 권장 ········································································ 115
2.2 이용자 및 가족 만족도 조사 필수 ···················································· 115
2.3 QI 활동 ··································································································· 116
1) QI 활동 원칙 필수 ······································································ 116
2) 질관리위원회 운영 권장 ······························································ 117
3) 사례관리 회의 필수 ····································································· 117
2.4 불만 및 고충처리 체계 운영 ······································································ 117
1) 불만 및 고충처리 방법 안내 필수 ················································ 118
2) 불만 및 고충 접수․처리 필수 ····················································· 118
3) 기록 및 보고 필수 ······································································ 118

6장. 방문요양 서비스 제공 사례 / 121

1. 장기요양등급별 서비스 제공 사례 ···································································· 121
2. 가족의 동거 유형별 제공 사례 ········································································ 122
2.1 독거노인 ·································································································· 122
2.2 노부부 ····································································································· 123
vii
2.3 24시간 가족과 함께 사는 노인 ··································································· 123
2.4 전일제 근무가족과 함께 사는 노인 ····························································· 125

7장. 기록 서식 / 127

1. 이용자 단위 기록 서식 ··················································································· 127
1.1 방문요양서비스요구 평가서 필수 ······················································ 127
1.2 방문요양서비스 이용 계약서 필수 ···················································· 129
1.3 방문요양서비스 제공계획서 필수 ···················································· 133
1.4 서비스 일정표 필수 ········································································· 134
1.5 이용자 관리카드 필수 ······································································ 135
1.6 서비스 제공기록지 필수 ··································································· 136
1.7 불만 및 고충처리 기록장 필수 ························································· 137
1.8 서비스 만족도 조사(전화용) 필수 ····················································· 138
1.9 서비스 만족도 조사(면접용) 필수 ····················································· 140
1.10 사례관리 회의 양식 필수 ································································ 143
2. 기관단위 기록서식 ························································································· 144
2.1 시설 물품 관리대장 필수 ································································ 144
2.2 지역사회 자원 목록 (자원) 필수 ······················································· 145
2.3 직원 인사기록 카드 필수 ································································· 146

•참고 문헌 / 149

•부 록 / 151

1. 응급상황 대처법 ··························································································· 151
1.1 질식(기도 폐쇄) 대처법 ··········································································· 151
1.2 기본 심폐소생술 ······················································································· 152
2. 질환별 식단 예시 ··························································································· 157
3. 방문요양 관련 법제도 ····················································································· 160

노인장기요양기관 직원회의록, 참석자명부 한글문서 무료 다운로드

노인장기요양기관 평가시 필요한 직원회의록, 참석자 명부

직원회의록 참석자명부.hwp 다운로드 : 다운로드 아이콘 및 컨트롤+S 로 다운로드 가능

출처 : 노인장기요양보험 홈페이지 - 공지사항 - 2015년도 장기요양기관 정기평가 계획 공고 및 평가매뉴얼 안내 - (붙임5)_2015년도_장기요양기관_평가매뉴얼_서식.hwp

장기요양기관 급여제공지침, 평가 8항목(윤리,성폭력,응급,감염,치매,욕창,낙상,노인학대) 무료 다운로드

기관 평가시 필요한 급여제공지침(수급자 급여제공을 위한 지침) 자료

다음내용을 포함,

① 종사자 윤리지침
② 성폭력 예방 및 대응지침
③ 응급상황 대응지침
④ 감염예방 및 관리지침
⑤ 치매예방 및 관리지침
⑥ 욕창예방 및 관리지침
⑦ 낙상예방 및 관리지침
⑧ 노인학대 예방 및 대응지침

장기요양기관 급여제공지침.hwp 다운로드 : 구글드라이브, 내려받기 아이콘 또는 컨트롤+S 로 다운로드 가능

출처 : 수원시 장기요양지원센터 - 공개자료실 - 장기요양기관 급여제공지침

2015. 2. 3.

재가방문, 노인장기요양 기관 운영규정 만들때 필요한 참고용 서식, 무료 다운로드

재가방문(방문요양, 방문목욕) 노인장기요양 기관에서 평가를 대비해 운영규정 또는 운영규칙을 만들때 참고 할만한 서식이다.

