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SCOPE OF SERVICE

JOB DESCRIPTION – C.N.A/PCA

 

TITLE:                      PERSONAL CARE AIDE/ASSISTANT       

REPORTS TO:         SUPERVISOR/ RN /LPN             

JOB SUMMARY:    Primary function is to provide personal care assistance and services to individuals who are medically frail or senior citizens who are unable to care for themselves in the activities of daily living. Personal care tasks may include, but not to be limited to bathing, toileting, grooming, shaving, oral hygiene, dressing, and feeding assistance changing linen, laundry, proper nutrition, and meal preparation. Observing and reporting changes in the client’s condition, assisting with scheduling medical appointments and arranging trips to the physician.

 

MINIMUM QUALIFICATIONS:

Educational requirements are a high school diploma or G.E.D. equivalent. Additional technical training that leads to state certification as a Certified Nursing Assistant (C.N.A) is required. Experiential requirements are one year of work as a personal care assistant and/ or in performing household management work.                        

 

SKILLS: Must be able to read and write English and follow written and verbal instructions in English effectively. Demonstrates interest in the welfare of the ill, elderly, physically and/or mentally challenged individuals and desires to provide care in the home of persons served.

  • Ability to pass written competency test and must have current CPR/ First Aid Certification.
  • Successfully complete training or demonstrate understanding and practical competency in the following areas:
  • Needs of the elderly, physically frail and mentally challenged individuals.
  • Meals Preparation and serving.
  • Ambulation and transfer.
  • Household or housekeeping task for the upkeep and cleanliness of the home, including laundry, changing linen, trash disposal and cleaning.
  • Running Errands etc.

                        

TRANSPORTATION: Dependable transportation and valid driver’s license.

   

ENVIRONMENTAL & WORKING CONDITIONS:

Work is performed on a daily route driving personal car to each client’s home. Care is provided in client’s home, which may vary from poor housing to moderate housing. Work may be performed in an infectious environment and/or unsanitary conditions. Employee may be exposed to inclement weather, road hazards, and duties are performed in some times-stressful situations.

            

PHYSICAL & MENTAL DEMANDS:

Work is typically performed in client’s home with long standing, bending, crouching, and/or stooping. Contractor frequently lifts light to heavy objects, including persons who are bedridden for bathing and to change bed linens, and poor housing with little or no heat or cooling. Contractor may be required to perform a variety of tasks and must be in good physical condition to perform duties.

 

RISK EXPOSURE:

This position will require frequent direct contact with clients receiving healthcare services. Therefore, exposure to infectious diseases in the work place or during the normal course of work duties is moderate to high during provision of direct care, but is unlikely while performing administrative tasks such as documentation.

 

Infectious disease exposure may include, but are not limited to, tuberculosis, hepatitis, influenza and rhinoviruses.

 

CAREGIVER DUTIES AND STANDARDS FOR PERFORMANCE

 

  1. Communication: Promote positive, supportive, respectful communication to the individual being served and his or her family.
    • The CAREGIVER is expected to introduce him or herself and communicate in a clear professional manner and explain to client any task being completed before performing task.
      • Measurement Criteria: Standard is met when there is no evidence of inappropriate communication during an on-site evaluation and no more than one validated incidents in employee personnel file per review year

 

  1. Individual’s Rights: Provide an environment which promotes respect for the individual served privacy and property
    • The CAREGIVER is expected to demonstrate knowledge of the Individual’s Bill of Rights.
      • Measurement Criteria: Standard is met when the employee can explain their responsibility in the Individual’s Bill of Rights during the annual evaluation.
    • The CAREGIVER is expected to handle the personal property of the individual served and their family with care.
      • Measurement Criteria: Standard is met when there is no more than one documented complaints per review year.
    • The CAREGIVER is expected to maintain the individual served privacy and confidentiality at all times according to established procedures.
      • Measurement Criteria: Standard is met when there are no documented breeches of confidentiality.

