Transcript Safety Training Home Health Care/ Health Aide

Safety Training
Home
Health Care/
Health Aide
Conrad Boyd
School-to-Career Coordinator
Paul Robeson School for
Business and Technology
Types of Home Care Personnel:
Housekeepers or Chore workers

Basic household task, light cleaning or washing windows and/or
heavy cleaning.
Homemaker (Supervised by an agency)

Meal preparation, household management and medication reminders
Home Health Aide (Cert N.Asst, Nurses Aide)

Supervised by Agency’s Registered Nurse - provides personal care,
hygiene essentials, walking and exercise, household services
essential to health care; assistance with medications.
Homecare Do’s and Don’ts
Do’s
(1) Start the process
(2)
(3)
(4)
(5)
while family member
is in the hospital.
Trust your instincts.
Use a geriatric care
manager, if necessary.
Be clear about your
expectations.
Help to prevent burnout.
Don’ts
(1) Don’t hire help solely based on cost.
(2) Don’t relinquish control to the
homecare worker.
(3) Don’t have the homecare worker
handle important communications
with doctors, lawyers, accountants,
etc.
(4) Don’t share financial information with
homecare workers.
(5) Don’t let the homecare worker
intimidate you or patient.
Training Task – HH Aides
Minimum of 75 hours of mandatory training
Pass a competency evaluation program within four (4)
months of employment
By completing program – certification is issued by State
registry of nursing aides.
Attend lectures, workshops, and in-service training

Exception: Psychiatric aides must complete a formal
training.
Federal Government:
 If under Medicare, HH Aides must pass a competency
test covering 12 areas.
 Communication skills
 Documentation of patient status and care
provided
 Reading and recorded vital signs, basic infection
control procedures, etc.
 Personal hygiene and grooming
 Basic Nutrition, and more..
Training Task (cont.)
Applicants should be:
 Tactful






Patient
Understanding
Honest
Emotionally stable
Discreet
Dependable
Flexible
Desire to help people
Motivated
Team player
Resourceful
Good communication skills
Quick-Thinking
Willing to perform repetitive tasks
Available nights and weekend hours
Pre-Test – T/F
A HH Aide needs to speak
English.
A HH Aide can work without
training.
Federal Gov’t wants training for
all HH Aides.
HH Care training is required on a
continuous basis.
Medicare and Medicaid services
are not involved in State
regulations.
Ans. F, F, T, T, F
HH Aides Services
Domestic service in households
Performs companionship services
Care, fellowships and protection
General household work
Patients deserve full attention and
respect
Compassionate/Passionate about their
work.
Appropriate Clothes
HH Aide – Flexible clothing (mobility):
Easy care, non-restrictive
Comfortable and conservative
Durable and stain resistance
Patient - Limited range of mobility:
Buttoning a blouse – use snaps
Tying a shoelace – use Velcro
Flexible clothing designs – wraps, slip
on, draw strings
Special closure items – fasteners, one
button closures
Sibling Conflicts
Caring for family
members often sets
maximum stress levels
Advise learning as much
information
Getting a neutral
mediator to diffuse
tension
Find options available
Try to use “I statements”
rather than making
accusations
Be ready to say “I’m
sorry,” and “I forgive
you.”
Safety Equipment
Knowing different
device operations
Straps/Lifting Pullies
Wheelchair accessible
locations
Home Alarms, Medic
Alert devices
Always prepared…
Tools: Humane Skills
Skilled Nursing (RN, LPN)
Personal Care
(Home Health Aide)
Support (Homemaker)
Therapy (PT, OT, ST, MSW)
Pediatrics
Geriatrics
Rehabilitation
Equipment/Machinery
Either manual/electronic
wheelchairs
Heart monitors
Bed Lifts/Pulleys and
Folding/Retractable Bed
Trays
Computer Health
Diagnostics
Electrical Devices
The answers to life's problems aren't at the bottom of a bottle: they're on TV!
– Homer Simpson
Amplified phone
receivers
Voice Recognition
Voicemail Feedback
Email Messages via
TV
Internet Usage via
voice tracking
Inspections:
Floors, Doors and Exits
Questions to consider include:
Is the home/facility/nursing
home close to friends and near
someone they can visit often?
Is the home child-friendly?
Does the home/location feel like
a home away from home?
Is the home’s furniture properly
arranged for mobility?
Are the floors/doors/exists
accessible for a safe exit?
Ergonomic Hazards
Each room of the house poses its own
risks, and avoidable accidents can
occur easily in areas that have not
been modified to meet their
occupants' needs.
Using a bath bench can be helpful
because you can sit down and then
swing your legs over.
Or you can have a grab bar installed
that's lined up with the side of the
tub, so there's something to hold on
to as you step over the side of the tub.
With existing computer usage, we are
utilizing relatively large saccades (3045o) to continually reposition the
screen/keyboard/copy-viewing-area
targets onto the fovea. With large
angular-difference re-fixations,
transient dysmetria (under-shooting
the subsequent fixation point) is not
uncommon.
Medicines (Knowledge of)
Daily Dosage
Medication side-effects
Pharmaceutical
Resources
Prescription updates
Even simple “Old
Home” Remedies
Homemedics,
Homeopathic Care
Infectious Diseases
Be alert for symptoms
colds/flus/virus’
Make sure all medicines
are clearly marked.
Thoroughly wash hands
Use anti-bacterial
cleansers, if necessary.
Frequent laundering to
prevent re-infections
Patient/Client Safety
Create conducive
environment for patient
Know medical emergency
locations
Access to medical assistance
in home
Access to Family or Relative
contacts
Familiar with medic alert
bracelets/devices
Develop routine for rapid
emergency drills
http://seniormag.healthology.com/search_new.asp?b=&s
earchText=home+health+aide&search_help=&mySearch
=2&ignored=&valid=1#
Angry/Threatening Clients
Argumentative
Assaultive
Demanding
Hostile
History of multiple incidents
Incontinent
History of substance abuse
Intrusive
Incompetent, organic brain syndrome (OBS)
Manipulative
Mute
Passive/passive aggressive
Sexual acting out behavior
Verbally abusive (most common)
Stress Management
http://seniormag.healthology.com/search_new.asp?b=&searchText=
home+health+aide&search_help=&mySearch=2&ignored=&valid=1#
HOW and WHOM: to report(s) an injury
Ambulance Attendant Law Enforcement
Official Physician (MD and DO)
Certified Nursing Assistant/LPN/Physicians Asst.
EMT’s/Occupational Therapist/Social Worker
Emergency Room Personnel
Physical Therapist (if applicable)
Post-Test (T/F)
There are Federal regulations for HH
Aides.
Some patients are argumentative
and aggressive.
HH Aides should know the patients
medical history.
A nurses aide must contact the
official physician in an injury.
All home aides must wash their
hands thoroughly.
Home aides can not work all day.
Restrictive clothes are
recommended for HH Aides.
Household chores are always
performed by the patient.
Ans: T,T,T,T,T,F,F,F,F,T,TF,T,F,T,T
The tools used by HH Aides are
skilled, caring, and being obnoxious.
Home alerts and medic bracelets are
important.
HH Aides can accompany patient to
doctor’s visit.
RN’s are not allowed to become HH
Aides.
Family members/HH Aides must
know about patient’s mechanical
devices.
Housekeepers should know about
the patients personal financial
history.
Homemakers always prepare food
for patients.
HH Aides are good companions.
Safety Web Resources
http://www.consumer.gov/health.htm
http://www.elderlifeplanning.com/links/
http://www.drugs.com/hs/elder+care/br_elder+care