2. Myhomecare
Induction Part 1
• Standards of Care
• Policy & Procedures
• JCI Introduction
• Client ID
• Myhomecare Care Folder
• One Touch Health App
Myhomecare Induction Revision 01 ref JCI, Safer Better Health Healthcare,
Welcome to Myhomecare
3. We provide homecare nationwide.
Myhomecare.ie have offices in Dundalk (head office), Dublin, Cork, Limerick and Galway.
Freephone: 1800 400 900
Each team has the following team members supporting the carers and nurses working in the community:
• Booking Coordinator – for all bookings & rosters
• Recruiter – recruits new nurses and carers to work with us
• Clinical Nurse Manager – for all clinical queries (eg care plans, assessments)
• Client Care Manager – manages all clients and staff in each local office
• Account Manager – manages North/South Ireland region
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
4. Myhomecare
Mission
Statement
“Todeliver the highest quality of safe, person
centredcare, meeting each service user’s individual
needs using a holistic approach in accordance with
the National Standards of SaferBetter Healthcare.”
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
6. Standardsof
PersonCenteredCareandSupport
• Thehealthcare professional decidesthe client’shealthcare needsin partnership with
theclient
• Theclient’s accessto healthcare isnot affected byage, gender,sexualorientation,
disability,marital status,family status,race,religiousbelief or membershipof the
Traveller Community
• Theclient receivesinformation about the risksandbenefitsof his/her careand
treatment aswell as other options, before goingaheadwith the careand treatment
Myhomecare Induction Revision 01 ref JCI, Safer Better Health Healthcare
7. Standardsof
PersonCentredCareandSupport
• Theclient is given time to think about any decisions thathe/she may need to make about the
care and treatment (except in an emergency where this may not always bepossible)
• Theclient’s personal information is protected and is only discussed,with the client’s consent, with
those involved in his/her care
• Thecare that the client receives respects the client’s dignityand independence
• Theclient’s complaints and concerns are listened to andresponded to in atimelymanner
• Theclient receive advice and information to helpidentify opportunities to lead ahealthierlifestyle.
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
8. Standardsof Workforce
MYHOMECARE PLAN AND ORGANISE OUR
SERVICES TO ENSURE THERE ARE ENOUGH
STAFF WITH THE NECESSARY QUALIFICATIONS,
SKILLS AND EXPERIENCE TO DELIVER SAFE
HIGH QUALITY CARE TO SERVICE USERS AT ALL
TIMES
MYHOMECARE MAKE SURE THAT, WHERE IT IS
NECESSARY, HEALTHCARE PROFESSIONALS
ARE REGISTERED WITH THEIR PROFESSIONAL
BODY. FOR EXAMPLE, ALL DOCTORS ARE
REGISTERED WITH THE MEDICAL COUNCIL
AND ALL NURSES AND MIDWIVES ARE
REGISTERED WITH AN BORD ALTRANAIS
THE CLIENT CAN EXPECT THAT
EVERYBODY PROVIDING HIS/HER
HEALTHCARE REGULARLY RECEIVES THE
NECESSARY TRAINING TO KEEP THEIR
SKILLS AND KNOWLEDGE UP TO DATE
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
9. Standardsof Workforce
• Everybodyworking in Myhomecareknowshow to get support
and advicewhen they needit sothey candeliver ahigh quality
safe service
• Myhomecareasksthe clients how they were treated bystaff in
the serviceandusesthis information to improve all service
users’ experience
• Thepeople who work in the Myhomecare aresupported by
those in chargeof the serviceto providehighquality,safecare
• If Myhomecareisconcernedabout the work of anyof their
healthcareprofessionals,they takethe necessaryactions to
protect the clients Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
13. Exceptions…
• If client doesnot want staffto wearuniform
• Shouldbestated in careplan
• Pleasewearsmart casualclothes, eg black/navytrousers & bare
below elbow top
• Speak to care assessor ornursemanager if youhaveany
queries around uniform andappearance
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
14. Myhomecare
– Personal
Appearance
• Hairtiedup
• Nailsshort –no varnishor falsenails!
• Studearringsonly
• Nobraceletsornecklaces
• Onlyweddingbandpermitted while on
duty
• SMILE!
