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Direct Care Worker: Meeting the Future Need of Health Care Consumers and Employers 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 knowledge, skills and empathy to work with homebound individuals and their families to provide high quality care. Why Direct Care Worker Urgent need 10,000 people a day over 65 yoa 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 Expected to Generate 1.6 million new jobs West Virginia 6000 reported working in 2009 Many 2009 Home others “under table” health aides providing additional care -5500 Registry The In-Home Care Worker Registry is provided to assist individuals with locating qualified in-home care workers. The Registry also provides a website for individuals and service provider agencies to list their services, qualifications and availability to provide in-home care. This is part of an ongoing effort to assure that individuals providing in-home care services have been properly trained and are suitable to provide services to West Virginians in their homes. http://www.inhomecare.wv.gov/Pages/default.as px Developing of a State Curriculum 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 Client can be in charge of their own life What do the Direct Care Workers do? BEDSIDE OR PERSONAL CARE MAINTAIN RECORDS OF CLIENT PROGRESS AND SERVICES PERFORMED REPORTING CHANGES IN CLIENT CONDITION TO MANAGER OR SUPERVISOR. HOUSEKEEPING DUTIES CARE FOR INDIVIDUALS OR FAMILIES DURING PERIODS OF INCAPACITATION, FAMILY DISRUPTION, OR CONVALESCENCE, PROVIDING COMPANIONSHIP, PERSONAL CARE, OR HELP IN ADJUSTING TO NEW LIFESTYLES. MONITOR VITAL SIGNS AND MEDICATION, UNDER THE DIRECTION OF REGISTERED NURSES OR PHYSIOTHERAPISTS. PLAN, SHOP FOR, OR PREPARE NUTRITIOUS MEALS TRANSPORT CLIENTS INSTRUCT AND/OR ADVISE CLIENTS ON ISSUES SUCH AS HOUSEHOLD CLEANLINESS, UTILITIES, HYGIENE, NUTRITION, OR INFANT CARE. PARTICIPATE IN CASE REVIEWS 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 * Onet 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 Who Can Teach Direct Care Worker Registered Attend Nurse a one day training Different care for home vs nursing home vs acute care Review tools the curriculum- teaching Instructors 100% must pass exam with Who Can Attend DCW Training Student’s must be in a health science education class or attend class at a local industry provider that has a trained instructor. Requirements for employment Fingerprinting Drug screen Motor Vehicle Department Check Health Requirements Hepatitis B Tine Test and others depending DCW Curriculum The no brainers OSHA, HIPAA, Dementia Care, Abuse, Neglect and Exploitation Trainings (must be renewed annually) Curriculum Made up of 14 modules Modules Module 1 - Introduction to Direct Care Assisting Module 2 - Role of the Direct Care Worker Module 3 - Consumer Rights, Ethical and Legal Issues Affecting the Direct Care Worker Module 4 - Safety in the Home Module 5 - Communication as a Direct Care Worker Module 6 - Meeting Basic Human Needs using a Person Centered Approach Modules Continued Module 8 - Infection Control Module 9 – Home Care and Patient/Client Mobility, Positioning and Transfer Module 10 - Basic Direct Care Worker Skills Module 11- Provide Care for Geriatric Patients Module 12 - Care for the Patient with Dementia/Alzheimer's Disease Module 13 -Death and Dying Module 14 - Supervised Clinical Experience Skills and Clinical Experience Skill check off sheet Use a lab to check students off prior to clincial 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 Certification Complete their course Complete test roster Take the exam Provided by the Working Group Pass the Skills Test Sent to WVDE Provided by the Working Group Completed and passed test roster sent to WVDE Question s????