## Requirements # Requirements ## 3.1 Functional Requirements ### 3.1.1 Abuse Prevention and Physical Restraint Minimization - **Abuse Prevention Measures**: Establish mandatory systems for abuse prevention in visiting nursing services, with a principle prohibition of physical restraints [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272][KB-17ac1ec0-b2d4-4910-9884-a2e46ea25ce0]. - **Physical Restraint Prohibition**: Physical restraints are prohibited except in exceptional cases, with a focus on minimizing their use through revised nursing staff coordination and collaboration [KB-05c4460e-0933-40a9-962c-fc2be422e060][KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272]. ### 3.1.2 Nursing Staff Coordination and Support - **Nursing Support System**: Review conditions and evaluation criteria for nursing support systems to promote the minimization of physical restraints and enhance collaboration between nursing staff and assistants [KB-05c4460e-0933-40a9-962c-fc2be422e060]. - **Managerial Responsibilities**: Clarify the responsibilities of managers in visiting nursing stations to ensure service quality and operational efficiency [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272][KB-17ac1ec0-b2d4-4910-9884-a2e46ea25ce0]. ### 3.1.3 24-Hour Support System - **24-Hour Support System Addition**: Revise the evaluation system for 24-hour support to reduce nursing workload and improve coordination mechanisms [KB-06db46ba-7647-483b-9f38-f7fa62a24d77]. ### 3.1.4 Medication Management - **Medication Safety**: Ensure pharmaceutical management and guidance for patients receiving multiple medications, including packaging and administration instructions [KB-07f1aee1-1797-47ce-a5e9-b2462436b453][KB-08289384-33b4-4060-8531-77d29c0895ef]. - **Special Medication Guidance**: Provide guidance for high-risk medications, including monitoring adverse effects and adjusting dosages based on patient conditions [KB-08876a43-c1e4-4b7f-8517-0cd67e273533][KB-1a041fdb-9f3f-4485-887a-113bbc6d3aa7]. ### 3.1.5 Home Healthcare and Transition Support - **Home Healthcare Evaluation**: Revise criteria for comprehensive support additions to better assess patient conditions in home healthcare settings [KB-09f32992-f81b-4576-aaa4-262f9f8d8579]. - **Home Transition Support**: Adjust evaluation criteria for home healthcare transition additions to ensure 24-hour support for patients transitioning to home care [KB-756163a1-0f55-439f-af3c-df24ec1730ad]. ### 3.1.6 Emergency and Specialized Care - **Emergency Visiting Nursing Addition**: Revise criteria and evaluation for emergency visiting nursing additions, including documentation requirements for nursing care fees [KB-4be6a015-623d-440c-95dd-a51bf556ebbd]. - **Terminal Care Addition**: Introduce new evaluations for terminal care additions, focusing on patient-centered end-of-life support [KB-3e410501-b1b1-45a9-8876-3e7fcf55b2dd]. ### 3.1.7 Dental and Oral Health Management - **Oral Function Management**: Revise evaluation criteria for oral function management and pediatric oral function management to reflect clinical practices [KB-0ed45171-4c40-4e89-9640-f4c1995c3d49][KB-719368dc-08f1-4a32-8a15-b9839744d419]. - **Dental Caries Prevention**: Adjust criteria for fluoride application and early caries management, including expanded target populations [KB-1b0a416e-d163-44b1-8084-439b94753154][KB-1b0a416e-d163-44b1-8084-439b94753154]. ### 3.1.8 Pharmaceutical and Medication Safety - **Pharmaceutical Guidance Additions**: Introduce new guidance additions for specific medications, including safety information and patient education [KB-1deff0da-ee71-4c91-9c5b-76f0767d90da][KB-2fd8515d-d52d-4715-a3aa-a705706cd5f5]. - **Medication Review**: Implement reviews for duplicate medication prescriptions, with documentation and communication with prescribers [KB-50d4fc2a-962d-4820-a105-6ba75b15cf4c]. ### 3.1.9 Information and Communication Technology (ICT) - **ICT Utilization**: Introduce evaluations for ICT-based mental health therapy and remote dental consultations, ensuring secure data management [KB-e0dc4383-67ee-4091-918d-5e929ef99278][KB-ef609548-ff37-4388-9fd5-c638d8bf6eab]. - **Cybersecurity**: Revise criteria for medical record management additions to include cybersecurity measures during emergencies [KB-f2bbf07b-2196-40f3-9da7-66b45e6dd128]. ### 3.1.10 Specialized Patient Care - **Pediatric Specific Additions**: Introduce additions for pediatric patients, including specialized guidance for disabled children and medication reviews [KB-6bb697eb-fdad-4cda-a697-9d148e072b9d][KB-1b0a416e-d163-44b1-8084-439b94753154]. - **Cancer and Palliative Care**: Enhance evaluations for cancer pain management and palliative care, including intravenous medication guidance [KB-6a308157-81df-47a6-a129-4eef297ca3fc][KB-7feb02b9-5c22-4143-be1d-bdddef349def]. ## 3.2 Business Requirements - **Cost and Efficiency**: Optimize operational efficiency for visiting nursing stations through revised evaluation systems and workload reduction measures [KB-06db46ba-7647-483b-9f38-f7fa62a24d77][KB-17ac1ec0-b2d4-4910-9884-a2e46ea25ce0]. - **Pharmaceutical Compliance**: Ensure compliance with pharmaceutical management standards, including documentation and communication with healthcare providers [KB-08289384-33b4-4060-8531-77d29c0895ef][KB-1a041fdb-9f3f-4485-887a-113bbc6d3aa7]. ## 3.3 Constraint Requirements - **Prohibition of Physical Restraints**: Physical restraints are prohibited except in cases where alternative measures are insufficient [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272][KB-0ed45171-4c40-4e89-9640-f4c1995c3d49]. - **Medication Safety**: Certain pharmaceuticals require mandatory safety reviews and patient education, with restrictions on specific add-ons [KB-08876a43-c1e4-4b7f-8517-0cd67e273533][KB-1deff0da-ee71-4c91-9c5b-76f0767d90da]. --- **Note**: This section adheres to ISO 29148 requirements, with all data derived from the provided context. No external information was used.