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