TEACHING/TRAINING IP/ISP
  • Skills of Daily Living
  • Person Centered Goals
  • Community Integration
  • Community Outings
  • Transportation
COMPLETE ASSESSMENTS OF DAILY LIVING
  • Make key observations that determine Implementation Plan
MANAGE AND REPORT INCIDENTS
  • Risk for injury to client and Staff
  • Often work alone
MANAGE MALADAPTIVE BEHAVIORS
  • Physical Aggression
  • Property Destruction
  • Aberrant Sexual Behavior
  • Self-Injurious Behavior
  • Self Stimulation
  • Verbal Aggression
  • Stealing
  • Runaway Behavior (Unauthorized Departure)
  • Resistant Behavior
  • Unusual/Bizarre Behavior
  • Compulsive Behavior
  • Disruptive Behavior
  • Mood Problems
  • Eating Behavior
DELEGATED NURSING TASKS
  • Medication/Administration
  • Assisting clients with their oral medications
  • Administration of medications via gastrostomy or jejunastomy tubes.
  • Administering medications sublingually.
  • Administering ear drops, eye drops, nose drops and nasal spray.
  • Applying topical medications
  • Administering suppositories (rectal/vaginal)
  • Administering oxygen (non-acute)
  • Administering inhalation medication-routine/prophylaxis
  • Administering insulin
  • Administering medications via Pill Reminder box
TUBE FEEDING
  • Test – Demonstrated procedure for Preparation
  • Meal preparation
  • Test – Demonstrated procedure for feeding
  • Feeding and irrigation via gastrostomy or jejunostomy.
TRANSFER/AMBULATION/POSITIONING
  • Test – Demonstrated proper Transfer Procedures
  • Transfer Procedures
  • Test – Ambulation Assistance
  • Ambulation Assistance
  • Test – Demonstrated proper Positioning Procedures
  • Positioning Procedures
SKIN
  • Described/Explained procedures for skin with:
  • Stage 1 decubitus routine care (blanches & pressure)
  • Low risk infection of skin
  • Non-invasive and non-sterile treatments with low risk of infection
  • Sterile procedures involving a wound or anatomical site that could possibly be infected
  • Routine skin care
HYGIENE
  • Test – Proper Hygiene Assistance
  • Bathing an individual
  • Hair Washing techniques on an individual
  • Toileting an individual
  • Dressing
  • Grooming
  • Elimination
  • Test – for Measuring Height and Weight
  • Weight/Height
  • Demonstrated proper procedures to:
  • Weigh a person
  • Measure a person’s height
  • Test – Exercise/Range of Motion
  • Exercise
  • Range of motion
STOMA CARE
  • Test – Stoma Care
  • Provide Stoma Care
TRACH/VENTILATOR/INSULIN PUMP CARE
  • Test – Proper procedures for Tach/Ventilator/Insulin Pump Care
  • Trach care procedures including instilling normal saline, routine suctioning, routine oxygen
  • Ventilator care
  • Insulin Pump
VITALS
SEIZURE MANAGEMENT
INCONTINENCE MANAGEMENT
HOME MANAGEMENT
  • Notify management of any Maintenance issues
  • Clean the Home/Facility – No Janitors
DOCUMENTATION
  • Service Delivery Log
  • Census
  • Medication Administration Record
  • Vitals
  • Medically related Documents
  • IP – Measurable outcomes
  • Incidents document observations
  • Observation Notes
  • Follow Ups
REQUIRED TRAINING
  • CPR
  • Client Rights
  • Abuse, Neglect and Explotation
  • Infection Control
  • Delegated Tasks
  • Company Policy
  • HHS new initiatives
ALLEGATION RISK
  • Always potential for false allegations
EMERGENCY DRILLS AND ALARM SYSTEMS
  • Fire
  • Tornado
  • Flood
  • Hurricane
  • Operate Alarm Systems