Essential Training Home Care Aide Catalog

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Essential Training

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THANK YOU FOR CHOOSING

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Essential Training Mackenzie Daniek, RN CHPN 303 91st Ave NE Suite E502 PMB 253 Lake Stevens, WA 98258 Phone 206-999-2275 Fax 425-645-4705 [email protected] www.EssentialTrain.net www.facebook.com/EssentialTrain @EssentialTrain www.essential-training.blogspot.com

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About Essential Training

Essential Training started in 2004 by Mackenzie “Mack”

Daniek, RN CHPN in order to give caregivers a fun, safe

environment to learn the skills they need to be excellent at

their jobs. Essential Training works towards keeping

training up to date and uses current technologies to make

training fun and interactive.

Mackenzie Daniek, RN CHPN has been a Registered Nurse

for 8 years and a Certified Hospice and Palliative Care Nurse

for 4 years. Mack has worked in the hospital, Home Care

and Assisted Living. Mack started as a Bed Maker in a

Nursing Home in Moscow, Idaho at the age of 14. She has

been involved in healthcare in one way or another ever

since. Currently, Mack is an after-hours RN with Providence

Hospice of Snohomish County. Mack does training through

Essential Training as well as working with the SEIU

Northwest Training Partnership with Invista Solutions.

Mack is wife to the most perfect man in the

world, mother to 2 monkeys who are also

known as boys, a marathon runner and an

overall Dork

.

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• Bathing • Grooming • Locomotion • Transfers • Toileting • Feeding

• Positioning in bed • Body care • Medication management

Activities of Daily

Living

• Meal preparation • Housework • Essential shopping • Wood supply

• Travel to medical appts. • Phone use • Managing finances

Instrumental

Activities of Daily

Living

What is a Home Care Aide?

With the passing of I1163 in November, 2011, Long

Term Caregivers were redifined as:

Long-Term Care Worker:

“All persons who are long-term care workers for the elderly or persons with disabilities, including but not limited to…all direct care workers in state-licensed boarding homes, assisted living facilities, and adult family homes….”

Direct Care Worker:

“A paid caregiver who provides direct, hands-on personal care services to persons with disabilities or the elderly requiring long-term care.” Personal Care Services:

“Physical or verbal assistance with activities of daily living and

instrumental activities of daily living provided because of a person’s functional disability.”

Long-Term Care Workers perform activities of daily living OR both

activities of daily living and instrumental activities of daily living

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CORE Training

All Home Care Aides (HCA’s) must have 70 hours of basic training. These 70 hours cover topics such as:

Personal Care Tasks Professional Behavior Medication Assistance The Care Team

The Home Care Environment Managing Grief & Loss Body Mechanics

and much more

70 Hour CORE Training is split up into 4 sections:

Mental Health Specialty(4 Hours)

Students learn about 5 common mental illnesses (Depression, Mania, Bi-Polar Disorder, Anxiety & Schizophrenia) and how to respectfully communicate with individuals living with these diseases.

Dementia Specialty(6 Hours)

Students learn about Dementia and how it is an “umbrella” term that involves many types of diseases related to memory loss and personality changes. Students learn how to respectfully communicate with individuals with Dementia and practical tips on how to deal with

challenging behaviors.

Online Component (50 Hours)

The bulk of the CORE training is done online. Students go through 8 Modules and learn the CORE of being a HCA.

Skills Training (12 Hours)

Students spend 12 hours in a Skills lab learning the hands-on skills they use in their jobs day in and day out.

At the end of the CORE training, students leave with a Portfolio with 3 certificates with DSHS Approval numbers on them to prove they have met the 70 Hour Requirement.

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CORE Training

The online Curriculum used is developed in the Institute for Professional Care Education (IPCed). It is called CarePro.

Students will get a Log-in and be able to complete the bulk of the curriculum in the comfort of their home in their spare time.

This is fantastic news for both the HCA and the employer since now the bulk of the class can be done in spare time, on days off and in the comfort of your own home.

HCAs will use interactive videos to:

Watch Demonstrations Do Interactive Activities Take Quizzes

HCAs are not left alone in this learning process and have anytime access to the instructor by email or may call the instructor during business hours for more discussion.

HCA’s also have available technical support by email or phone. Call Toll-Free 1-877-843-8377

E-mail [email protected]

Since this can be done a little bit at a time at anytime of the day, employers benefit by not needing to cover 70 hours of training for a staff member. Training and Classroom time can be easily adapted to facility schedules.

The 70 Hour Training has a suggested schedule of 4 weeks. End of Week 1:Completion of Modules 1-2

End of Week 2:Completion of Module 3 End of Week 3:Completion of Modules 4-6 End of Week 4:Completion of Modules 7-9

There is a 3 week program and 2 week program available to meet the needs of those needing urgent training. This can be discussed with Essential Training as to how to get this done in a successful way.

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Specialty Trainings

Dementia Specialty

Dementia Specialty is a 6 hour course approved by DSHS that teaches what Dementia is and how to work with those who suffer from Dementia. Topics covered include:

 Introduction to Dementia

 Communicating with People who have Dementia

 Creative Approaches to Challenging Behaviors

 Helping with Activities of Daily Living (ADLs)

 Hallucinations and Delusions

 Sexuality and Dementia

For those needing Manager Specialty, this is available and is an additional 2 hours of classroom education. In addition to topics above, we also discuss:

 Medications and Dementia  Setting the Tone

Mental Health Specialty

Mental Health Specialty is a 4 hour course approved by DSHS that teaches what Mental illness is and how to work with those who suffer from Mental Illness. Topics covered include:

 Introduction to Mental Disorders  Culturally Compassionate Care  Respectful Communication

 Creative Approaches to Challenging Behavior  Decomposition and Relapse Planning

 Suicide Prevention

For those needing Manager Specialty, this is available and is an additional 2 hours of classroom education. In addition to topics above, we also discuss:

 Medications and Mental Health  Getting Help and Self Care

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Nurse Delegation

Nurse Delegation is a law in Washington State that allows HCAs to Administer medications to consumers as a nurse would normally do. Nurse Delegation is available for:

Administrator of Oral, Topical, Rectal and Vaginal Medications Testing of Blood Glucose

Colostomy Care Oxygen Care Simple Dressings

Nurse Delegation: CORE is for those who wish to learn what the law Is about and what they can do.