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
15. Myhomecare - Confidentiality
• Includes Medical and PersonalAffairs of…
Clients
Employees
Myhomecare
Other Health ServiceBusiness
• Includes spokenin person, written orby
phone and should be adhered to at all times
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
16. Myhomecare–Changesin Shifts
• BePunctual (especiallyif youaregoingto doubleup call)
• Reportanychangesin shift toMyhomecare
• ReportSick Leavemin. 8hrsbefore shift
• 4weekswritten notice beforeMaternityLeave
• 2weeksnotice to change/cancelshifts
• MyhomecareOffice: 1800-400 900
• PleasenotifyyourbookingCo-Ordinator for Local Area of any changes
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
17. EmployeeHandbook-Payroll
• LogIn/Log Out on One Touch Health App
• 1lying weekbefore firstpayment
• All shifts haveto beloggedin/out
before Friday@22.00
• Paymentfollowing Friday
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
18. Mobile PhoneUsage
• …are only allowed during
shift for 2 purposes:
• 1. Emergency Calls 2. One
Touch Documentation
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
20. MedicationPrompt/Reminder procedure
Written approval
from HSE
Risk assessment
carried out by
CNM
Consent has been
signed by
Client/NOK and
CNM
Care plan for
Medication
Prompt/Reminder
Blister Pack
Medication ONLY (no
medicated
ointments, drops,
tablets from jars etc)
Client has to open
blister pack. If
unable, contact
PHN
Never assist with medication
unless confident doing so,
contact Myhomecare if any
queries.
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
21. Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
Myhomecare is following the standards of Joint Commission International
22. About JCI
JCI is considered the world leader in
healthcare accreditation and the author and
evaluator of the most vigorous international
standards in quality and patient safety
JCI regarding homecare standards includes
some of the following important areas in
achieving certification:
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
23. JCI
Continued..
Access and continuity of care services
Individual and family rights
Assessment of needs
Care, services, and support
Quality management and improvement
Prevention and control of infections
Information and organisation management
All patient centred care and interactions
Safety of environment & staff qualifications
and education
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
24. How do we identify our clients?
•Full name
•Date of birth
•Myhomecare
Client ID
•ID photo
To ensure that you have the right client ask for the client’s full name, date of birth and check the client’s ID.
All the above information is available in the client’s care folder and on your One Touch Health App
26. • Each staff member has an individual log in and
password
• GPS technology to locate staff member when logging
in/out
• No time sheets – logged shifts sent straight to payroll
via app
• All care plans and relevant client documentation
available on One Touch Health App
• Staff can highlight concerns by using the important
message tick box option on the notes section
Myhomecare Induction Revision 01 ref JCI, Safer Better Health Healthcare,
How to Download the App
Google Playstore - search for OneTouch
Remote Staff app
App Store - search for OneTouch App
27. Myhomecare Induction Revision 01 ref JCI, Safer Better Health
Healthcare,
Myhomecare
Induction Part 2
• Dignity in care
• Safeguarding Vulnerable Adults
• Children First
Myhomecare Induction Revision 01 ref JCI, Safer Better Health Healthcare,
28. Care for you client with
DIGNITY and COMPASSION
Myhomecare Induction Revision 01 ref JCI, Safer Better Health Healthcare,
Put yourself in the client’s position.
How would you react to the
following scenarios:
• Carer is assisting you with dressing
and the carer is dressing you in
someone else’s clothes?
• You are bedbound due to sickness
and a carer is assisting you with a
full body wash however the curtain
is open and you can see people
walking by your window?
• After surgery you require two cares
to assist you with a shower. When
in the shower room the carers are
speaking to each other about what
they did last weekend and no one is
paying attention to the fact that
you are shivering with cold.
29. What does Dignity in Care mean?
Myhomecare Induction Revision 01 ref JCI, Safer Better Health
Healthcare,
“Respect for the human being, any human being, or a person. Respect for
their way of life, for what they are no matter what age.”
Male, 77. Age Action.
