Essential Training Home Care Aide Catalog

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1 Essential Training Home Care Aide Catalog 1

2 THANK YOU FOR CHOOSING ESSENTIAL TRAINING 2

3 Essential Training Mackenzie Daniek, RN CHPN st Ave NE Suite E502 PMB 253 Lake Stevens, WA Phone Fax

4 Table of Contents Table of Contents... 2 About Essential Training... 4 What is a Home Care Aide (HCA)?... 5 Core Training... 6 Specialty Trainings... 8 Dementia Specialty... 8 Mental Health Specialty... 8 Nurse Delegation... 9 Nurse Delegation: CORE... 9 Nurse Delegations: Special Focus on Diabetes... 9 Continuing Education Continuing Education Classes Mobile Training Options Requirements for Assisted Livings Requirements for Adult Family Homes Add Ons to Classes Becoming a Home Care Aide Home Care Aide Skills Handwashing Common Care Practices Feed a Client Help a Client Walk Provide Mouth Care to a Client Provide Foot Care to a Client Clean and Store a Client s Dentures Provide Fingernail and Hand Care to a Client Help a Client to Take Medication Help Dress a Client Who Has a Weak Arm

5 Table of Contents Put a Knee-High Stocking on a Client s Leg Provide Passive Range of Motion (ROM) Exercises to a Client s Shoulder, Knee and Ankle Provide Perineal Care to a Female Client Provide Catheter Care to a Client with a with a Inserted Urinary Catheter Transfer a Client from the Bed to a Wheelchair Turn and Reposition a Client Who Must Stay in Bed, Onto His/Her Side Differences between HCA & NAC CPR/1 st Aid HIV/AIDS Resources Class Policy & Procedures Payment Policy Refund Policy Self-Study Procedures Online Conduct Testing Challenging Tests No Shows Certificates Replacement Policy Tardiness Student Code of Conduct FAQ (Freaking Awesome Questions) HCA to NAC Bridge Program Causes

6 About Essential Training Essential Training started in 2004 by Mackenzie Mack Daniek, RN CHPN in order to give caregivers a fun, safe environment to learn the skills they need to be excellent at their jobs. Essential Training works towards keeping training up to date and uses current technologies to make training fun and interactive. Mackenzie Daniek, RN CHPN has been a Registered Nurse for 8 years and a Certified Hospice and Palliative Care Nurse for 4 years. Mack has worked in the hospital, Home Care and Assisted Living. Mack started as a Bed Maker in a Nursing Home in Moscow, Idaho at the age of 14. She has been involved in healthcare in one way or another ever since. Currently, Mack is an after-hours RN with Providence Hospice of Snohomish County. Mack does training through Essential Training as well as working with the SEIU Northwest Training Partnership with Invista Solutions. Mack is wife to the most perfect man in the world, mother to 2 monkeys who are also known as boys, a marathon runner and an overall Dork. 6

7 What is a Home Care Aide? With the passing of I1163 in November, 2011, Long Term Caregivers were redifined as: Long-Term Care Worker: All persons who are long-term care workers for the elderly or persons with disabilities, including but not limited to all direct care workers in state-licensed boarding homes, assisted living facilities, and adult family homes. Direct Care Worker: A paid caregiver who provides direct, hands-on personal care services to persons with disabilities or the elderly requiring long-term care. Personal Care Services: Physical or verbal assistance with activities of daily living and instrumental activities of daily living provided because of a person s functional disability. Long-Term Care Workers perform activities of daily living OR both activities of daily living and instrumental activities of daily living (WAC ). See chart below. Activities of Daily Living Bathing Grooming Locomotion Transfers Toileting Feeding Positioning in bed Body care Medication management Instrumental Activities of Daily Living Meal preparation Housework Essential shopping Wood supply Travel to medical appts. Phone use Managing finances 7

8 CORE Training All Home Care Aides (HCA s) must have 70 hours of basic training. These 70 hours cover topics such as: Personal Care Tasks Professional Behavior Medication Assistance The Care Team The Home Care Environment Managing Grief & Loss Body Mechanics and much more 70 Hour CORE Training is split up into 4 sections: Mental Health Specialty (4 Hours) Students learn about 5 common mental illnesses (Depression, Mania, Bi-Polar Disorder, Anxiety & Schizophrenia) and how to respectfully communicate with individuals living with these diseases. Dementia Specialty (6 Hours) Students learn about Dementia and how it is an umbrella term that involves many types of diseases related to memory loss and personality changes. Students learn how to respectfully communicate with individuals with Dementia and practical tips on how to deal with challenging behaviors. Online Component (50 Hours) The bulk of the CORE training is done online. Students go through 8 Modules and learn the CORE of being a HCA. Skills Training (12 Hours) Students spend 12 hours in a Skills lab learning the hands-on skills they use in their jobs day in and day out. At the end of the CORE training, students leave with a Portfolio with 3 certificates with DSHS Approval numbers on them to prove they have met the 70 Hour Requirement. 8

9 CORE Training The online Curriculum used is developed in the Institute for Professional Care Education (IPCed). It is called CarePro. Students will get a Log-in and be able to complete the bulk of the curriculum in the comfort of their home in their spare time. This is fantastic news for both the HCA and the employer since now the bulk of the class can be done in spare time, on days off and in the comfort of your own home. HCAs will use interactive videos to: Watch Demonstrations Do Interactive Activities Take Quizzes HCAs are not left alone in this learning process and have anytime access to the instructor by or may call the instructor during business hours for more discussion. HCA s also have available technical support by or phone. Call Toll-Free Since this can be done a little bit at a time at anytime of the day, employers benefit by not needing to cover 70 hours of training for a staff member. Training and Classroom time can be easily adapted to facility schedules. The 70 Hour Training has a suggested schedule of 4 weeks. End of Week 1: Completion of Modules 1-2 End of Week 2: Completion of Module 3 End of Week 3: Completion of Modules 4-6 End of Week 4: Completion of Modules 7-9 There is a 3 week program and 2 week program available to meet the needs of those needing urgent training. This can be discussed with Essential Training as to how to get this done in a successful way. 9

10 Specialty Trainings Dementia Specialty Dementia Specialty is a 6 hour course approved by DSHS that teaches what Dementia is and how to work with those who suffer from Dementia. Topics covered include: Introduction to Dementia Communicating with People who have Dementia Creative Approaches to Challenging Behaviors Helping with Activities of Daily Living (ADLs) Hallucinations and Delusions Sexuality and Dementia For those needing Manager Specialty, this is available and is an additional 2 hours of classroom education. In addition to topics above, we also discuss: Medications and Dementia Setting the Tone Mental Health Specialty Mental Health Specialty is a 4 hour course approved by DSHS that teaches what Mental illness is and how to work with those who suffer from Mental Illness. Topics covered include: Introduction to Mental Disorders Culturally Compassionate Care Respectful Communication Creative Approaches to Challenging Behavior Decomposition and Relapse Planning Suicide Prevention For those needing Manager Specialty, this is available and is an additional 2 hours of classroom education. In addition to topics above, we also discuss: Medications and Mental Health Getting Help and Self Care 10

11 Nurse Delegation Nurse Delegation is a law in Washington State that allows HCAs to Administer medications to consumers as a nurse would normally do. Nurse Delegation is available for: Administrator of Oral, Topical, Rectal and Vaginal Medications Testing of Blood Glucose Colostomy Care Oxygen Care Simple Dressings Nurse Delegation: CORE is for those who wish to learn what the law Is about and what they can do. The Nurse Delegation course is a Self-Study Course. You pick up the Book and DVD, work through the workbook, watch the DVD and then Arrange to take the test. It estimates to be about 9 hours long. Nurse Delegation: Special Focus on Diabetes is for those who wish to Learn how to administer Insulin to insulin-dependent diabetics. The Special Focus on Diabetes is also a Self-Study Course. You pick up the Book and DVD, work through the workbook, watch the DVD and then arrange to take the test. It estimates to be about 3 hours long. You must pass the CORE test before you can move onto the Special Focus on Diabetes test. AFTER After you pass the courses, then a RN delegator will teach you the specifics of the medications you will be administering. Remember, Nurse Delegation is always: Specific to the Client Specific to the HCA Specific to the Nursing Task 11

12 Continuing Education Continuing Education is an essential part of all HCA s education. As Healthcare continues to grow and research and find better ways of Accomplishing safe care for our clients, it s very important that we Keep up to date on all of this information. Frequently Asked Questions How many hours of Continuing Education do I need? You need to have 12 hours of continuing education a year. When is Continuing Education due? 12 hours of Continuing Education is due every year on your birthday. What counts for Continuing Education? All continuing education must be DSHS (Department of Social and Health Services) approved and have a CE Approval Number on the certificate. If there is not a DSHS CE Approval Number, it does not count towards your 12 hours. Can I do Continuing Education online? Yes! Go to. There you will see a link to online DSHS approved courses. How Much do Classes Cost? Online Classes vary. Classroom hours cost $10 an hour. Most classes are 3 hours long. Classes Offered How to Communicate Effectively with Someone Who has Hearing Loss 1 Hour How to Communicate Effectively with Someone who has Aphasia 1 Hour Caring for Someone with Early-Mid Stage Alzheimer s Disease 1 Hour Caring for Someone with Mid-Late Stage Alzheimer s Disease 1 Hour 12

