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THE EXCEL NURSING AGENCYWorking Conditions- Because patients need round-the-clock care, working hours include days, nights,weekends and holidays.- The number of patients assigned per shift will vary with facility and specialty, ifapplicable.- Nurses spend considerable time walking, bending, stretching and standing; they assist inpatient transfers.- Nurses must guard against back injury because they may have to assist CNAs in patientlifts and transfers; they must follow proper body mechanics and procedures forlifting/moving patients.- Nurses may face hazards from exposure to chemicals and infectious diseases. In addition,the population cared for will contain patients that are confused, irrational, agitated, oruncooperative, from diagnoses, such as Alzheimer’s.Physical Demands- Ability to lift 50kg substance. Moving, lifting or transferring of patients may involvelifting of up to 60kg, as well as assist with weights of more than 90kg.- Ability to stand for extended periods.- Fine motor skills- Visual acuityThe physical demands described here are representative of those that must be met by anemployee to successfully perform the essential functions of this job.- Reasonable accommodations may be made to enable individuals with disabilities toperform the essential functions. While performing the duties of this job, the employee isregularly required to stand and talk or hear. The employee is frequently required to walk;use hands to finger, handle, or feel; and reach forward with hands and arms. Theemployee is occasionally required to sit and stoop, kneel, or crouch. The employee mustfrequently lift and/or move up to 50kg. Specific vision abilities required by this jobinclude close vision, distance vision, color vision, peripheral vision, depth perception,and ability to adjust focus.Continuing Education RequirementsAgency personnel are expected to participate in appropriate continuing education as may berequested and/or required by the Management. In addition, Agency’s personnel are expected toaccept personal responsibility for other educational activities to enhance job-related skills andabilities and must attend mandatory educational programs.We offer both live out, shift, live-in home services or whatever choice you wish to have.2. NURSING ASSISTANT SERVICES (NAS)These services are provided by our Certified Nurse Assistants (CNAs) who have some level ofeducation; with certificates ranging from health related courses and many more. They arespecially trained to assist our Registered Nurses in care of our clients.

THE EXCEL NURSING AGENCYJob Descriptions of our CNAPosition SummaryThe CNA Home Care Aide is a professional member of home care team who works under thesupervision of a RN or Physiotherapist and performs various services for a client as necessary tomeet the client’s personal needs and to promote comfort. The Home Care Aide is responsible forobserving clients, reporting these observations and documenting observations and careperformed.The CNA shall be assigned in a manner that promotes quality, continuity and safety of a client’scare.Qualifications- Meets the training requirements of the Agency.- Is at least 18years of Age.- Possess and maintain good physical stamina and mental health.- The ability to follow a written Plan of Care, procedures and instructions and to observeand document care given.- Have satisfactory references from previous employers.- Is self-directing with the ability to work with little direct supervision.- Has empathy for the needs of the ill, injured, frail and the impaired.- Possess and maintain current CPR certification.- Is flexible and cooperative in fulfilling role obligation.- Demonstrates fact, patience and good personal hygiene.- Licensed driver with automobile that is insured in accordance with our Agency’srequirements and is in good working conditions.- Prefer one (1) year experience in a Nursing Home, acute care facility or with a HealthMaintenance Organization (HMO).- Dependable and capable of maintaining standards as set by the Agency to meet clients’needs including being able to recognize emergencies and follow through with emergencyprocedures.Job LimitationsThe CNA Home Health Aide will not function in the capacity of a Registered Nurse (RN).Specifically, the CNA will not administer medications, take Physician’s order or performprocedures requiring of the training, knowledge and skill of a Nurse, specifically steriletechniques.Specialized Skills- Good oral and written communications.- Good organizational skills.Other aspects and demands of the job not listed above:- Assisting clients in transferring/ambulation.- Push-pull clients in wheelchair.- Turning/positioning bed-bound clients.

THE EXCEL NURSING AGENCYResponsibilities and DutiesResponsibilities of the CNA include, but are not limited to the following:- Answering client calls and attending to client’s requests promptly. If unable to perform acertain task, report to the RN/management of the Agency.- Meeting safety needs of clients and using equipment safely and property (foot stools, siderails, restraints etc).- Giving personal care including baths, back rubs oral hygiene, shampoos and changingbed linen as often as necessary.- Assisting in dressing and undressing clients.- Serving nutritious meals.- Assisting in feeding the client if necessary.- Taking and recording oral, rectal and axillary temperatures., pulse, respiration and bloodpressure when ordered (within the training limitations of the CNA)- Providing proper care and observation of client’s skin to prevent breakdown of tissuesover bony prominence.- Reporting on client’s condition and significant changes to the assigned supervisoryNurse.- Assisting in ambulation and exercise as instructed by the Nurse or Physiotherapist.- Offering and assisting with bedpans and urinals.- Performing range of Motion (ROM) and other simple procedures as an extensionaltherapy service as ordered (within the training limitations of the CNA).- Assisting client in the self-administration of medication.- Keeping client’s living area clean and hygienic, as appropriate.- Adhering to the Agency’s Documentation and Care Procedures and standard of personaland professional conduct.- Doing client’s laundry as appropriate.- Performs simple wound care under the direction of the RN.The above statements are only meant to be a representative summary of the major duties andresponsibilities performed by the incumbents of the job. The incumbent may be requested toperform job-related tasks other than stated in this description.Continuing Education RequirementsAgency personnel are expected to participate in appropriate continuing education as may berequested and/or required by the Management. In addition, Agency’s personnel are expected toaccept personal responsibility for other educational activities to enhance job-related skills andabilities and must attend mandatory educational programs.

