Hospicare Staff: The New York State Department of Health has mandated that staff must be self monitoring and Hospicare is requiring staff to complete and submit this questionnaire prior to starting work, and at the end of each work day. This questionnaire must be completed by all staff entering the building (for any reason), having patient (actual or potential) contact, and staff who will be having interaction with the community for Hospicare purposes.
If you answer yes to any of the questions (with the exception of the certification question) immediately contact your supervisor for further guidance. Please do not enter any Hospicare building or have any patient or community contact until you have received clearance to do so.
* Questionnaire completion required prior to starting work and at the end of each work day.