An orientation to the Homecare Agency and to the position will be completed within the introductory period. Orientation is conducted with all staff and volunteers prior to their assuming client/patient service/care responsibilities. The organization assures that all staff members have received training and/or education and can competently perform the required client/patient service/care activities prior to being assigned to work independently.

 

 

1)                  Orientation is conducted with all staff and volunteers prior to their assuming client/patient service/care responsibilities. Staff members are oriented to their specific client/patient assignments.

2)                  The organization will have a checklist to verify that all required topics have been discussed with individual workers.

3)                   Orientation will be conducted by the Director of Nursing.

4)                  The orientation plan will include the following, at a minimum:

a)      review of the individual’s job description and duties to be performed and their role in the organization;

b)      organization chart/supervision;

c)      mission/philosophy;

d)      record keeping and reporting;

e)      confidentiality and privacy of protected health information;

f)        client/patient’s rights;

g)      advance directives; if applicable

h)      conflict of interest;

i)        written policies and procedures;

j)        training specific to job requirements;

k)      OASIS completion and documentation, and ongoing clinical documentation

l)        additional training for special populations (i.e.: nursing homes, pediatrics, disease processes with specialized care);

m)    cultural diversity and communication;

n)      ethical issues;

o)      professional boundaries;

p)      Staff Safety training activities including:

1.      body mechanics;

2.      workplace fire safety management and evacuation plan;

3.      workplace or office security;

4.      personal safety techniques;

5.      common environmental hazards, (i.e. icy parking areas and walkways, blocked exits, cluttered stairways, etc.);

6.      office equipment safety; and

7.      safety and compliance monitoring measures relating to the client/patient’s medication, when applicable.

8.      personal safety techniques relating to in home service/care;

9.      safety measures relating to oxygen use, if applicable;

10. client/patient medical equipment safety; if applicable

11. basic home safety measures including household chemicals, throw rugs, furniture layout, cluttered stairways, blocked exits, bathroom safety, electrical safety, etc.); and

12. use of restraints, if applicable.

q)      quality improvement plan; and

r)       OSHA/CDC requirements, safety and infection control.

s)       FDA requirements on the Safe Medical Device Act

t)        Hospice orientation as appropriate will include the following:

(1) introduction to hospice; client/patient, family, caregiver as a unit of service/care;

(2) concepts of death and dying and bereavement;

(3) emotional support, psychosocial, and spiritual issues;

(4) pain and symptom management;

(5) diseases and medical conditions common to hospice; and

(6) stress management.

b)      Confidentiality statements will be reviewed and signed.

c)      The organization will have a checklist or other method to verify that the topics have been discussed with individual workers; and written policies and procedures describing the orientation process.

d)      Prior to client contact paraprofessional and professional competencies are conducted and employees are only assigned duties for which they are scored satisfactory in related competencies.

e)      An evaluation will be done on the new employee after 90 days, comprising of employee input and stated goals.