* Required Information

Onboarding Hiring Requirements

Requirements:
Drivers License
Green card or Proof of American Citizenship
Social Security
PCA Certificate or CNA License Date, Name, Location, Availability, and Language
Valid CPR Card(Online class is NOT acceptable)
TB Test (negative) 12 months or less or Clear Chest X-ray result (5 years or less)

Contact Us:
(703) 659-0777
admin@ajahomehealth.com
231 Garrisonville Road Ste 209 Stafford, VA 22554

Job Description: Home Health Aide or CNA

Reports To: Director of Nurses

Department: Clinical

Position Summary:

Works under the supervision of the Director of Skilled Services or designated registered nurse. Provides direct patient care as assigned by the registered nurse. Provides quality and delivery of home health care services. Assists in the home health care services that reflect the home health care agency philosophy and standards of home health nursing care of assigned clients.

Position Qualifications:
High school graduation required
Home Health Aide certification required as obtained through successful completion of an approved program
Evidence of sympathetic attitude toward care of the sick
Demonstrated ability to read, write, and carry out directions
Evidence of maturity and ability to deal effectively with job demands
Good verbal and written communications skills required
Attends twelve(12) hours of Aide oriented in services per year
Participates in professional meetings when directed
Shall have a criminal history check conducted prior to being offered permanent employment with this agency
Is able to work closely supervised to ensure competence in providing patient care

Physical Requirements:

• Visual/hearing ability sufficient to comprehend written/verbal communication.
• Ability to perform tasks involving physical activity, which may include heavy lifting and extensive bending and standing.
• Ability to deal effectively with stress.
• Able to work a minimum of 40 hours per week.
• Able to bend and stand an average of 6 hours per day.
• Able to lift up to 50–75 pounds.
• Able to write up to 3 hours per day.
• Able to work in a stressful environment.
• Able to drive 50–100 miles per day.
• Able to assess and communicate with ill patients, co-workers, and general public.
• Is neat in appearance and practice, with good personal hygiene.

May be employed by the agency if he or she has met the following conditions:

Home Health Aide is expected to pass competency examination with at least 80% or better. The content of the competency evaluation of the agency will include is not limited to:

• Communication skills
• Observation, reporting, and documentation of a client’s status and the care or service furnished
• Reading and recording temperatures, pulse, and respiration, and blood pressures
• Basic infection control procedures and instruction on universal precautions
• Basic elements of body functions and changes in body function that must be reported to the supervisor
• Maintenance of a clean, healthy, and safe environment
• Recognizing emergencies and knowledge of emergency procedures
• The physical, emotional, and developmental needs of and ways to work with the populations served by the agency including the need for respect for the client and his or her privacy and property
• Appropriate and safe techniques in personal hygiene and grooming that include:
Bed bath, sponge tub, or shower bath, shampoo, sink, tub, or bed Nail and hair care, oral hygiene, toileting and eliminating Safe transfer techniques and ambulation, normal range of motion and position Adequate nutrition and fluid intake, patient rights, any other task that the agency may choose to have the home health aide perform

Duties

1. Ensure quality and safe delivery of home health care services.
• Participates in development and implementation of client plans of care per home health care agency policy and procedure, as appropriate.
• Participates in client care conferences according to home health care agency policy and procedure, as appropriate.
• The provided home health aide services reflect client plans of care.
• Information regarding client plans of care is submitted to the Home Health Care Registered Nurse in a timely manner.

2. Implements current Home Health Aide services.
• Client plans of care are discussed with the Home Health Care Registered Nurse on regular basis.
• Client clinical records are documented per Home Health Care agency policy and procedure.
• Client assignments and reports are received from the Home Health Care Registered Nurse.

Acknowledgement:

I have reviewed my job description and agree to perform all duties mentioned to the best of my ability. I understand that my job duties may change as the needs of the agency change. I further agree to notify my immediate supervisor if I am unable to complete any of my job duties in a timely manner.

Annual Tuberculosis Questionnaire

For personnel who have a known positive PPD and previously negative chest x-ray, you are requested to complete this questionnaire with either a Yes or No.

