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Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
Direct care roles and responsibilities
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Direct care roles and responsibilities

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  • 1. Successful completion of this training meets one hour of the four hour annual training requirement for Personal Attendant Services direct care staff as provided through the WV TBI Waiver Program
  • 2. • Information included in this presentation was current at the time it was developed • Presentation materials are reviewed on an annual basis 2013 West Virginia TBI Waiver Program direct care staff annual training 2
  • 3. Melodee A Hursey, MSW, LSW, CBIST APS Healthcare, Inc. TBI Waiver Program Provider Educator Ms Hursey is a Certified Brain Injury Specialist Trainer through the Academy of Certified Brain Injury Specialists and a West Virginia Licensed Social Worker. She has more than 17 years of brain injury experience in a variety of areas including rehabilitation, waiver, support group facilitation, training, and program development. Contact information: mhursey@apshealthcare.com 304-964-9007 2013 West Virginia TBI Waiver Program direct care staff annual training 3
  • 4. Upon completion of this training participant will be able to: • Identify three responsibilities of a direct care staff • Describe two principles of direct care • Identify five rules for maintaining boundaries with members • List three tips direct care employees should remember to stay safe 2013 West Virginia TBI Waiver Program direct care staff annual training 4
  • 5. Traumatic Brain Injury (TBI) is an insult to the brain not of a degenerative or congenital nature caused by an external physical force, that may produce a diminished or altered state of consciousness resulting in an impairment of cognitive abilities or physical functioning. It can also result in the disturbance of behavioral or emotional functioning, may be temporary or permanent and cause partial or total functional disability or psychosocial maladjustment. National Head Injury Foundation (now the Brain Injury Association of America) 2013 West Virginia TBI Waiver Program direct care staff annual training 5
  • 6. • 2013 A non-degenerative, non-congenital insult to the brain caused by an external physical force resulting in total or partial functional disability and/or psychosocial impairment West Virginia TBI Waiver Program direct care staff annual training 6
  • 7. Every 23 seconds, one person in the United States sustains a traumatic brain injury • Each year, an estimated 1.7 million people sustain a TBI • Centers for Disease Control and Prevention 2013 West Virginia TBI Waiver Program direct care staff annual training 7
  • 8. Watch the short videos below before continuing. (Right click on each link and chose open Hyperlink) Traumatic Brain Injury – Jerry’s Story Traumatic Brain Injury – Josh’s Story 2013 West Virginia TBI Waiver Program direct care staff annual training 8
  • 9. • Provide long-term direct care and support services ◦ To enable a member to remain at home rather than enter a nursing facility • Assist the member with ADLs (activities of daily living) and IADLs (instrumental activities of daily living) ◦ To help the member to remain in the home 2013 West Virginia TBI Waiver Program direct care staff annual training 9
  • 10. • Assist the member in community activities o • To help them develop and maintain social relationships Assist the member with environmental tasks and errands o That are essential for the member to remain in the home • Be compassionate, patient, and tolerant • Report significant changes in member’s condition, any incidents, or environmental hazards 2013 West Virginia TBI Waiver Program direct care staff annual training 10
  • 11. Personal Attendant Service agency staff cannot perform any service that is considered to be a professional skilled service or any service that is not on the Member's Service Plan or Spending Plan 2013 West Virginia TBI Waiver Program direct care staff annual training 11
  • 12. • • • • • • • • • • • • Care or change of sterile dressings Colostomy irrigation Gastric lavage or gavage Care of tracheostomy tube Suctioning Vaginal irrigation Give injections, including insulin Administer any medications, prescribed or over-the-counter Perform catheterizations, apply external (condom type) catheter Tube feedings of any kind Make judgments or give advice on medical or nursing questions Application of heat From page 31 of the WV Traumatic Brain Injury Waiver Program Manual 2013 West Virginia TBI Waiver Program direct care staff annual training 12
  • 13. • Independence: o • Choice: o • Each person chooses what to do and when to do it; caregivers don’t tell them what to do Dignity and Respect: o o 2013 Freedom to direct one’s life, able to do things for oneself when possible Each individual is a person, each person needs respect, privacy and treated the way he or she wants to be treated When a member needs assistance they still need to feel they are valued and in control West Virginia TBI Waiver Program direct care staff annual training 13
  • 14. • Person-centered approach: o • Participant-direction: o 2013 Assistance or support is given when and how the member needs it When possible, the member tells the caregiver what to do, when to do it, and how to do it West Virginia TBI Waiver Program direct care staff annual training 14
  • 15. Before continuing to the next slides, please click the link to read the article “How to Build Good Boundaries in Support Work” 2013 West Virginia TBI Waiver Program direct care staff annual training 15
  • 16. • • • • • • • Able to listen and understand Good communication skills Interested in working within the disability field Accepting of people with disability Willing to collaborate and consult with others Able to accept and respect the choices of other people Respectful of different needs, values, beliefs, culture The Arizona Direct Care Curriculum Project (2011). 2013 West Virginia TBI Waiver Program direct care staff annual training 16
