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Respected Contributor
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Registered: ‎06-03-2010

Re: Job Issue - need to vent... what would you do?

On 3/11/2015 betteb said:
On 3/11/2015 raven-blackbird said:
On 3/11/2015 jessa said:

Maybe jobs & training are different depending on the state or whoever regulates and controls? {#emotions_dlg.confused1}

it's doubtful............basically a home health care assistant does what families used to do for each other and just called it being part of a family................................raven

Hey Raven-Yes it's true that laws on this are different. I believe in your earlier post, it said "Home Health Aides give medication and changed dressings". Home Health Aides in Kansas can't do those things. It requires a minimum of an LPN(Licensed Practical Nurse). If the clients funding source is Medicare, it requires an RN.

An HHA can do medication reminders. They can verbally remind the client to take meds, but the client has to be capable of actually taking them.

no............a Home Health Aide can change dressings.......AND hand them their medications.......they can't alter the dose or change the dose, but they can hand them the medications they take at the prescribed times and dosage they are intended to take..........in a hospital situation, an LVN is the med nurse, but that's also because the hospital must track the medication, since it's being dispensed by the nurse and not a pharmacist........it may be looked at the same way for HHA's in your state when you're talking Medicare............................raven

We're not in Kansas anymore ToTo
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Posts: 7,752
Registered: ‎03-09-2010

Re: Job Issue - need to vent... what would you do?

On 3/11/2015 raven-blackbird said:
On 3/11/2015 betteb said:
On 3/11/2015 raven-blackbird said:
On 3/11/2015 jessa said:

Maybe jobs & training are different depending on the state or whoever regulates and controls? {#emotions_dlg.confused1}

it's doubtful............basically a home health care assistant does what families used to do for each other and just called it being part of a family................................raven

Hey Raven-Yes it's true that laws on this are different. I believe in your earlier post, it said "Home Health Aides give medication and changed dressings". Home Health Aides in Kansas can't do those things. It requires a minimum of an LPN(Licensed Practical Nurse). If the clients funding source is Medicare, it requires an RN.

An HHA can do medication reminders. They can verbally remind the client to take meds, but the client has to be capable of actually taking them.

no............a Home Health Aide can change dressings.......AND hand them their medications.......they can't alter the dose or change the dose, but they can hand them the medications they take at the prescribed times and dosage they are intended to take..........in a hospital situation, an LVN is the med nurse, but that's also because the hospital must track the medication, since it's being dispensed by the nurse and not a pharmacist........it may be looked at the same way for HHA's in your state when you're talking Medicare............................raven

Sorry Raven, I worked in the office of a home health agency for 8 years in Kansas and in Kansas an HHA can not do those things.

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Posts: 3,772
Registered: ‎06-25-2013

Re: Job Issue - need to vent... what would you do?

On 3/11/2015 betteb said:
On 3/11/2015 raven-blackbird said:
On 3/11/2015 betteb said:
On 3/11/2015 raven-blackbird said:
On 3/11/2015 jessa said:

Maybe jobs & training are different depending on the state or whoever regulates and controls? {#emotions_dlg.confused1}

it's doubtful............basically a home health care assistant does what families used to do for each other and just called it being part of a family................................raven

Hey Raven-Yes it's true that laws on this are different. I believe in your earlier post, it said "Home Health Aides give medication and changed dressings". Home Health Aides in Kansas can't do those things. It requires a minimum of an LPN(Licensed Practical Nurse). If the clients funding source is Medicare, it requires an RN.

An HHA can do medication reminders. They can verbally remind the client to take meds, but the client has to be capable of actually taking them.

no............a Home Health Aide can change dressings.......AND hand them their medications.......they can't alter the dose or change the dose, but they can hand them the medications they take at the prescribed times and dosage they are intended to take..........in a hospital situation, an LVN is the med nurse, but that's also because the hospital must track the medication, since it's being dispensed by the nurse and not a pharmacist........it may be looked at the same way for HHA's in your state when you're talking Medicare............................raven

Sorry Raven, I worked in the office of a home health agency for 8 years in Kansas and in Kansas an HHA can not do those things.

betteb, you live in this state and YOU are correct, Raven is wrong but of course she will never admit that.

