Kardex in-service

Tri-cities Home Care

Nursing

Intentions:
To

review the process of updating the Kardex

to promote consistency in systematic daily
review of Kardex as a result supporting
clients care and scheduling
To explain the point system in our office that
reflect time allotment for clients visit

Definition of Kardex in TCHH

nursing team
What

is Kardex ?

Why

do we have it?

Who

uses it?

Kardex Sample format

AREA
E
1
CLIENT
NAME

MON
MAY
27
*

Clients
name and
address

Clients
name and
address

TUES
MAY
28

WED
MAY

THURS
MAY

4*

JUNE

MAY
30

29

SAT

FRI
31

DIAGNOSIS

BUTTOCK
WOUND

5 R/A*

IVTHERAPY/

wound care

5/3

8*

2nurses

VISITS Q
3DAYS

DOT for
Compression
therapy
NEXT VISIT
AUG
12,13

Clients
name and
address
Clients
name and
address

SUN
JUNE

PC/NP

NP
10

3/4?
BID

SELF CATH

Workload point system

Standards:
The point system is a workload guide used
to project the amount of time needed by
Home Care Nurses to provide nursing
care for clients it is not necessary
reflective of nurses day.

Goals are to:

Facilitate client scheduling

Identify nursing time required to meet

specific client needs

Provide support for allocation of staff

Home Care RN will

Assign initial workload points for client care
required
Reassess workload points required for care
at each visit
Record and communicate workload point for
next visit as per our procedure (end of the
day or from clients home as soon as known)

Unassigned work time

Unassigned

indirect care time is time in the

work day where direct client care is not
scheduled
There is 1 hour 33 min of indirect care time
included in each work day . This time is to be
used for additional documentation ,
referrals , updating Kardex , preparing
supplies , reading emails, mandatory self
education-e-learining etc.

Workload one pager as a

reference
1point

= 15 minutes
Point allocation includes
assessment/intervention/documentation and
travel
This is only a guide to point allocation
** Note: All assignment changes MUST be
called in to the Nursing Clerk or Office RN by
1330 for the next day!

Key Points to remember

Kardex is a mandatory communication tool used by

HCN in our office
Update Kardex daily and notify office of any
changes to schedule ASAP
Workload point system is used to allocate time
required for client care
There is 1 hour and 33 min in a workday for
unassigned indirect care
Point allocation is a guide for clients care and
nursing staffing assignment

References
Home

health nursing administration hak 0940

workload index system guidelines march
2009

Prepared by Kasia Kozlowska Tri-Cities Home Health CRN June 2013

Please fill out evaluation

forms