  • 17. • • • • • • 2013 Committed to increasing independence and capability in others Able to share knowledge and skills but not to take over Maintains a positive attitude Aware of realistic goals and limitations Consistent and able to follow through Professional – human, friendly, but not needy or dependent West Virginia TBI Waiver Program direct care staff annual training 17
  • 18. • • • • • • 2013 Carry out responsibilities of the job the best way you can Maintain certifications and trainings Be dependable and reliable Maintain a high standard of personal hygiene, health, and appearance Show respect for the member’s privacy Do not use the member’s things West Virginia TBI Waiver Program direct care staff annual training 18
  • 19. • • • • • 2013 Recognize and respect the right of selfdetermination and lifestyle Keep your professional life separate from your personal life Control negative reactions to chronic disability or living conditions Maintain safe conditions in your work environment Do not bring your family or friends to the member’s home West Virginia TBI Waiver Program direct care staff annual training 19
  • 20. Limits that allow for safe connections between people • A sense of personal identity and self that remains consistent over time • The framework within which the workermember relationship occurs • Appropriate boundaries reduce risk of member exploitation or mistreatment • 2013 West Virginia TBI Waiver Program direct care staff annual training 20
  • 21. • Be clear about your role right from the beginning o You may be helping the member BUILD friendships and relationships but you are not THE friendship • Do not discuss your personal life with the member and/or family • Do not borrow or loan money or items 2013 West Virginia TBI Waiver Program direct care staff annual training 21
  • 22. • Working in a member’s home can be very rewarding • Working in a member’s home can be very lonely and scary too • It is important that you protect yourself • Know your resources and surroundings 2013 West Virginia TBI Waiver Program direct care staff annual training 22
  • 23. • • • • • 2013 Be alert Be observant Trust your own instincts Know how and when to call for help Communicate with the member, family, and team anything that you observe West Virginia TBI Waiver Program direct care staff annual training 23
  • 24. • For more safety information click on this link to safety tips for the direct care worker 2013 West Virginia TBI Waiver Program direct care staff annual training 24
  • 25. Many people come in and out of a member’s life • You may be one of those people who decides to leave for any number of reasons • Be open, honest, and upfront about this decision • Allow the member to talk about their feelings • 2013 West Virginia TBI Waiver Program direct care staff annual training 25
  • 26. • • Help with the transition to a new worker by providing good documentation and information • 2013 A person with TBI often has difficulty with change so there may be some anger and sadness ~ don’t take this personally Be positive and upbeat West Virginia TBI Waiver Program direct care staff annual training 26
  • 27. • Communicate o o • Don’t overshare o • The member does not need to hear that you are leaving because you don’t like your employer or because you’re getting a divorce Stay member focused o 2013 With the member, his/her family, the team Let the member know the plan. When are you leaving? When will the new staff start? The service plan still must be followed West Virginia TBI Waiver Program direct care staff annual training 27
  • 28. • If you’re the new person – o o o Allow the member time to adjust Share basic information about yourself Ask the member to tell you what they need help with - how they want you to be involved in their care  And listen to the answers o Read the member assessment and service plan  Ask questions to get clarification o o o 2013 Follow the service plan Talk to the team and family Be patient and nonjudgmental West Virginia TBI Waiver Program direct care staff annual training 28
  • 29. Academy of Certified Brain Injury Specialists (2007). The essential brain injury guide. Edition 4.0 Acquired Brain Injury Outreach Service (2011). How to build good boundaries in support work The Arizona Direct Care Curriculum Project (2011). Principles of caregiving: Caregiving fundamentals (http://azdirectcare.org/Training-DCW_Curriculum.html) Vick, J, Vanderlick, JA, & Merricks, T. (2004). Professional ethics: Boundaries in helping relationships 2013 West Virginia TBI Waiver Program direct care staff annual training 29
  • 30. You may want to explore additional resources to help you do your job better* Here are just a few: o o o o o o o brainline.org Brain Injury Association of America Centers for Disease Control and Prevention: TBI National Directory of Brain Injury Services National Resource Center for Traumatic Brain Injury TBI Services at Center for Excellence in Disabilities 1-877-724-8244 TBI@hsc.wvu.edu Brain Injury Alliance of West Virginia * If you are seeking formal training please check with your employer to make sure the internet training provider has been approved by APS Healthcare before you take the training 2013 West Virginia TBI Waiver Program direct care staff annual training 30
  • 31. • • A score of 80% or higher is required • 2013 To receive your certificate of successful completion you must first pass the test and complete an online evaluation Once you have successfully completed this training module you will receive an email with your certificate of completion West Virginia TBI Waiver Program direct care staff annual training 31
  • 32. • Please scroll down and take the test below. • Your thoughts and comments are very important to us. You may submit your comments here: TBI Training Survey Thank You! 2013 West Virginia TBI Waiver Program direct care staff annual training 32

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