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
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
(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
If under Medicare, HH Aides must pass a competency
test covering 12 areas.
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:
Emotionally stable Discreet
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
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
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
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
Home Alarms, Medic
Tools: Humane Skills
Skilled Nursing (RN, LPN)
(Home Health Aide)
Therapy (PT, OT, ST, MSW)
Bed Lifts/Pulleys and
The answers to life's problems aren't at the bottom of a bottle: they're on TV!
– Homer Simpson
Email Messages via
Internet Usage via
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?
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
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
transient dysmetria (under-shooting
the subsequent fixation point) is not
Medicines (Knowledge of)
Even simple “Old
Be alert for symptoms
Make sure all medicines
are clearly marked.
Thoroughly wash hands
cleansers, if necessary.
Frequent laundering to
environment for patient
Know medical emergency
Access to medical assistance
Access to Family or Relative
Familiar with medic alert
Develop routine for rapid
History of multiple incidents Incontinent
History of substance abuse Intrusive
Incompetent, organic brain syndrome (OBS)
Sexual acting out behavior
Verbally abusive (most common)
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)
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.
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.
Safety Web Resources