The Nurse Delegation course is a Self-Study Course. You pick up the Book and DVD, work through the workbook, watch the DVD and then Arrange to take the test. It estimates to be about 9 hours long.

Nurse Delegation: Special Focus on Diabetes is for those who wish to Learn how to administer Insulin to insulin-dependent diabetics.

The Special Focus on Diabetes is also a Self-Study Course. You pick up the Book and DVD, work through the workbook, watch the DVD and then arrange to take the test. It estimates to be about 3 hours long.

You must pass the CORE test before you can move onto the Special Focus on Diabetes test.

AFTER…

After you pass the courses, then a RN delegator will teach you the specifics of the medications you will be administering. Remember, Nurse Delegation is always: Specific to the Client

Specific to the HCA

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Continuing Education

Continuing Education is an essential part of all HCA’s education. As Healthcare continues to grow and research and find better ways of Accomplishing safe care for our clients, it’s very important that we Keep up to date on all of this information.

Frequently Asked Questions

How many hours of Continuing Education do I need? You need to have 12 hours of continuing education a year.

When is Continuing Education due? 12 hours of Continuing Education is due every year on your birthday.

What counts for Continuing Education? All continuing education must be DSHS (Department of Social and Health Services) approved and have a CE Approval Number on the certificate. If there is not a DSHS CE Approval Number, it does not count towards your 12 hours.

Can I do Continuing Education online? Yes! Go to

www.EssentialTrain.net. There you will see a link to online DSHS approved courses.

How Much do Classes Cost? Online Classes vary.

Classroom hours cost $10 an hour. Most classes are 3 hours long.

Classes Offered

How to Communicate Effectively with Someone Who has Hearing Loss 1 Hour

How to Communicate Effectively with Someone who has Aphasia

1 Hour

Caring for Someone with Early-Mid Stage Alzheimer’s Disease

1 Hour

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Continuing Education

Developing Cultural Competence 1 Hour ~ Communication Skills 1 Hour

Alzheimer Training Program 4 Hours ~ Aphasia Training Program 3 Hours

Elder Abuse Training Program 2 Hours ~ Essential Bedrest Skills 1 Hour

How to Help Someone Who Uses a Wheelchair (Including Walkers, Crutches and Canes) 1 Hour

Infection Control and Bloodborne Pathogens 1 Hour

How to Manage Medications 1 Hour ~ Personal Care 1 Hour

Safety in and Around the Home; Fall Prevention 1 Hour

Fire Safety 1 Hour Elder Abuse and Neglect 1 Hour

Caregiver Wellness 1 Hour ~ How to Measure Vital Signs 1 Hour

How to Use a Mechanical Lift 1 Hour

A Guide to Being a Companion Homemaker: Roles and Responsibilities

1 Hour

A Guide to Being a Companion Homemaker: Safety and Housekeeping 1 Hour

Nutrition and Meal Preparation for Older Adults 1 Hour

HIPAA in Home Care 1 Hour ~ How to Assist with Medications 1 Hour

Body Mechanics and Back Safety 1 Hour

Observation, Reporting and Documentation 1 Hour

Introduction to Home Care 1 Hour ~ Ethical and Legal Behavior 1 Hour

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Continuing Education with a Twist

Essential Training offers some unique opportunities for Continuing Education. We recognize that adults need a variety of learning options and settings in order to maintain the skills necessary to be a quality Home Care Aide.

BINGO! BINGO is a game played online that reinforces required skills and knowledge as well as encourages Home Care Aides to understand how to use the resources at their disposal in order to obtain the information they may need.

How to Play:

1) On the build-up to the beginning of the game, BINGO cards and a Learning Guide will be handed out to anyone who wishes to play the BINGO Game

2) Everyday a clue will be posted online on: a. the website : www.EssentialTrain.net

b. Blog :

http://essential-training.blogspot.com c. Facebook : www.facebook.com/EssentialTrain

d. Twitter : www.twitter.com & Follow @EssentialTrain

e. Also delivered to emails that have subscribed to Bingo Clues

3) The student may get the clue from any good online source they choose

4) Students may play every single day and may go back into past clues if they miss a day

5) Students must use resources at their disposal (suggested resources will be posted with the clue) to find the answer on their card

6) Just like regular number BINGO, sometimes the student will have the answer on their card and sometimes they will not

7) The game will end when a student reaches 5 in a row

8) Any student who wishes to receive a DSHS Approved Certificate will need to go to www.EssentialTrain.net, take an online test.

9) Once they pass the test with 80%, they will be able to receive their DSHS Approved Certificate and evaluate the instructor/course

Good Resources:

~ Nursing Handbooks ~ Medscape (www.medscape.com) ~ Epocrates (www.epocrates.com) ~ Your Nursing Supervisor ~ Me, The Instructor ~ A Pharmacist ~ A Physician ~ A Nurse Practitioner

Not-so-Good Resources:

Wikipedia ~ Anyone can change Wikipedia and as such, the information is often incorrect

Blogs ~ Blogs are the opinions of the writer, not peer reviewed facts (although 1 blog will be suggested after careful review by Essential Training)

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Continuing Education with a Twist

Essential Training offers some unique opportunities for Continuing Education. We recognize that adults need a variety of learning options and settings in order to maintain the skills necessary to be a quality Home Care Aide.

Book Clubs! For those who really enjoy a good book, we will offer Book Clubs several times a year. Books are carefully chosen that will enhance professionalism, knowledge and increase

communication among other Home Care Aides.