THE EXCEL NURSING AGENCY3. CARERS/PERSONAL AIDE (C/PA)This Service is provided by our personnel who are trained to provide care and support for ourclients.Job Description of our Carer/Personal AidePosition SummaryAssist elderly or disabled adults with daily activities at the person’s home or in a daytime nonresidential facility. Duties performed at a place of residence may include: keeping house (makingbeds, doing laundry, washing dishes) and preparing meals. May provide meals and supervisedactivities at non-residential care facilities. May advice families, the elderly, and disabled on suchthings as nutrition, cleanliness, and household utilities.Job Duties and task- Perform healthcare related tasks, such as monitoring vital signs and medications underthe direction and supervision of a Registered Nurses and/or Physiotherapist.- Administer bedside and personal care, such as ambulation and personal hygieneassistance.- Prepare and maintain records of client progress and services performed, reportingchanges in client condition to the Executive Director.- Perform housekeeping duties; such as cooking, cleaning, washing clothes and dishes, andrunning errands.- Care for individuals and families during period of incapacitation, family disruption orconvalescence, providing companionship, personal care and help in adjusting to newlifestyles.- Instruct and advise clients on issues such as household cleanliness, utilities, hygiene,nutrition and infant care.- Plan, shop for and prepare meals, including special diets, and assist families in planning,shopping for, and preparing nutritious meals.- Participate in case reviews, consulting with the team for caring for the client, to evaluatethe client’s needs and plan for continuing services.- Transport clients to locations outside the offices or on outings.- Train family members to provide bedside care.- Provide clients with communication assistance, typing their correspondence andobtaining information for them.Job Activities- Assisting and caring for others: providing personal assistance, medical attention,emotional support, or other personal care to others such as coworkers, customers, orpatients.- Establishing and maintaining interpersonal relationships: developing constructiveand cooperative working relationships with others, and maintain them over time.

THE EXCEL NURSING AGENCY-Making decisions and solving problems: analyzing information and evaluating result tochoose the best solution and solve problems.- Getting information: observing, receiving, and otherwise obtaining information from allrelevant sources.- Identifying objects, actions, and events: identifying information by categorizing,estimating, recognizing differences or similarities, and detecting changes incircumstances or events.- Communicating with Supervisors, Peers, or Subordinates: providing information tosupervisors, co-workers, and subordinates by telephone, in written form, e-mail or inperson.Skills Needed- Social Perceptiveness: being aware of others’ reactions and understanding why they do.- Active Listening: giving full attention to what other people are saying, taking time tounderstand and the points being made, asking questions as appropriate, and notinterrupting at inappropriate times.- Coordination: adjusting actions in relation to others’ actions.- Service Orientation: actively looking for easy to help people.- Time management: managing one’s own time and the time of others.- Monitoring: monitoring/assessing performance of yourself, other individuals ororganizations to make improvements or take corrective action.- Speaking: talking to others to convey information effectively.- Critical Thinking: using logic and reasoning to identify the strengths and weaknesses ofalternative solutions, conclusions or approaches to problems.- Reading Comprehension: understanding written sentences and paragraphs in workrelated documents.- Learning Strategies: selecting and using training/instructional methods and proceduresappropriate for the situation when learning or teaching new things.- Active Learning: understanding the implication of new information for both current andfuture problem-solving and decision-making.- .Writing: communicating effectively in writing as appropriate for the needs of theaudience.- Persuasion: persuading others to change their minds or behavior.- Instructing: teaching others how to do something.- Equipment Selection: determining the kind of tools and equipments needed to do a job.Abilities Needed- Oral Comprehension: the ability to listen to and understand information and ideaspresented through spoken words and sentences.- Problem Sensitivity: the ability to tell when something is wrong or is likely to go wrong.It does not involve solving the problem, only recognizing there is a problem.- Speech Clarity: the ability to speak clearly so others can understand you.- Oral Expression: the ability to communicate information and ideas in speaking so otherswill understand.

