**Job Type:** Per Diem **Time Type:** Part time **Work Shift:** Day (United States of America) **FLSA Status:** Non-Exempt **When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.** The CHHA carries out healthcare tasks in the patient’s home under the supervision of a licensed RN or Therapist. **Job Description:** Healthcare tasks performed by the CHHA include: Assisting patients with appropriate techniques to maintain personal hygiene and grooming, including shower, tub or bed baths and mouth, skin, nail and hair care. Assisting patients in the use of toilet facilities, including bed pans. Assisting patients in and out of bed using safe transfer techniques, including the use of gait belts and mechanical lifting equipment, when applicable (with appropriate completed/demonstrated skills competency). Assisting patients with walking, including the use of walkers, canes and wheelchairs, when applicable. Performing normal range of motion exercises and proper positioning (with appropriate completed/demonstrated skills competency). Assisting with cuing of self-administered medications. Assisting with meal preparation and feeding, when required. Observing, reporting and documenting patient status and care provided. Taking and recording of vital signs (temperature, pulse, and respirations) as directed (with appropriate completed/demonstrated skills competency). Practice basic infection control procedures. Document status of patient functioning and changes in patient status to be reported to the CHHA’s supervisor. Maintaining a clean, safe and healthy environment in the patient’s home. Recognizing emergencies and contacting emergency personnel and supervisor when necessary. Understanding the physical, developmental and emotional needs of the populations served. Maintaining adequate fluid and food intake. Treating the patient and his/her property with respect. Communication: Attends regular case conferences and team meetings per Clinical Manager and as needed. Communicates with other disciplines on the care team and Clinical Manager regarding patient’s status as needed. Practices confidentiality principles set by the agency and federal HIPAA guidelines. Documentation: All documentation will be completed in the EMR and in accordance with the agency timeliness policies. Professional Development: Adheres to departmental requirements for required training- Attend at least 12 hours of training annually. Identifies specific learning needs and goals and collaborates with nursing leadership in developing a plan to meet them. Organizational Requirements: Home Health Aides are evaluated for competency in all areas of required CHHA training prior to delivering care to patient. The CHHA will only be allowed to provide care in areas that they have documented proof of competency. Maintain strict adherence to the Beth Israel Lahey Health at Home Confidentiality policy. Incorporate Beth Israel Lahey Hospital and Medical Center Standards of Behavior and Guiding Principles into daily activities Comply with all Beth Israel Lahey Health at Home Policies. Comply with behavioral expectations of the Home Care Division. Maintain courteous and effective interactions with colleagues and patients. Demonstrate an understanding of the job description, performance expectations, and competency assessment. Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards. Participate in departmental and/or interdepartmental quality improvement activities when needed. Participate in and successfully completes Mandatory Education. Perform all other duties as needed or directed to meet the needs of the department. Additional Duties: Participates in the weekend/holiday rotation as defined by Beth Israel Lahey Health at Home. Participates in in-service programs and teaches/precepts other CHHA personnel per Clinical Manager. Job Limitations: The home health aide will not function in any manner viewed as the practice of nursing according to the State's Nurse Practice Act. Specifically, the home health aide will not administer medications, take physician's orders or perform procedures requiring the training, knowledge and skill of a nurse, such as sterile techniques. Organizational Requirements: Maintain strict adherence to the Continuing Care Confidentiality policy. Incorporate Continuing Care Standards of Behavior and Guiding Principles into daily activities. Comply with all Continuing Care Policies. Comply with behavioral expectations of the Continuing Care Division. Maintain courteous and effective interactions with colleagues and patients. Demonstrate an understanding of the job description, performance expectations, and competency assessment. Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards. Participate in departmental and/or interdepartmental quality improvement activities. Participate in and successfully completes Mandatory Education. Perform all other duties as needed or directed to meet the needs of the department. Minimum Qualifications: Education: Successfully completed a basic training program approved by the Mass. Association of Homemaker and Home Health Aides and possess certificate as evidence of completion. Licensure, Certification & Registration: Must be a licensed driver with an automobile that is insured in accordance with state. Has an active American Health Association BLS. If no American Heart Association BLS the employee must complete an annual BILHAH BLS Competency. No other forms of BLS will be accepted. {Note: Effective August 14, 1990, a person who has successfully completed a state established or other training program that meets the requirements of CFR 484.36(a) and a competency evaluation program, or state licensure program that meets the requirements of CFR 484.36(b), or a competency evaluation program or state licensure program that meets the requirements of S 484.36(b).