Home Health Aide
Competency-based
ONET: 31-1011.00
1
Years
68
Skills
Classroom instruction topics
- Introduction to Home Care
- Communication and Working Effectively with Home Care Clients
- Patient Rights, Infection Control/Universal Precautions, OSHA, HIV/AIDS, Confidentiality, Privacy
- Working with Various Populations and Special Needs
- Disability Etiquette
- Working with Undiagnosed Personality Disorders
- Personal Care- Defining Personal Care and Hygiene
- Food, Nutrition and Meal Preparation
- Care of the Home and Personal Belongings
- Home Safety, Accident Prevention and Emergency Protocols
- Family Spending and Budgeting
- Orientation to Body Systems, Body Mechanics and Health-Related Tasks
- Performing Simple Measurements and Tests and How to Observe, Report, Document
- Assisting with Prescribed Exercise Program; Range of Motion; Transfers
- Assisting with the Use of Prescribed Medical Equipment, Supplies and Devices
- Assisting with Special Skin Care
- Assisting with a Dressing Change
- Assisting with Ostomy Care
On-the-job training
- Role of the Home Health Aide
- Demonstrate the role and scope of work of the HHA when working as a member of the healthcare team
- Demonstrate the role of the HHA in relation to the consumer/client receiving services
- Demonstrate HHA professionalism in appropriate dress, punctuality, and performance in accordance with agency policies and HHA roles
- Client Rights and Confidentiality
- Respect the rights and observe the preference of the consumer/client in their own home
- Demonstrate ways of protecting client’s privacy and promoting independence
- Respect the confidentiality of client information and adheres to Health Insurance Portability and Accountability Act of 1996 (HIPAA) and agency confidentiality guidelines
- Recognize causes and types of abuse, appropriate response and reporting requirements
- Communication and Problem-Solving Skills
- Can explain the term “communication” including the difference between verbal and non- verbal communication
- Demonstrate effective communication, including active listening
- Demonstrate ability to resolve conflict and work will with challenging behaviors
- Demonstrate respect and cultural sensitivity in communicating with others
- Demonstrate the use of effective problem-solving skills
- Notify supervisor promptly in relation to client’s needs, concerns and/or problems encountered
- Serve as an advocate for the client and treats the client, their family and close friends with courtesy and respect
- Provide report to designated staff according to procedure
- Personal Care Skills
- Assist clients with bathing according to client preference and plan of care
- Provide clients with bed baths according to proper procedure when indicated
- Shampoo clients’ hair in bed when indicated
- Assist clients with oral hygiene and care according to individual needs and plan of care
- Assist clients with fingernail and toenail care
- Shave clients using proper procedure (facial hair only) with safety razor/electric shaver
- Turn clients in bed according to proper procedure
- Provide clients with back rubs according to proper procedure
- Assist clients with eating
- Assist clients with dressing
- Assist clients with the use of elastic support stockings
- Make an occupied bed and/or unoccupied bed
- Assist clients with toileting needs including demonstrating proper use of bedpan, urinals and/or commode (and use of adult diaper or incontinence products as needed)
- Provide pericare as indicated in plan of care
- Assist clients with use of condom catheters and daily catheter care
- Demonstrate proper technique and use of lift equipment (transfer technique)
- Clean and ensure appropriate function and care of appliances such as glasses, hearing aids, prostheses and assists with application as indicated by plan of care
- Health Related Tasks
- Observe, record, report and document client status/changes and care/services furnished and provides information to the supervisor according to policy
- Accurately measure and record temperature, pulse, respiration and blood pressure
- Collect routine urine, stool and sputum specimens according to proper procedures
- Prepare and assist clients with complex modified diets
- Assist clients with prescribed exercise programs, including walking, standing
- Assist with passive/active range of motion
- Assist clients with lung disease with postural drainage
- Assist with the use of prescribed medical equipment, supplies and devices
- Assist with special skin care to prevent ulcers; observes, records and reports skin conditions including signs and symptoms of sepsis
- Assist clients with ileostomy, colostomy, gastrostomy and tracheostomy care
- Assist with meal planning, food preparation and serving, food shopping, storage and handling
- Assist with the preparation of simple modified diets
- Assist clients with family spending and budgeting as specified on care plan
- Assist clients with care of the home and personal belongings
- Assist clients with self-administration of medicine as allowed by law
- Recognize pain in client; report client pain to supervisor per policy
- Assist with nutrition and fluid intake, measures and records when indicated on plan of care
- Assist and encourages clients to consume nutritional supplements/snacks as indicated on plan of care
- Infection Control Procedures
- Demonstrate proper hand washing procedures
- Describe and apply the principles of infection prevention and control procedures
- Implement standard precautions as indicated
- Obtain available personal protection against illness and infection such as the flu vaccine
- Perform activities using OSHA/blood borne pathogen procedures and requirements
- Describe activities addressing common communicable disease protocols
- Safety and Recognize/Respond to Emergencies According to Emergency Procedure
- Maintain clean, safe and healthy environment; assess home for possible hazards and fix
- Use proper body mechanics at all times and incorporate safe transfer techniques
- Demonstrate awareness of range of motion and positioning in moving client
- Demonstrate knowledge of procedures in case of emergencies in the home
- Recognize emergencies and understands and acts according to emergency procedure
- Check equipment before use and notifies supervisor of any problems identified
- Demonstrate ability to perform CPR and AED according to proper procedures
- Understanding the Needs of Various Groups of Clients and Ways to Work with Them
- Describe the special needs of physically disabled clients, and how to address those needs
- Describe the special needs of the aging clients and how to address those needs
- Describe the special needs of clients who are dying, assist their families, and address their needs
- Describe the special needs of clients who are cognitively impaired or mentally ill, and how to address those needs
- Use knowledge of disease processes in understanding clients’ needs
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