• See the whole client – not the diagnosis
• Provide holistic care – not task focused
• Involve your client in all care
• Listen to your client and respect your
client’s wishes
30. Some practical tips…
• Never expose your client. Cover your client
during personal care
• Pull curtains and blinds when required
• Give your client privacy during toilet visits
• Do not speak about your client in third
person during shift. Involve your client in all
conversations.
• Let your client choose what they want to eat
and how they would like to dress
• Sit down (face to face) and give your client
full attention when assisting with feeding
Myhomecare Induction Revision 01 ref JCI, Safer Better
Health Healthcare,
36. Recognising &
Responding to
Abuse
“Open Your Eyes” –
HSE video about abuse in Home Care Setting
Please click link below
https://www.youtube.com/watch?v=CanzY9Ngo_
c&list=PL1E367659040E5174
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
37. Who to reportto…
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
EMERGENCY – 112/999 MY HOMECARE OFFICE -
1800 400 900
GP, PHN, HEALTH
CENTRE
(IN ONE TOUCH HEALTH
APP/CARE FOLDER)
SAFEGUARDING &
PROTECTION TEAM FOR
RELEVANT AREA 1-9 CHO
SAFEGUARDING.CHO@HSE.IE
38. Myhomecare Induction Revision 01 ref JCI, Safer Better Health
Healthcare,
“The Welfare of the Child is Paramount”
We all have a duty to report any welfare concerns
in relation to children
Four different types of abuse:
1. Neglect
2. Emotional abuse
3. Physical abuse
4. Sexual abuse
39. Myhomecare Induction Revision 01 ref JCI, Safer Better Health
Healthcare,
Myhomecare Induction Revision 01 ref JCI, Safer Better Health
Healthcare,
All children abuse should be reported to your Designated Liaison Officer (DLO) that
will help you in the reporting process and forward your report to
TUSLA – the Child & Family Agency
There are two types of reports:
• Mandated Person Report (professionals working with children)
• General Public Report (can be anonymous)
Tusla recommends that it is best practice to tell
a family that you are making a report
Tusla prefers if you are not anonymous as this may
make it difficult for Tusla to assess your concern
40. Mandated Reporting
Myhomecare Induction Revision 01 ref JCI, Safer Better Health
Healthcare,
Mandated Persons have two main legal obligations under the Children First Act 2015
• To report harm of children to Tusla
• To assist Tusla in assessing a concern in relation to a mandated report (if requested)
Some examples of Mandated Persons:
• Nurses & Midwives Doctors
• Social Workers Foster Parents
• Dentists OT & Speech and Language Therapists
• Psychologist Paramedics
• Member of Garda Siochana Teachers
A mandated report cannot be submitted anonymously
41. When should I
report?
You should always report when you have reasonable grounds
for concern that a child may have been, is being,
or is at risk of being abused or neglected
Reasonable grounds for a child protection or welfare concern include:
• Evidence, for example an injury or behaviour, that is consistent with
abuse and is unlikely to have been caused in any other way
• Any concern about possible sexual abuse
• Consistent signs that a child is suffering from emotional or physical
neglect
• A child saying or indicating by other means that he or she has been
abused
• Admission or indication by an adult or a child of an alleged abuse they
committed
• An account from a person who saw the child being abused
• Cases of adults disclosing childhood abuse
Myhomecare Induction Revision 01 ref JCI, Safer Better Health Healthcare,
This Photo by Unknown Author is licensed under CC BY-NC-ND
42. Report Forms
Myhomecare Induction Revision 01 ref JCI, Safer Better Health
Healthcare,
Tusla has two forms for
reporting child
protection and welfare
concerns
(5 pages each)
• Child Protection and
Welfare Report Form
(CPWRF)
• Retrospective Abuse
Report Form (RARF)
for adults disclosing
childhood abuse
43. Myhomecare Induction Revision 01 ref JCI, Safer Better Health
Healthcare,
If you have an urgent concern and cannot contact
DLO/Tusla or if the child is in immediate danger –
contact Garda Siochana 112 or 999
Children First Team myhomecare.ie
Designated Liaison Person
Deputy Designated Liaison Person
www.tusla.ie
44. All Children First Documentation
is available on myhomecare.ie website
Support:
www.tusla.ie
www.childline.ie (under 18s)
www.hse-ncs.ie
(HSE Councelling Service)
www.connectcouncelling.ie
(Childhood Trauma & Abuse)
Myhomecare Induction Revision 01 ref JCI, Safer Better Health Healthcare,
45. Myhomecare Induction Revision 01 ref JCI, Safer Better Health
Healthcare,
Myhomecare Induction Revision 01 ref JCI, Safer Better Health
Healthcare,
Myhomecare
Induction Part 3
• Infection Prevention Control &
COVID-19
• Emergencies & What to do
• Pressure Areas
• Communication
Myhomecare Induction Revision 01 ref JCI, Safer Better Health Healthcare,
47. What is COVID-19
• COVID-19 is also called Corona virus or SARS-CoV-2.
