WELCOME TO OUR TEAM!

Mailing Address:

P.O. Box 1234

Douglas, GA 31534

Physical Address:

501 W. Ward Street

Douglas, GA 31533

(800) 375-5185 or (912) 384- 8802

On Call Phone: 912-381-4188

Fax: 912-393-3181 or 912-383-8587

IMPORTANT NUMBERS:

Nichole Rigby...………..................................Scheduling, ext. 223

Ashleigh Mullis…..........................................Scheduling, ext. 224

Amanda Montez.....………………………….Scheduling, ext. 239

Anna Peacock.………................Flow Sheet Coordinator, ext. 231

Amanda Lott…………………………Human Resources, ext. 228

Pay Date Schedule 2021

	PAY PERIOD	PAY DATE
1	12/07/20 to 12/20/20	01/01/21

2	12/21/20 to 01/03/21	01/15/21

3	01/04/21 to 01/17/21	01/29/21

4	01/18/21 to 01/31/21	02/12/21

5	02/01/21 to 02/14/21	02/26/21

6	02/15/21 to 02/28/21	03/12/21

7	03/01/21 to 03/14/21	03/26/21

8	03/15/21 to 03/28/21	04/09/21

9	03/29/21 to 04/11/21	04/23/21

10	04/12/21 to 04/25/21	05/07/21

11	04/26/21 to 05/09/21	05/21/21

12	05/10/21 to 05/23/21	06/04/21

13	05/24/21 to 06/06/21	06/18/21

14	06/07/21 to 06/20/21	07/02/21

15	06/21/21 to 07/04/21	07/16/21

16	07/05/21 to 07/18/21	07/30/21

17	07/19/21 to 08/01/21	08/13/21

18	08/02/21 to 08/15/21	08/27/21

19	08/16/21 to 08/29/21	09/10/21

20	08/30/21 to 09/12/21	09/24/21

21	09/13/21 to 09/26/21	10/08/21

22	09/27/21 to 10/10/21	10/22/21

23	10/11/21 to 10/24/21	11/05/21

24	10/25/21 to 11/07/21	11/19/21

25	11/08/21 to 11/21/21	12/03/21

26	11/22/21 to 12/05/21	12/17/21

27	12/06/21 to 12/19/21	12/31/21

28	12/20/21 to 01/02/22	01/14/22

Sections

GETTING OFF TO A GOOD START

· WELCOME..... PG 5

· ABOUT TENDER CARE..... PG 6

· MISSION STATEMENT..... PG 6

· OUR VISION.....PG 6

· ASK QUESTIONS

· GIVE FEEDBACK

· SMILE

· HAVE A POSITIVE ATTITUDE

WORKING AS A NURSING ASSISTANT

· BE POSITIVE

· USE MANNERS

· AVOID GOSSIP

· EVERYDAY=NEW OPPORTUNITY TO LEARN

· HAVE FUN AT WORK

· GIVE 100%

· BE ASSERTIVE

· BE EFFICIENT

· TEAMWORK

PROFESSIONALISM AND WORK ETHIC

· WHAT IS PROFESSIONALISM

· WHAT IS WORK ETHIC

· ATTITUDE

· HARRASSMENT.....PG 8

· CONDUCT IN CT HOME.....PG 10-12

Do not discuss TCI / personal matters/in public places, no purchases/sales/fundraisers, do no borrow/loan money

· DRESS CODE.....PG 15

· PROFESSIONAL BEHAVIOR.....PG 16

· PERSONAL RELATIONSHIPS.....PG 16

· NO SLEEPING.....PG 16

· USE OF CLIENT PHONE.....PG 17

· GIFTS/FAVORS/SOLICITATION.....PG 17

· PICTURES.....PG 18

· VIDEOTAPING.....PG 10

· AVOID “HOT TOPICS”

· NO VISITORS.....PG 21

· NO WEAPONS.....PG 42

· DRUG FREE WORKPLACE/DRUG TESTING.....PG 43-48

· RESIGNATION/EXIT INTERVIEW.....PG 43 - MUST RETURN HANDBOOK

· JOB DESCRIPTION/PERFORMANCE EVALS

· HOUSEKEEPING BASICS: DISCUSSED WITH JOB DESCRIPTION, WINDOW CLEANER, DO NOT MAKE YOUR OWN CLEANING KIT, EXPOSURE TO HAZARDS, PETS