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Posts: 3,772
Registered: ‎06-25-2013

Re: Job Issue - need to vent... what would you do?

On 3/11/2015 SoftRaindrops said:
On 3/11/2015 jessa said:
On 3/11/2015 SoftRaindrops said:
On 3/11/2015 JustJules said:
On 3/11/2015 CouponQueen said:
On 3/11/2015 SoftRaindrops said:

Excellent advice, Mary.

Jules, you did everything you could in this most difficult situation. I know that you have had a very tough year and this is the last thing you needed. Sometimes, life just makes no sense.

Please take care of yourself and know that there are many of us on this forum who wish you the best and hope you are OK.... You've been through something very traumatic and you handled yourself well.....

Wait a minute..NO FAIR.. I don't know what type of year she has had. I am responding to this one post.

She left and isn't going back that said..she should of did things a bit differently..no cakes, no bringing the dog ..no sitting on the bed for comfort ..nothing that is beyond the scope of her job..did she do any of those things because she was interested in him..ABSOLUTELY NOT..but it still went a bit off the professional marker into the friend marker and you cannot do that in these types of situations.

Nobody is downplaying or not saying it wasn't traumatic for her..but she asked a question which I responded to. She told him it was inappropriate..but yelling she isnt' a prostitute..well ....she was obviously upset at his actions...and reacted. She left which was the right thing for her..

It has nothing to do with whatever went on this past year. I don't know anything about that. As for her welfare she left the situation and is now asking questions.

I haven't read all the replies but am going to..but she has to remember this is a JOB..not a new friend..etc..she acted totally as a nice person..but you have to maintain professional boundaries and once you go over that boundary..you unfortunately put yourself out there. What he did was wrong..absolutely..obviously when he continued on and asked if she had any friends...after she was upset and told him it was not appropriate...it was clear the man is not on the same page that most of us are on...so obviously he has some types of issues..

I would make it a point that I let the Agency know in the future that if she suspects any clients of being under the influence of alcohol when she arrives or after she arrives that her services are being ended on that day. I would not go to a clients home and perform any type of care if they were drinking or had been drinking..that opens up a whole another can of inhibitions obviously..so make some ground rules with the Agency.

Unfortunately this happens in this field at times..and other fields..she handled it well..now she knows some things to do differently in the future and one being ..she is to maintain a level of professional relationship at ALL TIMES..do not lower the barrier as then that will open it up on their end.

Thank you, your post sums up what I asked for...meaning sound logical advice in a constructive manner without making personal attacks on me. Yes, I made some mistakes...now that I am not in the heat of the moment I can see that in retrospect. While my intentions were nothing but kind and good, it still was a bad judgment call on my part. No more dog, no more b-day cakes, regardless of how nice the client is. I am not a health care professional, but I am qualified to perform the duties of my assignment which is why they hired me. They are a legitimate home HEALTH care agency that provides a multitude of services from just babysitting, meal preparation, housekeeping, to more personal needs like bathing, dressing/undressing, toilet assistance. Then of course they also have licensed nurses that provide intensive nursing care when required, and there is always an on-call nurse 24/7.

Again, thank you for your comments and suggestions. None of us are perfect, but I try to do my best and sometimes the only way to do that is to make mistakes and learn from them.

Who are you thanking? The poster who told me off? This place never ceases to amaze me.

SoftRain your post was nice and didn't deserve either of those attacks. Some people are over heated.{#emotions_dlg.confused1}

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Thanks Jessa. I need to learn to post on threads that get less heated. I admit they bother me.

Softraindrops, I did appreciate your post and kindness, although my post was directed towards CouponQueen's comment...I had just not had time to respond to yours. As for never ceasing to amaze you, I'm not sure what I did wrong towards you other than not reply fast enough. I didn't make any comment to you, so I'm not sure how Jessa interprets that as an "attack" on you...seems I can't win with some people around here or as Marien said, they enjoy picking on my carcass when there isn't enough left to feed the vultures. I have had a very difficult past year, as you mentioned...although none of that really pertains to this incident I was venting about. Again I appreciate your kindness and considerate post.