• COVID-19 is a respiratory viral infection that started
in Wuhan, China by the end of 2019. It has since
spread all over the world and created a world
pandemic. COVID-19 is spread in two ways:
• 1. By coughing/sneezing/panting
• 2. By touching surfaces contaminated with COVID-19
48. Symptoms of COVID-19
• COVID-19 affects the respiratory tract and the most common
symptoms are dry cough and a fever however many patients
diagnosed with COVID-19 would present with other
symptoms, for example:
• Sore throat
• Fatigue (tiredness)
• Myalgia (aches & pains)
• Blocked nose/loss of sense of smell
• Diarrhoea & vomiting
• Loss of appetite
49. COVID-19
&
Elderly Clients
• Please be aware that
elderly often do not
present with fever at all
but may instead be
generally tired, feeling
nauseous and losing their
appetite. Be observant
and monitor for any
changes in your client’s
condition and behaviour.
50. Be observant
for any
changes in
your client’s
condition and
behaviour.
Is your client usually up and about but now suddenly
takes to bed and does not want to get up?
Does your client generally have a good appetite but is
now refusing to eat?
Is your client suddenly presenting with diarrhoea and
complaining of nausea?
Is your client is diagnosed with a respiratory condition
and chronic cough? Is there a change in the cough
(different sound/pattern/changes in sputum)?
51. COVID-19 Reporting
Please report any concerns
or changes in your client’s
behaviour to your line
manager and your client’s
family immediately.
Document any symptoms
and all care given in your
client’s care folder and on
Nursebuddy.
52. How do we avoid getting
contaminated by COVID-19?
COVID-19 has a lipid
coating. By washing your
hands with soap and water
or using hand sanitiser we
break down this coating and
the virus can be removed.
Hand hygiene video:
https://www.youtube.com/watch?v=
NqLawbx2RFg
53. COVID-19
COVID-19 is a “heavy” virus and does not stay in the air for long. You can
therefor breath the air in a client’s house without getting contaminated
however do not stand with your face close to your client as you may
exposed to saliva and secretions in the event the client coughs/sneezes.
As COVID-19 is a heavy virus it will fall down on surfaces
around the coughing client. By touching the surfaces someone
else may become contaminated. It is therefore very important
to clean all surfaces daily with regular household detergents
(follow manufacturer’s advise). Ensure to declutter areas
around the client to make them easier to clean.
54. Hand hygiene is the
most effective way
to keep you safe
• Hand hygiene is the most
effective way to keep you safe
when working with any sick
client, including a client
diagnosed with COVID-19.
• Hand hygiene should be
carried out frequently as per
“5 Moments of Hand Hygiene”
Ensure to tie up your hair and
remove ALL jewellery,
watches, nail varnish/false
nails before commencing your
shift.
55. How to wash/sanitise
your hands
• Wet your handsunder warm running water
• Apply liquid soapinto acupped handandrub palms
togetherto work up a lather
• Usingthe 6steps,washall handsurfacesseveraltimes,
remembering palms,backof hands,fingertips,
betweenfingers,thumbs andwrists
• Rememberto washandrinse under your wedding
band, if worn
• Rinseyour handsunder runningwater
• Pathandsdry with goodquality papertowels that are
soft and
• absorbent (avoidusingdirty towel in client’s home)
• Don’t forget to dry under your wedding band
• It should take40-60secondsto washanddry your
handswithsoapandwater&20-30secondswithalcogel
56. Do not touch your
face during shift…
• As COVID-19 is spread by getting into the
eyes, nose or mouth of a new host it is
paramount that you never touch your face
when working with an infected client.
