Certified Home Health Aide

The Home Health Aide is trained to provide home management, personal care and health related tasks to patients and families experiencing recent episodic or chronic health care problems. The Home Health Aide works under the supervision of an RN or LPN. The Home Health Aide qualifications will conform to the NYCRR Title X 700.2.

Responsibilities:

. Assist with the care of the teeth and gums.
. Assist with the care of hair including shampooing and shaving.
. Assist with ordinary care of nails, such as washing, drying and filing with an emery board.
. Assist with bathing in the bed, tub or shower.
. Assist with feeding.
. Assist with toileting, use of commode, bedpan, and urinal.
. Assist with dressing.
. Assist with walking, use of walker or wheelchair.
. Assist with transfers from bed to chair or commode and back.
. Prepares and serves meals according to instructions.
. Changes bed linens.
. Dusts, vacuums, and straightens the room the patient uses.
. Washes dishes, scours the kitchen and bathroom sinks.
. Maintains general cleanliness of the patient environment.
. Lists needed supplies.
. Shops for the patient in the absence of the family.
. Launders the patient's clothes and linens in the absence of the family.

The following health related tasks may be performed by the Home Health Aide, who has had documented training in such tasks and is deemed competent to perform them in performance of patient care. Such services are performed in situations deemed by the agency to be special circumstances. Activities permissible under special circumstances are governed by the department document, "Permissible and

Non-Permissible Activities: Home Health Aide Services and require the following criteria:
. The patient is self-directing.
. The patient has the need for assistance with the task or activity for routine maintenance of health.
. The patient cannot perform the activity because of his/her disability.
. The patient has no informal caregiver who is available at the time the service must be rendered or
. The caregiver is unwilling or unable to perform the task or
. The caregiver's involvement is unacceptable to the client.

Tasks allowable under special circumstances:
. Assisting with the administration of medicines.
. Measuring temperature, pulse, respirations and blood pressure.
. Testing urine for glucose, ketones, and bacteria.
. Collecting urine, stool and sputum specimens.
. Preparation of a complex, modified diet.
. Assisting with a prescribed exercise program.
. Assisting with prescribed medical equipment, supplies and devices.
. Assisting with special skin care, ostomy care and dressing changes.
. Reports condition changes to the supervising nurse immediately.
. Document care as directed to do so by the agency.
. Participates in conferences, and programs of ongoing training as directed by the agency.
. Other such duties assigned by the managing nurse.

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