} Experience: One year experience as a CHHA preferred. Skills, Knowledge & Abilities: Meets the training requirements in accordance with State and Federal laws and possess written evidence of such completion. At least 18 years of age. Ability to read and follow written instructions and document care given. Self-directing with the ability to work with little direct supervision. Empathy for the needs of the ill, injured, frail and the impaired. Demonstrates tact, patience and good personal hygiene. Essential computer skills to work with EMR. {Note: Effective August 14, 1990, a person who has successfully completed a state established or other training program that meets the requirements of CFR 484.36(a) and a competency evaluation program, or state licensure program that meets the requirements of CFR 484.36(b), or a competency evaluation program or state licensure program that meets the requirements of S 484.36(b).} Key Relationships: Title Nature of Relationship To Position 1 All other clinical positions Work collaboratively in a multi-disciplinary team for quality patient outcome. 2 Clinical Manager Reports to – case conferences with on a weekly basis. 3 Office Support Staff Work collaboratively to ensure accurate scheduling of pts visits, accurate insurance billing for services provided to pts. Scope/Impact Statement: Work Schedule: Indicate either Yes or No as appropriate. Hours of work may be subject to change based upon the needs of the business/department. On Call: YES Shift Rotation: YES Weekends: YES Physical Requirements & Environment: For each category, select ONE option from choices below by placing an X in the space to the left of the entry. Mental and Visual Attention a) The position requires basic mental and visual attention much or all of the time b) The position requires periods of concentrated mental and visual attention. c) X The position requires a high degree of mental and visual concentration. Physical Exertion Weight d) Nature of work requires lifting or moving light weight (up to 20 pounds). e) Nature of work requires lifting or moving medium weight (over 20 and up to 75 pounds). f) X Nature of work requires lifting or moving heavy weight (over 75 pounds). Dexterity g) Flow of work and nature of duties require average manual coordination. h) Flow of work and nature of duties require above average manual coordination. i) X Flow of work and nature of duties require high manual coordination. Range of Motion j) Responsibilities require average range of motion. k) Responsibilities require above average range of motion. l) X Responsibilities require high range of motion. Physical Conditions m) X Performance of duties allows for variation in positioning and tasks. n) Performance of duties requires remaining in position for prolonged periods of time. Repetitive Motion o) Responsibilities require occasional repetitive motion. p) X Responsibilities require frequent repetitive motion. q) Responsibilities require constant repetitive motion. Working Conditions r) Working conditions include minimal exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens. s) Working conditions include occasional exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens. t) X Working conditions include continuous exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens. Exposure to Hazardous Materials u) Performance of duties generally does not involve exposure to hazardous materials. v) Performance of duties occasionally involves exposure to hazardous materials. w) X Performance of duties frequently involves exposure to hazardous materials. (Biohazardous) Patient Care Conditions (select ALL that are applicable) x) X Responsibilities entail exposure to blood and body fluids; standard precautions must be used. y) X Responsibilities include transporting, transfer and positioning of patients. z) X Incumbent must be continuously prepared to prevent a patient fall. Sensory Requirements (select ALL that are applicable) aa) X Performance of duties requires the ability to discern and identify colors bb) X Performance of duties requires the ability to discern sharp from dull and hot from cold cc) X Performance of duties requires the ability to hear soft and loud noises Patient Care/Patient Contact Designation (check only one of the items listed below) X Position has a direct impact upon health outcomes of the patient. __ Position facilitates the process that may impact patient access to services. __ No patient care/contact, and does not facilitate the patient care process or directly impact health outcomes. Shape This Job Description is intended to describe the general nature and level of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive list of all responsibilities, requirements, duties and skills required of personnel so classified. Additional duties and responsibilities that are specific to the Department or Unit are identified and maintained by the Manager as an Addendum to the Job Description.. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) about this requirement.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity** **Employer/Veterans/Disabled**