How to Play:

1) On build-up of the start-date, students will purchase the book from Essential Training and also receive a Learning Guide (purchase of the book will also cover the cost of the CE certificate). 2) Students will read the book in weekly increments and then go online to discuss the book. In order

to pass the course, students must post at least 1 comment per week on the blog and answer all the questions within the blog.

a. Blog : http://essential-training.blogspot.com

b. Weekly, the Instructor will post the beginning of the discussion for assigned chapters. Instructor will post updates with link to the blog:

i. the website : www.EssentialTrain.net

ii. Blog : http://essential-training.blogspot.com iii. Facebook : www.facebook.com/EssentialTrain

iv. Twitter : www.twitter.com & Follow @EssentialTrain

v. Also delivered to emails that have subscribed to Book Club Updates

3) Students are expected to post at least 1 comment answering the questions assigned in the blog post

i. To Comment on a Post 1. Click on Blog Post 2. Read through Post

3. At the bottom of the post is a box called POST A COMMENT 4. Write in your answer to the questions in the blog

5. Comment as “NAME/URL” and write your name in the box that pop’s up. No URL is necessary

6. Instructor will reply to posts as well to keep discussion going

4) Students must stay engaged in the questions giving specific answers in order to get credit for the course.

5) At the end of the book discussion, students will go to www.EssentialTrain.net and pass a test with a score of 80%, receive their DSHS Approved Certificate and evaluate the instructor/course

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Mobile Options

Mobile Classes

It is possible to arrange for classes to be done in your facility as the schedule permits.

I can travel just about anywhere in Washington State according to

my schedule. I do charge mileage at the IRS rate

of $0.57 per mile (subject to go up or down per IRS standards) as well as other travel expenses (hotel room for distances over 100 miles).

Online Classes on the Go

Do you need to be able to do your online classes on the go? I personally completed the 70 hour class while waiting for my kids to complete their karate classes. I can set up a Kindle Fire with the online portion, calendar of when to show up for classes, books and all policies and procedures. At the end of class, the Kindle Fire is yours to keep. Call for details!

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Assisted Living Training Requirements

Type of

Training _{Administrator or Designee}Assisted Living Assisted Living Long Term Care _Worker

Is DSHS Required to Approve Curriculum? First Aid / CPR Within 30 days of employment; Maintain current card

Within 30 days of employment;

Maintain current card No

Orientation 2 hrs

Prior to providing care to a resident unless exempt from

training

Prior to providing care unless exempt from

training Yes

Safety 3 hrs resident unless exempt from Prior to providing care to a training

Prior to providing care to a resident unless

exempt from training Yes

70 Hours Basic Training

Within 120 days of employment unless exempt

from training

Within 120 days of employment unless

exempt from training Yes

Continuing Education

(CE) 12 hrs per year by birthdate 12 hrs per year due on birthdate Yes HIV/AIDS

All Assisted Living staff 2 hrs within 30 days of

employment Basic Training includes this

All Assisted Living Facility Staff 2 hours within 30 days of employment

Basic Training Includes this

Nurse Delegation

CORE & Diabetes

Must be a Nursing Assistant Registered, Nursing Assistant

Certified or Certified Home Care Aide and complete Nurse

Delegation CORE training before accepting a delegated

task.

Must be a Nursing Assistant Registered or Certified, or Certified Home Care Aide and complete Nurse Delegation CORE training

before accepting a delegated task. Must complete SPECIAL FOCUS ON DIABETES training before accepting insulin injections

as delegated task Must use DSHS curriculum. Instructors must be DSHS contracted community instructors Specialty Training

If an Assisted Living Facility serves one or more residents

with special needs, the administrator or designee

must complete manager specialty training and demonstrate competency by

passing the DSHS test. If a resident develops a special need while living in an Assisted

Living Facility without a specialty designation, the administrator or designees have 120 days to complete manager specialty training and

demonstrate competency.

If an Assisted Living Facility serves one or more residents with special needs, all Long

Term Care Workers must receive training regarding the specialty needs of individual

residents in the facility

Yes Instructors must be DSHS contracted community instructors to provide manager specialty training

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Adult Family Home Training Requirements

Type of

Training Adult Family Home Provider or _{Resident Manager} Adult Family Home Long _{Term Care Worker}

Is DSHS Required to

Approve Curriculum?

First Aid /

CPR Before providing care to clients

Within 30 days of employment if directly supervised by person with valid card or before providing care if not directly supervised by a fully qualified caregiver who has a valid first-aid and

CPR card or certificate

No

Orientation 2

hrs Prior to providing care to clients unless exempt from training

Prior to providing care to clients unless exempt from

training

Yes

Safety 3 hrs Prior to providing care to clients

unless exempt from training

Prior to providing care to clients unless exempt from

training Yes 70 Hours Core Basic and Population Specific Training

Provider – Prior to licensure of the home unless exempt from training

Within 120 days of employment unless exempt

from training

Yes

Specialty Training

If the Adult Family Home serves one or more clients with special needs,

the provider (including entity representatives as defined under

chapter 388-76) and resident manager must complete manager specialty training and demonstrate

competency by passing the DSHS test

If a client develops special needs while living in a home without a specialty designation, the provider,

entity representative, and resident manager have 120 days to complete

manager specialty training and demonstrate competency

If an Adult Family Home serves one or more clients with special needs, all Long Term Care Workers must receive training regarding the

specialty needs of individual clients in the home DSHS approved curriculum must be used and Long Term

Care Workers must take and pass the DSHS test

Yes Instructors must be DSHS contracted community instructors to provide Manager specialty training Continuing Education (CE)

12 hours per year Must be completed by birthdate

12 hours per year

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Type of Training

Adult Family Home Provider or Resident Manager

Adult Family Home Long Term Care Worker Is DSHS Required to Approve Curriculum? Nurse Delegation CORE & Diabetes

Must be a Nursing Assistant Registered, Nursing Assistant Certified or a Certified Home Care