Have you noticed any of the following

Confidentiality of Protected Health Information

It is both the Agency’s and the employee’s responsibility to ensure that every patient’s health information is protected at all times. By signing below you are indicating the acknowledgement of HIPAA and understand that a thorough orientation of the agency’s policy regarding patient’s Protected Health Information will be provided to you upon hire.

I understand that I may be handling Protected Health Information. I further understand that there are specific guidelines associated for use and disclosure of Protected Health Information. The agency has sanctions and fines for all individuals failing to comply with HIPAA Rule and Regulations.

PROTECTION OF HEALTH INFORMATION

There are specific guidelines to ensure patient’s Protected Health Information is kept private. I understand that my employment with the agency involves handling Protected Health Information. I will ensure patient’s records are protected by enforcing the following measures:

• Patient Protected Health Information will be transported in a protected travel chart when traveling.

• When transmitting and receiving a fax involving Protected Health Information, I will ensure that it is conducted in a private area.

• Patient Protected Health Information will be returned to the agency upon acknowledgement of the patient being discharged.

I pledge to make every effort to keep patient’s Protected Health Information protected at all times.

HBV Vaccine or Waiver Form

I understand that due to my occupation exposure to blood or other potential infectious materials I may be at risk acquiring Hepatitis B Virus (HBV) Infection. I have been given the opportunity to be vaccinated with Hepatitis B Vaccine, at no charge to myself. I understand that by declining this vaccine I continue to be at risk of acquiring Hepatitis B, a serious disease. If, in the future, I continue to have occupational exposure to blood or other potentially infectious materials, and I want to be vaccinated with Hepatitis B Vaccine, I can receive the vaccination series at no charge to me.

I have been advised of my rights to accept or decline the HBV Vaccine. HBV (Hepatitis B Virus) has been fully explained to me.

I choose to waive my rights to receive the HBV Vaccine

I choose to receive the HBV Vaccine and I understand that the vaccine is given in a 3 part series.

Hepatitis Vaccine Requirement

I acknowledge that I am at risk of exposure or have been unknowingly exposed to Hepatitis B as a result of my employment and acknowledge that the Agency will arrange for me to receive the Hepatitis vaccine at no cost to myself. It is my decision to:

Request that I receive the Hepatitis vaccine

Refuse the Hepatitis vaccine and HOLD HARMLESS THE AGENCY. I understand that by declining the vaccine I continue to be at risk of acquiring Hepatitis B, a serious disease. If, in the future, I continue to have occupational exposure to blood or other potentially infectious materials, and I want to be vaccinated with Hepatitis B vaccine, I can receive the vaccine series at no charge to me.

Provide written proof of immunity (attach)

Provide written proof of previous vaccination (attach)

Provide written proof of medical contraindication (attach)

Criminal History Search Consent Form

I, , have no pending charges within or outside the Commonwealth of Virginia and have had no prior convictions of an offense described in the Health and Safety Code which would bar or potentially bar employment as listed below.

CRIMINAL HOMICIDE
INDECENCY WITH A CHILD
SOLICITATION OF A CHILD
ARSON
AGGRAVATED ROBBERY
BURGLARY & CRIMINAL TRESPASS
WEAPONS
PUBLIC LEWDNESS
PUBLIC INDECENCY
KIDNAPPING & FALSE IMPRISONMENT
AGREEMENT TO ABDUCT FROM CUSTODY
SALE OR PURCHASE OF A CHILD
ROBBERY
ASSAULTIVE OFFENSES
THEFT
FRAUD
INDECENT EXPOSURE
A FELONY VIOLATION OF A STATUTE INTENDED TO CONTROL THE POSSESSION OR DISTRIBUTION OF A SUBSTANCE (VIRGINIA CONTROLLED SUBSTANCE ACT)

I UNDERSTAND THAT THE HOME HEALTH AGENCY IS REQUIRED TO CONDUCT A CRIMINAL HISTORY CHECK BEFORE OFFERING ME EMPLOYMENT. I, THE UNDERSIGNED, HEREBY AUTHORIZE THIS AGENCY TO CONDUCT AND VERIFY MY CRIMINAL HISTORY BY PERFORMING A CRIMINAL HISTORY CHECK.

