Alaska Skilled Nursing Agency Policy Manual
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The Alaska Skilled Nursing Agency Policy Manual provides a comprehensive framework for the delivery of skilled nursing care to individuals with complex medical needs in home and community-based settings throughout the state of Alaska. This manual aligns with regulatory requirements established by the Alaska Department of Health and Social Services (DHSS), including the Division of Senior and Disabilities Services (SDS), and incorporates federal guidelines under the Centers for Medicare & Medicaid Services (CMS), the Medicare Conditions of Participation (42 CFR Part 484), and Medicaid Home and Community-Based Services (HCBS) Waiver programs. The manual outlines detailed policies and procedures related to service eligibility, clinical assessments, individualized care planning, skilled nursing services such as medication management, wound care, disease management, monitoring of vital signs, and other therapeutic interventions. It also includes staff licensure and continuing education requirements, documentation and reporting standards, infection control protocols, client rights, emergency preparedness, and quality assurance practices. Skilled nursing services are designed to support individuals in managing their health conditions, preventing unnecessary hospitalizations, and promoting independence while receiving care in their homes. As both an operational and compliance resource, the Alaska Skilled Nursing Services Policy Manual ensures that providers deliver safe, effective, and person-centered nursing care that meets all applicable state and federal regulations, promoting health, safety, and high-quality outcomes for individuals in home and community settings.