Safety Training Home Health Care Health Aide

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					                         Safety Training
                         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                               Don’ts
(1) Start the process            (1) Don’t hire help solely based on cost.
      while family member        (2) Don’t relinquish control to the
      is in the hospital.             homecare worker.
                                 (3) Don’t have the homecare worker
(2)   Trust your instincts.
                                      handle important communications
(3)   Use a geriatric care
                                      with doctors, lawyers, accountants,
       manager, if necessary.         etc.
(4)   Be clear about your        (4) Don’t share financial information with
       expectations.                  homecare workers.
(5)   Help to prevent burnout.   (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
    Federal Government:
      If under Medicare, HH Aides must pass a competency
       test covering 12 areas.
          Communication skills
          Documentation of patient status and care
          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
        A HH Aide can work without
        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
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
  Compassionate/Passionate about their
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
                    Getting a neutral
                    mediator to diffuse
                    Find options available
                    Try to use “I statements”
                    rather than making
                    Be ready to say “I’m
                    sorry,” and “I forgive
Safety Equipment
                   Knowing different
                   device operations
                   Straps/Lifting Pullies
                   Wheelchair accessible
                   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)



                Either manual/electronic

                Heart monitors

                Bed Lifts/Pulleys and
                Folding/Retractable Bed

                Computer Health
Electrical Devices
The answers to life's problems aren't at the bottom of a bottle: they're on TV!
– Homer Simpson

                                                          Amplified phone
                                                          Voice Recognition
                                                           Voicemail Feedback
                                                          Email Messages via
                                                          Internet Usage via
                                                          voice tracking
 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 (30-
                45o) to continually reposition the
                targets onto the fovea. With large
                angular-difference re-fixations,
                transient dysmetria (under-shooting
                the subsequent fixation point) is not
Medicines (Knowledge of)
               Daily Dosage
               Medication side-effects
               Prescription updates
               Even simple “Old
               Home” Remedies
               Homeopathic Care
Infectious Diseases
                Be alert for symptoms
                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
                  Access to medical assistance
                  in home
                  Access to Family or Relative
                  Familiar with medic alert
                  Develop routine for rapid
                  emergency drills
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
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   The tools used by HH Aides are
           HH Aides.                           skilled, caring, and being obnoxious.
           Some patients are argumentative     Home alerts and medic bracelets
           and aggressive.                     are important.
                                               HH Aides can accompany patient to
           HH Aides should know the patients   doctor’s visit.
           medical history.
                                               RN’s are not allowed to become HH
           A nurses aide must contact the      Aides.
           official physician in an injury.    Family members/HH Aides must
           All home aides must wash their      know about patient’s mechanical
           hands thoroughly.                   devices.
           Home aides can not work all day.    Housekeepers should know about
                                               the patients personal financial
           Restrictive clothes are             history.
           recommended for HH Aides.
                                               Homemakers always prepare food
           Household chores are always         for patients.
           performed by the patient.           HH Aides are good companions.

Ans: T,T,T,T,T,F,F,F,F,T,TF,T,F,T,T
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