13 Continuing Education Developing Cultural Competence 1 Hour ~ Communication Skills 1 Hour Alzheimer Training Program 4 Hours ~ Aphasia Training Program 3 Hours Elder Abuse Training Program 2 Hours ~ Essential Bedrest Skills 1 Hour How to Help Someone Who Uses a Wheelchair (Including Walkers, Crutches and Canes) 1 Hour Infection Control and Bloodborne Pathogens 1 Hour How to Manage Medications 1 Hour ~ Personal Care 1 Hour Safety in and Around the Home; Fall Prevention 1 Hour Fire Safety 1 Hour Elder Abuse and Neglect 1 Hour Caregiver Wellness 1 Hour ~ How to Measure Vital Signs 1 Hour How to Use a Mechanical Lift 1 Hour A Guide to Being a Companion Homemaker: Roles and Responsibilities 1 Hour A Guide to Being a Companion Homemaker: Safety and Housekeeping 1 Hour Nutrition and Meal Preparation for Older Adults 1 Hour HIPAA in Home Care 1 Hour ~ How to Assist with Medications 1 Hour Body Mechanics and Back Safety 1 Hour Observation, Reporting and Documentation 1 Hour Introduction to Home Care 1 Hour ~ Ethical and Legal Behavior 1 Hour Medical Emergencies and Emergency Preparedness 1 Hour 13

14 Continuing Education with a Twist Essential Training offers some unique opportunities for Continuing Education. We recognize that adults need a variety of learning options and settings in order to maintain the skills necessary to be a quality Home Care Aide. BINGO! BINGO is a game played online that reinforces required skills and knowledge as well as encourages Home Care Aides to understand how to use the resources at their disposal in order to obtain the information they may need. How to Play: 1) On the build-up to the beginning of the game, BINGO cards and a Learning Guide will be handed out to anyone who wishes to play the BINGO Game 2) Everyday a clue will be posted online on: a. the website : b. Blog : c. Facebook : d. Twitter : & e. Also delivered to s that have subscribed to Bingo Clues 3) The student may get the clue from any good online source they choose 4) Students may play every single day and may go back into past clues if they miss a day 5) Students must use resources at their disposal (suggested resources will be posted with the clue) to find the answer on their card 6) Just like regular number BINGO, sometimes the student will have the answer on their card and sometimes they will not 7) The game will end when a student reaches 5 in a row 8) Any student who wishes to receive a DSHS Approved Certificate will need to go to, take an online test. 9) Once they pass the test with 80%, they will be able to receive their DSHS Approved Certificate and evaluate the instructor/course Good Resources: ~ Nursing Handbooks ~ Medscape (www.medscape.com) ~ Epocrates (www.epocrates.com) ~ Your Nursing Supervisor ~ Me, The Instructor ~ A Pharmacist ~ A Physician ~ A Nurse Practitioner Not-so-Good Resources: Wikipedia ~ Anyone can change Wikipedia and as such, the information is often incorrect Blogs ~ Blogs are the opinions of the writer, not peer reviewed facts (although 1 blog will be suggested after careful review by Essential Training) 14

15 Continuing Education with a Twist Essential Training offers some unique opportunities for Continuing Education. We recognize that adults need a variety of learning options and settings in order to maintain the skills necessary to be a quality Home Care Aide. Book Clubs! For those who really enjoy a good book, we will offer Book Clubs several times a year. Books are carefully chosen that will enhance professionalism, knowledge and increase communication among other Home Care Aides. How to Play: 1) On build-up of the start-date, students will purchase the book from Essential Training and also receive a Learning Guide (purchase of the book will also cover the cost of the CE certificate). 2) Students will read the book in weekly increments and then go online to discuss the book. In order to pass the course, students must post at least 1 comment per week on the blog and answer all the questions within the blog. a. Blog : b. Weekly, the Instructor will post the beginning of the discussion for assigned chapters. Instructor will post updates with link to the blog: i. the website : ii. Blog : iii. Facebook : iv. Twitter : & v. Also delivered to s that have subscribed to Book Club Updates 3) Students are expected to post at least 1 comment answering the questions assigned in the blog post i. To Comment on a Post 1. Click on Blog Post 2. Read through Post 3. At the bottom of the post is a box called POST A COMMENT 4. Write in your answer to the questions in the blog 5. Comment as NAME/URL and write your name in the box that pop s up. No URL is necessary 6. Instructor will reply to posts as well to keep discussion going 4) Students must stay engaged in the questions giving specific answers in order to get credit for the course. 5) At the end of the book discussion, students will go to and pass a test with a score of 80%, receive their DSHS Approved Certificate and evaluate the instructor/course 15

16 Mobile Options Mobile Classes It is possible to arrange for classes to be done in your facility as the schedule permits. I can travel just about anywhere in Washington State according to my schedule. I do charge mileage at the IRS rate of $0.57 per mile (subject to go up or down per IRS standards) as well as other travel expenses (hotel room for distances over 100 miles). Online Classes on the Go Do you need to be able to do your online classes on the go? I personally completed the 70 hour class while waiting for my kids to complete their karate classes. I can set up a Kindle Fire with the online portion, calendar of when to show up for classes, books and all policies and procedures. At the end of class, the Kindle Fire is yours to keep. Call for details! 16

17 Assisted Living Training Requirements Type of Training First Aid / CPR Orientation 2 hrs Safety 3 hrs 70 Hours Basic Training Continuing Education (CE) HIV/AIDS Nurse Delegation CORE & Diabetes Specialty Training Assisted Living Administrator or Designee Within 30 days of employment; Maintain current card Prior to providing care to a resident unless exempt from training Prior to providing care to a resident unless exempt from training Within 120 days of employment unless exempt from training Assisted Living Long Term Care Worker Within 30 days of employment; Maintain current card Prior to providing care unless exempt from training Prior to providing care to a resident unless exempt from training Within 120 days of employment unless exempt from training Is DSHS Required to Approve Curriculum? 12 hrs per year by birthdate 12 hrs per year due on birthdate Yes All Assisted Living staff 2 hrs within 30 days of employment Basic Training includes this Must be a Nursing Assistant Registered, Nursing Assistant Certified or Certified Home Care Aide and complete Nurse Delegation CORE training before accepting a delegated task. If an Assisted Living Facility serves one or more residents with special needs, the administrator or designee must complete manager specialty training and demonstrate competency by passing the DSHS test. If a resident develops a special need while living in an Assisted Living Facility without a specialty designation, the administrator or designees have 120 days to complete manager specialty training and demonstrate competency. All Assisted Living Facility Staff 2 hours within 30 days of employment Basic Training Includes this Must be a Nursing Assistant Registered or Certified, or Certified Home Care Aide and complete Nurse Delegation CORE training before accepting a delegated task. Must complete SPECIAL FOCUS ON DIABETES training before accepting insulin injections as delegated task If an Assisted Living Facility serves one or more residents with special needs, all Long Term Care Workers must receive training regarding the specialty needs of individual residents in the facility No Yes Yes Yes Must use DSHS curriculum. Instructors must be DSHS contracted community instructors Yes Instructors must be DSHS contracted community instructors to provide manager specialty training 17

18 Adult Family Home Training Requirements Type of Training First Aid / CPR Orientation 2 hrs Safety 3 hrs 70 Hours Core Basic and Population Specific Training Specialty Training Continuing Education (CE) Adult Family Home Provider or Resident Manager Before providing care to clients Prior to providing care to clients unless exempt from training Prior to providing care to clients unless exempt from training Provider Prior to licensure of the home unless exempt from training If the Adult Family Home serves one or more clients with special needs, the provider (including entity representatives as defined under chapter ) and resident manager must complete manager specialty training and demonstrate competency by passing the DSHS test If a client develops special needs while living in a home without a specialty designation, the provider, entity representative, and resident manager have 120 days to complete manager specialty training and demonstrate competency 12 hours per year Must be completed by birthdate Adult Family Home Long Term Care Worker Within 30 days of employment if directly supervised by person with valid card or before providing care if not directly supervised by a fully qualified caregiver who has a valid first-aid and CPR card or certificate Prior to providing care to clients unless exempt from training Prior to providing care to clients unless exempt from training Within 120 days of employment unless exempt from training If an Adult Family Home serves one or more clients with special needs, all Long Term Care Workers must receive training regarding the specialty needs of individual clients in the home DSHS approved curriculum must be used and Long Term Care Workers must take and pass the DSHS test 12 hours per year Due by Birthdate Is DSHS Required to Approve Curriculum? No Yes Yes Yes Yes Instructors must be DSHS contracted community instructors to provide Manager specialty training Yes 18