Non-Complete Agreement

As an employee of AJA Home Health Care LLC, the employee acknowledges that they will be in receipt of confidential information. This information includes but not be limited to, procedures manuals, in-house policies, patient lists, patient’s medical records, financial information and billing records, certifications and applications, actual and prospective markets, a patient’s, business plans and marketing strategies, customer lists, sales and marketing data, operating systems, income statements, asset and liability information, financial projections and any other confidential information gathered, revealed, acquired or generated by or for AJA Home Health Care LLC.

Each employee shall protect and hold in confidence the confidential information to anyone except with the express written consent of (Jennifer Agyeman). The employee acknowledges and understands the competitive sensitivity of the confidential information and potential for significant material harm that could result to AJA Home Health Care Care, in the event that confidential information is disseminated to others, in particular competitors.

Therefore, the employee agrees that the appropriate remedy would be an immediate injunction against the violating employee in joining and prohibiting the use and continued dissemination of the confidential information. Further, each employee agrees that the dissemination of the confidential information would cause damages for which damages could not be readily ascertained and would constitute a breach of duty owed by the employee to AJA Home Health Care.

Each employee agrees to pay AJA Home Health Care LLC $10,000 in any action to enforce this confidentiality agreement or cost of litigation, including attorney’s fees and other damages found by the Trier of fact.

As consideration for employment and for the release of this confidential information, employees agree not to compete against AJA Home Health Care LLC, or to utilize any of the confidential information for a period of two (2) years from the date of their employment terminated with AJA Home Health Care LLC.

This Non-Compete Agreement shall be limited to (Northern Virginia) and contiguous counties. This Non-Compete Agreement is not intended to prohibit employee from working as a nurse, therapist or other position in the health service industries but is intended to prohibit employee from working with a competitor of AJA Home Health Care LLC, in the home health industry and utilizing any of the confidential information of AJA Home Health Care LLC or contacting any of AJA Home Health Care LLC patients.

Employee agrees and warrants that they will not contact, engage, discuss, negotiate or contact with any patient or family member of a patient for those confidential information is of a proprietary nature to AJA Home Health Care, and if the confidential information was revealed to the general public or to a competitor, the revelation would destroy or impair the expected success of AJA Home Health Care LLC.

ANY CONTROVERSY OR CLAIM ARISING OR OF OR RELATING TO THIS AGREEMENT SHALL BE SUBMITTED TO ARBITRATION BEFORE ONE (1) ARBITRATOR IN (Fairfax, VA), IN ACCORDANCE WITH THE COMMERCIAL ARBITRATION RULES OF THE AMERICAN ARBITRATION ASSOCIATION. JUDGEMENT UPON THE AWARD RENDERED BY THE ARBITRATOR MAY BE ENTERED BY ANY COURT HAVING JURISDICTION THEREOF. ARBITRATION SHALL CONTROVERSY BETWEEN Active Home Healthcare LLC, AND EMPLOYEE ARISING FROM THIS AGREEMENT.

I have read and understand the above and will comply with this agreement

Tel: 703-659-0777 Fax: 703-659-9600

To: AJA Home Health Care, LLC; EMPLOYEES (new & returned employees)

Subject: Electronic Visit Verification (EVV) for Timesheets AND PAYROLL PROCESSING RULES

Per Medicaid rule Section 12006(a) of the 21st Century Cures Act mandates that states implement EVV (Electronic Visit Verification) for all Medicaid personal care services (PCS) and home health services (HHCS). Thus, AJA Home Health Care LLC payroll process requires all timesheets to be entered daily at the client home via Electronic Visit Verification (EVV) application and can no longer accept old TIMESHEETS formats in paper.

We expect all of our employees to follow the Medicaid rule and enter their work hours on a daily basis at the client’s premises. Note: this requires both signing-in at the beginning of the shift and signing-out at the end of the shift. Work hour entries with errors or inaccurate information will not be filed which will result in no payment to both the Agency AJA Home Health Care LLC and the employee.

As a courtesy, Agency Timesheet processor may call to inform employees of errors if time permits, otherwise it is the employee’s responsibility to enter their daily work hours accurately, correctly, and punctually.

❖ No work Entry = NO PAY
❖ Late Work Entry = No PAY for hours not entered
❖ Work Entries are due at the beginning and end of each work shift — no excuses!!!
❖ Work Entries are fully the RESPONSIBILITY of the EMPLOYEE

Please Note: Agency can only file work hours submitted correctly and accurately.

