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DCW Initial Training

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PM HOME HEALTH PM HOME HEALTH PM HOME HEALTH PM HOME HEALTH PM HOME HEALTH PM HOME HEALTH PM HOME HEALTH PM HOME HEALTH PM HOME HEALTH PM HOME HEALTH PM HOME HEALTH PM HOME HEALTH PM HOME HEALTH PM HOME HEALTH

PM HOME HEALTH

Customer Care (DCW) Training

PM HOME HEALTH CARE

OUR PRINCIPLES

C.A.R.E.S.

PMHHC aims to deliver services that make a difference to the client’s life and give the client and their family a peace of mind by supporting and maintaining their independence, not only at home, but in the community as well. PMHHC is committed to providing a high standard of service guided by our five important principles known as C.A.R.E.S.

C.A.R.E.S.

COMMUNICATION

ADAPTABILITY

RELIABILITY

EMPATHY

SAFETY

These principles are designed to guide our staff to make decisions with flexibility, while ensuring the safety, health and well-being of both you and the Client!

PM HOME HEALTH CARE

CLIENTS

TWO CATEGORIES OF HOME CARE CLIENTS

Persons with a specific injury or illness

Persons in need of ongoing support in the home

FRAIL AND ELDERLY

ACUTE AND CHRONICALLY ILL

HOME CARE CLIENTS

We listen intently to better understand and analyze each individual’s unique situation with a view to tailoring our services while maintaining self-esteem.

ADULTS AND YOUNG ADULTS IN NEED OF ASSISTANCE

PHYSICALLY AND MENTALLY CHALLENGED

HOME CARE EXPECTATIONS

DAILY TASKS MAY INCLUDE:

Bathing, Dressing & Grooming
Toileting
Housekeeping & Laundry
Errands & Transportation
Social Engagement
Arts & Crafts
SAFETY PRECAUTIONS
Quality Oversight
Lifestyle
Care Communication

Activities of Daily Living

Independent Activities of Daily Living

LISTEN

ASK GOOD QUESTIONS

EFFECTIVE COMMUNICATION

OBSERVE NON-VERBAL COMMUNICATION

BUILDS TRUST

SPEAK OPENLY AND HONESTLY TO SOLVE PROBLEMS

BE ACCEPTING OF CONSTRUCTIVE FEEDBACK

KNOW YOUR BOUNDARIES. BE PROFESSIONAL.

It is pertinent that DCW's never give medical advice.

ETHICS

Basic hygiene and infection control practices
Basic personal and environmental safety precautions
Maintenance of a clean, safe and healthy environment
Have your questions, concerns or grievances directed to your Supervisor and, if possible, resolved without interruption in service.
Be free from any form of retaliation due to the voicing of a complaint or grievance.

Code of Medical Ethics

ETHICS

Kind & respectful care regardless of age, race, creed, color, natural origin, marital status, disability or sexual orientation.
Supervisor will make informed decisions about Client care.
Be free from all forms of abuse, harassment, neglect or financial exploitation.
Know your limits, communicate with your Supervisor about personal limitations with patients

Code of Medical Ethics

PM HOME HEALTH CARE

MEDICAL EMERGENCIES

Choking

MEDICAL EMERGENCIES

Falls

Burns

Shock

Broken Bone(s)

Heart Attack

Trouble Breathing

Stroke

Bleeding

911 PROCEDURES

Place the 911 call.
Stay calm.
Provide the information needed by the operator, which can include:
Location of the emergency (Address)
Phone number from where you are calling
Your name
Speak clearly when explaining what happened
Number of people injured and their condition
What you have already done to provide help
DO NOT HANG UP!

PM HOME HEALTH CARE

INFECTION & DISEASE CONTROL

TB SYMPTOMS

A bad cough that lasts 3 weeks or longer
Pain in the chest
Coughing up blood or sputum
Weakness or fatigue
Weight loss
No appetite
Chills
Fever
Sweating at night

PREVENTION, CONTROL AND SURVEILLANCE OF TUBERCULOSIS (TB)

TB IS NOT SPREAD BY:

HOW TB SPREADS:

Shaking someone's hand
Sharing food or drink
Touching bed linens or toilet seats
Sharing toothbrushes
Kissing

TB is spread through the air from one person to another.
The TB bacteria are put into the air when a person with TB coughs, sneezes, speaks, or sings.
People nearby may breathe in these bacteria and become infected.

INFECTION CONTROL AND STANDARD PRECAUTIONS

The germ has a method of travel to reach a new individual; for example, shaking hands with a person who has not washed the hand that contained a sneeze.

An infection-causing germ must be present.

There are six links in the chain of infection:

The germ finds a way to enter another person who becomes a new carrier. For example, eating a piece of candy after shaking the hands that caught the sneeze.

The germ finds a way to survive (usually in a living being).

