Home HealtH aide in-service training instructor`s

H o m e H e a lt h A i d e I n - s e r v i c e t r a i n i n g i n s t r u c t o r ’ s g u i d e
Each Home Health Aide In-service Training module includes a video program and an
Instructor’s Guide. The Instructor’s Guide assists the RN Instructor in the planning,
delivery, and documentation of the in-service program. The Instructor’s guide includes:
Lesson Plan for a One-, Two-, or Three-Hour In-service
Each Lesson Plan identifies objectives for the program and provides a content outline of
the video, suggested class schedule, and an instructor’s log. The instructor’s log notes
the date, time, and place of the in-service(s), includes additional space for comments,
and details any attachements filed with the lesson. The two- and three-hour lesson
plans include ideas for group discussion, exercises, demonstrations, and agency policy
to supplement the information in the video. The instructor should attach a content
outline or copy of this additional information to the Lesson Plan. Some videos include
time-codes (noted to the left of the subject areas) to assist in planning your lesson.
The Fact Sheet*
The Fact Sheet outlines important information in the video and serves as a handout.
Pre-test, Post-test, and Answers*
The Pre-test and Post-test feature the same questions which reflect the program’s
objectives. This format permits you to test the aide before and/or after the in-service
without creating a new form. We suggest that the instructor administer the Pre-test
to attune the home health aide to the most important areas of content. The two- and
three-hour programs incorporate both the Pre-test and Post-test with time for additional
discussion.
Supplemental Information
Supplemental Information provides additional ideas to assist the instructor in enhancing
the in-service: a list of terms; suggestions for group discussion, exercises and
demonstrations (which focus on agency policy and procedure); on-line resources; and
suggested performance standards.
Participation Record*
The Participation Record documents the aide’s participation in he in-service program for
personnel record and/or can be given to the aide for his/her own records.
* The RN Instructor can reproduce these forms for use within the agency only.
Lesson Plan: 1 hour in-service
Home Safety
Objectives
After completion of this program, the home health aide will be able to:
Describe three behaviors to promote safety in the home.
Explain two ways to prevent fires.
Identify three hazards in the home environment which affect children.
Identify one safety concern for the elderly.
Content
Time
Registration
5 minutes
Pre-test
15 minutes
Video: HOME SAFETY
34 minutes
(4:49)
Kitchen safety
(9:10)
Fire safety in the home, fire escape plan
(12:18)
Bathroom safety
(15:52)
Safety on stairs
(18:59)
Safety concerns for children
(22:17)
Lead poisoning
(25:42)
Safety concerns for the elderly
(28:10)
Adaptive and assistive devices
Instructor’s Log
Date / Time / Place
Attachments
Handouts
Attendance Record
Pre-test/Post-test
_ ____________________________
© 1992-2007 Beacon Resource Group
____________________________ RN
Lesson Plan: 2 Hour in-service
Home Safety
Objectives
After completion of this program, the home health aide will be able to:
Describe three behaviors to promote safety in the home.
Explain two ways to prevent fires.
Identify three hazards in the home environment which affect children.
Identify one safety concern for the elderly.
Content
Time
Registration
5 minutes
Pre-test
15 minutes
Video: HOME SAFETY
34 minutes
(4:49)
Kitchen safety
(9:10)
Fire safety in the home, fire escape plan
Group discussion: assisting the patient to develop an emergency (12:18)
Bathroom safety
(15:52)
Safety on stairs
Break
(18:59)
Safety concerns for children
(22:17)
Lead poisoning
(25:42)
Safety concerns for the elderly
(28:10)
Adaptive and assistive devices
Demonstration / return demonstration: use of assistive and adaptive devices
15 minutes
and fire safety plan
15 minutes
Post-test / Discussion / Questions
20 minutes
20 minutes
Instructor’s Log
Date / Time / Place
Attachments
Handouts
Attendance Record
Pre-test/Post-test
_ ____________________________
© 1992-2007 Beacon Resource Group
____________________________ RN
Lesson Plan: 3 hour in-service
Home Safety
Objectives
After completion of this program, the home health aide will be able to:
Describe three behaviors to promote safety in the home.
Explain two ways to prevent fires.
Identify three hazards in the home environment which affect children.
Identify one safety concern for the elderly.