 

  1. Direct Care for individuals served: Provide direct care to individuals being served under the direction of an assigned supervisor (Registered Nurse or Licensed Practical Nurse) according to the plan of care. Staff must be aware of the individual’s conditions and should know how to manage medically or emotionally fragile individuals.
    • The CAREGIVER will demonstrate competency in the following measures: taking temperature, pulse, respiration and blood pressure; assist or performs bed bath, tub shower or sponge bath, performs shampoo in bed, tub, shower or sink; performs hair care; cleans and files nails; performs skincare; shaves client with electric or safety razor and assist of performs oral hygiene; assists the client with dressing; assist with toileting and or the use of bedside commode, bedpan or diaper.
      • Measurement Criteria: Standard is met if caregiver can demonstrate competency at the time of hire and continue to demonstrate competency at on-site-evaluations.
    • Provide personal care for each individual served in accordance with his or her plan of care. Document services rendered accurately.
      • Measurement Criteria: Standard is met when the specific tasks ordered in the plan of care are accurately documented in the individual’s service record.

 

  1. Transfers and Ambulation: Provide necessary skills to assist the individual served with safe transfer and ambulation according to company policies and procedures.
    • Demonstrate safe techniques in all transfers and ambulation in the following areas: utilization of Hoyer lift; wheelchair; and gait belt when transferring clients; safe and correct use of assistive devices including walker, cane, crutches and gait belt; proper body mechanics in turning, and transferring the individual.
      • Measurement Criteria: Standard is met when employee can demonstrate safe technique during all evaluations.
    • Demonstrate proper body mechanics.
      • Measurement Criteria: Standard is met when during on-site evaluations, staff uses proper body mechanics.
    • Demonstrate safe techniques in normal range or motion and positioning.
      • Measurement Criteria: Standard is met when employee can demonstrate safe techniques during all evaluations.

 

  1. Observation, Reporting and documentation of individual served status or progress: Provide necessary skills to report changes, documents pertinent information and care rendered to the individual daily to ensure continuity of care.
    • Significant changes in the condition and/or environment of an individual and report to the Case Manager or supervising RN/LPN in accordance with the company policy
    • Recognize and report necessary revisions to the plan of care.
      • Measurement Criteria: Standard is met when there is documented consistent compliance in following the plan of care or ISP goals.
    • On the required form, document services provided and pertinent finding during each home visit. Change accurately reflected on the progress notes.
      • Measurement Criteria: Standard is met when there is no more than 2 documented deviations to this specific standard in the client’s service record.

 

  1. Infection Control: Practice infection control principles according to company policies and procedures.
    • Follows all infection control guidelines and standard in the individual service record.
      • Measurement Criteria: Standard is met when scheduled and non-scheduled on site performance evaluations have demonstrated competency with regard   to company infection control practices during the review year.

 

  1. Emergency Procedures: Demonstrate knowledge of emergency procedures and reacts appropriately.
    • Describe the correct response to common emergency situations such as bites, burns, bleeding, poisoning, seizures, shock, stroke and diabetic emergencies.
      • Measurement Criteria: Standard is met when caregivers can verbalize correct response on a verbal or written test.
    • Respond appropriately to emergency situations if needs arise.
      • Measurement Criteria: Standard is met when there is no documented evidence of inappropriate response.

 

  1. Nutrition: Provide skills necessary to assist the individual served with proper nutrition and adequate fluid intake.
    • Assists the individual served with nutrition as directed on the Plan of Care such as simple meal preparation and assisting with feeding and fluid intake.
      • Measurement Criteria: Standard is met when there are no more than two documented deviations to this specific standard in the individual’s file per review year. 

 

  1. Environmental Care and Safety: Provide clean, safe and comfortable environment.
    • Follows all environmental care and safety guidelines and standards per company policies and procedures.
      • Measurement Criteria: Standard is met when scheduled and non-scheduled on site performance evaluations have demonstrated competency with regard to environmental care and safety during the review year.

