Signed and Dated by Caregiver:
Assured Homecare Services:
Date Licensed by the State of Maryland, Department of Health and Mental Hygiene
Agreement made this day ofby and between Assured Homecare Services: a corporation organized and existing by the laws of the State of Maryland (hereafter referred to as • AHS") and the party (Hereinafter referred to as “caregiver").
Whereas Caregiver has contacted AHS and is eligible to be referred from time to time to clients of AHS (•clients) as a provider of home health care service:
Whereas AHS and caregiver wish to clarify and document the legal relationship among AHS, Caregivers and clients:
Now, therefore, the premises considered the parties hereto, intending to be legally bound, do hereby agree as follows:
- Caregivers represent and warrants to AHS
- a) Caregiver has the perquisite education, training, certification and/or licensing to provide the
services for which he/she has been referred by AHS.
- b) Caregiver owns and will provide basic equipment (such as stethoscopes, blood pressure cuffs,
etc. which are ordinarily and customarily used in the provision of such services.
- c) Caregiver will provide his or her own uniforms.
- d) Caregiver will provide his or her own transportation to and from the location where services are
provided to clients.
- e) Caregiver is responsible for performing his or her services to established professional standards,
and that AHS does not supervise or control the way services are rendered.
- f) Caregiver is free to accept or reject any referrals which AHS may offer from time to time.
- Caregiver has been informed by AHS that he/she may; at Caregivers, sole expense, elect to purchase policies of insurance which will provide coverage against personal injury or other loss or damage which may arise out of the performance of services to clients.
- Caregiver covenants and agrees to hold harmless and indemnity AHS and AHS clients against any claims, demands, and the like that may be made against AHS or Its clients by Caregiver or any third party arising out of the performance by Caregiver of services.
- Nothing in this Agreement shall be constructed as altering or amending the separate contract between AHS and Caregiver.
- This is the entire agreement between AHS and Caregiver. This Agreement cannot be modified or amended except by written agreement signed by both parties here to:
Assured Homecare Services:
Licensed by the State of Maryland, Department of Health and Mental Hygiene
Job Description
Title: Certified Medical Technician, Certified Nursing Assistant, Home Health Aide
Report to the Director of Nursing
Mission: To administer care to client under the ongoing direct and/or indirect
supervision of a registered nurse.
Duties and Responsibilities
Safety:
- Assist with activities of daily living and personal care including
Hygiene:
- Perform mouthcare, bathing, perineal care, hair combing, fingernail care, shaving, dressing and undressing. Provide or assist with AOL'S (activities of daily living}.
Emergency Care:
- Must be competent to perform CPR (cardiopulmonary resuscitation) and Abdominal Thrust (Heimlich Maneuver) when required. Able to give First Aid care when needed.
Body Alignment and Mobility Needs:
- Must be able to perform positioning skills, range of motion, assist with transfer, assist with ambulation, assist with use of durable medical equipment, i.e., wheelchair, walker, cane, hospital bed with side rails, Hoyer Lift. Must know proper body mechanics, and know how and when to bend, pull and push. Must change client's position every 2 hours.
Important Information:
- • The aide should know how to take a blood pressure and know when a BP reading is high or low enough to report to family or agency.
- • The aide will keep family and agency aware of any significant changes with client.
- • The aide may be asked to accompany client to Doctor's appointment. etc., and may be asked to drive. Verify with office that a liability wavier has been signed before driving.
- • Light housekeeping as it pertains to the client only. It does not mean whole house or heavy-duty cleaning.
- • If you are asked to do anything that is out of your scope of practice, i.e., change a bandage or give medication, you should not do it, politely tell your client that you are not trained to do that, and if necessary, call the Director of Nursing.
Additional CMT Responsibilities:
If you accept an assignment that requires you to administer medication from an MAR:
- • Initial for every medication that you administer
- • Ensure that your printed name and signature is on the bottom of each page
- • Identify the 5 RIGHTS for medication administration
- Right client
- Right medication
- Right time
- Right route
- Right dose