Content
Time
Registration
5 minutes
Pre-test
15 minutes
Video: HOME SAFETY
34 minutes
(4:49)
Kitchen safety
(9:10)
Fire safety in the home, fire escape plan
Group discussion: assisting the patient to develop an emergency (12:18)
Bathroom safety
(15:52)
Safety on stairs
(18:04)
Group discussion: video questions safety concerns in the home
15 minutes
Break
15 minutes
(18:59)
Safety concerns for children
(22:17)
Lead poisoning
(25:42)
Safety concerns for the elderly
(28:10)
Adaptive and assistive devices
(31:39)
G
roup discussion: video questions on safety concerns for children and the elderly
15 minutes
Group discussion: safety concerns and precautions for patients on oxygen,
20 minutes
Demonstration / return demonstration: use of assistive and adaptive devices
25 minutes
15 minutes
and fire safety plan
with seizure disorders or other special needs
Post-test / Discussion / Questions
20 minutes
Instructor’s Log
Date / Time / Place
Attachments
Handouts
Attendance Record
Pre-test/Post-test
_ ____________________________
© 1992-2007 Beacon Resource Group
____________________________ RN
Fact Sheet
Home Safety
I. There’s No Place Like Home for Accidents and Injuries
A. Every year, accidents in the home injure over
21 million people
1. Disable over 4 million
2. Cause 27,000 deaths
3. Medical expenses and lost wages add up to
$10 billion a year
B. Two key ingredients combine to cause accidents
1. Hazards in the home environment
2. Human behavior
C. Our role is to promote safety in the home
1. Take action to eliminate or minimize the hazards
2. Develop and teach safe habits
II. The Kitchen
A. Actions to minimize risks of burns and fires
1. Use back burners of stove
2. Use smaller burners for smaller pans
3. Use appropriate level of heat
4. Turn handles of pots and pans over stove but
not over another burner
5. Cover frying meat
6. Tend to the cooking
7. Turn burners off or down low if called away from kitchen
8. Use potholders for handling hot pots and
pans; keep away from burners
9. Be careful when using candles
10. Pay attention
B. Actions to promote electrical safety
1. Electrical plugs should make firm, solid
connections with outlet
2. Plan use of appliances
3. Unplug appliances when not in use
4. To add more connections, use a permanent expander
5. Check appliance cords; repair or replace
frayed or cracked cords
6. Do not remove grounding prong on three-prong plugs
C. Fire safety
1. Actions to promote fire safety
© 1992-2007 Beacon Resource Group
a. Have a working smoke detector on every
level of home; test at least monthly
b. Have a fire extinguisher in key places,
such as garage, kitchen, workshop, near stairways
c. Check for hazards regularly
d. Check for adequate ventilation when
using a portable kerosene heater
e. Never smoke in bed
f. Educate family members
2. Establish a plan for safe exit of the home in case of fire
a. Identify routes and path
b. Identify a safe place to meet
c. Consider special needs of the person in
a wheelchair, or with limited ambulation
or vision
D. Actions to minimize falls and other injuries
1. Pay attention to tasks
2. Organize contents in cabinets
3. Use step stool to reach higher items
4. Keep cupboard doors and drawers closed
5. Handle knives and other sharp utensils
carefully
6. Store medications in their own place
III. The Bathroom
A. Over 200,000 injuries occur in the bathroom
every year
B. Keep electricity and water as far apart as
possible
1. Never use any electric appliances in the tub
or shower
2. Do not use appliances near sink full of water
3. Locate all switches where they cannot be
reached from the tub
4. Never touch electric appliances when
standing on a wet floor
5. Do not use a portable space heater in the
bathroom
C. Actions to prevent falls and injuries
1. Use plastic or paper cups
2. Keep the shower curtain inside of tub
3. Return the soap to the soap dish
4. Use rugs which will stay securely in place
Fact Sheet
Home Safety
5. Be sure discarded items go in the waste
container
6. Pay attention to water temperature
7. Never leave an infant or toddler alone in the tub
IV. The Stairs
A. Every year, over 6,000 people die as result of
falls in the home
B. Actions to prevent falls
1. Keep stairways and traffic paths free of clutter
2. Wear proper shoes with non-slip soles
3. Be sure there is adequate lighting
4. Do not obstruct vision
5. Check that stairway treads are in good
condition and carpeting is well anchored
6. Pay attention
V. Infants, Toddlers and Young Children
A. Children are more at risk for poisoning
1. Estimated five million children poisoned in
1989; two of every three poisoned children