19 Type of Training Nurse Delegation CORE & Diabetes Food Handling and Safety Residential Care Administrator Training Adult Family Home Provider or Resident Manager Must be a Nursing Assistant Registered, Nursing Assistant Certified or a Certified Home Care Aide and complete Nurse Delegation CORE Training before accepting a delegated task Must completed SPECIAL FOCUS ON DIABETES before accepting insulin injections as a delegated task Providers or employees who hold individual food handler permits prior to June 30, 2005 are required to maintain continuing education of 0.5 hours per year in order to maintain food handling and safety training Providers or employees who hold individual food handler permits prior to June 30, 2005 are not required to renew the permit provided the Continuing Education requirement as stated above is met All applicants submitting an application for an Adult Family Home license and a provider or entity representative planning to open a second Adult Family Home must also complete this training Adult Family Home Long Term Care Worker Must be a Nursing Assistant Registered, nursing Assistant Certified or a Certified Home Care Aide and complete Nurse Delegation CORE training before accepting a delegated task Must completed SPECIAL FOCUS ON DIABETES before accepting insulin injections as a delegated task A Food Handler permit is not required for people who began working after June 30, 2005 and successfully completed basic training, provided they received information or training regarding safe food handling practices from the employer prior to providing food handling or service for clients Documentation that the information or training was provided to the individual must be kept on file by the provider NA Is DSHS Required to Approve Curriculum? Must use DSHS curriculum Instructors must be DSHS contracted community instructors NA 19

20 Home Care Aide Add-Ons Gait Belts Gait Belts are essential to any Home Care Aide. They reduce the risk of injury to both the client and the Home Care Aide when doing transfers and assisting with walking. Cotton Webbed Gait Belt $10.00 Must be washed nightly in the washing machine Antiseptic Imbedded Gait Belt with Plastic Clasp $20.00 Can be wiped clean between clients using wet wash cloth or alcohol wipe Blood Pressure Kit $25.00 Automatic Blood Pressure devices are not very accurate with most clients who have cardiovascular disease. The best way to get an accurate Blood Pressure is to do a manual blood pressure. Pocket CPR Mask Having this mask on you at all times allows you to be immediately ready for life-threatening emergencies. $15.00 Quick Tips for Caregivers by Marion Karpinski $25.00 Quick Tips contains practical, easy-to-follow descriptions and clear illustrations on basic caregiving procedures. Quick Tips is a useful daily reference for CNAs, family caregivers and can be used by private duty franchises as an educational support for personal care attendants. 20

21 Creating Moments of Joy by Jolene Brackey $20.00 Heartwarming, inspirational solutions for anyone whose has been touched by the Alzheimer's journey. Creating Moments of Joy Perpetual Calendar by Jolene Brackey $20.00 An easy to flip through calendar that has a Tidbit on Dementia every day. There is no date; make it whatever day you want to make it. A First-Rate Madness: Uncovering the Links Between Leadership and Mental Illness by Nassir Ghaemi $20.00 An investigation into the surprisingly deep correlation between mental illness and successful leadership, as seen through the lives of some of the most important political figures in history 21

22 Becoming a Certified Home Care Aide UPON HIRE: Submit Washington State criminal history background check. BEFORE ROUTINE NTERACTION WITH RESIDENTS: 2 hours orientation ~ 3 hours safety training Keep DSHS-issued certificate in personnel file. WITHIN 30 DAYS OF HIRE: Valid First Aid Certification Valid CPR Certification Return with OCA # Complete and schedule FBI Fingerprint check Check for 10-digit credential number on website; this number is required for certification testing. Complete and submit credential for home care aide through DOH Done at the same time and ASAP WITHIN 120 DAYS OF HIRE: 70 hours of core and population-specific training. Provide DSHS-issued certificate with Training Program Number on certificate. Apply to sit for exam. Take written and skills exam at prearranged location. WITHIN 150 DAYS OF HIRE: BECOME A CERTIFIED HOME CARE AIDE Obtain 12 hours of continuing education* by birthday each year. Keep proof in personnel file All Applications can be found online at *All CE courses and instructors must be preapproved by DSHS and a DSHS certificate provided for all courses **Price of training may be less if facility or individual is a member of the WSRCC or WHCA Prices may also be lower if bundled 22

23 Home Care Aide Skills Test Upon arrival to the Home Care Aide Skills exam, the candidate will be asked to perform 5 skills. 2 of the skills will be: Handwashing Common Care Practices The other 3 skills will be presented to you when you arrive. You will not be told to do Handwashing and Common Care Practices. You will be expected to perform Handwashing and Common Care Practices as a part of your other 3 skills. You do not have to be perfect in performing the skills, but special attention and emphasis will be placed on steps that have to do with Client Safety and Client Comfort. The Skills exam will be timed and you will be given an amount of time based on which skills you are given. You are allowed to make corrections during the exam, but you must tell the proctor that you are making corrections. There is absolutely no pretending during the exam. You will be expected to treat the other candidate/mannequin as you would a client and be expected to perform the skills exactly as you would on a client. Practice makes perfect. Be sure to attend free skills labs every month in order to get as much practice as you can. 23

24 Handwashing When the skills test begins, the candidate is evaluated on his/her handwashing technique. The candidate is not told to wash his/her hands, but is expected to know that before physical contact with the client, his/her hands should be washed. 1 Wet hands and wrists under running water to begin cleansing 2 Apply soap to hands to begin washing 3 Lather all surfaces of hands and to wrists Use friction rubbing soapy hands together for a minimum of 20 seconds Rinse hands and wrists under running water to remove soap Keep hands pointed downward while washing and rinsing 7 Use clean dry paper towel to dry hands and wrists 8 Confine drying to areas washed 9 Use paper towel to turn water off after hands cleansed 10 Dispose of used paper towel in trash 11 End procedure with clean hands avoiding contamination (e.g., direct contact with faucet controls, paper towel dispenser, sink or trash can) 24

25 Common Care Practices Common Care Practices are behaviors or actions that are part of all care the home care aide (HCA) provides to the client. During the test, Common Care Practices are evaluated as a part of every skill the candidate performs. 1 Identify self to the client when beginning care 2 3 Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure Promote client's social and human needs throughout procedure 4 Promote client's rights throughout procedure 5 Promote client's safety throughout procedure 6 Promote client's comfort throughout procedure 7 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water) 25

26 Feed a Client The client is sitting at a table when care begins for this skill. The client is unable to feed him/herself. The role of the client is played by another candidate. 1 Identify self to the client when beginning care 2 Ensure client is sitting upright in chair before begins feeding 3 Sit to feed the client 4 Offer the client fluid to drink during the meal 5 Talk to client during the meal 6 7 Wait to offer another bite of food or fluid to drink until client swallowed or client s mouth is ensured empty Alternate the type of food offered with bites or ask about client's preference for each bite 8 Limit the amount of food on fork or spoon to provide as bite-size 9 Leave the client with a clean mouth area at the end of the skill Offer or apply clothing protector before beginning skill and remove before completing procedure Leave overbed table clean and dry and cleared of meal items (e.g., food, dishes, tableware) at end of the procedure? 12 Dispose of clothing protector (if used) and trash appropriately 13 Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 14 Promote client's social and human needs throughout procedure 15 Promote client's rights throughout procedure 16 Promote client's safety throughout procedure 17 Promote client's comfort throughout procedure 18 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water) 26

27 Help a Client to Walk The client is seated in a chair when care begins for this skill. The client requires stand-by assistance and does not use assistive devices to walk. The role of the client is played by another candidate. 1 Identify self to the client when beginning care 2 Explain walking destination before the client begins walking 3 Have client lean forward on the seat of the chair before standing 4 Cue client to push up with arms from chair to stand 5 Prepare client for standing by positioning knees at 90 degree angle with feet flat on the floor 6 Place hand on client's arm, back or waist when client stands? 7 Cue client to stand 8 Walk slightly behind and to one side of client while walking 9 Ambulate client the required distance 10 Ask how client feels after standing or while walking 11 Cue positioning before client sits, with legs centered against seat of chair for safe seating 12 Cue client to reach for chair before sitting 13 Place hand on client's arm, back or waist when client sits 14 Leave client sitting safely in chair with hips against the back of seat 15 Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 16 Promote client's social and human needs throughout procedure 17 Promote client's rights throughout procedure 18 Promote client's safety throughout procedure 19 Promote client's comfort throughout procedure 20 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water) 27

28 Provide Mouth Care to a Client The client is sitting at a table while this care is provided. The client is unable to brush his/her own teeth. The role of the client is played by another candidate. 1 Identify self to the client when beginning care 2 Apply clean gloves before brushing teeth 3 Wet toothbrush with water before brushing client's teeth 4 Apply toothpaste to toothbrush before brushing client's teeth 5 Brush tops and side surfaces of client s teeth 6 Use gentle circular motions when brushing side surfaces of client s teeth and gums 7 Brush, or offer to brush, the client's tongue 8 Provide client clean water in cup to rinse mouth 9 Hold basin or a cup (separate cup) near client's chin to collect rinse water and spit 10 Leave client's mouth area clean and dry at completion of mouth care 11 Use barrier (e.g., towel) to protect client's clothing while providing mouth care and remove at completion of procedure 12 Rinse and dry basin and rinse toothbrush before storing 13 Dispose of used linen(s) and trash appropriately and leave overbed table dry at completion of procedure 14 Remove gloves without contaminating self after rinsing and storing equipment 15 Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 16 Promote client's social and human needs throughout procedure 17 Promote client's rights throughout procedure 18 Promote client's safety throughout procedure 19 Promote client's comfort throughout procedure 20 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water) 28

