Home Health Aide Training in New York

by admin on September 1, 2019

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The State of New York has specific requirements to become a Home Health Aide, which are similar to, but in many cases go beyond the federal requirements.  In New York all Home Health Aides mustsuccessfully complete a training and competency evaluation program or a competency program conducted by an approved home health aide training program (regardless of whether the employer is receiving Medicare funding). New York defines,in law, the activities a Home Health Aide is allowed to do, and those that they are not.  Allowable health related activities include:

  1. Preparation of meals in accordance with modified diets or complex modified diets;
  2. Administration of medications;
  3. Provision of special skin care;
  4. Use of medical equipment, supplies and devices;
  5. Change of dressing to stable surface wounds;
  6. Performance of simple measurements and tests to routinely monitor the patient’s medical condition;
  7. Performance of a maintenance exercise program; and
  8. Care of an ostomy after the ostomy has achieved its normal function

Training programs and evaluations are expected to cover these areas. Training requirementsNew York’s training requirements are similar to the Federal standard– 75 hours of training, including 16 hours of supervised practical training.  An additional requirement is that, at a minimum, fifty percent (50%) of each aide’s supervised practical training must be provided in a patient care setting. The curriculum must include the content outlined below:

  1. Orientation to home care and the role of home health aides
  2. Understanding basic human needs of individuals and families including understanding the elderly, infants and children, persons with physical illnesses, persons with physical disabilities and persons with mental disabilities
  3. Communication skills
  4. Basic elements of body function
  5. Patient rights and HIV confidentiality
  6. Safety, accident prevention and responses to emergencies
  7. Infection control and universal blood and body fluid precautions
  8. Personal hygiene and grooming including bed, sponge, tub or shower baths; skin, tub or bed shampoos; nail and skin care; oral hygiene; toileting and elimination
  9. Use of prescribed medical equipment and supplies
  10. Rehabilitation including safe transfer techniques and ambulation; normal range of motion and positioning; assistance with use of crutches, walkers, and hoyer lifts; and prescribed exercise programs
  11. Nutrition and fluid intake, to include preparation of meals for simple and complex modified diets
  12. Temperature, pulse, respiration, and blood pressure
  13. Simple test and measurements
  14. Maintaining a clean, safe environment
  15. Assistance with medication administration
  16. Special skin care
  17. Simple dressing changes
  18. Ostomy care
  19. Handling patient’s money, and
  20. Observing, reporting, and recording

EvaluationAfter training, a candidates ability must be evaluated by a registered nurse using the following methods:

  • a written and/or oral examination that demonstrates the aide’s knowledge of the information presented in the classroom training, and
  • observation and demonstration by the aide of his/her competency in performing skills in the laboratory or patient care setting.

The tasks associated with personal hygiene, rehabilitation and vital signs (subject areas #8, #10 and #12 in the list above) are evaluated after the supervised practical training. Personal Aides, Nurse Aides and Home Health Aides New York is very clear definitions for each of these job descriptions, and specific training requirements for each.

Activities performed Training Requirements Certification
Personal Care Aide Permitted to perform fewer health-related tasks than home health
Minimum of 40 hours Personal Care Aide Certification
Home Health Aide See above Home Health Aide Certification
Certified Nurse Aide Comparable to Home Health Aides Complete a State approved RHCF nurse aide
training program (minimum of 100 hours), and pass the State authorized competency examination
Nurse aide certification and listing in the New York State
RHCF Nurse Aide Registry
Not equivalent, or superior to, a Home Health Aide certification

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