were under the age of 5
2. Skin is thinner, more easily burned or irritated
3. Immature immune, liver and kidney systems
cannot eliminate poisons as effectively as
adult organs
4. Children are curious and may taste things
that smell nice, come in attractive containers
B. Actions to minimize accidental poisoning
1. Lock or child-proof cabinets
2. Store potentially dangerous products where
children cannot get to them
3. Never put anything on food shelves but food
4. Don’t leave pills where children can find them
5. Never tell a child that medicine is candy or
tastes like candy
6. Remove poisonous plants; teach children not
to eat plants, strange berries
C. Actions to prevent injuries
1. Keep purses away from children
2. Cover unused wall outlets
3. Keep matches away from children
4. Use plastic or paper cups
© 1992-2007 Beacon Resource Group
D. Lead poisoning
1. Lead paint is a major source of lead
a. Can be found on furniture, window sills,
household fixtures and painted plaster
b. Child does not need to ingest paint to
suffer consequences
c. The Consumer Product Safety
Commission banned lead in paint in 1977
d. Risk can continue after repainting if
deeper layers are contaminated with lead
2. Other sources of lead
a. Acidic juices or foods stored in
earthenware pottery made with lead glaze
b. Cigarette ashes
c. Colored inks used in newspapers,
magazines, matches, food wrappers and
children’s books
d. Water from lead pipes
e. Fruit covered with insecticide
f. Dirt containing lead from auto exhaust
3. Actions to prevent lead poisoning
a. Check everything you buy
b. Have paint in older home analyzed;
consult an expert on necessary actions to take
c. Remove children from home during
remodeling because contaminated dust
presents risk
d. Have child tested and treated, if
necessary
e. Learn more about lead poisoning
prevention and treatment
E. Pay attention to children
1. Remove hazards in the environment
2. Learn about normal growth and development
VI. The Elderly
A. Risks for the elderly
1. Normal aging processes
2. Effects of disease
B. Actions to minimize falls for the elderly
1. Pay attention to traffic patterns and furniture layout
2. Remove obstacles
Fact Sheet
Home Safety
3. Position furniture so sharp edges do C. When using adaptive and assistive devices
not protrude
1. Consult equipment dealer
4. Secure rugs
2. Follow instructions
5. Use only non-slip floor wax
3. Properly mount and test before using
6. Provide adequate lighting
4. Regularly check for loose clamps, screws, or
7. Avoid loose flowing garments
limitations of movement
8. Encourage the person to wear glasses, if
VIII. Other Important Concerns
necessary, and proper shoes
9. Properly maintain assistive devices
A. Implement special precautions for oxygen
10. Promote participation in an exercise program
11. Encourage the person to move slowly
B. Know the plan for persons who experience
12. Report any changes in mental status, activity seizures or confusion, or who have visual,
level, ambulation
hearing, balance or coordination problems
13. Plan ahead for individual situations
C. Identify risks and implement actions to VII. Adaptive and Assistive Devices
minimize risks
A. Promote safety and improve the functioning of persons with limited mobility, low energy or disabilities
B. Types
1. Seat-lift chair assists person to standing position
a. Person should wear shoes with non-
skid soles
b. Use push-button control to raise or lower
chair, adjusting position as needed
2. Raised toilet seat increases height of the toilet
from floor
a. Medical equipment consultant can
determine proper height
b. Securely clamp and lock seat into place
3. Grab bars assist the person in and out of
shower
a. Eliminate need for the person to grab
onto sink or towel bars
b. Permanently install bars
4. Bathtub security rail clamps onto side of tub
a. Does not obstruct path into or out of tub
b. Does not mar or scratch tub surface
5. Transfer bench provides a safe way to transfer
a person from a wheelchair into the tub
6. Chairs and benches assist person who
fatigues easily
7. Handgrip shower head makes bathing an
easier task
© 1992-2007 Beacon Resource Group
Pre-test
Home Safety
Name: ______________________________ Date: _______________________________
Instructor’s Signature: _ ___________________________________________________
Pre-test:
Select the best answer.
1. What is the most important factor in prevention
of accidents?
a. Remove obstacles from traffic pathways.
b. Have working smoke detectors on all levels.
c. Pay attention and be alert.
d. Lock prescription medications away.