29 Clean and Store a Client s Dentures The client is sitting at a table or lying in bed while this care is provided. The client will hand the candidate a denture cup containing the denture. The role of the client is played by another candidate. 1 Identify self to the client when beginning care 2 Apply gloves before handling denture 3 Use cool or tepid water when cleaning and rinsing denture 4 Use toothpaste to cleanse denture 5 Brush inner and outer surfaces of denture 6 Rinse denture in water to remove toothpaste after brushing 7 Place clean denture in denture cup filled with clean, cool or tepid clean water or denture solution 8 Prevent contamination of denture throughout procedure (e.g., floating in sink water or setting denture directly on unprotected surface) 9 Use technique to reduce the risk of denture breakage if dropped during cleaning (e.g., brushing denture directly over sink lined with washcloth/paper towel/towel, filled with water, inside basin) 10 Drain sink and remove liner (if used) at the end of skill 11 Rinse toothbrush, store equipment, and dispose of trash and used linens appropriately 12 Remove gloves without contaminating self after rinsing and storing equipment 13 Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 14 Promote client's social and human needs throughout procedure 15 Promote client's rights throughout procedure 16 Promote client's safety throughout procedure 17 Promote client's comfort throughout procedure 18 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water)? 29

30 Provide Foot Care to a Client The client is sitting in a chair while this care is provided. For the test, the candidate is asked to provide care to only one foot. The role of the client is played by another candidate. 1 Identify self to the client when beginning care 2 3 Observe condition of skin on foot separating toes to check between toes and turns foot to look at heels before beginning foot cleansing Soak client's foot in water contained in basin before cleaning or shaping toe nails 4 Use water of safe temperature for soaking foot Ask client if water temperature is comfortable before foot completely submerged Submerge foot in water with basin filled to level sufficient to cover foot completely Keep water in basin soap-free for use as rinse water by: (1) washing foot with washcloth with soap applied directly to the washcloth instead of adding soap into basin of water; or (2) using two separate basins of water: one for washing and one rinsing Wash client's entire foot, including between toes with soapy washcloth after soaking 9 Rinse to remove soap from foot and in between toes 10 Dry client's foot, including between toes, after removing from water and before cleaning under or shaping toenails 11 Dry client's foot by patting with towel, not rubbing 12 Use orange stick to clean under nails and remove residue 13 Wipe orange stick on towel to remove residue before cleaning under another toenail 14 Use emery board to file toenails straight across 15 Leave top edge of toenails smooth and free of rough edges 16 Apply lotion to foot after nail care, avoiding lotion in between toes Wear gloves when providing foot care and while rinsing and drying equipment Store equipment, dispose of used linen(s) and trash appropriately and leave floor dry at completion of procedure Remove gloves without contaminating self after rinsing and storing equipment 30

31 20 Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 21 Promote client's social and human needs throughout procedure 22 Promote client's rights throughout procedure 23 Promote client's safety throughout procedure 24 Promote client's comfort throughout procedure 26 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water) 31

32 Provide Fingernail and Hand Care to a Client The client is sitting at a table while this care is provided. For the test, the candidate is asked to provide care to only one hand. The role of the client is played by another Candidate. 1 Identify self to the client when beginning care 2 Use water of safe temperature for soaking hand 3 Ask client if water temperature is comfortable 4 Soak client's fingers in basin of water before cleaning or shaping nails 5 Dry client's hand, including between fingers, after removing from water and before cleaning under or shaping fingernails 6 Dry client's hand by patting with towel, not rubbing 7 Use orange stick to clean under fingernails and remove residue 8 Wipe orange stick on towel to remove residue before cleaning under another fingernail 9 Use emery board to file fingernails 10 Leave fingernail tips smooth and free of rough edges 11 Offer or apply hand lotion to hand after fingernail care is completed 12 Wear gloves when providing fingernail care and while rinsing and drying equipment 13 Store equipment, dispose of used linen(s) and trash appropriately and leave overbed table dry at completion of procedure 14 Remove gloves without contaminating self after rinsing and storing equipment 15 Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 16 Promote client's social and human needs throughout procedure 17 Promote client's rights throughout procedure 18 Promote client's safety throughout procedure 19 Promote client's comfort throughout procedure 20 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water)? 32

33 Help a Client Take Medication The client is sitting at a table while this care is provided. The client is unable to open the medication bottle or pour his/her medication. The medication bottles contain candies that the candidate will pretend are medication pills for the test. The role of the client is played by another candidate. 1 Identify self to the client when beginning care Check client's medication schedule Advise client it is time to take medicine Select the medication labeled with the client s name Select the correct medication bottle Review the medication label before removing medication from bottle Pour pill(s) into cap of medicine bottle without touching medication 8 Give client correct medication dose placed into hand from the cap of the medicine bottle without the candidate touching the medication 9 Cue client to take medication 10 Assist client to take medication without having the candidate s hand over the client s hand, or tipping client s hand to place pill(s) into mouth, or placing the pill(s) directly into the client s mouth 11 Provide client cup of water to use for swallowing medication Cue client to drink full cup of water Ask client or check if medication is swallowed or check that swallowed Close medication bottle and return to box before ending procedure 15 Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 16 Promote client's social and human needs throughout procedure 17 Promote client's rights throughout procedure 18 Promote client's safety throughout procedure 19 Promote client's comfort throughout procedure 20 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water)? 33

34 Help Dress a Client who has a Weak Arm The client is sitting in a chair when care begins for this skill. The client is able to stand. The client is already wearing a clean T-shirt and underwear, and needs to be dressed in a shirt, pants, socks and shoes. The role of the client is played by another candidate, and for the test, will be dressed over his/her own clothing. 1 Identify self to the client when beginning care 2 Include client in choice about what to wear 3 Place shirt sleeve over weak arm before putting on non-affected arm 4 Cue client to assist with dressing 5 Have client seated when putting feet and legs into pants 6 Provide support to client when pulling up and securing pants 7 Provide assistance to put socks and shoes on client while seated 8 Leave socks smooth and shoes secured properly 9 Move client's extremities gently and naturally, avoiding overextension when dressing 10 Complete dressing with clothing secured and aligned properly 11 Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 12 Promote client's social and human needs throughout procedure 13 Promote client's rights throughout procedure 14 Promote client's safety throughout procedure 15 Promote client's comfort throughout procedure 16 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water) 34

35 Put a Knee-High Stocking on a Client s Leg The client is lying in bed when care begins for this skill. For this test, the candidate is asked to put the stocking on only one leg. The role of the client is played by another candidate 1 Identify self to the client when beginning care 2 Prepare stocking for application by turning sock inside out to at least the heel area 3 Place foot of stocking over toes, foot and heel 4 Complete application of stocking over foot with the toes and heel in proper position per stocking design 5 Pull stocking up leg ensuring stocking is not twisted 6 Leave stocking smooth (wrinkle-free) 7 Leave room at toe area so that stocking is not tight against toes 8 Leave stocking raised to knee 9 10 Move client's leg gently, supporting extremity, and avoiding overextension, when applying elastic stocking Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 11 Promote client's social and human needs throughout procedure 12 Promote client's rights throughout procedure 13 Promote client's safety throughout procedure 14 Promote client's comfort throughout procedure 15 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water) 35

36 Provide Passive Range of Motion (ROM) Exercises to Client s Shoulder, Knee and Ankle The client is lying in bed when care begins for this skill. For this test, the candidate is asked to put the stocking on only one leg. The role of the client is played by another candidate 1 Identify self to the client when beginning care Support the client's arm holding under elbow and wrist joints areas while exercising shoulder Raise client's straightened arm from bed towards head of bed (HOB) and return back towards bed as one repetition (shoulder flexion/extension) Move client's straightened arm away from side of body towards HOB and return toward side as one repetition (shoulder abduction/adduction) 5 Provide rotation exercise to the shoulder 6 Support the client's knee and ankle joints while exercising knee Bend the client's knee back to point of resistance and then follow by straightening knee as one repetition (knee flexion/extension) Support the client's ankle, holding under ankle area and foot, while exercising ankle Push the foot forward towards leg, and in separate motion push the foot pointed down toward the foot of bed (FOB), as one repetition (ankle flexion/extension) Provide three (3) repetitions of each shoulder, knee and ankle ROM exercise 11 Ask client about comfort level throughout exercises Provide controlled, slow, gentle movements when exercising shoulder, knee and ankle Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 14 Promote client's social and human needs throughout procedure 15 Promote client's rights throughout procedure 16 Promote client's safety throughout procedure 17 Promote client's comfort throughout procedure 18 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water) 36

