Visiting Physicians Association

Hospice Aide/CNA - Per Visit

Posted on: 19 Jan 2021

Williamsburg, VA

Job Description

Benefits We Offer for PRN & Per-Visit Opportunities:

* 401K Retirement Plan

Position Description

The Hospice Aide is a non-professional employee trained to provide personal care and related services in the home for the sick or disabled. He/she functions under the direct supervision of a Registered Nurse or a Physical Therapist to assist the patient to perform on 2 or more ADL's.

Essential Duties and Responsibilities

During each, visit the Hospice Aide:

* Shall obtain vital signs, record and notify the primary RN of deviations according to standard practice
* The Hospice Aide shall provide assistance with at least 2 of the following ADL's:
* Personal hygiene (Example: bathing, grooming, hair care, shaving, deodorant application, skin care with lotions and/or powder, foot care, and ear care.
* Q-tips are not to be used;
* Nail care and oral hygiene, which are needed to facilitate treatment or prevent deterioration (nail cutting will NOT be done; and filing will NOT be done, if patient is diabetic);
* Changing bed linens and making bed;
* Eating and maintaining adequate nutrition and fluid intake when appropriate;
* Dressing (clothes);
* Ambulation and transfers (For Example: Assisting patients to the toilet/commode or with bedpans and with elimination needs, assisting patients in and out of bed, assisting with ambulation, and assisting with other transfers and positional needs as appropriate);
* Incidental household services, which are essential to patient health care (for example, light housekeeping, straightening room, and laundry);
* Assisting with prescribed exercises, which the hospice aide and the patient have been taught by a health professional agent (employee) of the Agency;
* May hand patient prepared medications
* May empty or change a colostomy bag after receiving direction from RN
* Will understand and apply basic infection control principles and procedures
* Will contact supervisor with any concerns related to infection control
* Will follow the Plan of Care (Instruction Sheet) as instructed by Agency's health care professional
* Will document appropriately according to the Plan of Care and submit all documentation per agency policy
* Will keep a record of hospice aide Plan of Care for each patient assigned
* Will observe physical and gross behavioral changes in the patient's condition or family situation and report to the registered nurse
* Will follow the visit schedule and indicate changes in schedule as appropriate
* Will promptly contact patients and an Agency supervisor whenever unable to visit a patient as scheduled and will give full report to covering aides concerning patient care, visit times, etc. Will give patient name of covering hospice aide
* Will communicate appropriately with patient/family and Agency personnel
* Will attend required in-services and meetings as identified by the Agency (must have 12 hours of In-service per year)
* Will adhere to Agency's Policies and Procedures
* Will perform other duties as assigned
* Will participate in Performance Improvement activities as indicated

The Hospice Aide WILL NOT do the following:

* Irrigate body cavities such as giving an enema;
* Irrigate a colostomy or wound;
* Irrigate perform a gastric lavage or gavage;
* Irrigate catheterize a patient;
* Irrigate administer medications;
* Irrigate apply heat by any method;
* Irrigate care for a Tracheostomy tube;
* Irrigate cut nails;
* Irrigate file nails; if patient is diabetic, and;
* Irrigate provide any personal health service, which has not been included by the health care professional (employee) in the patient care plan

REQUIRED Knowledge, Skills, and Experience

* Current drivers license and automobile in good working condition with proof of auto insurance
* Are Certified Nurses Aides (CNA). Effective for services furnished after August 14, 1990, a person who has successfully completed a State-established or other training program that meets the federal requirements of 484.36(a) and a competency evaluation program or State licensure program that meets the federal requirements of 484.36(b), or a competency evaluation program or State licensure program that meets the federal requirements of 484.36(b). An individual is not considered to have completed a training and competency evaluation program, or a competency evaluation program if, since the individual's most recent completion of this program(s), there has been a continuous period of twenty four (24) consecutive months during none of which the individual furnished services described in 409.40 of the federal regulations for compensation.
* Is able to meet certain physical demands of standing, bending, lifting, stooping or performing other work requiring light physical exertion (up to 30 pounds) on a continuous basis (over 50% of time); or moderate physical exertion (30 to 50 pounds) on a frequent basis (16 to 50% of time); or heavy physical exertion on an occasional basis (up to 15% of time).
* A Hospice Aide may be used by the agency providing licensed hospice services if the aide meets one of the following requirements:
* A minimum of one year full-time experience in direct client care in an institutional setting (hospital or nursing facility);
* One year full-time experience within the last five years in direct client care in an agency setting;
* Satisfactorily completed a training and competency evaluation program that complies with the requirements of this section;
* Satisfactorily completed a competency evaluation program that complies with the requirements of this section;
* Submitted to the agency documentation from the director of programs or the dean of a school of nursing that states that the individual is a nursing student who has demonstrated competency in providing basic nursing skills in accordance with the schools curriculum; or
* A Hospice Aide must have provided hospice services within the previous 24 months to qualify under subsection (a)(3) or (4) of this section
* Agree to undergo supplemental training by Agency personnel, as may be required by the Agency
* Have completed the 9th grade, with ability to read and write at an adequate level. High school graduates or GED preferred
* Have an interest in and a sympathetic attitude toward caring for the sick at home.
* Have the emotional maturity necessary for establishing and maintaining a good rapport with patient and family members
* Demonstrate the ability to be able to work within a multi-disciplinary team setting
* Demonstrate the ability to work in field situations and navigate within assigned districts
* Have and maintain an automobile to be used for work
* Have the ability to meet the physical demands of the job
* Have satisfactorily passed Agency pre-employment testing which will include a written and performance evaluation
* Must inform all employees and cooperate and coordinate to assure highest performance of quality when providing services to the beneficiary
* Is prohibited from simultaneous/concurrent employment

Visiting Physicians Association

Houston, TX

Founded 25 years ago,Visiting Physicians Association (VPA) is the nation’s leader in house call medicine. We specialize in caring for patients with complex health issues.

With our advanced medical technology, we are able to provide comprehensive care for every patient all within the comfort and privacy of their home. Our model ensures that patients medical needs are addressed in a timely manner.

We prioritize and are committed to best practices and high quality outcomes for our patients.

VPA is part of  U.S. Medical Management (USMM). USMM is a family of companies that provides home-based medical services for elderly and other adult patients with complex health issues.

Our Experience

Expertise in geriatric care
Experience with Accountable Care Organizations (ACO) and value-based healthcare initiatives

 Pioneer ACO (2012-2014)
CMS Independence at Home Program (2012 - current)
MSSP ACO (2015 to current)- 2016 Results 

Experience with clinically integrated networks, population health management, and value-based initiatives
Fully implemented compliance, quality management and infection control programs
Patient specific proprietary clinical protocol software for chronic care management

Overview

Established in 1993
Largest physician house call practice in the U.S.
Over 200 full time Primary Care Providers (Physicians, NP's, PA's)
Physician-led model 
Serve over 50,000 unique patients annually
Leader in government shared savings programs
Robust technology infrastructure 
State of the art laboratory, mobile x-ray, ultrasound in the home
Member of the American Academy of Home Care Medicine (AAHCM)

 

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