 

  1. Interaction/Customer Service: Promote the company philosophy, mission statement and administrative polices to support company delivery of quality care.
    • Submits required paperwork promptly per company policy (i.e. Service documentation check list need to be submitted to supervisor weekly.)
      • Measurement Criteria: Standard is met when there are no more than five documented incidents of non-compliance.
    • Report to work and individual’s home promptly as scheduled.
      • Measurement Criteria: Standard is met when there are less than two incidents of unexcused tardiness per review year and no unexcused absences.
    • Promote company image by adhering to dress code and wearing company identification badge during working hours.
      • Measurement Criteria: Standard is met when there are no more than three documented deviations per review year during nurse supervisory visits.

 

  1. Training and Staff Development: Adheres to the companies training requirements.
    • Staff attends all In-Service trainings for which they signed up. Completes all required trainings for the year and remains in compliance with company policy.
      • Measurement Criteria: Standard is met when staff has completed 16 hours of in-service training.  

 

PERSONAL SUPPORT AIDE (PSA)

CLIENT RELATED DUTIES

PSA DOES

PSA DOES NOT

  • Bathing (Tub, shower, or bed)
  • Routine skin and hair care
  • General mouth care
  • Grooming/ Shampooing hair
  • Nail Filling
  • Does not cut nails/ cuticles
  • Assisting with toileting
  • Vacuuming/ Sweeping/ dusting/ mopping ( the client’s immediate area only)
  • Does not clean the family used areas
  • Emptying trash/ garbage (from the client’s only)
  • Does not dispose of the family trash
  • Laundry for the client only
  • Does not do the family laundry
  • Clean the client’s room/ bathroom
  • Does not clean areas utilized by the family
  • Change the client’s linens
  • Does not change the family linens
  • Defrost refrigerator for the client (if the client lives alone)
  • Does not defrost the refrigerator if the client live with family
  • Clean stove/ range after use during shift
  • Does not clean stove/ range after family use
  • Wash dishes that the client utilized during the shift
  • Does not do family dishes
  • Iron client’s garments
  • Does not do family ironing
  • Prepare meals for the clients
  • Does not prepare family meals
  • Assist with eating and/or encourage proper nutrition
  • Examine conditions of equipment before use
  • Assist in/ out of bed
  • Encourage physical activates
  • Assist with walking
  • If appropriate, assist with simple exercise program established by nurse or therapist
  • Aide does not replace the physical or Occupational Therapist’s treatment
  • Observe/ report changes in the client’s medical condition
  • Render CPR/First Aid in case of emergency and call 911.
  • Go on Errand running once a week. Errands must be of the medical necessities:
    • Picking up Prescriptions
    • Grocery Shopping
    • Personal Hygiene Items
    • Clean Supplies
  • When running errands:
    • Aide does not put the client or their family in their vehicle
    • Aide does not go out for errand running more than one time a week
    • Does not purchase items that are not of a medical necessity.
    • Does not use client’s family vehicle for personal reasons
    • Does not do grocery shopping for entire family only for the client.
  • Help arrange trips to doctor’s appointments
  • Does not transport client to doctor’s appointment.  Must use non-emergency transportation services.
  • Assist with scheduling medical appointments
  • Provide watchful oversight and supervision
  • Accompany client on medical appointments
  • Remind client to take medication
  • Assist with self-administration of medication/ can help open the container and verbally verify with the client that he/ she is taking the correct medication
  • Document client’s liquid intake/ output
  • Does not pay family bill or accept gifts or financial gratuities(tips)
  • Borrowing money or other items, selling or buying gifts, food or other items to or from the client/ family
  • Using the family personal items
  • Using the client’s phone for personal calls
  • Discussing client maters with the family or others without written consent from the client
  • Treat client with respect
  • Does not accept disrespect form the client/family members
  • Does not smoke in the client’s home
  • Does not bring visitor’s into the client’s home
  • Does not report duty under the influence of alcohol or drugs
  • Does not sleep in client’s home after or during the shift