I have read and fully understand the timesheet and payroll process. I do not have any questions about the process. I agree to the scheduling deadlines and will follow this policy. I understand that my payments will be on hold or late if I do not turn in my timesheet on time or do not follow AJA Home Health Care LLC regulations regarding timesheets and payroll process.

Employment Agreement

1. The employee will carry out the duties and responsibilities listed in the job description/list of assigned tasks and signed by employee and employer.

3. The employee will have the following time off: .

4. The employer will pay the employee $ per hour.

5. When leaving, the employee will give the approximate time of return and, if possible, leave a phone number where he/she can be reached. Also, when the employee will be late in returning, he/she will call to let the employer know.

6. The employee will not be paid for scheduled hours not worked unless the time not worked is covered by a benefit as provided by the employer.

7. Both parties to this agreement will respect each other’s individuality and treat each other accordingly. Both will attempt to be flexible and work at solving problems as they arise.

8. At least 2 weeks’ notice will be given by employee regarding termination of this agreement.

Employee Wage Agreement

Salary Per Hour

All Information Relating to Salary, Bonus, and Wage Increase is Strictly Confidential.

Application for Employment

OFFICE USE ONLY

Personal Information

Present Address

Education

Academic Currently Attending

Academic Last Completed

Trades of Business Currently Attending

Trades of Business Last Completed

Date Month and Year

Date Month and Year

Date Month and Year

References: Give the names of three persons not related to you to whom you have known at least 1 year

List any foreign languages and check the box that best describes your skill level.

Initial Conditions of Employment - please read carefully

Reporting to work with impaired abilities; or the possession, consumption or distribution of drugs or alcohol on company premises and/or worksites, shall be grounds for disciplinary action, including discharge. A condition of employment includes willingness on the part of the applicant or employee to agree to physical examination, polygraph and/or substance testing, if required by the company. We are committed to operating a drug free workplace. Violations of our drug and alcohol policy will result in dismissal.

It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer’s service, if I have been employed. Furthermore, I understand that just as I am free to resign anytime, the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary.

AJA HOME HEALTH CARE, LLC


I give the employer the right to investigate all police, driving, and personal records and references, if job related. I hereby release from liability the Employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

The Employer is an Equal Opportunity Employer. The Employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state or federal law.

Any controversy of any kind arising between the parties under this agreement or otherwise (or any agent, officer, director or affiliate of any party), including but not limited to common law, statutory, tort or contract claims, will be submitted to mediation, and failing settlement in mediation, to binding arbitration. Unless otherwise agreed, a mediation and arbitration designated by staff professionals will govern any mediation and arbitration. The parties will select the mediator or arbitrator from the designated company.
Panel of mediators and will notify the designated company, in writing, to initiate the selection process. The arbitration will be subject to and governed by the provisions of the Federal Arbitration Act. 9 U.S.C. Section 1-et seq. The parties hereto stipulate that this agreement involves matters affecting interstate commerce.

This application is effective for 60 days. At the conclusion of this time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary to fill out a new application.

SWORN STATEMENT OF AFFIRMATION/BACKGROUND CHECK CONSENT


Section s32.1-162.9:1 of the code of Virginia requires that any applicant for employment with a licensed home care organization provide the Commissioner’s representative with a sworn statement or affirmation disclosing (1) whether the applicant has a criminal conviction or is the subject of any pending criminal charges within or outside The Commonwealth of Virginia, and (2) whether the applicant has been the subject of a found complaint of child abuse or neglect within or outside the Commonwealth of Virginia.

Any person making a materially false statement on this form shall be guilty of a Class I misdemeanor.

Further dissemination of the information provided on this form is prohibited other than to the Commissioner’s representative or a federal or state authority of court as many be required to comply with an express requirement of law for such further dissemination.

I hereby affirm that the information provided on this form is true and complete. I understand that the information is subject to verification.

DISCLAIMER AND WAIVER OF LIABLITY


I acknowledge and will adhere to the rules and regulations as set forth by the Department of Health Services and Medicare and Medicaid. I understand that the falsification of documents, particularly those pertaining to the submission of visit notes where in fact no visit was made, is considered to be fraud and is subject to filing of a criminal grievance, civil and/or criminal prosecution, and immediate termination. I therefore hold AJA Home Health Care.