• Neither should you use your mobile phone
until you have left the client’s house. By
using your phone you may contaminate
the screen and then get infected when
using the phone at home. You may log in
to your visit before entering the client’s
house and document all care provided on
One Touch App after you have left the
house.
57. Practice “Respiratory Hygiene”
Cover your mouth and nose when coughing and/or sneezing
Turn your head away from others when coughing and/or
sneezing
Using disposable tissues / coughing into sleeve
Wash hands after coughing/sneezing
Avoid standing closer than 1 metre to a coughing/sneezing
client
58. Where can I find
information?
• The guidelines in relation to Infection Control and
what PPE a healthcare worker in the community is to
wear changes all the time as we are still learning about
COVID-19 and how to best protect ourselves from
getting contaminated.
• It is important that you keep up date with the latest
guidelines. Ensure to only use websites that provide
scientific facts given by professionals and avoid reading
about COVID-19 on social media sites, magazines or
listen to hearsay.
60. Personal Protection
Equipment PPE
At present all healthcare workers working
within less than 2 metres of a client for
more than 15 minutes (so called “close
contact”) are required to wear face mask,
disposable apron and gloves.
If you are able to maintain minimum 2
meters distance to your client for shorter
periods of time a face mask is not required.
This may apply to services like shopping for
your client, light household duties or
providing companionship. Always dispose
of all PPE and decontaminate your hands
before leaving your client’s house.
when caring for client with no symptoms of COVID-19
61. Personal Protection
Equipment PPE
When caring for a client that is presenting with symptoms
of COVID-19 (suspected case) or a client that has been
tested positive for COVID-19 (confirmed case) you need
to wear a full long-sleeved gown, face mask and gloves. If
your client is coughing or using any therapies that may
increase the risk of droplets into the air, you will also be
asked to wear goggles.
All PPE worn should be removed before leaving your
client’s house. The PPE should be disposed of in a plastic
bag, then double bagged and left in a secure area for 72
hours before it is moved into the main bin. This is to
ensure that whoever collects the waste is not being
exposed to the virus. COVID-19 rarely survives more than
3 days on any surface. Ensure to carry out hand hygiene
as the very last thing before ending your shift.
when caring for client with
confirmed/suspected diagnosis of COVID-19
62. Aerosol
Generated
Procedures
(AGP)
AGP are procedures that creates small droplets light
enough to travel by air. Staff may need additional PPE
during these procedures, liaise with your line manager. If
possible, leave the room during AGP or stay as far away as
possible from your client.
Example:
• Suctioning
• High Flow Oxygen
• Cardio Pulmonary Resuscitation
• BIPAP/CPAP
Please be aware that nebuliser is not considered an AGP
63. Donning & Doffing PPE
If you wear PPE correctly they can help you from
becoming contaminated by viruses like COVID-19
however you have to ensure you are donning and
doffing of all PPE in the correct order as you may
otherwise touch a contaminated surface.
Inappropriate use of PPE puts staff at risk!
67. Donning & Doffing PPE
Below we are providing you with a
You Tube link to a short video showing
you how to apply and remove PPE
correctly. The video is set in a hospital
setting but is still relevant for how we
don and doff PPE in the community.
https://www.youtube.com/watch?v=
BEbcuqWF-oE&feature=youtu.be
68. Remember…
• Never touch the front of your face
mask. Remove it by grabbing the
straps at the back of your head (or
behind your ear).
• Never reuse single use “disposable”
equipment.
• Never wear “double gloves” or put
hand gel on your gloves
• Always perform strict hand hygiene is
to be performed before and after
donning and doffing PPE
69. Waste Disposal
All waste that has been in close contact with a
client suspected/confirmed with COVID-19, or in
contact with the client’s surroundings, should be
disposed of safely into a plastic waste bag. The
bag should be tied properly, then double bagged
and left for 72 hours in a secure area before it is
being moved into the main waste bin. This is to
ensure that whoever collects the waste is not
being exposed to the virus. COVID-19 rarely
survives more than 3 days on any surface.