COLOR PALETTE

Presentations are tools for speeches, and more.

The new person must be receptive so that the germs can multiply. Generally speaking, the person’s body is not able to fight off the infection.

The germ finds a way to the surface such as in a sneeze or through a tear in the skin.

HAND WASHING

What’s the #1 most important defense against spreading germs?

WASH YOUR HANDS BEFORE:

Eating
Preparing food
Providing personal care

WASH YOUR HANDS AFTER:

Blowing your nose, coughing or sneezing into your hands
Cleaning and disinfecting surfaces
Contact with any body fluid (changing incontinent pads, using the bathroom)
Direct contact with person for personal cares
Handling garbage or contaminated clothing
Preparing food
Removing gloves and other personal protective equipment
Touching an animal, animal toys and leashes
Treating wounds

PM HOME HEALTH CARE

AROUND THE HOME

HOUSEKEEPING

Light housekeeping, as part of a homecare service, is offered and restricted to the client and those areas used by the client. Typically that means the kitchen, living room, bedroom and bathroom. It should not be confused as a housekeeping service, as light housekeeping is only one part of an overall care service provided to an incapable client.

SUPPLY USAGE

Be frugal if using client’s personal products.

PM HOME HEALTH CARE

PATIENT PROCEDURES

BODY MECHANICS: PROPER CLIENT TRANSFER

Examples of assistive devices that may be used are:

Lifting
Canes
Hoyer lifts
Shower and lift chairs
Transfer belts
Walkers
Wheelchairs

HOYER LIFTS

SAFETY AND COMFORT

For Clients who are unable to walk or are otherwise incapacitated, lifting and transferring is an essential part of that patient’s Home Care.

KNOW YOUR LIFT

Lifts come in many variations, but the basic components are usually similar. Familiarize yourself with your client’s lift, and practice with it before using it with the client.

WHAT ARE RANGE OF MOTION EXERCISES?

Range of motion is how far a client can move their joints in different directions. These exercises help move each joint through its full range of motion. Movement can help keep joints flexible, reduce pain, and improve balance and strength.

WHY ARE ROM EXERCISES IMPORTANT?

Clients with certain conditions that limit normal daily activities will need to do active range of motion exercises. It is important to do ROM Exercises with clients, and count with them to encourage participation.

EXAMPLES OF ROM EXERCISES

PASSIVE ROM

ACTIVE-ASSISTIVE ROM

ACTIVE ROM

Movement of a segment with the unrestricted ROM that is produced entirely by external force, meaning complete assistance with ROM.

Assistance is provided manually or mechanically by an outside force due to the client needing assistance in completing the motion.

Movement of a segment within the unrestricted ROM that is produced by active contraction of the muscles crossing that joint.

PM HOME HEALTH CARE

MENTAL HEALTH

UNDERSTANDING BEHAVIORS

Techniques for handling the behavior will be different from person to person. The caregiver should:

Know what may trigger behaviors
Understand the causes of behaviors
Never think you know the root behind the behavior because you have worked with similar behavior in the past.
Always look for the meaning behind the behavior.

UNDERSTANDING BEHAVIORS

Caregivers should also see if redirecting is an option to challenging behaviors. For example: The person is always frustrated when asked about something or someone. The caregiver should change the topic or avoid the behavior. You can manage challenging behaviors if you learn about the person and react in the proper manner.

NAVIGATING A MENTAL HEALTH CRISIS

Pay attention
Know the signs
Stay calm
Ask questions
Offer reassurance
Offer options instead of trying to take control
Seek immediate help if needed

SUICIDE PREVENTION

Risk of suicide is a major concern for people with mental health conditions and those who love them. Encouraging someone to get help is a first step towards safety.

Any talk of suicide should always be taken seriously. Most people who attempt suicide have given some warning—but this isn’t always the case. If someone has attempted suicide before, the risk is even greater.

WHAT IS THE GOAL OF HOME HEALTH DOCUMENTATION?

When documentation and processes or systems work, everyone benefits. All information is aligned, legible, complete, and congruent. Care is coordinated and communicated across disciplines in a timely manner, enabling staff to have the information they need to review notes, make care decisions, bill, and more.

WHAT SHOULD BE INCLUDED IN MY HOME HEALTH DOCUMENTATION?

Your documentation should include:

Individualized care plan
Assessments and the patient’s clinical status
Problems
Goals
Interventions and the patient’s response
Communication with clients
All unusual patient occurrences or incidents

GENERATIONS

As a DCW, charting and taking notes is pertinent.
Generations is the online portal for both Client and Caregiver.

PLAN OF CARE: (POC)

The Plan of Care (POC) is what DCWs refer to in Generations for background on the patient. The POC can be viewed by Caregivers when they sign in to review their schedules.

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Transcript

Independent Activities of Daily Living