37 Turn and Reposition a Client who Must Stay in Bed Onto Her/Her Side The client is lying on his/her back in bed when care begins for this skill. The client needs help to turn and support to remain in a side-lying position. The role of the client is played by another candidate. 1 Identify self to the client when beginning care 2 Hold client at hip and shoulder area when turning onto side 3 Position client a safe distance from edge of bed when turned onto side 4 Position device (e.g., padding, pillow) against back rolled and tucked to maintain client's side-lying position 5 Leave client in side-lying position, avoiding direct pressure on hipbone 6 Use device (e.g., padding, pillow) to support top leg 7 Use device (e.g., padding, pillow) to maintain alignment of top hip 8 Leave top knee flexed 9 Leave ankles and knees separated 10 Leave client in side-lying position with head supported by pillow 11 Leave client s lower arm and shoulder free from being tucked under side 12 Support upper arm using padding or pillow 13 Leave client covered with top sheet at completion of procedure 14 Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 15 Promote client's social and human needs throughout procedure 16 Promote client's rights throughout procedure 17 Promote client's safety throughout procedure 18 Promote client's comfort throughout procedure 19 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water) 37

38 Provide Perineal Care to a Female Client The client is lying in bed while this care is provided. The client is unable to assist with this care. Perineal care is provided using soap and water. For this test, the client is a female mannequin. 1 Identify self to the client when beginning care 2 Use water that is a safe temperature to cleanse client 3 Apply gloves before cleansing perineal area 4 Use pad or towel to protect bottom sheet from becoming wet during procedure 5 Use soapy washcloth to cleanse perineal area 6 Use clean area on washcloth for each washing and rinsing stroke Wipe perineal area from front to back for all cleansing and rinsing strokes Keep water in basin soap-free for use as rinse water by: (1) washing with washcloth with soap applied directly to the washcloth instead of adding soap into basin of water; or (2) using two separate basins of Water: one for washing and one rinsing Rinse perineal area using a soap-free clean wet washcloth or soap-free area of the washcloth used to cleanse 10 Dry perineal area by patting with towel moving from front to back Provide cleansing, rinsing and drying to include labial folds and extending into groin (skin-fold) area Position client a safe distance from edge of bed when turned on side during care 13 Wash, rinse and dry peri-anal area and buttocks 14 Wipe from front to back when washing, rinsing and drying peri-anal area 15 Leave client on dry underpad or sheet at completion of procedure 16 Minimize exposure of the client's body during the procedure Wear gloves while providing perineal care, while rinsing and drying equipment, and handling soiled linens Rinse, dry and store basin, dispose of used linen(s) and trash appropriately at completion of procedure Remove gloves without contaminating self after rinsing and storing equipment 38

39 20 Leave client covered with top sheet at completion of procedure 21 Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 22 Promote client's social and human needs throughout procedure 23 Promote client's rights throughout procedure 24 Promote client's safety throughout procedure 25 Promote client's comfort throughout procedure 26 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water) 39

40 Provide Catheter Care to a Client with an Inserted Urinary Catheter The client is lying in bed while this care is provided. The client is unable to assist with this care. Catheter care is provided using soap and water. For this test, the client is a mannequin. 1 Identify self to the client when beginning care 2 Use water that is a safe temperature to cleanse client 3 Apply gloves before handling catheter, tubing, urinary drainage bag or beginning cleansing 4 Use soapy washcloth to cleanse catheter 5 Change spot on washcloth for each washing and rinsing stroke Cleanse and rinse catheter using wet washcloth moving in one direction from the opening (meatus) and downward away from the body Keep water in basin soap-free for use as rinse water by: (1) washing with washcloth with soap applied directly to the washcloth instead of adding soap into basin of water; or (2) using two separate basins of water: one for washing and one rinsing Wash and rinse at least 4" of catheter from opening (meatus) downward Rinse cleansed area of catheter using a clean, wet, soap-free washcloth or soap-free clean area of the washcloth used to cleanse Hold catheter near opening (meatus) to prevent tugging when washing and rinsing catheter Leave skin areas that became wet during care and bed sheets dry at completion of procedure 12 Dry skin areas by patting 13 Leave catheter tubing free of kinks at completion of procedure 14 Keep urinary drainage bag positioned lower than bladder throughout care and at end of procedure 15 Minimize exposure of the client's body during the procedure Position client a safe distance from edge of bed if turned on side during care Wear gloves while providing catheter care, while rinsing and drying equipment and handling soiled linens Rinse, dry and store basin, dispose of used linen(s) and trash appropriately at completion of procedure 40

41 19 Remove gloves without contaminating self after rinsing and storing equipment 20 Leave client covered with top sheet at completion of procedure 21 Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 22 Promote client's social and human needs throughout procedure 23 Promote client's rights throughout procedure 24 Promote client's safety throughout procedure 25 Promote client's comfort throughout procedure 26 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water) 41

42 Transfer a Client from a Bed to a Wheelchair The client is lying in bed when care begins for this skill. The client can bear weight, but cannot walk. The client s transfer requires a transfer (gait) belt. The role of the client is played by another candidate. 1 Identify self to the client when beginning care 2 Have wheelchair positioned near bed before assisting the client to sit 3 Assist client to apply non-skid footwear before standing Provide support holding behind client's shoulders or back, and hips to help client sit up at edge of bed Apply transfer (gait) belt before standing client for transfer to wheelchair Apply transfer (gait) belt over clothing with fit to allow for placement of flat hand only between belt and client's body Position wheelchair to allow for pivot with front interior wheel at side of bed, with chair parallel or slightly angled, before beginning transfer Have the client's feet (wearing shoes) positioned flat on the floor before standing Ensure footrests raised, removed or swung out of way before transferring client into wheelchair 10 Lock wheels before beginning transfer 11 Brace one or both of client's lower extremities when assisting to stand 12 Grasp gait belt on sides or around back when assisting client to stand and throughout transfer 13 Cue client to stand 14 Turn client upon standing so that back of legs are positioned centered against seat of wheelchair 15 Cue client to hold onto armrest(s) before sitting in wheelchair 16 Provide controlled gentle lowering into wheelchair seat Complete transfer with client's hips positioned against the back of the wheelchair seat Leave client seated in wheelchair in proper body alignment and with feet repositioned on footrests 19 Remove gait belt after transfer complete 20 Use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 42

43 21 Promote client's social and human needs throughout procedure 22 Promote client's rights throughout procedure 23 Promote client's safety throughout procedure 24 Promote client's comfort throughout procedure 25 Leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water) 43

44 Home Care Aide Certfied Nursing Assistant What s the Difference? Many students and employers ask What is the difference between a HCA {Home Care Aide} and a CNA {Certified Nursing Assistant}? There are many differences and they are not the same. Their training is different and their focus of care is different. Both are needed and excellent people can transfer between the 2 jobs. But if the person does not have good training and flexibility, it can be hard for one to transfer to another. Care is focused on Supported Living Care is done in a Home Like Setting 75 Hours of Basic Training Client Based Focus Care is focused on Medical Rehab and Stabalization Care is done in a Skilled Facility or a Hospital 4 weeks of Training including on-site clinical Medical Focus 44

45 CPR/1 st Aid CPR is done according to the standards and curriculum of the American Red Cross. General class includes CPR for the Adult and Child. CPR for the Infant can be added and CPR for the Professional Rescuer is also available. Standard 1 st Aid is also available. CPR and 1 st Aid are offered either separately or together. The cost is the same. Standard 1 st Aid covers: Dressing a bleeding wound ~ Using Splints What to do for medical emergencies ~ Strokes ~ Heart Attack ~ Hypothermia ~ Diabetic Emergency ~ Hyperthermia ~ Allergic Reactions ~ Choking HIV/AIDS training is available as: HIV/ AIDS Training 2 Hour Class ~ 4 Hour Class ~ 7 Hour Class HIV/AIDS classes can be scheduled with Essential Training at anytime to meet the needs of communities/facilities. HIV/AIDS classes will be scheduled every quarter for anyone who wishes to meet this requirement. 45

46 Resources Washington State Department of Health ~ Prometric ~ Background Check Process ~ American Diabetes Association ~ Center for Disease Control ~ American Alzheimer s Association ~ National Alliance on Mental Illness ~ American Heart Association ~ Nursing Assistant Resources ~ 46

47 Essential Training Policies & Procedures Payment Policy Payment is due upon registration of class Payments excepted o Cash o Check o Facility Invoice o MasterCard o Visa o Discover o American Express A Payment program can be made with the owner on a case by case basis, but full payment must be received prior to receiving certifications Refund Policy A full refund can be obtained up to 48 hours before beginning class 50% refund can be given hours prior to beginning of class No refunds are giving 24 hours to beginning of class If a test is failed: o An alternate test can be taken at no cost o If alternate test is failed, the class can be retaken at 50% of cost after 30 days. 47