Remember to perform hand hygiene after
disposing waste in a client’s house
70. Household Cleaning
All surfaces in the client’s immediate
surroundings (bedroom or where your
client spends most of the day) should be
disinfected or cleansed with general
household products minimum once per
day during outbreak of COVID-19.
If possible declutter all areas as this will
make the cleaning easier and ensure a
better result. Explain to your client why
you are removing any personal
belongings, where you have moved
them to and explain that this is only
temporary precautions.
71. Laundry
In the event that your client is
suspected/confirmed with COVID-19
all his/her laundry is considered
infectious and should be put into the
washing machine immediately.
Heavily soiled clothes/linen (vomiting
or diarrhoea) should be disposed of,
subject to gaining consent from your
client.
Laundry should be washed on a full
cycle at hottest temperature possible
(min. 60 degrees)
72. Your Uniform
• When working for Myhomecare you are asked to
wear a clean uniform each day. Same should be
taken off immediately when you return home and
washed on a full cycle at hottest temperature
possible (min. 60 degrees)
• Perform hand hygiene immediately after taking off
your uniform. In the event your client is asking you
not to wear a Myhomecare uniform, chose
appropriate clothes as per Myhomecare policy and
ensure to keep these clothes separate to the rest
of your private clothes.
73. …and your shoes
If possible, leave your work shoes outside your
house or keep them stored safely in a closed bag
in the boot of your car. Pens, hand gel etc may
be stored in a sealed plastic bag in your car/bag.
Mark the plastic bag “dirty” as a reminder that
these objects cannot be brought into your house
due to risk of contamination. Clean uniforms
may be stored in your car/bag in a sealed plastic
bag marked “clean”.
Remember to keep “clean” and “dirty” separate
at all times.
74. Staff Daily
Self – Check
(twice daily)
Ensure you are not displaying any of the following symptoms:
fever
cough
shortness of breath
difficulty breathing
OR
if your temperature records > 37.5°c at home: you are not to report for duty and
while self-isolating, you are to ring your Line Manager and GP for follow up
75. Staff Daily Self - Check
If you are working as a
healthcare worker during
the COVID-19 pandemic you
are required to perform self
monitoring of COVID-19
symptoms twice daily
(before starting your first
shift & at the end of your
working day).
Your temperature may be
checked with any standard
working thermometer
(please follow the
manufacturer’s instructions.)
Record the temperature
shown and the date and
time your temperature was
taken. This record is to be
held by you but may be
requested by your line
manager or a clinician
monitoring your well-being.
Please tick the “COVID-19
Declaration” service on
Nursebuddy at each shift to
show that you have
completed your self-
monitoring as per guidelines
and declared same with
your client.
76. COVID-19 Testing
for Healthcare Workers
There are COVID-19 test centres set up all
over the country and active healthcare
workers are prioritised if testing is
required. If you are feeling unwell, please
speak to your line manager or GP who will
be able to advise you on where to go to get
tested. Please be aware that test results
may be delayed due to the high demand of
COVID-19 tests.
77. How do I know if I have
recovered from COVID-19?
The latest guidelines are stating that you are considered
recovered from COVID-19:
14 days after your first symptoms if you have not had fever in
the last 5 days
(If you had fever in the last 5 days another 7 days is added
before you are considered fully recovered)
Please be aware that you may cough for a few weeks after being
sick with COVID-19 due to irritation of your respiratory tract.
This does not mean that you are contagious.
79. Respondingto anEmergency
• Recognising an Emergency – Emergency
Flow Chart
• Who to call? Follow your CarePlan
• Emergency Services: 112 or999
StatephonenumberyouarecallingfromLocation/Eircode?
ChiefComplaint?Age/genderofclient?Isclientconscious?
Breathingnormally?Anychestpains?Severebleeding?
• Always use Eircode rather than address
• Perform emergency response astrained
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
80. Name:__________________ D.O.B.:________ Eircode:___________
Patient becomes unwell / Cause for Concern
Concerned re: Change
in clients condition
Dramatic deterioration
in clients current
condition
Loss of Consciousness /
Cardiac or Respiratory
Arrest/Head Trauma/ Large
Bleed
Inform Client’s Next of
Kin
Inform G.P. Call 999 / 112
Unable to Contact Next
of Kin
Unable to Contact G.P.