THE EXCEL NURSING AGENCY-Speech Recognition: the ability to identify and understand the speech of another person.Deductive Reasoning: the ability to apply general rules to specific problems to produceanswers that make sense.- Written Expression: the ability to communicate information and ideas presented inwriting.- Written Comprehension: the ability to read and understand information and ideaspresented in writing.- Information Ordering: the ability to arrange things or actions in a certain order orpattern according to a specific rule or set of rules (e.g. patterns of numbers, letters, words,pictures, mathematical operations).Knowledge, Experience, Education Required.- Customer and Personal Service: knowledge of principles and processes for providingcustomer and personal services. This includes customer needs assessment, meetingquality standards for services, and evaluation of customer satisfaction.- English Language: knowledge of the structure and content of the English languageincluding the meaning and spelling of words, rules of composition, and grammar.Continuing Education RequirementsAgency personnel are expected to participate in appropriate continuing education as may berequested and/or required by the Management. In addition, Agency’s personnel are expected toaccept personal responsibility for other educational activities to enhance job-related skills andabilities and must attend mandatory educational programs.4. EXECUTIVE CARE AIDE (ECA)These are carefully selected, vetted and well trained individuals with a minimum of a first degreeand they demonstrate high level of integrity, skill, passion and desire for home care. They aretrained and demonstrate skills in individualized home care and are certified with the AmericaHeart Association of various safety skills with evidence of license and certificates.Job description of our ECA(Same as our Carers/Personal Aide)5. NANNY SERVICEOur aim is to provide quality and reliable child cares who add value to an Organization orhousehold needs. Our Nannies work to a standard of excellence to meet our client’s needs. OurNannies will be understanding and responsive to the needs of the client and provide theappropriate care that will enable the child/children to grow and develop in a clean, safe, secureand happy environment.We only put forward candidates that we think are suitable for the position. We personallyinterview and vet all of our candidates. The vetting includes good references, qualification

THE EXCEL NURSING AGENCYverification & ID checks. We offer training courses in food hygiene, first aid, challengingbehavior, safeguarding children, autism awareness and more.This arm of our Agency is a family run department that is ready to help families andestablishments find the right care for their individual needs. To respect the differing needscultures and values of our clients. We understand the early years of a child’s life are vital as thestepping stones to their successful future. We spend time finding the right people committed toour principles.We can provide care from 0 to 24hours. We also offer a babysitting service for the eveningsand/or a mobile crèche service (if you are organizing a family get together such as wedding andwanting the children to be cared for onsite).Why we are unique:This arm of our Agency is a small family run and, therefore, very flexible to the needs of ourclients. We understand that the needs of our clients are all different. We work closely with ourfamilies at the start of the business relationship to ensure we gain an in-depth understanding ofwhat our clients want; what sort of person they are looking for and what areas they need helpwith; be it helping the mother and/or father with day to day tasks or taking sole charge of thechildren. We do this by visiting the family at home or arranging an appointment for the family atour office if that is preferred. We provide child carers for all types of contracts. From clients whoneed a long term permanent, full time care to clients who just need short term carers to help themthrough an extremely busy or difficult time in their lives (when a friendly, helping hand getsthem through the maze)After Service:Once you have employed our Nanny, we can provide ongoing support and guidance to you andyour family, anything we can do to make life easier we will do our best to help with, including apayroll service, Sitters’ service (include Sitters for special events), emergency childcare, place togo in your area or advice.Job Description of our NannyPosition SummaryNannies will look after your child(ren) in your home, offering individual care. A nanny’s role isto create a safe, nurturing and stimulating environment in which the children can thrive anddevelop. Nannies may hold a childcare qualification, or have previous experience as a nanny.The salary of a Nanny can vary depending on the type of job, the hours and the location. Live-inpositions are quite affordable and stress-free as per accommodation challenges.The duties of a Nanny will vary on the family’s needs and these duties should be agreed inadvance. The duties can include:

THE EXCEL NURSING AGENCY-Preparing meals for the children, making sure they have a well balanced diet.Plan activities to stimulate, challenge and encourage skills in all areas of learning anddevelopment i.e. physically, intellectually, socially and emotionally.- Nursery duties (this usually includes children’s washing and ironing, keeping thechildren’s rooms tidy and cleaning up after activities/meals during the day).- Providing a safe, fun, secure and loving environment for the children.Types of Nanny RolesDaily/Live-out Nanny: This would be a sole charge position usually between 8-10hours a day.Monday-Friday or Saturday. Sitting won’t be included in their contract.Live in Nanny: a Live-in Nanny would usually work between 10-48/72hours. Sitting would alsobe included in their contract. The main role of a nanny is providing care for the children andtherefore should not include any household cleaning, if cleaning is going to be included in therole, this will need to be discussed and agreed in advance (Nanny Housekeeper role).Accommodation is provided for this type of Nanny by the client.Special Needs Nanny: A special needs nanny will be responsible for all the duties of a Nannybut may care for one or more children with special needs that will need additional care. This typeof position will vary enormously depending on the special need. This may range from a mildlearning difficulty to profound/multiple physical and mental disabilities. Each child will requiredifferent assistance to help them reach their maximum potential. These positions may require theNanny to take further training or have experience in specific conditions. Specific needs Nanniesneed to be sensitive to the whole families needs, supporting the parents and siblings will also bepart of this position.Nanny Share: There are two different types of Nanny Share. One is a Nanny that works for twofamilies. The families will then share the cost of the Nanny and agree the terms with t

THE EXCEL NURSING AGENCY Motto: Quality Assurance Health Care for All. Tel: 234(0)7069741720, 234(0)8165527599, 234(0)7065607356. Website:www.theexcelnursingagency.org E-Mail:info@theexcelnursingagency.org CLIENT'S HANDBOOK FOR HOME HEALTH CARE SERVICE