In-Home Care services provide one-on-one care with certified or registered nursing assistants. In-home care is designed to help an individual remain in their home while meeting their everyday needs in a safe and effective manner. In-home care also provides a peace of mind to families who are worried about their loved one remaining in their home instead of moving to a facility.
Home care services begin with a nursing assessment and development of a personalized plan of care. The nurse develops the plan of care with the client and family to assure that the care needs and expectations of care are met. Our nurses have years of experience in helping individuals remain safely in their homes and can make recommendations for medication safety and management, equipment needs, incontinence care, nutrition/hydration, infection prevention and control, and how to reduce the risk of falls.
After the plan of care is developed, the in-home care is provided by our highly trained caregivers. Our caregivers are certified or registered nursing assistants and are supervised by Registered Nurses or Licensed Practical Nurses. Most of our caregivers have their Nurse Delegation certification.
CHCServices offers nurse delegation services. Nurse delegation has been approved by a Washington State rule which states that a Registered Nurse may delegate specific nursing care tasks to caregivers who meet certain requirements and who are providing in-home care to individuals. Nurse delegation offers an alternative to a skilled nursing facility, licensed nurse, or a family member performing the nursing care tasks. Some examples of nurse delegated tasks include tube feedings, administration of certain medications, blood glucose monitoring, non-sterile dressing changes, and in and out catheter for the bladder.
The caregivers activities are driven by the details of the individual's Care Plan and may include:
- Personal care for showering, dressing, and toileting
- Incontinence care
- Medication reminders
- Safety checks
- Fall reduction strategies
- Assistance with home exercise program
- Companion care
- Recreational activities and community outings
- Transportation to and from appointments
- Meal preparation
- Light housecleaning
- Errands and grocery shopping
- Nurse delegated tasks
Our caregivers go through a rigorous hiring process which begins with a healthcare comprehension test which they must pass in order to move on to the interview process. The interview process includes reference checks, a national background check, and verification of required certifications such as state license and current CPR. The new hire Care Specialists attend an all day orientation that is provided by our nurses and the human resources department. This orientation includes specific training on infection prevention and control, how to reduce the risk of falls, food handling, home safety, medication assistance, emergency care, and HIPAA. Skills verification is also part of the orientation. The Care Specialists are required to demonstrate their proficiency with caregiver skills and they must pass additional written caregiver comprehension tests. Prior to working the first shift with a client, a nurse reviews the goals and plan of care each Care Specialists.
CHCServices values and has a very strong emphasis on ongoing training and education of the Care Specialist staff. Supervision and coaching of our Care Specialists is provided by nurses on a quarterly basis and more frequently if indicated or if there is a change in the plan of care.
Who is a Home Care Client?
Our home care clients include those who:
- Are seniors needing companion care or personal care
- Need assistance with transportation, errands, and household chores
- Would like to remain in their home (house, retirement community, assisted living facility or adult family home)
- May be at risk for falls or other safety concerns
- Have loved ones who live far away
- Have had a change in health status
- Have a new or complex diagnosis
- Require nurse delegation
- Require end of life care and support
- Are significantly impaired in their mobility
- Are impaired cognitively or behaviorally and need support and supervision
- Are recovering after discharge from a hospital, nursing home, or rehabilitation facility