Contact G.P. Call for Public / Private
Ambulance
Myhomecare Induction Revision 01 ref JCI, Safer Better Health Healthcare,
Emergency Flow Chart
81. Respondingto anEmergency–Whatwouldyoudo?
• Scenario#1:Johnisvomiting andhas diarrhoeain the morning.Heisrefusingtoeat his
breakfast.Heislethargicandwantsto return tobed.
• Scenario#2:Whencomingin to Mary in the morning shenot respondingwhenyouare
trying to wakeher.She isbreathing andyoucanfeel apulse.
• Scenario#3:Atlunchcallyoufind Mauralying onthe floor in the kitchen. Sheis
bleedingand has abumponherforehead.Mary is respondingwhenyouaretalking to
her.
• Scenario#4:Whencomingin to assist Margaretwith hertea,sheissitting in herrecliner
chairin front of theTV. Margaretdoes not respondwhenyouaretalking to her,she is
not breathing andyoucannot detect apulse.
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
Use the Emergency Colour Coded Flow Chart to answer the below
86. How do we
prevent
pressure
areas?
Myhomecare Induction Revision 01 ref JCI, Safer Better Health Healthcare,
Encourage physical activity & exercise. Little exercise is better than
none.
Physical
Activity
Reposition your client every 30 min if sitting in a chair and minimum
every 2 hours if laying in bed.Reposition
Provide daily skin care. Apply moisturiser to dry skin. Examples of
some good moisturisers: Silcocks Base, E45, Aveeno range, MooGoo.Skin Care
Encourage healthy eating as a varied diet full of vitamins and minerals
promote good skin status and quicker wound healing.
Healthy
Eating
Avoid tight clothes and clothes that creates creasesAvoid
88. CommunicationActivity
Splitinto groupsof 3,assignroles,giveinstruction, complete scene,and reflect.
• Scene#1:Introduction of a new homecare worker to a client
• Scene#2:Dementiaclient refusing hygiene assistance bytwo carers
• Scene#3:Two carerspreparing a mealandassisting the client withfeeding
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
89. Communication
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
Physical Space/Position (stand-sit, close-distance)
Body Language (hand actions, facial
expressions)
Touch (handshake, hand on shoulder)
Verbal Tone of Voice
Volume
Words
90. How do we promote
good communication?
• Ensure the environment is suitable for
conversation. Avoid any loud background noises
• Maintain eye contact with the person you are
talking to
• Position yourself on the same level as the person
you are talking to eg if your client is a wheelchair
user, sit down on a chair next to your client
• Speak clearly and not too fast
• Let one person speak at the time
• Allow time for your client to take in what has been
said
• Listen to your client, do not rush your client when
speaking
Myhomecare Induction Revision 01 ref JCI, Safer Better Health Healthcare,
This Photo by Unknown Author is licensed under CC BY-SA-NC
91. Communicatingwith a ClientwithDementia
• Avoidsaying“no”
• Avoidcontradicting theclient
• Redirectanddistract
• Reassure
• Maintain eyecontact
• Break tasks into small steps
• One person& onequestion at thetime
Be in the Now and cherish the Past – Stepinto your client’s world!
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
92. NonVerbalClients
Facial Expressions Sounds Tears Body
Language/Gestures
Hitting out/Self
harm
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
What may we observe when our client is not able to communicate using words?
93. Communication Aids
Some non verbal clients
are using a Communication
Boards to communicate
their needs. They can
either point with a finger
or use a pen/stick to point
out each letter or word. It
may help your client if you
say the word or letter out
loud.
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
94. Children with disabilities may use
PEC cards, Big Mack button or
electronic devices when
communicating
This Photo by Unknown Author is licensed under CC BY-ND
95. Written
Communication
Myhomecare Induction Revision 01 ref JCI & Safer Better Health Healthcare
Keep to facts, remain objective
Use Professional language
No emojis or smileys ;)
Use language suitable for that particular
situation and who the reader is
Do not mix in personal messages/views in reports