48 Self-Study Procedure Classes than may be done by self-study o Nurse Delegation: Core o Nurse Delegation: Special Focus on Diabetes Once a class is registered and paid for; arrangement for the pick-up or delivery of materials will need happen The student will watch the DVD and work through the workbook o On average, Nurse Delegation: CORE takes 9 hours o On average, Nurse Delegation: Special Focus on Diabetes takes 3 hours Nurse Delegation: CORE must be completed before taking the Special Focus on Diabetes exam The student will return to the testing center with the workbook and DVD o The DVD must be returned prior to beginning the test The instructor will review the completed workbook and give the student the written test. The student must also bring photo ID for the instructor to review The test is CLOSED book Test answers must be in English The instructor cannot coach the student with answers, but may clarify instructions The student must pass the test: o CORE 80% or higher o Special Focus on Diabetes 90% or higher If a test is failed, the student may retake an alternate test after a minimum of 2 days and maximum of 1 week 48

49 Online Conduct When writing your messages, please use the same courtesy that you would show when speaking face-to-face with someone. Flames, insults, personal attacks, sarcasm, and allegations of illegal or secret activities absent appropriate proof will not be tolerated. It's fine to disagree strongly with opinions, ideas, and facts, but always with respect for the other person. Please make sure caps are off. This indicates shouting. Note that messages express the thoughts of the writers, not Essential Training. Essential Training reserves the right to monitor said content and to remove any objectionable material at any time, in our sole discretion. By participating in any service of Essential Training, you agree not to: participate in such a way as to undermine the operation of a forum, , discussion, chat room or other service use a message board, chat room, , or other service to harass others use Essential Training s services to disseminate any inappropriate, defamatory, libelous, threatening, infringing, obscene, or unlawful material or information visit, print, or distribute any objectionable material while participating in Essential Training services. By participating in Essential Training services, you agree not to impersonate any person or entity or falsely represent your affiliation with any person or entity. Message boards, Web pages, and other services provided by Essential Training may not be used for unauthorized electronic commerce. Use of any Essential Training's services, including but not limited to message 49

50 boards and Web pages, for the sale of products or services (including participation in any affiliate program other than that operated by Essential Training) is prohibited. If, in the sole discretion of Essential Training, you are found to be using Essential Training for any inappropriate commercial purpose, and/or not following the general online guidelines outlined above, Essential Training reserves the right to take action to end said activity. This action may include dismissal from a course and/or the college. By posting on message boards, participating in chat rooms, or creating any other content, you will be deemed to have granted Essential Training perpetual, non-exclusive permission to redistribute by transmission the information or materials worldwide without charge or liability. You participate in and/or operate message boards, chat rooms, and/or other Essential Training features at your own risk. If you are unhappy with the contents and/or operation of a message board and/or chat room, your only recourse is to contact the host or Web site that operates said service(s). If you are dissatisfied with any feature, operability, contents, this agreement, other agreements Essential Training imposes as a condition of usage, or any other component of the Essential Training Web site or Social media sites, your sole remedy is to discontinue use of Essential Training services. 50

51 Testing Preparing for the Test Review the workbook, online material, DVDs or other curriculum before the test Eat a good meal and make sure your stomach is comfortably full Get plenty of sleep the night before Ask the instructor any questions you have about the material or testing process During the Test The instructor needs to be present and proctor the entire exam. The instructor has the knowledge and background to understand student's questions. The instructor also is the individual who is contracted with ADSA to work with the student. If any questions come to ADSA about the testing process, the instructor needs to be able to personally verify the accuracy of the testing process and procedures. The Instructor may NOT coach the student during the test. The Instructor MAY clarify instructions on the test. The student can use blank scratch paper to write out ideas first, if it is helpful. No other materials can be used. All scratch paper and testing materials must be gathered and kept by the instructor at the end of the test. The scratch paper can be thrown away, the test must be filed. 51

52 Test Scoring Orientation/Safety must be passed with a score of 88% CORE Basic must be passed with a score of 88% Nurse Delegation: CORE must be passed with a score of 80% Nurse Delegation: Special Focus on Diabetes must be passed with a score of 90% Dementia Specialty: Long Term Caregiver must be passed with a score of 80% Dementia Specialty: Manager must be passed with a score of 90% Mental Health Specialty: Long Term Caregiver must be passed with a score of 80% Mental Health Specialty: Manager must be passed with a score of 90% CPR/1 st Aid must be passed by performing correct CPR for the adult & child 1 st Aid must be passed by correctly performing a dressing, proper handwashing, proper putting on/taking off gloves and 2 splints o CPR/1 st Aid is a PASS/FAIL course Continuing Education must be passed with a score of 80% Once a Test is completed The Instructor will score the test using an answer sheet. The Instructor will provide feedback to the student on the results of the test. The instructor will review any missed questions with the student and make sure he or she understands that portion of the materials. The Instructor will hand out and collect a completed Aging & Disability Services Administration (ADSA) Student Evaluation Form. 52

53 The Instructor will issue an ADSA Training Certificate if student passes the test. If A Student Fails the Test Students who fail the first test can be retested using the alternate test. Student should be given some time (not to exceed one week) to restudy before taking the alternate test. If the student fails both the test and the alternate test, he or she must take the entire course again o If failed at Essential Training, the course will cost 50% of the original o If failed at another training site, the entire fee will be charged for the course Challenge Testing Courses that may be challenged Mental Health Specialty: Long Term Caregiver Dementia Specialty: Long Term Caregiver A student who feels he/she has the knowledge and skills to pass the course can ask to challenge the course instead of taking the required training. Students who challenge a course may not receive course materials A student who challenges the course instead of taking the required training must take the current written test and the mandatory skills test 53

54 If the student does not pass the mandatory skills testing on the first attempt, he/she may not retake that part of the skills testing and must attend a class. Challenge test - written testing The student must take and pass the current written test and the skills portion of the testing If the student does not pass the written test on the first attempt, he/she may not retake the alternate test and must attend a class. The Final Skill Scenario Challenge Test The student will receive a copy of a final skill scenario. The student will have 10 minutes to complete the research and problem solving steps. The student and instructor will review the research and problem solving steps. The student will be evaluated on his/her ability to problem solve and effectively communicate to the instructor his/her ability to understand how the client s disease/condition impacts care, and the rational for why the solution is viable for that client. A student unable to complete these steps does not pass the final skill scenario test and must take the course. No Continuing Education Hours will be awarded for Challenge Testing. If the Challenge Test is failed, the student must take the full class at the full cost. Challenge Tests are only recommended for nurses, social workers or those who have completed the course in the past and lost their certificates. 54

55 No-Shows for Classes No refunds will be given to those who do not show up for class Classes can be rescheduled at no cost under the following conditions o Illness with a note from a doctor o Accidents with a Police Report o Discretion of the instructor after discussion with the student regarding the situation Unless the above conditions are met, no-shows must reschedule their classes with repeat tuition cost Certificate Replacement Policy Be sure to keep your original certificates in a safe location that you can easily find. Give your employers COPIES of your certificates. Never give away your original. For Duplicates, contact Mackenzie by at o o Or by writing to: Essential Training, st Ave NE, Suite E502 PMB 253, Lake Stevens, WA o Requests for duplicate certificates must be in writing. Duplicates cost $15.00 each. Tardiness Because tardiness disrupts class and hurts the ability of the student to successfully pass the exam: 55

56 Students more than 15 minutes late cannot be admitted to class and will be considered a no-show and must meet the above criteria. Student Code of Conduct SECTION I. GUIDING PRINCIPLES. Essential Training recognizes its students as responsible and dedicated men and women who are preparing for career employment. An integral part of their career and professional development is the expectation that they conduct themselves during the education process in the same manner as will be expected in all employment situations. Students have responsibilities and duties commensurate with their rights and privileges. In this policy, Essential Training provides guidance to students regarding those standards of student conduct and behavior that it considers essential to its educational mission. This policy also provides guidance regarding the types of conduct that infringe upon the fulfillment of Essential Training s mission. Any student who is found to have violated the student conduct policy is subject to disciplinary sanctions up to and including suspension or permanent dismissal, as further described below. SECTION II. SCOPE. This Student Conduct Policy applies to all students and student organizations at Essential Training. 56

57 SECTION III. REACH The Student Conduct Policy shall apply to student conduct that occurs on training premises including online platforms and at sponsored activities. At the discretion of the owner or instructor. The Policy also shall apply to off-campus student conduct when the conduct, as alleged, adversely affects a substantial training interest and potentially violates a policy. SECTION IV. DISCIPLINARY OFFENSES. The offenses listed below are given as examples only. Essential Training may sanction other conduct not specifically included on this list. 1. Scholastic Dishonesty a) Plagiarism b) Cheating on assignments or examinations c) Engaging in unauthorized collaboration on academic work d) Taking, acquiring or using test materials without instructor permission e) Submitting false or incomplete records of academic achievement; f) Altering, forging or misusing an academic record; g) Fabricating or falsifying data, research procedures, or data analysis; h) Deceiving Essential Training and/or its instructors. 2. Illegal or Unauthorized Possession or Use of Weapons a) Possession or use of firearms, explosives, dangerous chemicals, or other weapons, likenesses of weapons, on training premises, except where possession is required by law. 57