SUPPORTING THE RIGHTS OF YOUR CLIENTS

· PATIENT BILL OF RIGHTS

· SUPPORT CLIENTS RIGHTS

· MAINTAIN CONFIDENTIALITY.....PG 9-10,28

· HIPPA

· REPORT ABUSE/NEGLECT/FALLS/MENTAL&HEALTH STATUS CHANGES

· REPORTING REQUIRED BY LAW

INFECTION CONTROL

· HANDWASHING BASICS

· STANDARD PRECAUTIONS.....PG 25

· WEAR GLOVES

· DRUG RESISTANT BACTERIA-TX

· CLEAN HOME- DISINFECT- AVOID BACTERIA SETUP

CLIENT CARE TIPS

· TIPS FOR BATHING

· DRESSING/ GROOMING

· MOUTH CARE

· ENCOURAGE PROPER NUTRITION-DIET

· FEEDING CLIENT

· PAIN MANAGEMENT TIPS

· CARE PROVIDED IN CLIENTS HOME- CLIENT MUST BE PRESENT.....PG 18

· AUTO/TRANSPORT.....PG 19

· CLIENT BANKING/ERRANDS.....PG 20

· CLIENT EMERGENCIES.....PG 20

PREVENTING PRESSURE ULCERS

· ANATOMY

· HOW THEY DEVELOP

· STAGES OF PRESSURE ULCERS

· WHO IS AT RISK

· MOST COMMON SITES

· SIGNS/SYMPTOMS

· “HAND CHECK”

· DIFFERENT TX: DR/NURSE/AIDE

· REPORT CHANGES: SKIN/WOUND DRESSING

· DISCOMFORT

· DEATH

· COST

· TIME INVESTED

· TIPS FOR PREVENTING

UNDERSTANDING FALL RISK FACTORS

· FEDERAL LAW REQUIREMENTS

· FALL RISK ASSESSMENT

· AGE RELATED FACTORS

· MEDICAL RELATED FACTORS

· STATISTICS

· ASSISTIVE DEVICES: CORRECT USE- NEVER REPAIR YOURSELF

· CLIENT/ FAMILY EDUCATION

· TIPS FOR PREVENTION

TAKING CARE OF YOURSELF

· HANDLING STRESSORS

· BEING EFFICIENT

· EAT RIGHT

· EXERCISE

· HEALTHY FLUID INTAKE

· HEALTHY BACK.....REFER TO MANUAL AT THE END OF YOUR EMPLOYEE HANDBOOK

· CHEMICAL HAZARDS

PROVIDING QUALITY CARE

· CUSTOMER SERVICE

· CLIENTS FROM OTHER CULTURES

· QUALITY IMPROVEMENT

· MEDICAL MISTAKES

WRITING IT ALL DOWN

· IMPORTANCE OF DOCUMENTATION

· TIPS FOR DOCUMENTING

· WHAT TO DOCUMENT

· CALL IN/OUT

· CALENDARS

· LEAVING CLIENT ALONE.....PG 13

· NO ANSWER AT DOOR-CALL TCI.....PG 14

· CARE PLAN.....PG 14

· YOU’RE NEVER ALONE-ALWAYS ON CALL NURSE/STAFF.....PG 14

· WRITE NEAT, LEGIBLE

· BLANK INK

· ONE LINE THRU MISTAKE-INITIAL

· NOT AT HOME.....PG 19

· NON BILLABLE VISITS.....PG 19

· TIME ENTRY-MUST SEND PAPERWORK WEEKLY.....PG 29

· MILEAGE LOG

· FRAUD/CONSEQUENCES.....PG 37-40

· GO STRAIGHT INTO EXAMPLE DOCUMENTS AT END OF SECTION

PLEASE NOTE: PAGE NUMBERS ABOVE REFER TO YOUR EMPLOYEE HANDBOOK.

******* SCENARIOS ARE DONE FOR HOMEWORK- MUST BE RETURNED TO GET INTO CPR/1^ST AID CALSS- NURSE TO GRADE DURING CLASS*****************************

