HealthCare Staffing

We realize that each of our dedicated healthcare professionals is committed to the highest standards of care and clinical expertise. Every healthcare provider is always seeking additional knowledge and expertise in their area of specialty to be the best possible caregiver.

Family Stress Relief

TRAVELING BAG CONTENTS

Caregiver self-assessmefit questionnaire

Xpress Health Care staffing Homemaker/Home Health Aide (HHA) under the supervision of Nurse Field Supervisors is a responsible, trained paraprofessional prepared to assist in personal care and home management as related to the comfort, care, and safety of a client in the home.

The HHA is a mature person who:
1. has successfully completed the required training program for g competency Homemaker/Rome Health Aides, or its equivalent, and has demonstrated
2. is flexible, sensitive to the needs of others, reliable, and able to cope with emergencies.
3. is able to communicate in English Lull
4. is able to carry out and understand directions and instructions
5. is able to record messages and keep records 6. has good organizational, communication and problem-solving skills
7. completes agency orientation, including acceptance/declination (in writing) of the Hepatitis B vaccine
8. attends mandatory universal precautions update, including Hepatitis B vaccine information, annually
9. can provide three (3) satisfactory references
10. can provide completed, current, physical and T.B./chest X-ray results
11. consents to a Criminal Offender Record Investigation check

The HHA accepts responsibility for her/his own actions and:
1. provides necessary information on health status and experience
2. assists in providing personal care as outlined in the care plan, to include such tasks as:
a. supervising ADL's (Activities of Daily Living)
b. encouraging client in self-help and optimal level of independence or participation in activities
c. assisting and encouraging client to follow prescribed exercise program which may include range of motion (ROM) exercises and ambulation
d. providing and assisting with skin care by turning and positioning client as prescribed, and providing care to pressure point areas (e.g., back rubs)
e. assisting and guiding client in transfer process from bed to chair, to commode or other devices
f. assisting in elimination process by giving bedpan, urinal, or assisting client to the bathroom; and measuring and recording intake or output partial, tub or shower;     observing and reporting changes in skin condition
h.  providing or assisting in oral hygiene and hair care
i.  taking and recording temperature, pulse, and respirations
j.  changing simple dressing (non-sterile dressings only) and reporting changes in wound status
k.  shopping for food and household supplies; planning, preparing,  and  serving meals  according  to  dietary instructions
L.  maintaining a clean and safe environment for client by performing household services such as:
1.   cleaning and changing bed linens
2.   cleaning floors with mop and/or vacuuming
3.   cleaning bathroom and kitchen
4.   laundering, sewing, & light ironing of client clothes
m.  using and maintaining special equipment and supplies appropriately
n.  informing placement worker of any change in client's condition or family situation
o.  accompanying client outside the home when permitted
p.  reminding client to take prescribed medications that are ordinarily self-administered
q.  performing additional tasks that may be assigned by the primary nurse or therapist, depending on the specific situation, on the Home Health Aids's experience and
competence (example: routine uncomplicated colostomy care and decubitus care)
r.  performing only those duties listed on care plan except when instructed otherwise by clinical supervisor
3.   observes, records, and reports to their placement worker and
nurse supervisor:
a.   physical, mental or behavioral changes in a client
b.   any changes in family situation that may affect the client (to include family members living with the client)
c.   any emergency situations
d.   requests from client, client's family or physician for changes in services or schedule
4.   establishes and maintains a therapeutic relationship with clients, providing psychological and emotional support
5.   attends twelve (12) hours of inservice education annually
6.   practices safe and competent care within the job description, to include the use of universal precautions.
7.   communicates with the agency about problems and concerns
8.   complies with state/federal regulatory acts and agency policies
9.   adheres to agency work rules
10.   accepts supervision by nursing and/or other supervisory staff
11.   is available for consultation and case conferences when necessary
12.  may escort client to appointments, with the permission of the supervisor; the client must provide own transportation; may accompany in a van and/or taxi
13.  accepts only assignments for which qualified
14.  performs other job-related duties, as requested by their supervisor

SPECIFIC LIMITATIONS: THE HHA MAY NOT:

1. perform any duties or procedures which require the skill or education of a licensed clinician, or make judgment or give advice on medical or nursing problems
2. administer, instill, or apply medications
3. cut toe or finger nails
4. apply sterile dressing applications
5. administer enemas or perform disimpaction
6. perform any irrigation such as colostomy, urinary catheter, etc.
7. perform gastric lavage or nasogastric tube feeding 8. apply heat in any form
9. care for tracheostomy tube
10. perform any activity which will jeopardize client, agency, or staff

PHYSICAL/SENSORY REQUIREMENTS:

1. Bending: Frequent bending is required to care for clients in their bed or chair, i.e.: tying client's shoes, foot care, housekeeping duties, and other personal care duties.
2 Lifting: Frequent lifting of clients is required in transfer from bed to chair, chair to bed, up in chair or bed. Also other lifting of objects may be required.
3. Standing: Is required and may be up to 90% of employee time on surfaces that can range from hardwood floors or carpeting, to concrete floor. Employee will be required to stand stationary for a period of time while providing client care.
4. Walking: Is required for entry and mobility through the clients home on the same surfaces as listed above; also, walking with clients for client exercise programs and appointments.
5. Stair climbing is required in many apartments and homes which may have several levels of stairs. Also stair climbing is often prescribed as client therapy which the employee will be responsible to assist the client in.

6.   Crawling: May be required while assisting clients with personal care or performing household duties.
7.   Touch; The employee must be able to distinguish hot and cold temperatures. The employee must have fine motor skills to grasp items, manual dexterity and the motor skills to lift items. Smell: The employee must be able to detect odors and distinguish odors.
9. Vision: Normal range of vision is required with or without correction.
10.   Hearing; Normal range of hearing is required with or without correction.
11.   Verbal: The employee must be able to speak clearly when forming' words
and changing vocal tone to accommodate clients needs.
12.  Mental Health: Employees must demonstrate maturity and ability to deal effectively with emotionally demanding and stressful situations such as client death, pain, or other difficult issues.

Eat Healthy

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