Transcript Slide 1
Direct Care Worker Educate the Educator Cynthia Sundstrom, RN, MS West Virginia Department of Education Welcome! •Mission of the Direct Care Workforce Develop a registry Develop curriculum to meet family and homebound client needs •Vision All direct care workers will have the knowledge, skills and empathy to provide care to homebound individuals and assist their families to provide high quality care. Why Direct Care Worker • Urgent need • United State Census Bureau estimates 1 million worker in the US providing personal care services in homes. • Employment of Direct Care Workers is expected to grow by 70% from 2010-2020 • West Virginia needs will only grow with our ageing population First Things First • Roles and responsibilities of a DCW • Philosophy of Providing Direct Care – Basic principles • Independence, choice, dignity, people can learn, person-centered approach, consumer direction – Independent living and self determination • Stress dignity, choices and decision making • You can be in charge of your own life What do the Direct Care Workers do? • Administer bedside or personal care, such as ambulation or personal hygiene assistance. • Prepare and maintain records of client progress and services performed, reporting changes in client condition to manager or supervisor. • Perform housekeeping duties, such as cooking, cleaning, washing clothes or dishes, or running errands. • Care for individuals or families during periods of incapacitation, family disruption, or convalescence, providing companionship, personal care, or help in adjusting to new lifestyles. • Perform healthcare-related tasks, such as monitoring vital signs and medication, under the direction of registered nurses or physiotherapists. • Plan, shop for, or prepare nutritious meals or assist families in planning, shopping for, or preparing nutritious meals. • Transport clients to locations outside the home, such as to physicians' offices or on outings, using a motor vehicle. • Instruct and/or advise clients on issues such as household cleanliness, utilities, hygiene, nutrition, or infant care. • Participate in case reviews, consulting with the team caring for the client, to evaluate the client's needs and plan for continuing services. • Train family members to provide bedside care Who are Direct Care Workers? • People who work in this occupation generally: – Social interests – Prefer realistic and conventional environments • (WV Strategic Compass) http://youtu.be/euIu-gsmC1U What do Direct Care Workers Need To Know • • • • • Customer and personal service Public Safety and Security English language Psychology Transportation DCW’s Need To Be .. • • • • • • • • • Service Oriented Active Listening Skills Protect Privacy Social Perceptiveness Critically Think Convey information effectively Monitor/Assess performance Able to Maintain a safe environment Coordinate activities and actions Industries That Employ DCW Review • Did you know? The Science of Learning • To increase learning – Movement Breaks every 20 minutes – Paper aerobics How Am I Going To Teach This Content? • Teacher –centered learning versus Learnercentered training – Variety of learning activities – Role plays – Case Scenarios – Small group work – Project based learning This Helps Students • Develop – Organizational Skills – Research Skills – develop critical thinking – Better Communication • Coworkers • Supervisors • Clients – Recognize the positive effect of their work Who Can Attend Your Class • Student must be 18 years of age or older to work as a DCW • Fingerprinting • Drug screen • Motor Vehicle Department Check • Health Requirements – Hepatitus B – Tine Test and others depending DCW Curriculum • The no brainers – OSHA, HIPAA, Dementia Care, Abuse, Neglect and Exploitation Trainings must be renewed annually. • Get to Know Your Curriculum Activity – Break into 4 groups • Each group will take 3 modules as assigned and report back. • Use markers and poster board Certification • Complete their course • Take the exam – Provided by the Working Group • Pass the Skills Test – Provided by the Working Group Activity Results 1. Introduction to Direct Care Worker 2. Role of the Direct Care Worker 3. Consumer Rights, Ethical and Legal Issues Affecting the Direct Care Worker 4. Safety in the Home 5. Communication for the DCW 6. Meeting Basic Human Needs using a Person Centered Approach 7. Body Systems, Diseases and Disorders Activity Results 8. Infection Control 9. Home Care and Patient/Client Mobility, Positioning and Transfer 10.Basic Direct Care Worker Skills 11.Provide Care for Geriatric Patients 12.Care for the Patient with Dementia/Alzheimer's Disease 13.Death and Dying Extra Resources • Module 1 (page 19 of handout) – Community resources • http://wv211.org/ • http://www.wvseniorcare.com/ • http://www.wvnavigate.org/ – Evaluate professional protocol and career planning • • • • Stress management Time management Boundaries Safety tips for the DCW Extra Resources Module 2 (page 20) • Differentiate state and federal regulations affecting direct care worker • Registry is tabled • Differentiate between community support systems available to the in home care client Scientific Learning • Paper Aerobics Extra Resources Module 3 • HIPAA (page 20) – Most agencies have their own videos and training process – Youtube – WVBOSS has videos they may loan if you request Extra Resources • Module 3 – Regulatory and legal processes r/t allegations of abuse from a client- mandatory reporting • • • • • • Adult protective services Investigates (will not investigate if deceased) DCW is usually placed off work without pay CNA-can be placed on the abuse registry Office of Inspector General If complaint substantiated – Loose job – Possibility of fine/jail if prosecuted Extra Resources – Provide awareness of financial safety and security – RX drug storage • Medication Safety – www.mustforseniors.org/materials.jsp • Protecting the client from financial scams – http://www.fbi.gov/scams-safety/fraud/seniors – http://www.fbi.gov/scams-safety/fraud – http://www.aarp.org/money/scams-fraud • Also check the wvauditors website and the attorney generals office web site Extra Resources Module 4 • Safety in the Home • http://www.youtube.com/watch?v=3hROU6f5TUQ • for safe environment: http://www.afb.org/section.aspx?SectionID=26&TopicI D=144&DocumentID=191 • http://www.perkins.org/resources/scout/seniors/indep endent-living.html • http://wellcomehome.iweb.bsu.edu/safety.html • Extra Resources • Module 5 – Role play validation therapy (appendix 1) – http://www.vfvalidation.org/web.php?request=in dex – Reality therapy (not recommended for dementia) – Demonstrate methods for communicating with interdisciplinary care team members. • Discuss care planning meetings Extra Resources • Module 6 Basic human needs using a person centered approach – Appendix 1B – Client centered not caregiver centered • Module 7 Body Systems, Disease and Disorders – Dementia clients are also likely to be depressed and have chemical imbalances – http://www.alz.org/dementia/types-of-dementia.asp – The Life Story communication tool Extra Resources Module 11 • Care for Geriatric Patients – Identify Community Resources – Have students look through telephone books or online to identify resources. – They may want to make a list of local resources for their use. Scientific Learning • Break Skills and Clinical Experience • Skill check off sheet – Use a lab to check students off prior to clincials – Make sure they do it for you at least 3 times successfully before you sign them off • Supervised Clinical Experience – Apply the theory and skills they have used – Can be intermittently spaced – Demonstrate ability to perform basic DCW skills – Provide care for the in home client The Course is Finished Now What? • Direct care worker knowledge and skills training acknowledgement • Written Exam • Skill proficiency • They will be given a scenario and must complete the skills that the scenario requires DCW Educate the Educator •Questions????