Certified Home Health Aide

Characteristics of an HHA

  • Accepts constructive criticism as evidenced by appropriate changes in behavior.
  • Utilizes established channels of communication.
  • Recognizes, accepts and respects people as Individuals;
  • Recognizes limitations and seeks assistance appropriately.

Specialized Skills and Technical Competencies

  • Ability to apply prosthetic devices;
  • Ability to take and record temperature, pulse, respiration and measure Intake and Output;
  • Ability to reinforce sterile dressing and change non-sterile dressing;
  • Ability to follow the instructions related to exercise and positioning;’
  • Ability to safely use the Hoyer lift;
  • Ability to care for urinary, ostomy and Foley catheters;
  • Ability to apply warm or cold compress, ace bandage and elastic stockings.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. The physical requirement for this position is medium work, which is defined as lifting up to 50 pounds of force occasionally and/or up to 20 pounds of force frequently and/or up to 10 pounds of force constantly to move objects. Due to the physical demands of this job, if you have 3 or longer sick days, return to work requires a doctor’s note stating that you may return to work. This note must be dated, signed, and stamped by the doctor. The date you are able to return to work must be clearly documented.

Work Environment, Contact, Nature and Purpose

Patient’s home; HHA s most frequent contact is the ; and the Agency staff (coordinator, nurse) to receive supervision in the development of Plan of Care (POC).

Equipment Operation

Walker, Cane, Crutches, Wheelchair, Commode, Hospital Bed, Hoyer Lift, Household appliances (I.e. vacuum, refrigerator, stove, blender, toaster, etc.)

Specific Duties and Responsibilities

In order to comply with the Americans with Disabilities Act (ADA), each essential duty will be marked in the POC (2) it requires specialized skills and/or expertise; (3) It can only be performed by a limited number of available employees.

HHA Duties and Responsibilities

  • Preparing and serving normal and therapeutic diets.
  • Assisting patient with eating and monitoring intake
  • Assisting with bathing of patient in bed, tub and/or shower
  • Assisting with grooming, care of hair, including shampoo, shaving with electric razor only, and ordinary care of nails –
  • this means soaking and filing nails
  • Assisting with care of teeth and mouth
  • Assisting patient on and off bedpan, commode and toilet
  • Assisting patient in transferring from bed to chair, to wheelchair and in walking with or without devices.
  • Assisting patient with dressing
  • Assisting patient with self-administered, oral medications that have been ordered by the medical practitioner
  • Taking temperature, pulse and respiration as directed
  • Use of special equipment (i.e. Hoyer lift)
  • Assisting, as instructed with a home exercise program including passive range of motion, turning and positioning
  • Reporting any change in patients mental and physical condition or home situation to the nurse.
  • Making and changing bed/linens
  • Dusting and vacuuming the rooms the patient uses.
  • Tidying kitchen, dishwashing
  • Provides a supportive environment and ongoing reality orientation to confused patients using appropriate interpersonal
  • behavioral techniques
  • Assists with self-administered medications
  • Take and record temperature, pulse, respiration
  • Measure and record Intake and Output
  • Reinforce sterile dressing
  • Empty urinary or ostomy bag
  • Cleanse catheter insertion site
  • Administer special skin care as directed
  • Collect stool sputum and urine specimens using appropriate techniques

Functions Permissible for Home Health Aides under Special Circumstances (when the patient is self-directing)

If no family member is present or capable of providing care for a specific patient, the nurse may with approval of the physician, teach and closely supervise the HHA in the following procedures:

  • Assist with changes of colostomy bag
  • Reinforce dressing and change simple non-sterile dressing.
  • Assist with the use of devices geared to disability to aid in dally living
  • Assist patient with prescribed exercises which the Home Health Aide has been taught by Physical Therapist
  • Apply prescribed ice cap or ice collar
  • Perform simple urine test for sugar, acetone or albumen and record results
  • Perform functions allowable as per : NYS DON Approved Scope of Practice
  • Applications of heat
  • Applications of cold

The HHA Will Not Perform These Functions Under Any Circumstances

  • Foley catheter Irrigation.
  • Apply a sterile dressing.
  • Give enemas or remove impactions.
  • Perform gastric lavage or gavage.

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