For what it's worth, I did not read CQ's post as telling you off, rather that she was commenting with no knowledge of certain events in my life that I chose to share here from time to time. I'm sorry you misconstrued my thanks to her for giving me criticism in a polite and constructive way as any endorsement if you felt offended.

As for this topic getting heated, I certainly did not intend for things to go that route, but I should have expected it, although I am not heated about any of the comments or posters, no matter how much they try to push my buttons. It only reminds me of why I had stayed away from this forum, because it is saturated with too many toxic, unhappy and mean-spirited people who delight in being purely rude and nasty for the sake of it. I should have known better than to ask for opinions without expecting people to make untrue assumptions and take things out of context. It is what it is, and I can sleep well at night knowing those that take low blows at me truly don't know me and I'm happy to keep it that way.

Respected Contributor
Posts: 3,960
Registered: ‎03-09-2010

Re: Job Issue - need to vent... what would you do?

Nobody here should judge anyone else's occupation.

Valued Contributor
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Re: Job Issue - need to vent... what would you do?

WOW just wow...

(((Jules)))

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Re: Job Issue - need to vent... what would you do?

On 3/11/2015 raven-blackbird said:
On 3/11/2015 JustJules said:
On 3/11/2015 betteb said:
On 3/11/2015 raven-blackbird said:
On 3/11/2015 betteb said:

Hey Raven-Yes it's true that laws on this are different. I believe in your earlier post, it said "Home Health Aides give medication and changed dressings". Home Health Aides in Kansas can't do those things. It requires a minimum of an LPN(Licensed Practical Nurse). If the clients funding source is Medicare, it requires an RN.

An HHA can do medication reminders. They can verbally remind the client to take meds, but the client has to be capable of actually taking them.

no............a Home Health Aide can change dressings.......AND hand them their medications.......they can't alter the dose or change the dose, but they can hand them the medications they take at the prescribed times and dosage they are intended to take..........in a hospital situation, an LVN is the med nurse, but that's also because the hospital must track the medication, since it's being dispensed by the nurse and not a pharmacist........it may be looked at the same way for HHA's in your state when you're talking Medicare............................raven

Sorry Raven, I worked in the office of a home health agency for 8 years in Kansas and in Kansas an HHA can not do those things.

betteb, you live in this state and YOU are correct, Raven is wrong but of course she will never admit that.

I can't speak for the state you live in and never claimed to............what I did was post what I found online..............as far as I can see, it doesn't take any advanced education to do, actually only requires a GED or high school diploma......or has any real training.....doesn't seem to pay to well either..........................................raven

There is no state in the United States in which just a nurse's aide may administer medications. In some states a certified nurse's aide (CNA) may take additional training to become a CNA specialist. A CNA specialist may give medications under the supervision of a nurse.

Here is a website that discusses this and lists the states that do allow CNA specialists to give medications under supervision.

http://www.findcnaclasses.com/states-allow-cnas-administer-medications/

I don't know of any home health agencies though that allow CNA specialists to give medications in the home setting. One barrier is that the CNA must function under the supervision of a nurse. The other is that there is tremendous potential for medication errors in the home setting. CNAs can prompt a patient to take their medications in the home or if the family or a nurse has filled a med-planner with meds, the CNA may get the med-planner and ask the patient to get their medications for that day and time, but that is about the limit that most home health companies allow their CNAs to practice in the home setting. It would also be a potentially huge liability issue for home health companies because there is no one there supervising, there is no legal medication administer record in the home, etc.

In general these positions are used in assisted living and long term areas where there are medication administration records and the CNA functions under the supervision of a nurse that is also a part of that assisted living or long term care facility.


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Respected Contributor
Posts: 3,056
Registered: ‎01-30-2015

Re: Job Issue - need to vent... what would you do?

Some posters have really shown their true colors on this thread...

Esteemed Contributor
Posts: 6,287
Registered: ‎01-24-2013

Re: Job Issue - need to vent... what would you do?

Thanks for that information, pitdakota.

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Registered: ‎03-12-2010

Re: Job Issue - need to vent... what would you do?

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