Policy Manual sample

MDT Home Health Care Agency, Inc. JOB DESCRIPTION HOME HEALTH AIDE / CNA TITLE: Home Health Aide/ CNA "Home health aide" means a person who is trained or qualified, as provided by rule, who has successfully completed: a training and competency evaluation program as specified in State and Federal Regulations (CoPs) respectively, and is currently listed in good standing on the state nurse aide registry. A Home health aide or nurse aide is not considered to have completed a program, if, since the individual’s most recent completion of the program(s), there has been a continuous period of 24 consecutive months during which none of the services furnished by the individual were for compensation. If there has been a 24 months lapse in furnishing services for compensation, the individual must complete another program, before providing services. Home health aide training must include classroom and supervised practical training in a practicum laboratory or other setting in which the trainee demonstrates knowledge while providing services to an individual under the direct supervision of a registered nurse, or a licensed practical nurse who is under the supervision of a registered nurse. and who provides hands-on personal care, performs simple procedures as an extension of therapy or nursing services, assists in ambulation or exercises, or assists in administering medications as permitted in rule and for which the person has received training established by Federal and State regulations. Lines of authority and reporting responsibilities: Report to the Director of Nursing/Clinical Manager, Nurse Supervisor, Administrator. Must be complete at least forty hours (40) of training (75 hour home health training, required by care of Medicare beneficiary, a minimum of 16 hours of classroom training must precede a minimum of 16 hours of supervised practical training as part of the 75 hours.) in: communication skills (including the ability to read, write, and verbally report clinical information to patients, representatives, and caregivers, as well as to other HHA staff), observation, reporting, and documentation of patient status and the care provided (including recognizing and reporting changes in skin condition, including pressure ulcers), reading and recording temperature, pulse, and respiration, basic infection control procedures, basic elements of body functions, that must be reported to the registered nurse supervisor, maintenance of a clean, safe, and healthy environment, recognizing emergencies and the knowledge of Agency’s emergency procedures and their application, physical, emotional, and developmental needs of and ways to work with the populations served by the agency including the need for respect for the patient, his or her privacy, and his or her property, appropriate and safe techniques in personal hygiene and grooming task, including bed bath, sponge, tub, and shower bath, tub or bed, hair shampooing in sink, tub, and bed , nail and skin care, oral hygiene, toileting and elimination. Safe transfers techniques and ambulation, normal range of motion and positioning, adequate nutrition and fluid intake, recognizing and reporting changes in skin condition, including pressure ulcers, the role of the aide in the home, differences in families, food and household management, and any other task that the HHA may choose to have an aide perform as permitted under state law. Home Health Aides/CNA assisting with self-administered medication, must receive a minimum of 2 hours of training (which can be part of the 75 hours home health training, required by care of Medicare beneficiary), prior to assuming this responsibility. Training must cover state law and rule requirements with respect to the assistance with self-administration of medications in the home, procedures for assisting the resident/patient with self-administration of medication, common medications, recognition of side effects and adverse reactions and procedures to follow when residents/patients appear to be experiencing side effects and adverse reactions. Training must be performed by or under the general supervision of a registered nurse. The HIV and AIDS educational requirements also must meet, a minimum of 2 hours of initial lifetime training. The training should include universal precautions and infection control procedures to ensure proper practices are followed. Training must be provided to obtain and maintain a certificate in cardiopulmonary resuscitation. Each home health aide must be able to read the prescription label and any instructions. Individuals who cannot read must not be permitted to assist with prescription medications. Ensure HIPAA guidelines and procedures are maintained. The Home Health Aide/CNA must provide services that are ordered by the physician in the plan of care and that the aide is permitted to perform under state law. Shall perform the following duties: 1. All the personal care activities contained in a written assignment by a licensed health professional employee, or contractor, and which include activities such as: Home Health Agency Job Descriptions I-21