Aide and complete Nurse Delegation CORE Training before

accepting a delegated task Must completed SPECIAL FOCUS

ON DIABETES before accepting insulin injections as a delegated

task

Must be a Nursing Assistant Registered, nursing Assistant Certified or a Certified Home Care Aide and complete Nurse Delegation CORE training before

accepting a delegated task Must completed SPECIAL FOCUS ON

DIABETES before accepting insulin injections as a delegated task

Must use DSHS curriculum Instructors must be DSHS contracted community instructors Food Handling and Safety

Providers or employees who hold individual food handler permits prior to June 30, 2005 are required

to maintain continuing education of 0.5 hours per year in order to maintain food handling and safety

training

Providers or employees who hold individual food handler permits

prior to June 30, 2005 are not required to renew the permit provided the Continuing Education

requirement as stated above is met

A Food Handler permit is not required for people who began working after

June 30, 2005 and successfully completed basic training, provided they

received information or training regarding safe food handling practices

from the employer prior to providing food handling or service for clients Documentation that the information or training was provided to the individual must be kept on file by the provider

Residential Care Administrator

Training

All applicants submitting an application for an Adult Family Home license and a provider or entity representative planning to open a second Adult Family Home

must also complete this training

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Home Care Aide Add-Ons

Gait Belts

Gait Belts are essential to any Home Care Aide. They reduce the risk of injury to both the client and the Home Care Aide when doing transfers and assisting with walking.

Cotton Webbed Gait Belt $10.00

Must be washed nightly in the washing machine

Antiseptic Imbedded Gait Belt with Plastic Clasp $20.00 Can be wiped clean between clients using wet wash cloth or alcohol wipe

Blood Pressure Kit $25.00

Automatic Blood Pressure devices are not very accurate with most clients who have cardiovascular disease. The best way to get an accurate Blood Pressure is to do a manual blood pressure.

Pocket CPR Mask Having this mask on you at all times allows you to be

immediately ready for life-threatening emergencies. $15.00 Quick Tips for Caregivers by Marion Karpinski

$25.00

Quick Tips contains practical, easy-to-follow descriptions and clear illustrations on basic caregiving procedures. Quick Tips is a useful daily reference for CNAs, family caregivers and can be used by private duty franchises as an educational support for personal care attendants.

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Creating Moments of Joy by Jolene Brackey $20.00

Heartwarming, inspirational solutions for anyone whose has been touched by the Alzheimer's journey.

Creating Moments of Joy Perpetual Calendar by Jolene Brackey $20.00 An easy to flip through calendar that has a Tidbit on Dementia every day. There is no date; make it whatever day you want to make it.

A First-Rate Madness: Uncovering the Links Between Leadership and Mental Illness by Nassir Ghaemi

$20.00

An investigation into the surprisingly deep correlation between mental illness and successful leadership, as seen through the lives of some of the most important political figures in history

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Becoming a Certified Home Care Aide

UPON HIRE:

Submit Washington State criminal history background check.

Complete and schedule FBI Fingerprint check Complete and submit credential for home care aide

through DOH Return with OCA # BEFORE ROUTINE NTERACTION WITH RESIDENTS:

2 hours orientation ~ 3 hours safety training

Keep DSHS-issued certificate in personnel file.

WITHIN 30 DAYS OF HIRE:

Valid First Aid Certification Valid CPR Certification

70 hours of core and population-specific training. Provide DSHS-issued certificate with Training Program

Number on certificate.

Apply to sit for exam.

Take written and skills exam at prearranged location.

BECOME A CERTIFIED HOME CARE AIDE

Obtain 12 hours of continuing education* by birthday each year. Keep proof in personnel file

Check for 10-digit credential number on website; this number is required for certification testing.

*All CE courses and

instructors must be preapproved by DSHS and a DSHS certificate

provided for all courses

**Price of training may be less if facility or individual is a member of

the WSRCC or WHCA

Prices may also be lower if bundled Done at the

same time and ASAP

All Applications can be found online at

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Home Care Aide Skills Test

Upon arrival to the Home Care Aide Skills exam, the candidate will be asked to perform 5 skills. 2 of the skills will be:

Handwashing Common Care Practices

The other 3 skills will be presented to you when you arrive. You will not be told to do Handwashing and Common Care Practices. You will be expected to perform Handwashing and Common Care Practices as a part of your other 3 skills.

You do not have to be perfect in performing the skills, but special attention and emphasis will be placed on steps that have to do with Client Safety and Client Comfort.

The Skills exam will be timed and you will be given an amount of time based on which skills you are given.

You are allowed to make corrections during the exam, but you must tell the proctor that you are making corrections.

There is absolutely no pretending during the exam. You will be expected to treat the other candidate/mannequin as you would a client and be expected to perform the skills exactly as you would on a client.

Practice makes perfect. Be sure to attend free skills labs every month in order to get as much practice as you can.

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Handwashing

When the skills test begins, the candidate is evaluated on his/her handwashing technique. The candidate is not told to

wash his/her hands, but is expected to know that before physical contact with the client, his/her hands should be

washed.

1 Wet hands and wrists under running water to

begin cleansing

2 Apply soap to hands to begin washing

3 Lather all surfaces of hands and to wrists

4 Use friction rubbing soapy hands together for a

minimum of 20 seconds

5 Rinse hands and wrists under running water to

remove soap

6 Keep hands pointed downward while washing and

rinsing

7 Use clean dry paper towel to dry hands and wrists

8 Confine drying to areas washed

9 Use paper towel to turn water off after hands

cleansed

10 Dispose of used paper towel in trash

11

End procedure with clean hands avoiding contamination (e.g., direct contact with faucet controls, paper towel dispenser, sink or trash can)

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Common Care Practices

Common Care Practices are behaviors or actions that are part of all care the home care aide (HCA) provides to the client. During

the test, Common Care Practices are evaluated as a part of every skill the candidate performs.