58 3. Sexual Assault or Nonconsensual Contact a) Any form of unwanted sexual attention or unwanted sexual contact 4. Threatening, Violent or Aggressive Conduct a) Assault, battery, or any other form of physical abuse of a student or instructor b) Fighting or physical altercation c) Conveyance of threats by any means of communication including, but not limited to, threats of physical abuse and threats to damage or destroy Essential Training property or the property of other students or Training Premises d) Any conduct that threatens the health or safety of one s own self or another individual. Threats to commit self-harm and/ or actual incidents of self-harm by any student 5. Theft, Property Damage and Vandalism a) Theft, attempted theft, vandalism/damage, or defacing of training premises or the property of another student, instructor or guests. b) Extortion c) Setting fires, tampering with fire safety and/or fire fighting equipment 6. Disruptive or Disorderly Conduct Disruptive Behavior, such as, Interference with the normal operations of Essential Training (i.e., disruption of teaching and administrative 58

59 functions, disciplinary procedures, pedestrian or vehicular traffic, or other activities) a) Disruptive Classroom Conduct, such as, i. Engaging in behavior that substantially or repeatedly interrupts either the instructor s ability to teach or student learning. The classroom extends to any setting where a student is engaged in work toward satisfaction of program-based requirements or related activities, or ii. Use of cell phones and pagers during scheduled classroom times b) Disorderly Conduct, such as, i. Disorderly, lewd, indecent, or obscene conduct. This would include but is not limited to any type of clothing, gang colors, gang symbols or materials worn or brought onto the premises by any student or guest deemed to be lewd, indecent or obscene as determined by instructors ii. Breach of peace on training premises or at any supervised program iii. Any in-school or off-site act considered inappropriate or as an example of misconduct that adversely affects the interests of Essential Training and/or its reputation 7. Illegal or Unauthorized Possession or Use of Drugs or Alcohol a. Use, sale, possession or distribution of illegal or controlled substances, drug or drug paraphernalia on training premises or at any function sponsored or supervised by Essential Training. b. Being under the influence of illegal or controlled substances on training premises, or at any Essential Training function c. Use, sale, possession or distribution of alcoholic beverages on training premises or at any function sponsored or supervised by the 59

60 Essential Training. d. Being under the influence of alcohol on the training premises or at any Essential Trainingfunction is also prohibited 8. Verbal Assault, Defamation and Harassment a. Verbal abuse of a student or instructor b. Harassment by any means of any individual, including coercion and personal abuse. Harassment includes but is not limited to, written or verbal acts or uses of technology, which have the effect of harassing or intimidating a person c. Harassment based on sex, race, color, national origin, religion, sexual orientation, age, disability or any other criteria protected by state, federal or local law. 9. Hazing a. Any form of "hazing" and any act that endangers the safety of a student, or that destroys or removes public or private property, for the purpose of initiation, admission into, affiliation with, or as a condition for continued membership in a group or organization. "Hazing" includes any method of initiation or pre-initiation into a student club or any pastime or amusement engaged in with respect to such a club that causes, or is likely to cause, bodily danger, physical harm, or personal degradation or disgrace resulting in physical or mental harm, to any student or other person attending Essential Training. 10. Falsification a. Willfully providing Essential Training with false, misleading or incomplete information b. Forgery, falsification, alteration or misuse of training center 60

61 documents, records or identification with the intent to injure, defraud, or misinform. 11. Unauthorized Use or Misuse of training Facilities a) Unauthorized entry into, unauthorized use of, or misuse of training facilities, including computers and data and voice communication networks. 12. Violation of Federal or State Laws a) Violation of federal, state or local laws and Essential Training rules and regulations on training premises or at Essential Training functions 13. Insubordination a) Persistent or gross acts of willful disobedience or defiance toward instructors b) Failure to comply with direction of instructors who are acting in the performance of their duties c) Failure to exit during fire drill, d) Failure to identify oneself when on training premises or at a Essential Training functions, upon request of instructors acting in the performance of his/her duties 14. Violations of Essential Training Rules a) Violations by guest of a student on training premises. Students are responsible for the actions of their guests b) Violation of school safety regulations, including but not limited to setting fires, tampering with fire safety and/or fire fighting equipment, failure to exit during fire drill, turning in false fire alarms and bomb threats c) Smoking in classrooms or other training facilities or areas unless 61

62 designated as a smoking area d) Any violation of the Essential Training policies on the responsible use of technology including but not limited to I. The theft or abuse of computer, , Internet or Intranet resources II. Unauthorized entry into a file, to use, read, or change the contents, of for any other purpose III. Unauthorized transfer of a file IV. Unauthorized downloading of copyrighted materials in violation of law V. Unauthorized use of another individual's identification and/or password VI. Use of computing facilities to interfere with the work of another student or instructor VII. Use of computing facilities to send obscene or abusive messages VIII. Use of computing facilities to interfere with normal operation of the school's computing system f) Failure to satisfy school financial obligations The above list is illustrative only, and Essential Training may sanction other conduct not specifically included on this list. SECTION VI. SANCTIONS. Essential Training may impose sanctions for violations of the student conduct policy. The type of sanction imposed may vary depending upon the seriousness of the violation(s). Essential Training reserves the right to immediately impose the most severe sanction if circumstances merit. Although not exhaustive, the following list represents the types of 62

63 sanctions that may be imposed upon any student or student organization found to have violated the student conduct policy: 1. Warning: A notice in writing that a student has failed to meet some aspect of the school's standards and expectations 2. Probation: Probation is used for repeated violations or a specific violation of a serious nature as a first course of action. The owner defines the terms of probation. 3. Discretionary Sanctions: The student will be required to complete an educational service, attend counseling, or have restricted privileges. 4. Suspension: Separation of the student from the school for a predetermined period of time. The student may be able to return to school once specified conditions for readmission are met. The student may not attend classes, use school facilities, participate in or attend Essential Training activities, or be employed by the school during his/her suspension. 5. Expulsion: The student will be expelled from Essential Training immediately. The student will not be permitted to continue his or her studies at Essential Training and may not return to the training facility or to Essential Training activities at any time or for any reason. 6. Restitution: Compensation for loss or damage to property leased, owned or controlled by the school. This may take the form of monetary or material replacement. The above list is only a general guideline. Some sanctions may be omitted, and other sanctions not listed above may be used. 63

64 SECTION VII. DISCIPLINARY PROCEDURES: Complaint Any member of the Essential Training community may file a complaint against any student for misconduct or for otherwise being in violation of Essential Training policies. 1. The complaint shall be prepared in writing or in an incident report and directed to the owner. 2. The written complaint or incident report should include the nature of the offense, date, approximate time and location of incident. The name of the victim, offender and any witness/s may be included. 3. Complaints or incident reports should be submitted within 48 hours after the alleged violation occurred unless there are extenuating circumstances requiring a longer timeframe. The owner may review and investigate the complaint to determine if the allegations have factual merit, to identify violations of the student conduct policy, and to impose sanctions for such violations. Generally, the accused should be given the opportunity to tell his or her account of the situation and to provide this information, in writing, unless Essential Training determines that the circumstances do not warrant disclosure of some or all of the facts. Search of Student's Property Students have no expectation of privacy in their personal property while at training facilities. Essential Training reserves the right to search the contents of students' personal property or belongings at any time and for 64

65 any reason, including when there is reasonable suspicion on the part of Essential Training staff that a risk to the health, safety or welfare of students, and/or the school community exists and including searches pursuant to an investigation of potential wrong doing. This includes but is not limited to vehicles brought onto property leased, owned or controlled by the school, backpacks, portfolios and clothing. This policy also applies to student property in student and/or computers. Notification and Determination of violations that warrant Disciplinary Meeting 1. The owner may choose to conduct a disciplinary meeting. Potential attendees include a student or students, the instructor and others who may have relevant information. The Student should receive advance notice of the allegations and the reason for the meeting. 2. After the meeting, the owner will determine whether it is more likely than not that a violation occurred, may a render and communicate the decision to the STUDENT in writing, which shall describe the violation and the sanctions imposed, if any, and the student s right to appeal. If the owner determines that there was no violation, that decision may be documented in writing to the student as well. o If a STUDENT fails to appear for the meeting, the owner may make a determination of violations of Essential Training policies on the basis of the information available, and impose sanctions for such violations. Administrative Interim Suspension Students may be administratively suspended on an interim basis when: (1) serious allegations are being investigated 65