Tender Care Orientation

1) ORIENTATION TO THE AGENCY

____ Policies & Procedures

____ About Tender Care, Inc.

____ Introduction of Office Staff

____ Expectations of Aides/Assigned Duties/Responsibilities

____ Reporting Problems

____ Client Confidentiality

____ Client Rights & Responsibilities

____ Differentiation of Clients (CCSP, Private Pay, Private Insurance)

2) HUMAN RESOURCES

____ Turning in Paperwork

____ Pay Periods

____ Travel Policy

____ Extended Application

____ Pay Raises/Evaluations

____ Vacation/Holidays

____ Insurance Benefits

3) CLINICAL

____ Client Records/Maintaining Confidentiality

____ Service Plans/Plan of Care

____ Reporting Problems

____ Procedures for Medical Emergencies

____ We DO NOT Perform Nursing Duties

____ TB & Hepatitis Exposure

____ Infection Control

____ Fire Prevention & Safety

____ Fall Prevention/Bathing Techniques

____ Aide Safety/Good Body Mechanics

____ Driving Safety

____ Client Abuse/Neglect

Orientation Outline Signature *

Employee Information

Name *

First

Last

Date of Hire *

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Street Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Cell Phone

Birth Date *

SSN *

Marital Status *

Race *

IN CASE OF EMERGENCY PLEASE CONTACT 1

ICE1 Name

ICE1 Relationship

ICE1 Home Phone

ICE1 Cell Phone

ICE1 Work Phone

IN CASE OF EMERGENCY PLEASE CONTACT 2

ICE2 Name

ICE2 Relationship

ICE2 Home Phone

ICE2 Cell Phone

ICE2 Work Phone

Job Description: Aide

JOB DISCRIPTION

A: Job Description: Aide

Aide services refer to those tasks designed to assist individuals with home-related activities such as specific errands to enhance the client’s well-being: light house keeping, basic personal care needs, and basic home maintenance. These services are directed by the registered nurse based on the client’s care plan.

B: Responsible to:

Scheduler

Supervisor

C: Duties and Responsibilities:

Specific tasks performed by the Aide shall include, but are not limited to the following:

Personal Care Activities

1. Assist with bath

2. Assist with oral hygiene

3. Assist with hair care

4. Assist with client elimination

5. Assist with getting dressed

Nutrition

1. Encourage proper nutrition within dietary restrictions

2. Prepare meals and wash dishes

3. Assist with feeding the client

Consumer Assistance

1. Shopping

2. Paying bills

3. Running errands

Medically Related Activities

1. Takes and records temperature, pulse, and respiration when assigned

2. Remind patients to take medications

3. Apply first aid in case of sudden illness/accident

4. Schedule appointments with doctor, clinics, etc

5. Observe and report changes in patient’s condition to immediate supervisor.

6. Pick up client’s prescription drugs

Health and Safety Promotions

1. Encourage safety measures

2. Encourage personal hygiene practices

3. Advise in operation of household appliances

4. Inspect house for hazards

5. Assist with ambulation

Cleaning

1. Vacuum, sweeping, and mopping

2. Dusting

3. Clean rooms- bath, kitchen, bedroom, etc.

4. Discard trash

5. Change linens

6. Laundry

7. Ironing

8. Defrost refrigerator

9. Clean range

Other Duties

1. The aide shall complete appropriate clinical records as required for proper documentation

2. Report any unusual condition to the nurse- including gross behavioral changes in the client and documenting in the client’s records

3. Be able to work under supervision and within the guidelines of a care plan

4. Attends in-services as directed

5. Represents the agency in a loyal manner

6. Other duties as assigned

D: Education required:

1. Demonstrated ability to read, write, and communicate effectively

2. Successful completion of a Competency Evaluation and/or a written Competency Examination approved by the National League of Nursing

E: Experience required:

1. Demonstrated ability or character references showing a sympathetic attitude toward the care of the sick and maturity and ability to deal effectively with the job demands, both physical and emotional

2. Some experience working with the elderly or some training in gerontology is desired.

F: Working conditions:

1. Works in varied client’s homes during all seasons of the year

2. Furnishing own car for use during working hours is required.

I, the undersigned CNA/PCA certify that I have read and understand the aide job description. If I have any questions regarding this, I have asked and clarified them.

Job Description Signature *

Code of Ethics

The following is a list of activities that all employees are strictly prohibited from engaging in:

1. Using the client’s car for personal reasons.
2. Consuming the client’s food or beverage.
3. Using the client’s telephone for personal calls.
4. Discussing political or religious beliefs, or personal problems with the client.
5. Accepting gifts or financial gratuities (tips) from the client or client representative.
6. Lending money or other items to the client; borrowing money or other items from the client or client representative.
7. Selling gifts, food, or other items to or for the client.
8. Purchasing any items for the client unless directed in client’s care plan.
9. Bringing other visitors (e.g., children, friends, relatives, pets, etc.) to the client’s home.
10. Smoking in the client’s home, with or without permission from the client or client representative.
11. Reporting for duty under the influence of alcoholic beverages or illegal substances.
12. Sleeping in the client’s home.
13. Remaining in the client’s home after services have been rendered.
14. Yard work/gardening (digging, raking, weeding, planting, picking flowers, etc.).
15. Home repair work.
16. Climbing ladders/chairs.
17. Extensive window washing.
18. Washing pets.
19. Moving or lifting heavy appliances (refrigerator, washers, dryers, etc.).
20. Cleaning out cabinets, freezers, etc.