1 Identify self to the client when beginning care

2

Use infection control measures and Standard Precautions to protect the client and the HCA

throughout procedure

3 Promote client's social and human needs

throughout procedure

4 Promote client's rights throughout procedure

5 Promote client's safety throughout procedure

6 Promote client's comfort throughout procedure

7

Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues,

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Feed a Client

The client is sitting at a table when care begins for this skill. The client is unable to feed him/herself. The role of the client is played by another candidate.

2 Ensure client is sitting upright in chair before begins feeding

3 Sit to feed the client

4 Offer the client fluid to drink during the meal

5 Talk to client during the meal

6 Wait to offer another bite of food or fluid to drink until client

swallowed or client’s mouth is ensured empty

7 Alternate the type of food offered with bites or ask about client's

preference for each bite

8 Limit the amount of food on fork or spoon to provide as bite-size

9 Leave the client with a clean mouth area at the end of the skill

10 Offer or apply clothing protector before beginning skill and remove

before completing procedure

11 Leave overbed table clean and dry and cleared of meal items (e.g.,

food, dishes, tableware) at end of the procedure?

12 Dispose of clothing protector (if used) and trash appropriately

13 Use infection control measures and Standard Precautions to

protect the client and the HCA throughout procedure

14 Promote client's social and human needs throughout procedure

18 Leave common use items within client's reach at end of care (e.g.,

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Help a Client to Walk

The client is seated in a chair when care begins for this skill. The client requires stand-by assistance and does not use assistive devices to walk. The role of the client is played by

another candidate.

2 Explain walking destination before the client begins walking

3 Have client lean forward on the seat of the chair before standing

4 Cue client to push up with arms from chair to stand

5 Prepare client for standing by positioning knees at 90 degree angle with

feet flat on the floor

6 Place hand on client's arm, back or waist when client stands?

7 Cue client to stand

8 Walk slightly behind and to one side of client while walking

9 Ambulate client the required distance

10 Ask how client feels after standing or while walking

11 Cue positioning before client sits, with legs centered against seat of

chair for safe seating

12 Cue client to reach for chair before sitting

13 Place hand on client's arm, back or waist when client sits

14 Leave client sitting safely in chair with hips against the back of seat

15 Use infection control measures and Standard Precautions to protect the

client and the HCA throughout procedure

20 Leave common use items within client's reach at end of care (e.g.,

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Provide Mouth Care to a Client

The client is sitting at a table while this care is provided. The client is unable to brush his/her own teeth. The role of the client is played by another candidate.

2 Apply clean gloves before brushing teeth

3 Wet toothbrush with water before brushing client's teeth

4 Apply toothpaste to toothbrush before brushing client's teeth

5 Brush tops and side surfaces of client’s teeth

6 Use gentle circular motions when brushing side surfaces of

client’s teeth and gums

7 Brush, or offer to brush, the client's tongue

8 Provide client clean water in cup to rinse mouth

9 Hold basin or a cup (separate cup) near client's chin to collect

rinse water and spit

10 Leave client's mouth area clean and dry at completion of mouth

care

11 Use barrier (e.g., towel) to protect client's clothing while

providing mouth care and remove at completion of procedure

12 Rinse and dry basin and rinse toothbrush before storing

13 Dispose of used linen(s) and trash appropriately and leave

overbed table dry at completion of procedure

14 Remove gloves without contaminating self after rinsing and

storing equipment

20 Leave common use items within client's reach at end of care

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Clean and Store a Client’s Dentures

The client is sitting at a table or lying in bed while this care is provided. The client will hand the candidate a denture cup containing the denture. The role of the client is

played by another candidate.

2 Apply gloves before handling denture

3 Use cool or tepid water when cleaning and rinsing denture

4 Use toothpaste to cleanse denture

5 Brush inner and outer surfaces of denture

6 Rinse denture in water to remove toothpaste after brushing

7 Place clean denture in denture cup filled with clean, cool or tepid

clean water or denture solution

8 Prevent contamination of denture throughout procedure (e.g.,

floating in sink water or setting denture directly on unprotected surface)

9 Use technique to reduce the risk of denture breakage if dropped

during cleaning (e.g., brushing denture directly over sink lined with washcloth/paper towel/towel, filled with water, inside basin)

10 Drain sink and remove liner (if used) at the end of skill

11 Rinse toothbrush, store equipment, and dispose of trash and used

linens appropriately

storing equipment

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Provide Foot Care to a Client

The client is sitting in a chair while this care is provided. For the test, the candidate is asked to provide care to only one foot. The role of the client is played by another candidate.

2 Observe condition of skin on foot separating toes to check between toes and _{turns foot to look at heels before beginning foot cleansing} 3 Soak client's foot in water contained in basin before cleaning or shaping toe _nails

4 Use water of safe temperature for soaking foot

5 Ask client if water temperature is comfortable before foot completely _submerged 6 Submerge foot in water with basin filled to level sufficient to cover foot _completely 7

Keep water in basin soap-free for use as rinse water by: (1) washing foot with washcloth with soap applied directly to the washcloth instead of adding

soap into basin of water; or (2) using two separate basins of water: one for washing and one rinsing

8 Wash client's entire foot, including between toes with soapy washcloth after _soaking

9 Rinse to remove soap from foot and in between toes

10 Dry client's foot, including between toes, after removing from water and _{before cleaning under or shaping toenails}

11 Dry client's foot by patting with towel, not rubbing

12 Use orange stick to clean under nails and remove residue

13 Wipe orange stick on towel to remove residue before cleaning under _{another toenail}

14 Use emery board to file toenails straight across

15 Leave top edge of toenails smooth and free of rough edges

16 Apply lotion to foot after nail care, avoiding lotion in between toes

17 Wear gloves when providing foot care and while rinsing and drying _equipment 18 Store equipment, dispose of used linen(s) and trash appropriately and leave _{floor dry at completion of procedure} 19 Remove gloves without contaminating self after rinsing and storing _equipment

(31)

20 Use infection control measures and Standard Precautions to protect the _{client and the HCA throughout procedure}

(32)

Provide Fingernail and Hand Care to a Client

The client is sitting at a table while this care is provided. For the test, the candidate is asked to provide care to only one hand. The role of the client is played by another

Candidate.