66 (2) when a student potentially poses a threat of harm to himself, to others, or to property of the facilities or a member of Essential Training community During the interim suspension, students are denied access to training premises and/or all other school activities or privileges for which the student might otherwise be eligible, as owner may determine to be appropriate. This interim suspension period should last no longer than three business days. The interim suspension is not to be considered disciplinary, but it is a tool to separate potential adversaries until a reasoned decision can be made. SECTION VIII. APPEAL PROCEDURES. Students have a right to appeal disciplinary actions when they believe they have extenuating circumstances or believe to have been treated in an arbitrary or biased fashion or without adherence to Essential Training policies and procedures. During an appeal, the student should continue to obey the terms of the decision, i.e., a student who has been suspended from school may not be on training premises The student must write a letter of appeal in the student s own words, addressed to the owner. This letter must clearly state the extenuating circumstances or the grounds for believing the decision was arbitrary or biased or that it was without adherence to Essential Training policies and procedures, and provide any supporting documentation. It must be delivered to the owner within seven calendar days following the student s receipt of the decision. 66

67 Students should provide documentation to support the allegations of the appeal. The owner may appoint an ad hoc committee to review appeals and make a recommendation regarding disposition of the appeal within 30 days of the date of receipt of the appeal. This committee will be comprised of faculty or staff members not involved in making the initial disciplinary decision. The owner and/or the committee may decide to convene an appeal hearing. The student will be informed notified in writing of the date and time of the appeal. The student is expected to attend the meeting, and failure to do so, for other than documented emergencies, may be considered forfeiture of the right to present further information regarding the appeal. The student making the appeal may be provided an opportunity to address the committee in person. The student may be accompanied by one person (family member, friend, etc) as an observer. The committee may prohibit from attending or remove any person who disrupts the proceedings of the committee. The Appeal Committee is an academic hearing, not a legal hearing. Therefore, legal counsel is not allowed at the meeting. Audio recording of the academic hearing is not permitted. Minutes of the meeting are confidential. Following appropriate review and deliberation, the committee will report back to the owner with its recommendation following its review of the appeal. The owner will render a written decision on the appeal within thirty calendar days from receipt of the appeal. The decision will be final. 67

68 Freaking Awesome Questions Do you do Mobile Classes? Yes. I can travel just about anywhere in Washington State according to my schedule. I do charge mileage at the IRS rate (as of the date typing this note $0.57) as well as other travel expenses (hotel room for distances over 100 miles). Do you have a minimum number of students for your classes? Not right now. This is something that is looked at and discussed, but not a policy. In the future if there starts to be multiple people wanting mobile classes for the same days, minimums might be enacted, but right now, there is no minimums. Changes in this policy will be posted online at 90 days before enforcement What is the Cost of Your Classes Below is a list of my current costs: 75 Hour Core Training ~ $350** 70 Hour Core Training ~ $335** 5 Hour Orientation/Safety ~ $25 LTC Dementia Specialty ~ $55 Manager Dementia Specialty ~ $75 LTC Mental Health Specialty ~ $55 Manager Mental Health Specialty ~ $75 Both LTC Specialties ~ $75 (Discounted $35 for both classes) Classroom Continuing Education ~ $10 per hour Online Continuing Education ~ Varies See classes online Nurse Delegation: CORE ~ $55 Nurse Delegation: Special Focus on Diabetes ~ $35 CPR/1 st Aid ~ $65 HIV/AIDS 2 Hour ~ $25 4 Hour ~ $45 7 Hour ~ $65 68

69 Cotton Knitted Gait Belt ~ $10 Anti-bacteria Gait Belt with Plastic Clasp ~ $20 Blood Pressure/Stethoscope Kit ~ $20 Pocket Mouth Protector for CPR ~ $10 **WSRCC and WHCA Members can get 70 Hour CORE Training for $270 and 75 Hour CORE Training for $290 What is your Refund Policy? Full Refunds are given up to 48 business hours notice of cancellation. ~ Between 48 hours & 24 hours, 50% refund will be given. ~ No refunds will be given between 24 hours and the start of class. When is Payment Due? Payment is due at the time of registration. What types of Payment do you Accept? I can accept Cash, Check, Money Order, Visa, MasterCard, Discover or American Express. What if I fail a Test? If a test is failed, you may retake an alternate test at no additional cost. If that test is failed, you may retake the entire class ½ the cost after 30 days. Are Your Classes DSHS Approved? Yes. All classes with the exception of CPR/1 st Aid (which does not require DSHS Approval) are approved by DSHS. DSHS Approval Codes are printed on the certificates once the class is passed. Are Your Continuing Education Classes DSHS Approved? Yes. All Certificates have a DSHS CE approval code. 69

70 Do You Have Online Classes? Yes. Orientation/Safety is available online. CORE training is a blended learning program with 50 hours being online & 22 hours in the classroom. Some continuing education classes are also done online. Online classes can be found at. How is CORE Training Done? CORE Training is done in a blended learning environment with part of it being online and part of it being in the classroom. In order to be ready for the Home Care Aid exam, you must complete 75 hours of education. In order to get the 75 Hour Certificate, you have to complete the following Components: Orientation/Safety (5 Hours) Mental Health Specialty (4 Hours) Skills Class (12 Hours) Online Component (50 Hours) Dementia Specialty (6 Hours) At the end of the class, you will leave with a portfolio with 5 Certificates: Orientation/Safety ~ Mental Health Specialty ~ Dementia Specialty ~ 62 Hours CORE Training ~ 75 Hour CORE Training Do you do Nurse Delegation? Yes. Both CORE and Special Focus on Diabetes are done as a Self-Study Course. The student picks up a book and DVD and arranges a time to take the test when they are ready. 70

71 Home Care Aide to Nursing Assistant Certified Once HCA s become certified, they are able to take a short BRIDGE program to become a NAC. The bridge program will consist of clinical time at a Skilled Nursing Site. HCA s will take an additional hours of additional training. Once this training is completed, HCAs may apply and take the NAC certification test and once passed start working as a NAC. Currently there are no Bridge programs approved, but Essential Training will keep you up to date as approved programs become available. 71

72 Nursing Assistant Certified (NA-C) While Essential Training does not provide NA-C classes, we are working with NAC Essential Prep. NAC Essential Prep does an excellent job of preparing students to become a NA-C. NA-Cs are able to work in all home care environments as well as in Skilled Nursing Facilities and Hospitals. NAC Essential Prep provides a certified preparation course for anyone in the State of Washington desiring to become a Nursing Assistant Certified. (NAC/CNA). Students will spend 4 weeks (Minimum 86 hours), learning all the essentials aspects of being a Nursing Assistant by attending classes, participating in Practical Lab Training and Clinical Training Week before being permitted to graduate the course. Upon successful completion of the course you are immediately scheduled for your State Test right here in our school and Licensing. NAC Essential Prep is conveniently located in North Everett on Broadway directly across from the Comcast Arena Broadway Everett, WA (425)

73 Causes Essential Training truly believes in giving back to the community. Essential Training supports several causes near and dear to Mackenzie s heart throughout the community. A portion of all tuition goes to the causes below. Please consider giving to the following causes. You can add this amount to your tuition or donate to the links below. "I tell you the truth, whatever you did for the least of these brothers of mine, you did for me." ~ Matthew 25: Quilceda Community Services The mission of Quilceda Community Services is to provide individualized, quality residential care and recreation to special needs adults in a safe, respectful, positive environment that is meaningful to the individual being served. Quilceda Community Services is very appreciative of monetary donations in order to provide high-quality services to special-needs adults Quilceda Community Services also runs a thrift store and accepts gentlyused items Compassion Ministries; Bethany Christian Assembly Compassion Ministries exists for the purpose of helping those in our community who are in need. AIM Works in actively include those with Special Needs into the Body of Christ Benevolence Provides food and financial support to those hurting in the community Shut-In Provides services to those unable to attend church due to disability Food Pantry Thanksgiving and Christmas Food Baskets Christmas Giving Tree 73

74 Everett Gospel Mission Serves meals each Sunday Provides Chapel Services Provides Music and Worship Women s Support Programs - Compassion Ministries has teamed up with the Women s Shelter at the Everett Gospel Mission, Evergreen Manor, and Recovery for Life Training Centers (Queen, It s a New Day). Children s Support Groups Backpacks of food for homeless children at Hawthorne Elementary School supplies for children in need every August Homework clubs & Tutoring Community Services Celebrate Recovery Serving & helping those fighting to become free from addictive, compulsive or dysfunctional behaviors True Life Ministries Helping Jr. High and High School students grow in faith into what God intends them to be. Students learn to value themselves and find self-esteem and a safe place to find mentoring and leadership The Leukemia and Lymphoma Society The Leukemia & Lymphoma Society (LLS) is the world's largest voluntary (nonprofit) health organization dedicated to funding blood cancer research and providing education and patient services. Only Team In Training has trained over a half a million runners, walkers, triathletes, cyclists and hikers and raised over $1.2 billion to fund lifesaving research. Providence Hospice and Home Care Foundation Program, Snohomish County Providence Hospice and Home Care is a non-profit, 501(c)(3) organization and accepts donations of cash and goods throughout the year in order to provide our patients with the highest standards of care possible. Camp Erin and Carousel also benefit from your donations. 74

75 PLEASE FOLLOW ME ON A NUMBER OF SOCIAL MEDIA SITES Facebook Blog Instructagram ~Search for Mackenzie Daniek. 75

76 Essential Training 76

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