I have read & understand the above code of ethics. I have asked any questions that I may have had regarding this list. I agree to abstain from participating in any of the above activities.

Code of Ethics Signature *

UNIVERSAL BLOOD AND BODY PRECAUTIONS

I acknowledge that I have been instructed on the modes of transmission of both the HIV (AIDS) virus and the HBV (Hepatitis B) virus.

I understand that all blood, blood products, body fluids and tissues must be considered potentially infectious and capable of transmitting disease and that Universal Blood and Body Fluid Precautions must be carried out routinely when contact with blood and body fluids is likely.

I understand the type of protective barriers and equipment available and the basis for their selection. I know where these protective barriers and equipment are kept, how to use them properly and how to handle, decontaminate and dispose of infectious materials according to policy.

I know the corrective action to take in the event of spills or personal exposure to blood or body fluids, either through a needle stick injury or through mucous membrane or cutaneous exposure, I understand that an incident report must be filled out and the exposure reported to my supervisor as soon as patient safety allows so that appropriate follow-up may be initiated.

I have been instructed in Universal blood and body precautions and understand that this is the policy of TENDER CARE, INC.

Failure to comply may result in exposure to the viruses as well as disciplinary action up to and including termination of employment.

UB&BP Signature *

CALLING IN/OUT

All Tender Care, Inc. employees Must call in when they arrive and leave each client’s home. Tender Care, Inc. maintains a log of each employee’s arrival and departure times.

If the client does not have a phone you may call from your next client or if they are the last client of the day you may call from your home phone.

Employees that work in and around the Douglas area may dial 384-8802 for their calls. Employees working outside the Douglas area (i.e. Waycross, Valdosta, Tifton) must dial (800) 375-5185 so that it does not charge the client’s phone bill for the call.

If you have to leave a client early, you must notify Tender Care, Inc. of the reason.

If you miss a scheduled visit for any reason, you must notify Tender Care, Inc. immediately.

IF YOU FAIL TO CALL IN AND OUT ANY DAY, YOUR PAY RATE FOR THAT DAY WILL BE REDUCED TO MINIMUM WAGE (currently $7.25 per hour).

FLOW SHEETS

Flow sheets for the previous week are due in the Tender Care, Inc. office on Monday for our local employees. Out of town employees must mail their flow sheets by Monday and must be in our office by Wednesday at noon.

FLOWSHEETS MUST BE TURNED IN EVERY WEEK SO THAT THEY CAN BE PROCESSED. Employees are not allowed to turn in two weeks of flow sheets. THEY MUST BE TURNED IN WEEKLY!

FAILURE TO TURN IN YOUR FLOWSHEETS WILL RESULT IN YOUR PAY RATE BEING REDUCED TO MINIMUM WAGE (currently $7.25 per hour) for the week that is turned in late.

Call in/out & Flow Sheet Signature *

Car & Calendar

As a reminder, Tender Care, Inc. employees are not allowed to drive the client’s automobile for any reason without permission from the Tender Care, Inc. If your client has errands that need to be done, you must drive your personal automobile. Also, the client is not allowed to ride with the employee while he/she is doing errands for the client in his/her personal automobile. Violation of this policy will result in automatic termination of your employment with Tender Care, Inc.

Also, effective immediately, Tender Care, Inc. requires that all employees sign in on a calendar that will be provided in the client’s home. This calendar will be placed in an easily accessible place in the client’s home (i.e. the refrigerator) for all employees to sign in on the day(s) that they provide services to the client. The calendar will be given to an employee that services the client. This employee will place the calendar in the home and all employees that service the client must sign off each day that they are there. Each employee is expected to assure that the calendar is in the home. If for some reason the calendar is not available in a client’s home, please call the Tender Care office so that we may provide another calendar. These calendars will be picked up by Tender Care supervisors and made part of each client’s chart. Failure to sign in on these calendars will result in disciplinary action, up to and including termination.

By signing below, I certify that I have read and understand the above policies. I understand that violation of these policies will result in disciplinary actions, up to and including termination of my employment with Tender Care, Inc.

Car & Calendar Signature *

TC-Orientation