2 Use water of safe temperature for soaking hand

3 Ask client if water temperature is comfortable

4 Soak client's fingers in basin of water before cleaning or shaping

nails

5 Dry client's hand, including between fingers, after removing from

water and before cleaning under or shaping fingernails

6 Dry client's hand by patting with towel, not rubbing

7 Use orange stick to clean under fingernails and remove residue

8 Wipe orange stick on towel to remove residue before cleaning

under another fingernail

9 Use emery board to file fingernails

10 Leave fingernail tips smooth and free of rough edges

11 Offer or apply hand lotion to hand after fingernail care is

completed

12 Wear gloves when providing fingernail care and while rinsing and

drying equipment

13 Store equipment, dispose of used linen(s) and trash appropriately

and leave overbed table dry at completion of procedure

storing equipment

(33)

Help a Client Take Medication

The client is sitting at a table while this care is provided. The client is unable to open the medication bottle or pour his/her medication. The medication bottles contain candies that the candidate will pretend are medication pills for the test. The role of

the client is played by another candidate.

1 _{Identify self to the client when beginning care}

2 _{Check client's medication schedule}

3 _{Advise client it is time to take medicine}

4 _{Select the medication labeled with the client’s name}

5 _{Select the correct medication bottle}

6 _{Review the medication label before removing medication from bottle}

7 _{Pour pill(s) into cap of medicine bottle without touching medication}

8 Give client correct medication dose placed into hand from the cap of

the medicine bottle without the candidate touching the medication

9 _{Cue client to take medication}

10 Assist client to take medication without having the candidate’s hand

over the client’s hand, or tipping client’s hand to place pill(s) into mouth, or placing the pill(s) directly into the client’s mouth

11 _{Provide client cup of water to use for swallowing medication}

12 _{Cue client to drink full cup of water}

13 _{Ask client or check if medication is swallowed or check that swallowed}

14 _{Close medication bottle and return to box before ending procedure}

(34)

Help Dress a Client who has a Weak Arm

The client is sitting in a chair when care begins for this skill. The client is able to stand. The client is already wearing a clean T-shirt and underwear, and needs to be dressed in a shirt, pants, socks and shoes. The role of the client is played by another

candidate, and for the test, will be dressed over his/her own clothing.

2 Include client in choice about what to wear

3 Place shirt sleeve over weak arm before putting on non-affected arm

4 Cue client to assist with dressing

5 Have client seated when putting feet and legs into pants

6 Provide support to client when pulling up and securing pants

7 Provide assistance to put socks and shoes on client while seated

8 Leave socks smooth and shoes secured properly

9 Move client's extremities gently and naturally, avoiding overextension _{when dressing}

10 Complete dressing with clothing secured and aligned properly

11 Use infection control measures and Standard Precautions to protect _{the client and the HCA throughout procedure}

(35)

Put a Knee-High Stocking on a Client’s Leg

The client is lying in bed when care begins for this skill. For this test, the candidate is asked to put the stocking on only one leg. The role of the client is played by another

candidate

2 Prepare stocking for application by turning sock inside out to at least _{the heel area}

3 Place foot of stocking over toes, foot and heel

4 Complete application of stocking over foot with the toes and heel in _{proper position per stocking design}

5 Pull stocking up leg ensuring stocking is not twisted

6 Leave stocking smooth (wrinkle-free)

7 Leave room at toe area so that stocking is not tight against toes

8 Leave stocking raised to knee

9 Move client's leg gently, supporting extremity, and avoiding _{overextension, when applying elastic stocking} 10 Use infection control measures and Standard Precautions to protect _{the client and the HCA throughout procedure}

(36)

Provide Passive Range of Motion (ROM) Exercises to Client’s Shoulder, Knee and Ankle

The client is lying in bed when care begins for this skill. For this test, the candidate is asked to put the stocking on only one leg. The role of the client is played by another

candidate

2 Support the client's arm holding under elbow and wrist joints areas _{while exercising shoulder} 3 Raise client's straightened arm from bed towards head of bed (HOB) and return back towards bed as one repetition (shoulder

flexion/extension)

4 Move client's straightened arm away from side of body towards HOB and return toward side as one repetition (shoulder abduction/adduction)

5 Provide rotation exercise to the shoulder

6 Support the client's knee and ankle joints while exercising knee

7 Bend the client's knee back to point of resistance and then follow by _{straightening knee as one repetition (knee flexion/extension)} 8 Support the client's ankle, holding under ankle area and foot, while _{exercising ankle} 9 Push the foot forward towards leg, and in separate motion push the foot pointed down toward the foot of bed (FOB), as one repetition

(ankle flexion/extension)

10 Provide three (3) repetitions of each shoulder, knee and ankle ROM _exercise

11 Ask client about comfort level throughout exercises

12 Provide controlled, slow, gentle movements when exercising shoulder, _{knee and ankle} 13 Use infection control measures and Standard Precautions to protect _{the client and the HCA throughout procedure}

(37)

Turn and Reposition a Client who Must Stay in Bed Onto Her/Her Side

The client is lying on his/her back in bed when care begins for this skill. The client needs help to turn and support to remain in a side-lying position. The role of the

client is played by another candidate.

2 Hold client at hip and shoulder area when turning onto side

3 Position client a safe distance from edge of bed when turned onto side

4 Position device (e.g., padding, pillow) against back rolled and tucked _{to maintain client's side-lying position} 5 Leave client in side-lying position, avoiding direct pressure on hipbone

6 Use device (e.g., padding, pillow) to support top leg

7 Use device (e.g., padding, pillow) to maintain alignment of top hip

8 Leave top knee flexed

9 Leave ankles and knees separated

10 Leave client in side-lying position with head supported by pillow

11 Leave client’s lower arm and shoulder free from being tucked under _side

12 Support upper arm using padding or pillow

13 Leave client covered with top sheet at completion of procedure

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Provide Perineal Care to a Female Client

The client is lying in bed while this care is provided. The client is unable to assist with this care. Perineal care is provided using soap and water. For this test, the client is a

female mannequin.