6. Which of these are potential sources of lead in the
home environment?
a. Paint
b. Cigarette ashes
c. Fruit covered with insecticide
d. All of the above
2. What is the most dangerous room in the home?
a. Bathroom
b. Stairways
c. Kitchen
d. Bedroom
7. Which of these factors reduces the risk of accidental
poisoning in children?
a. Supervision
b. Normal growth and development
c. Colored, attractive containers
d. All of the above
3. Which of these actions will help prevent fires in the
home?
a. Test smoke detectors yearly.
b. Don’t smoke in bed.
c. Keep potholders on the stove for handling
hot pans.
d. All of the above
4. Which of these actions apply to an escape plan in
case of fire?
a. Adapt the plan for the person in a wheelchair.
b. Have everyone gather in the hallway for a head
count before leaving the home.
c. Practice the plan so everyone knows what to do.
d. Do not use the upstairs window exits.
e. All of the above
f. a and c
5. Which of these factors contributes to safe use
of appliances?
a. Unplug appliances when not in use.
b. Use only a quartz portable heater in
the bathroom.
c. Remove the grounding prongs on plugs.
d. Wear gloves when handling electrical appliances.
© 1992-2007 Beacon Resource Group
8. Which of these factors reduces the risk of falls for
the elderly?
a. Loose flowing garments
b. An exercise program
c. Throw rugs
d. Normal processes of aging
9. Which of these statements about assistive devices is
not true?
a. Follow the manufacturer’s instructions for use.
b. Test the device before use.
c. These devices promote dependence in the
elderly and disabled.
d. Permanently install grab bars into the
wall studs.
10. Which situation poses the least risk for accident
or injury?
a. A one-year-old child taking a bath in the tub
b. The family dog sleeping on the living
room couch
c. A woman using a curling iron in the bathroom
d. A grandfather taking a steamy shower
P o s t- t e s t
Home Safety
Name: ______________________________ Date: _______________________________
Instructor’s Signature: _ ___________________________________________________
Post-test:
Select the best answer.
1. What is the most important factor in prevention
of accidents?
a. Remove obstacles from traffic pathways.
b. Have working smoke detectors on all levels.
c. Pay attention and be alert.
d. Lock prescription medications away.
6. Which of these are potential sources of lead in the
home environment?
a. Paint
b. Cigarette ashes
c. Fruit covered with insecticide
d. All of the above
2. What is the most dangerous room in the home?
a. Bathroom
b. Stairways
c. Kitchen
d. Bedroom
7. Which of these factors reduces the risk of accidental
poisoning in children?
a. Supervision
b. Normal growth and development
c. Colored, attractive containers
d. All of the above
3. Which of these actions will help prevent fires in the
home?
a. Test smoke detectors yearly.
b. Don’t smoke in bed.
c. Keep potholders on the stove for handling
hot pans.
d. All of the above
4. Which of these actions apply to an escape plan in
case of fire?
a. Adapt the plan for the person in a wheelchair.
b. Have everyone gather in the hallway for a head
count before leaving the home.
c. Practice the plan so everyone knows what to do.
d. Do not use the upstairs window exits.
e. All of the above
f. a and c
5. Which of these factors contributes to safe use
of appliances?
a. Unplug appliances when not in use.
b. Use only a quartz portable heater in
the bathroom.
c. Remove the grounding prongs on plugs.
d. Wear gloves when handling electrical appliances.
© 1992-2007 Beacon Resource Group
8. Which of these factors reduces the risk of falls for
the elderly?
a. Loose flowing garments
b. An exercise program
c. Throw rugs
d. Normal processes of aging
9. Which of these statements about assistive devices is
not true?
a. Follow the manufacturer’s instructions for use.
b. Test the device before use.
c. These devices promote dependence in the
elderly and disabled.
d. Permanently install grab bars into the
wall studs.
10. Which situation poses the least risk for accident
or injury?
a. A one-year-old child taking a bath in the tub
b. The family dog sleeping on the living
room couch
c. A woman using a curling iron in the bathroom
d. A grandfather taking a steamy shower
P r e - t e s t / p o s t- t e s t a n s w e r s
Home Safety
Name: ______________________________ Date: _______________________________
Instructor’s Signature: _ ___________________________________________________
1. What is the most important factor in prevention
of accidents?
a. Remove obstacles from traffic pathways.
b. Have working smoke detectors on all levels.
c. Pay attention and be alert.
d. Lock prescription medications away.