LLC, its shareholders, directors and officers, harmless from any falsified documents.

I have read and understand the above information. I understand that the falsification of documents, particularly those pertaining to the submission of visit notes where in fact no visit was made, is considered to be fraud and is subject to filing of a criminal grievance, civil and/or criminal prosecution, and immediate termination.

Confidentiality of Information Agreement


• All information designated confidential that is obtained or generated because of any or all the operations of the agency will be dealt with in a confidential manner.
• All information that is gathered, maintained or stored by the agency becomes the agency's property and cannot be released without proper authorization from the administration.
• Altering information is prohibited by the agency and by law. Correction of any identified erroneous information must be done according to agency policy.

WHAT WE CAN DO TO MAINTAIN CONFIDENTIALITY OF INFORMATION

• In order to protect any individual from invasion of privacy and to protect the interest of the agency, any information gathered for patient care or operations will be gathered, maintained and stored in such a manner as to assure confidentiality.
• Access to information will be limited to a need-to-know basis to perform the scope of one's duties and responsibilities.
• Dissemination of information will be handled according to agency policy, and staff will be informed during orientation, will sign the confidentiality statement and it will be placed in the employee's file.
• Proven violation of breach of the confidentiality agreement may be cause for immediate termination.

I understand that I am responsible for following this Confidentiality Policy Agreement & the Guidelines, Both Written and Verbal.

Universal Precautions


LESSON 1- BLOOD BORNE INFECTION
Definition of exposure
Spread of HIV infection in the general population
Symptoms and effects of HIV infection
Spread of Hepatitis B, including number of infections, hospitalization, and deaths caused by HBV each year.
Symptoms and effects of HBV infection and HBV vaccination
The hepatitis B virus and HIV virus can be transmitted in the workplace.
It is estimated that there are 1 and 4 million HIV carriers in the U.S.
There may be as many as one million carriers of HBV.

LESSON 2- TRANSMISSION OF BLOOD BORNE INFECTION
Sources of blood borne infections in the workplace
Four primary ways of getting blood borne infections outside the workplace.
Three primary ways of getting blood borne infections at work.
Risky jobs, tasks, and work practices

LESSON 3 — EXPOSURE CONTROL
The HBV vaccine for all workers who come into contact with blood or other potentially infectious body fluids on the job. The definition of Universal Precautions The steps that should be taken after an exposure incident in order to prevent infection. My rights in case of exposure and / or infection I have the right to have HBV vaccinations provided to me free of charge, if I am at risk for infection. If I refuse it at this time, I have the right to be vaccinated free of charge at any time in the future provided I am still at risk for infection.

LESSON 4 — USING PERSONAL PROTECTIVE EQUIPMENT
Types of personal protective equipment (PPE) required for different tasks or situations.
Key requirements for selecting, providing, using, and disposing of or cleaning PPE Limitations of personal protective equipment

LESSON 5 — WORK PRACTICE CONTROLS
Disposing of used needles or other sharps
Working with lab materials
Decontaminating work areas, instruments, and equipment
Identifying and handling regulated waste
Hand washing and other personal hygiene and health practices

I have received training covering all of the above topics and been informed of my rights accordingly.

HEALTH & SAFETY AGREEMENT


I do understand the physical requirements of my job and understand proper lifting and moving techniques which I am expected to use in moving and lifting objects and/or patients.

I have been informed and do fully understand that any injury claimed by me while on the job must be reported immediately to my supervisor and documented on an Accident/Incident Report form. I understand that unless an incident report is completed immediately and signed by me, the agency may not consider a voluntary payment of any medical bills or any other benefits as a result of my injury. I further understand that if the accident/injury is proven to be a result of my failing to follow policy/procedure, the agency may not be expected to cover medical payments.

I do fully understand that I am not encouraged to lift or transfer any object or patient by myself unless I know that I can safely lift or transfer alone. If I believe there is no one readily available to assist me in lifting or moving patients or equipment while on duty, I have to wait until can obtain assistance before moving or lifting.