2 Use water that is a safe temperature to cleanse client

3 Apply gloves before cleansing perineal area

4 Use pad or towel to protect bottom sheet from becoming wet during _procedure

5 Use soapy washcloth to cleanse perineal area

6 Use clean area on washcloth for each washing and rinsing stroke

7 Wipe perineal area from front to back for all cleansing and rinsing _strokes 8

Keep water in basin soap-free for use as rinse water by: (1) washing with washcloth with soap applied directly to the washcloth instead of adding soap into basin of water; or (2) using two separate basins of

Water: one for washing and one rinsing

9 Rinse perineal area using a soap-free clean wet washcloth or soap-free _{area of the washcloth used to cleanse}

10 Dry perineal area by patting with towel moving from front to back

11 Provide cleansing, rinsing and drying to include labial folds and _{extending into groin (skin-fold) area} 12 Position client a safe distance from edge of bed when turned on side _{during care}

13 Wash, rinse and dry peri-anal area and buttocks

14 Wipe from front to back when washing, rinsing and drying peri-anal _area

15 Leave client on dry underpad or sheet at completion of procedure

16 Minimize exposure of the client's body during the procedure

17 Wear gloves while providing perineal care, while rinsing and drying _{equipment, and handling soiled linens} 18 Rinse, dry and store basin, dispose of used linen(s) and trash _{appropriately at completion of procedure} 19 Remove gloves without contaminating self after rinsing and storing _equipment

(39)

20 Leave client covered with top sheet at completion of procedure 21 Use infection control measures and Standard Precautions to protect _{the client and the HCA throughout procedure}

(40)

Provide Catheter Care to a Client with an Inserted Urinary Catheter

The client is lying in bed while this care is provided. The client is unable to assist with this care. Catheter care is provided using soap and water. For this test, the client is a

mannequin.

2 Use water that is a safe temperature to cleanse client

3 Apply gloves before handling catheter, tubing, urinary drainage bag or _{beginning cleansing}

4 Use soapy washcloth to cleanse catheter

5 Change spot on washcloth for each washing and rinsing stroke

6 direction from the opening (meatus) and downward away from the Cleanse and rinse catheter using wet washcloth moving in one body

7

Keep water in basin soap-free for use as rinse water by: (1) washing with washcloth with soap applied directly to the washcloth instead of adding soap into basin of water; or (2) using two separate basins of

water: one for washing and one rinsing

8 Wash and rinse at least 4" of catheter from opening (meatus) _downward 9 _{washcloth or soap-free clean area of the washcloth used to cleanse}Rinse cleansed area of catheter using a clean, wet, soap-free 10 Hold catheter near opening (meatus) to prevent tugging when washing _{and rinsing catheter} 11 Leave skin areas that became wet during care and bed sheets dry at _{completion of procedure}

12 Dry skin areas by patting

13 Leave catheter tubing free of kinks at completion of procedure

14 Keep urinary drainage bag positioned lower than bladder throughout _{care and at end of procedure}

15 Minimize exposure of the client's body during the procedure

16 Position client a safe distance from edge of bed if turned on side _{during care} 17 Wear gloves while providing catheter care, while rinsing and drying _{equipment and handling soiled linens} 18 Rinse, dry and store basin, dispose of used linen(s) and trash _{appropriately at completion of procedure}

(41)

19 Remove gloves without contaminating self after rinsing and storing _equipment

20 Leave client covered with top sheet at completion of procedure

(42)

Transfer a Client from a Bed to a Wheelchair

The client is lying in bed when care begins for this skill. The client can bear weight, but cannot walk. The client’s transfer requires a transfer (gait) belt. The role of the

client is played by another candidate.

2 Have wheelchair positioned near bed before assisting the client to sit

3 Assist client to apply non-skid footwear before standing

4 Provide support holding behind client's shoulders or back, and hips to _{help client sit up at edge of bed} 5 Apply transfer (gait) belt before standing client for transfer to _wheelchair 6 Apply transfer (gait) belt over clothing with fit to allow for placement _{of flat hand only between belt and client's body} 7 _{of bed, with chair parallel or slightly angled, before beginning transfer}Position wheelchair to allow for pivot with front interior wheel at side 8 Have the client's feet (wearing shoes) positioned flat on the floor _{before standing} 9 Ensure footrests raised, removed or swung out of way before _{transferring client into wheelchair}

10 Lock wheels before beginning transfer

11 Brace one or both of client's lower extremities when assisting to stand

12 Grasp gait belt on sides or around back when assisting client to stand _{and throughout transfer}

13 Cue client to stand

14 Turn client upon standing so that back of legs are positioned centered _{against seat of wheelchair}

15 Cue client to hold onto armrest(s) before sitting in wheelchair

16 Provide controlled gentle lowering into wheelchair seat

17 Complete transfer with client's hips positioned against the back of the _{wheelchair seat} 18 Leave client seated in wheelchair in proper body alignment and with _{feet repositioned on footrests}

19 Remove gait belt after transfer complete

(43)

(44)

What’s the Difference?

Many students and employers ask “What is the difference between a HCA {Home Care Aide} and a CNA {Certified Nursing Assistant}?”

There are many differences and they are not the same. Their training is different and their focus of care is different. Both are needed and

excellent people can transfer between the 2 jobs. But if the person does not have good training and flexibility, it can be hard for one to transfer to another.

Home Car

e Aide

• Care is focused

on

Supported

Living

• Care is done in a

Home Like

Setting

• 75 Hours of

Basic Training

• Client Based

Focus

Ce

rtfie

d

Nu

rsing

Assis

tan

t

_{• Care is focused}

on

Medical

Rehab and

Stabalization

• Care is done in a

Skilled Facility or

a Hospital

• 4 weeks of

Training

including on-site

clinical

• Medical Focus

(45)

CPR/1

st

Aid

CPR is done according to the standards and curriculum of the American Red Cross. General class includes CPR for the Adult and Child.