6. Which of these are potential sources of lead in the
home environment?
a. Paint
b. Cigarette ashes
c. Fruit covered with insecticide
d. All of the above
2. What is the most dangerous room in the home?
a. Bathroom
b. Stairways
c. Kitchen
d. Bedroom
7. Which of these factors reduces the risk of accidental
poisoning in children?
a. Supervision
b. Normal growth and development
c. Colored, attractive containers
d. All of the above
3. Which of these actions will help prevent fires in the
home?
a. Test smoke detectors yearly.
b. Don’t smoke in bed.
c. Keep potholders on the stove for handling
hot pans.
d. All of the above
4. Which of these actions apply to an escape plan in
case of fire?
a. Adapt the plan for the person in a wheelchair.
b. Have everyone gather in the hallway for a head
count before leaving the home.
c. Practice the plan so everyone knows what to do.
d. Do not use the upstairs window exits.
e. All of the above
f. a and c
5. Which of these factors contributes to safe use
of appliances?
a. Unplug appliances when not in use.
b. Use only a quartz portable heater in
the bathroom.
c. Remove the grounding prongs on plugs.
d. Wear gloves when handling electrical appliances.
© 1992-2007 Beacon Resource Group
8. Which of these factors reduces the risk of falls for
the elderly?
a. Loose flowing garments
b. An exercise program
c. Throw rugs
d. Normal processes of aging
9. Which of these statements about assistive devices is
not true?
a. Follow the manufacturer’s instructions for use.
b. Test the device before use.
c. These devices promote dependence in the
elderly and disabled.
d. Permanently install grab bars into the
wall studs.
10. Which situation poses the least risk for accident
or injury?
a. A one-year-old child taking a bath in the tub
b. The family dog sleeping on the living
room couch
c. A woman using a curling iron in the bathroom
d. A grandfather taking a steamy shower
S u p p l e m e n ta l I n f o r m at i o n
Home Safety
Terms
Electrical shock
Poisoning
Hazard
Electrical arcing
Electrocution
Three-prong plug
Growth and development
Pollutants
Immune system
Lead poisoning
Neurological handicap
Lead paint
Consumer Product
Safety Commission
Dementia
Aging processes
Assistive device
Seat lift chair
Raised toilet seat
Grab bars
Bathtub security rail
Transfer bench
Oxygen precautions
Group Discussion, Exercises and Demonstrations
Group Discussion
The pre-test and/or post-test
Video questions on safety concerns in the home
Video questions on safety concerns for children and the elderly
Agency policy and procedure on: Responding to an emergency
Incidents
Reporting to the RN
The aide’s role in a home exercise program
Oxygen use, precautions
Ways to assist the patient in developing an emergency and fire safety plan
Assistive and adaptive devices: rationale, types, uses, instructions, precautions
Lead poisoning: children at risk, sources of lead, signs and symptoms, treatment, prevention
Seizure precautions
Precautions for patients with vision, hearing, balance or coordination problems
Group Exercise
Identify safety hazards in the classroom setting and ways to minimize or eliminate
Using actual patient examples, identify potential risks and hazards and ways to minimize or eliminate
Demonstration/Return Demonstration
Use of assistive and adaptive devices
Resources
Lead Education and Abatement Design Group Fact Sheets <http://www.lead.org.au/fs-index.html>
National Safe Kids Campaign <http://www.safekids.org>
National Safety Council Fact Sheets <http://www.nsc.org/library/facts.htm#health>
U.S. Consumer Product Safety Commission Publications <http://www.cpsc.gov/cpscpub/pubs/pub_idx.html>
Suggested Performance Standards
After completion of this program, the home health aide will be able to:
Modify the environment, as appropriate, to prevent falls in the elderly.
Demonstrate appropriate use of assistive and adaptive devices.
© 1992-2007 Beacon Resource Group
Pa rt i c i pat i o n r e c o r d
Home Health Aide Record
This is to certify that ________________________________
has successfully completed the in-service program for home
Home Safety
health aides titled _____________________________________.
This training included _____ hours of instruction and testing.
Instructor: ___________________________
Date: _______________________________
© 1992-2007 Beacon Resource Group