I have had the opportunity to review and have all questions answered regarding Health & Safety.

FOLLOWING INFECTION CONTROL AGREEMENT


AJA HOME HEALTH CARE, LLC wants to improve patient outcomes by identifying and reducing the risk of infection in patients and agency staff.

The agency will document infections that are acquired while the patient is receiving services from the agency. The documentation will include at a minimum the date that the infection was detected, patients name or number, primary diagnosis, signs/symptoms, type of infection, pathogens identified and treatment.

The infection control program will include surveillance, identification, prevention, control, and reporting. Targeted surveillance of infections will focus on specific patient populations or procedures.

Infection Control Standards are established in compliance with the recommendations of the National Center for Disease Control in Atlanta, Georgia. All staff is educated on these standards, and they are practiced consistently. Any incidents of infection related to care and service are reported.

I recognize and am fully aware of the fact that any patient may be contagious at any time and that this may not always be a known fact while care is being provided. I will follow all Infection Control and Universal Precautions Procedures of the agency. I also state that currently I am in excellent health and have no impairments that may alter my job performance.

DRUG TESTING POLICY


Agency employees may not possess, distribute and or use alcoholic beverages or controlled substances including inhalants while on premises of property controlled by the Agency or while conducting company business or engaged in any company sponsored activity.

Patients or visitors may not possess, distribute and or use alcoholic beverages or controlled substances while on the premises of the property controlled by the Agency.

Any employee who has knowledge of a person or persons violating this policy must report it to his/her supervisor immediately.

Based on reasonable cause, the agency may conduct searches or inspections of an employee’s personal belongings and may be asked to take a drug test. Refusal to consent may result in termination.

I HAVE READ AND UNDERSTAND THE ABOVE AND WILL COMPLY WITH THIS AGREEMENT.

SEXUAL HARRASMENT


AJA HOME HEALTH CARE, LLC. does not tolerate Sexual Harassment, as it is a form of gender-based discrimination.

Definition:
Under Title VII of the Civil Rights Act of 1964, any type of discrimination based on an individual’s gender (male or female) is illegal. Sexual harassment is a form of gender discrimination. According to the Equal Employment Opportunity Commission, sexual harassment is “unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature when submission to the conduct enters into employment decisions and/or the conduct unreasonably interferes with an individual's work performance or creates an intimidating, hostile, or offensive working environment.”

The Agency will not tolerate any form of sexual harassment from any of its employees. The Agency encourages that any behavior which could be construed as sexual harassment be reported immediately to the supervisor and/ or Administrator. There is no need to fear retaliation. Both females and males can be sexually harassed when exposed to unwelcome sexual advances or to a pattern of verbal abuse, threatening, crude, impolite, or unprofessional conduct.

• Quid pro quo sexual harassment is also against company policy.
• The Agency encourages and urges an employee to come forward and discuss any sexual harassment that may have occurred with an Administrator.
• Every complaint will be taken seriously and investigated immediately. Investigations will be documented.
• Any employee involved in a sexual harassment complaint will have a full opportunity to give a full account of their recollection of the incident or incidents.
• The incident(s) will be investigated thoroughly, and appropriate action will be taken.

REPORTING: ABUSE/NEGLECT/EXPLOITATION


REPORTING:
• ABUSE
•NEGLECT
• EXPLOITATION

All agency staff are required to report suspected abuse/neglect/exploitation and develop a plan to minimize the risk of such. The home health employee is responsible for reporting & documenting:

• A child’s susceptibility to abuse including self-abuse and neglect.
• Elderly individuals as well as children are susceptible to abuse as well.
• Physical components, such as impairments and the ability of patient/caregiver to provide adequate care.
• Mental impairments, such as mental retardation, Alzheimer’s disease, disorientation, confusion, etc.
• Emotional status, such as passive personality, depression, etc.
• Physical environment, such as safety in or outside the home The employee is responsible for reporting all incidents to DON and/or Supervisor. A written report may be forwarded to Social Services with the request for referral. The Supervisor will review the situation and investigate to determine if this is a reportable incident. If so, it will be reported to the appropriate agency or Adult/Child Protection Agency by the DON/Administrator or an appropriate designee.