평가자료에 해당하는 아래의 내용들을 대부분 포함하고 있으며,

① 조직·인사·급여·회계·물품 기타 시설의 운영에 관하여 필요한 규정
― 조직 : 직제, 업무분장 등
― 인사 : 채용, 승진, 인사이동, 휴직, 복직, 징계 등
― 급여 : 지급일자, 임금, 상여금, 퇴직금 등
― 회계 : 회계처리원칙 등
― 물품 : 물품관리(출납, 보관, 폐기) 등

② 입소정원 및 모집방법 등에 관한 사항
③ 입소계약에 관한 사항(계약기간, 계약목적, 월이용료 기타 비용부담액, 신원인수인의 권리·의무, 계약의 해제 등에 관한 사항을 포함한다)
④ 이용료 등 비용에 대한 변경방법 및 절차 등에 관한 사항
⑤ 서비스의 내용과 그 비용의 부담에 관한 사항
⑥ 특별한 보호를 필요로 하는 경우에는 그 서비스기준과 비용에 관한 사항
⑦ 의료를 필요로 하는 경우에는 그 구체적인 처리절차
⑧ 시설물 사용상의 주의사항 등에 관한 사항
⑨ 서비스 제공자의 배상책임·면책범위에 관한 사항
⑩ 운영규정의 개정방법 및 절차 등에 관한 사항
⑪ 운영위원회의 설치·운영에 관한 사항

간단하게는 명칭,주소,날짜,용도 정도를 변경해서 사용하는것도 가능하지만, 어느정도는 내용을 살펴보고 해당 센터에 맞도록 수정해서 사용하는것이 필요하다.

장기요양기관 운영규정 서식 다운로드 : 상단 다운로드 아이콘 또는 컨트롤+S로 다운로드 가능

장기요양기관 운영규정 서식 다운로드 : 상단 다운로드 아이콘 또는 컨트롤+S로 다운로드 가능

2015년도 장기요양기관 정기평가 변경사항, 필요한 일부서식, 평가결과 열람

2015년도 장기요양기관 정기평가 주요 변경사항

평가기간ㆍ지표 : ‘15.3.16.~12.31.(9.5개월), 지표 98개 → 88개

평가설명회 : 매뉴얼 동영상 게시, 신규기관 집합설명회

❍ 평가게시판 운영(‘15.2~) : 장기요양기관 질의응답 등 소통채널

평가예정일 통보 : 14일전 → 7일전 통보

❍ 평상시 기관운영 및 기록사항을 평가받도록 통보시기 단축

정기평가 주기변경 : 2년 → 3년

❍ 재가기관을 2년간 평가하며, 연도별로 등급 결정 및 공표

수시평가 실시 : 전년도 정기평가결과 하위기관

❍ 대상 : E등급기관(의무), B~D등급기관(신청에 의하여 선정)

❍ 당해년도 정기평가 종료 후 실시

가산금 지급기준 변경 : A등급 기관 중 아래 기준으로 지급

❍ 상위 10%, 전년도 공단부담금의 3% → 2%

❍ 상위 10%초과 20%, 전년도 공단부담의 2% → 1%

절대평가제도 도입 : 규모별 상대평가 → 5등급 절대평가

❍ 절대평가기준(Cut Line)을 충족하는 모든 기관에 등급 부여

대분류영역 공개방법 변경 : 20점 단위 → 최저점수 40점

❍ 장기요양기관의 대분류 영역별 수준 표시(

, ★)

구분	40점	50점	55점	60점	65점	70점	75점	80점	85점	90점
개수	0.5	1	1.5	2	2.5	3	3.5	4	4.5	5
표시		★	★	★★	★★	★★★	★★★	★★★★	★★★★	★★★★★

위의 내용은 노인장기요양보험 홈페이지 공지사항 2015년도 장기요양기관 정기평가 계획 공고 및 평가메뉴얼 안내 글에 첨부되어 있는 (붙임1)_2015년도_장기요양기관_평가계획_및_주요_변경사항 파일 내용중 일부 발췌.

같은글에 첨부된 '(붙임5)_2015년도_장기요양기관_평가매뉴얼_서식'에 평가에 필요한 일부서식인 직원회의록, 요구사정 기록지 등 평가메뉴얼에 예시된 서식들이 첨부되어 있음.

장기요양기관 평가결과는 평가한 다음년도 4월경에 공표,
노인장기요양보험 홈페이지 공지사항에서 "평가결과"로 검색하거나
장기요양기관 회원서비스에서 19. 장기요양기관평가 메뉴 '결과조회'를 통해 열람 가능

노인장기요양, 방문요양, 재가방문 관련 정보