CPR for the Infant can be added and CPR for the Professional Rescuer is also available.

Standard 1st Aid is also available. CPR and 1st Aid are

offered either separately or together. The cost is the same. Standard 1st

Aid covers:

Dressing a bleeding wound ~ Using Splints

What to do for medical emergencies ~ Strokes ~ Heart Attack ~

Hypothermia ~ Diabetic Emergency ~ Hyperthermia ~ Allergic Reactions ~ Choking

HIV/ AIDS Training

HIV/AIDS training is available as:

2 Hour Class ~ 4 Hour Class ~ 7 Hour Class

HIV/AIDS classes can be scheduled with Essential Training at anytime to meet the needs of communities/facilities. HIV/AIDS classes will be

scheduled every quarter for anyone who wishes to meet this requirement.

(46)

Resources

Washington State Department of Health

~ www.tinyurl.com/wahca Prometric

~ www.tinyurl.com/prometrichca Background Check Process

~ www.tinyurl.com/hcabackground American Diabetes Association

~ www.diabetes.org Center for Disease Control

~ www.cdc.gov

American Alzheimer’s Association ~ www.alzwa.org

National Alliance on Mental Illness ~ www.nami.org

American Heart Association ~ www.heart.org

Nursing Assistant Resources

(47)

Essential Training Policies & Procedures

Payment Policy

Payment is due upon registration of class Payments excepted o Cash o Check o Facility Invoice o MasterCard o Visa o Discover o American Express

A Payment program can be made with the owner on a case by case basis, but full payment must be received prior to receiving

certifications

Refund Policy

A full refund can be obtained up to 48 hours before beginning class 50% refund can be given 48-24 hours prior to beginning of class No refunds are giving 24 hours to beginning of class

If a test is failed:

o An alternate test can be taken at no cost

o If alternate test is failed, the class can be retaken at 50% of cost

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Self-Study Procedure

Classes than may be done by self-study

o Nurse Delegation: Core

o Nurse Delegation: Special Focus on Diabetes

Once a class is registered and paid for; arrangement for the pick-up or delivery of materials will need happen

The student will watch the DVD and work through the workbook

o On average, Nurse Delegation: CORE takes 9 hours

o On average, Nurse Delegation: Special Focus on Diabetes takes

3 hours

 Nurse Delegation: CORE must be completed before taking

the Special Focus on Diabetes exam

The student will return to the testing center with the workbook and DVD

o The DVD must be returned prior to beginning the test

The instructor will review the completed workbook and give the student the written test.

The student must also bring photo ID for the instructor to review The test is CLOSED book

Test answers must be in English

The instructor cannot coach the student with answers, but may clarify instructions

The student must pass the test:

o CORE – 80% or higher

o Special Focus on Diabetes – 90% or higher

If a test is failed, the student may retake an alternate test after a minimum of 2 days and maximum of 1 week

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Online Conduct

When writing your messages, please use the same courtesy that you would show when speaking face-to-face with someone. Flames, insults, personal attacks, sarcasm, and allegations of illegal or secret activities absent appropriate proof will not be tolerated. It's fine to disagree

strongly with opinions, ideas, and facts, but always with respect for the other person. Please make sure caps are off. This indicates shouting. Note that messages express the thoughts of the writers, not Essential Training.

Essential Training reserves the right to monitor said content and to remove any objectionable material at any time, in our sole discretion. By participating in any service of Essential Training, you agree not to:

 participate in such a way as to undermine the operation of a forum,

email, discussion, chat room or other service

 use a message board, chat room, email, or other service to harass

others

 use Essential Training’s services to disseminate any inappropriate,

defamatory, libelous, threatening, infringing, obscene, or unlawful material or information

 visit, print, or distribute any objectionable material while

participating in Essential Training services.

By participating in Essential Training services, you agree not to

impersonate any person or entity or falsely represent your affiliation with any person or entity.

Message boards, Web pages, and other services provided by Essential Training may not be used for unauthorized electronic commerce. Use of any Essential Training's services, including but not limited to message

(50)

boards and Web pages, for the sale of products or services (including participation in any affiliate program other than that operated by Essential Training) is prohibited.

If, in the sole discretion of Essential Training, you are found to be using Essential Training for any inappropriate commercial purpose, and/or not following the general online guidelines outlined above, Essential Training reserves the right to take action to end said activity. This action may

include dismissal from a course and/or the college.

By posting on message boards, participating in chat rooms, or creating any other content, you will be deemed to have granted Essential Training perpetual, non-exclusive permission to redistribute by transmission the information or materials worldwide without charge or liability.

You participate in and/or operate message boards, chat rooms, and/or other Essential Training features at your own risk. If you are unhappy with the contents and/or operation of a message board and/or chat

room, your only recourse is to contact the host or Web site that operates said service(s). If you are dissatisfied with any feature, operability,

contents, this agreement, other agreements Essential Training imposes as a condition of usage, or any other component of the Essential Training Web site or Social media sites, your sole remedy is to discontinue use of Essential Training services.

(51)

Testing

Preparing for the Test

Review the workbook, online material, DVDs or other curriculum before the test

Eat a good meal and make sure your stomach is comfortably full Get plenty of sleep the night before

Ask the instructor any questions you have about the material or testing process

During the Test

The instructor needs to be present and proctor the entire exam. The instructor has the knowledge and background to understand student's questions.

The instructor also is the individual who is contracted with ADSA to work with the student.

If any questions come to ADSA about the testing process, the

instructor needs to be able to personally verify the accuracy of the testing process and procedures.

The Instructor may NOT coach the student during the test. The Instructor MAY clarify instructions on the test.

The student can use blank scratch paper to write out ideas first, if it is helpful. No other materials can be used.

All scratch paper and testing materials must be gathered and kept by the instructor at the end of the test. The scratch paper can be

Essential Training Home Care Aide Catalog