I have read and understand the information above. As a home health employee, it is my responsibility to report & document any suspected abuse, neglect, or exploitation.

EMPLOYEE DRESS CODE


AJA HOME HEALTH CARE, LLC strives to present a professional and safe health care image to patient's families, the community, and other Health Care professionals. AJA HOME HEALTH CARE, LLC staff members adhere to the following standards in their dress appearance.



1. All staff will wear an approved AJA HOME HEALTH, LLC name badge when providing patient care.

2. Clothing shall be clean, neat, and well maintained.
Allowed Clothing. Loose comfortable clothing, scrubs, walking shorts that are at least mid thigh in length, hemmed blue jeans, plain T-shirt, and Casual Street wear. Appropriate undergarments should be worn. Not Allowed: mini skirts, short shorts, tank tops, halter-tops, midriffs, cut offs, frayed blue jeans, or T-shirts with any sayings on them.

3. Shoes should be conservative and comfortable. We encourage closed toed shoes for personal safety and infection control while providing patient care. No flip-flops or thong sandals.

4. When attending school with a patient, the employee will be provided with a copy of the school\'s dress code and must adhere to it.

5. Nurses should keep a clean lab coat available to wear over their clothes when accompanying patients to any medical appointment. (These may be unexpected).

6. AJA HOME HEALTH CARE, LLC employees will try to meet the requests of parents or primary caregivers within reason.

7. Employees are expected to keep their hair dry, neat, and clean, Long hair must be styled so it does not come in contact with the patient. Mustaches and beards must be clean and trimmed.

8. Perfume should be conservative. Strong odors can be offensive to patients.

9. Jewelry represents a safety hazard, so it must be worn with discretion, i.e. wedding rings, rings without large mountings, small earrings or studs.
Visible piercing, except for earrings, should be removed when providing patient care. Both professionalism and safety should be considered when wearing jewelry.

10.Fingernails are to be kept clean, trimmed and moderately short for patient safety.

If an employee is sent home to change clothes due to inappropriate attire, the employee will be sent home on his/her own time and may result in disciplinary action.

Interpretation of compliance to this dress code policy is subject to the discretion of the Administrator, DON, or acting supervisor.

CELLULAR PHONE USE


AJA HOME HEALTH CARE, LLC does not permit employees on company time to talk on the cellular phones while driving a vehicle. This is very dangerous and should be avoided any time. It is mandatory that I must pull over and stop my vehicle each time I conduct agency business per cellular phone.

The agency is not responsible for any moving violations, accidents or other incident that may occur while I am using my cellular phone and driving.

I have read and understand the above information of the agency regulation regarding cellular phone use and I will comply.

POLICIES & PROCEDURES ORIENTATION ACKNOWLEDGEMENT


I acknowledge that I have been oriented to the agencies’ Policies and Procedures Manual and agree to follow all guidelines, both written and verbal. I understand that, if the guidelines, policies and procedures are not followed, I may be immediately terminated. I also had the opportunity to ask questions regarding the Policies and Procedures Manual, and I know where it’s located for future reference.

EMPLOYEE ORIENTATION


GENERAL ORIENTATION WITH HUMAN RESOURCES

- HIPAA Privacy Regulations- Review handbooks and examination
- Discuss policies and procedures included in employee handbook, with focus on new and added updated policies and review policy and procedure examination.
- Review employee benefits as applicable to various employee statuses
- Review complaint and grievances procedures
- Review sexual harassment policy.
- Review Body Mechanics video and materials

GENERAL ORIENTATION WITH NURSING

- Instructive Memos from DON to clinical staff
- Sample Nurse's Notes
- Nursing Peer Review Process
- OSHA Infection Control
- Nursing Skills Checklist
- Detecting Patient Abuse: Child Abuse and Abuse of the Elderly

FIELD EMPLOYEE STANDARDS AND PROCEDURES


Welcome! This Agency requires adherence to the following Standards and Procedures:

1. All employees are expected to dress in a manner appropriate to the health care environment, or as directed by the patient/client/family. This includes personal hygiene, jewelry, hair and makeup.

2. Please do not smoke in the presence of a patient/cilent or client’s home.

3. Always wear your ID Badge. Licensed personnel must always carry their current nursing license and CPR card while on assignment.

4. You are expected to arrive on time to all assignment that you have accepted. However, if an emergency or any situation should cause you to be five minutes late, or more, or to be totally absent from the assignment you must notify the Agency immediately, PLEASE DO NOT CALL YOUR PATIENT DIRECTLY. You may call the Agency 24 hours a day if you need to cancel or reschedule your assignment. A NO-CALL, NO-SHOW IS GROUNDS FOR TERMINATION!

5. If you have any problem, incident or accident on the job, do not discuss it with the patient/client, but call the Agency immediately,

6. If the patient/client asks you to stay longer than your assignment or to leave earlier, you must call the Agency first, for approval.

7. Paraprofessional personnel (i.e Aides) hereby acknowledge that theyWILL NOT, UNDER ANY CONDITIONS, DISPENSE OR ADMINISTER ANY MEDICATION.

8. UNDER NO CIRCUMSTANCES are you to ask for, or accept any money from your patient/client or take home property that belongs to the patient client.

9. There shall not be any involvement with the patient/client’s financial affairs (i.e check writing).

10. You are expected to honor the confidentiality of any patient client information which is obtained in the regular course of your employment.

11. No personal telephone calls should be made or received by you while on assignment. Except in emergencies. Obtain client permission.

12. Please do not discuss your pay or any other personal affairs with the patient/client/family/coworkers.

13. As an employee of this Agency, you are not authorized to accept any direct employment that may be offered to you by your patient/client/family. If you are requested to do so, please have the patient/client contact us.

14. It is imperative that all signed notes and documentation including Daily Log, be filled out properly and returned to the office as Per our schedule. If the patient/client is unable to sign your note, a family member or responsible party may sign.

15. During the course of employment, this Agency’s proprietary materials (i.e. forms, medical records) will be used only in connection with employment and will not be disclosed to anyone without authorization from the Agency.

16. Never leave your patient/client unattended.

Employee Policies & Procedures AGREEMENT


I understand that copies of policy and procedure manuals are available and that it is my responsibility to read, understand and conform to all applicable Agency policies including personnel policies. It is also my responsibility to comply with periodic changes and revisions.

I have read the Agency’s Policy and Procedure on Abuse, Neglect, and Exploitation and agree to comply with and be bound by the Policy.

I understand that information contained in any Agency manual does not constitute a contractual relationship between the Agency and its employees, nor is it an expression of my term of employment.

I affirm that I have auto insurance coverage as required by this state and the Agency and I agree to keep it fully in force on any vehicle I use for the conduct of Agency business during the term of my employment. The Agency has the right to request proof of insurance at any time during the term of employment and that I am required to follow all Agency requirements and state and local laws.

I understand that only the Agency has the authority to admit clients and will supervise with appropriate personnel all services provided.

As a caregiver, I will carry out the plan of treatment, submit time sheets, clinical and progress notes aS appropriate and, at a minimum, on a weekly basis, I will Participate in developing and reviewing plans of care, periodic client evaluations and Care conferences, discharge planning and schedule coordination. I will provide services within the geographic area covered by the Agency. I will attend required staff meeting and in-service training. Home health aides are required to have 12 hours of in-service training annually.

I understand that I must remit documentation of services performed prior to Payment for those services and that payroll procedures require timely and accurate completion of documentation that must be submitted prior to payment for services provided. T understand that all information, both written and verbal, regarding client and employee health conditions is strictly confidential and protected under federal and state law. The presence of a communicable or venereal disease; testing, results or known infection by HIV, Hepatitis, Tuberculosis; information concerning child abuse, mental health, drug or alcohol abuse is protected under specific law. All information in connection with the examination, care of provision of services to any client will not be disclosed without the individual's written consent except as may be necessary to provide services as required by law. Information may be used in statistical or other summary form or for clinical purposes only if the identity of the individual is not disclosed. I understand the violation of the client/employee confidentiality is subject to civil and criminal penalties. If I mistakenly exceed my accrued or earned sick or vacation leave balance, I authorize the Agency to deduct any amount from my paycheck(s) to correct my accrued or earned sick or vacation leave balance. I understand that this company does not routinely perform drug testing on its employees but may do so at its discretion. I understand that this company is an “At Will” organization and may hire and fire at will.