Duties of the Care Manager

DRT

Care Manager Position Job Description

• Keep track of Medicine/VA order, tell Don when VA order needs to be ordered
• Don’s medicines and supplies need to be monitored
• Keep up with receipts in inbox(Show Don when a lot)
• Keep up with letters/envelopes in inbox and show Don
• Show Don paperwork from tables weekly
• Recycle outdated reports that were read by everyone
• Keep track of important issues that come up and discuss @ monthly meeting
• File to Multiple folders by desk for caregivers who don't work here anymore
• Takes care of all paper filing
• Help maintain hiring websites
• Keep caregivers wall updated
• Remind van goddess when can needs attention
• Try and simplify papers on walls as needed  

HOW TO Advertise and Set Up Interview for New Caregivers- 6 steps

DRT 

1- Advertise

Best Advertising site is RamWeb-

GOTO

Colorado State University Employment Opportunities
Then select Student Employment Services
Then select Job Posting Services
Then select Off Campus Employers button
Then Job Management Login

LOGIN as SunHavenKate@gmail.com, Don's HobbitHouse password

Second Best is Front Range Community College-

GOTO https://www.myinterfase.com/frontrange/employer/

LOGIN as donhing@gmail.com, Don's HobbitHouse password

$9.30/hour for Unique Caregiver Job Get experience working with disabilities. Cool, adventurous man in his 60s with ALS who is a quadriplegic, uses power wheelchair, computer to speak, PEG tube to eat, and vent to breathe needs help with living activities. 4-24 hours per week, possibly some overnights, hours arranged around your schedule each semester. Just 5 minutes from campus. Need help now, routine is easy to learn, no experience necessary, driver’s license required. Strong back is needed for pivot disk transfer of 140 lb man, training provided.  Come join our really cool team! EMAIL today with your resume. DonHing@gmail.com

$14-17/hr Unique In-Home Private Pay for licensed CNA Get experience working with disabilities. Cool, creative man in his 60s with ALS who is a quadriplegic, uses power wheelchair, computer to speak, PEG tube to eat, and vent to breathe needs help to get out of bed, dress, shower, toilet, go to bed, etc. Strong back is needed for pivot disk transfer of 140 lb man. 3 home visits needed each day (8-10am, 3-4pm, 9-10pm). Particularly for Saturdays, some Sundays, and some weekday visits. Just 5 minutes from campus. Need help now, no experience needed, we train. Colorado CNA license required. Come join our really cool team! EMAIL today with your resume. DonHing@gmail.com

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Don gets emails resumes and decides who to invite to interview. Decide with Don on interview times and interview up to 3 people at a time. If possible, CNA interviews should be just before a CNA visit so they can observe the visit after the interview.

2- Set up potential INTERVIEW TIMES with Don.

3- Don FORWARDS (to you) email and resume of each applicant he is interested in.

4- For each applicant Don is interested in SEND A REPLY EMAIL within 24 hours of receiving resume.

EMAIL REPLY (within 24 hours of receiving resume)-

Subject: PA Help for Disabled Man
Dear _____.
Thank you for your interest in our home health aide job opening for a Personal Aide (PA). We are holding interviews this week for the openings.

Here is some more information about this position-
Don needs someone with him at all times of the day and night. So we try to schedule Personal Attendants (PAs) at least 4 daytime hours and one overnight a week. He has a team of PAs who divide this schedule of shifts. We currently need two more PAs to complete his team. Also we have a team of 3 CNAs who get him out of and into bed and do his intimate care. During the 3 CNA visits a day the PA is there as a backup person and to help with transferring Don between bed and wheelchair.

His entire team meets for one hour once a month to compare notes and setup the next month's schedule. Later if you find you cannot work, you are responsible for calling the other aides and finding your own replacement. Because your work is critical to Don's good heath, we ask for a minimum 6 month commitment, and minimum 30 day notice.

Does this sound like it will work for you?

Let me tell you more about Don and the job-
Don is a cheerful, intelligent 58 year old guy who has ALS and is completely paralyzed. He uses a motorized wheelchair that needs to be driven for him, a PEG tube for eating, and a vent for breathing. He can no longer speak, but he has a cool computer that follows his eye movements and can help him speak and get on the internet. He manages his care using text messages, emails and written reports. Don lives in his own townhome. 

So as a PA, you would basically learn to feed him, help him get around, go for walks or outings and doctor appointments, keep him company and monitor his breathing. Does this sound like something you would be interested in?

Would you like to come by and meet Don? Would List Date/Times work for you? Bring a copy of your Drivers License to the interview.

Before the interview please email a document of 3 references from previous employers- contact info, type of job, dates, and a few sentences for each reference about how you would use what your learned from these positions in working with Don. Don will use this reference sheet during your interview. The references can also be from volunteer and classroom experiences.

We look forward to meeting you.

Subject: CNA Help for Disabled Man
Dear _____.
Thank you for your interest in our caregiver position. We are holding interviews this week for the openings.

Here is some more information about this position-
Don needs CNA help every morning from about 8-10am, afternoons from 3-4pm, and bedtimes from 8:30-10:30m. He has a team of part-time CNAs who divide these visits between them. And he has a team of nonCNA Personal Attendants who assist the CNA (especially during showers and transferring) and help Don with daily activities while monitoring him 24/7.

His entire team meets for one hour once a month to compare notes and setup the next month's schedule. Later if you find you cannot work, you are responsible for calling the other CNAs and finding your own replacement. Because your work is critical to Don's good heath, we ask for a minimum 6 month commitment, and minimum 30 day notice.

Does this sound like it will work for you?

Let me tell you more about Don and the job-
Don is a cheerful, intelligent 58 year old guy who has ALS and is completely paralyzed. He uses a motorized wheelchair that needs to be driven for him, a PEG tube for eating, and a vent for breathing. He can no longer speak, but he has a cool computer that follows his eye movements and can help him speak and get on the internet. He manages his care using text messages, emails and written reports. Don lives in his own townhome. 

Each morning a CNA helps with personal care and toileting, dressing, transferring to his wheelchair, then setting him up on his computer for the day. He gets a shower 3 days a week. In the afternoon he needs a toilet break, and it takes about one hour. At bedtime he needs personal care, toileting and transferring to bed, then setting him up in bed for best comfort.

Would you like to come by, meet Don and see the routine? Would (list Date/Times) work for you? Bring a copy of your CNA license and your Drivers License to the interview.

Before the interview please email document of 3 references from previous employers- contact info, type of job, dates, and a few sentences for each reference about how you would use what your learned from these positions in working with Don. Don will use this reference sheet during your interview. The references can also be from volunteer and classroom experiences. Do you have any questions?

We look forward to meeting you.

5- FORWARD replys with References to Don. PRINT references for interview.

6- REPLY to emails sending References and accepting Interview times-

Subject: Interview Address and Instructions

Dear _____.
We're delighted you are available for an interview on Date/Time.

Don's address is 924 Gilgalad Way. Take Shields south of campus past Prospect, and turn east on Hill Pond Road. Gilgalad is the first right off Hill Pond Road. Don's townhome is on the southwest corner of Hill Pond and Gilgalad.

Remember to bring a copy of your Drivers License (and CNA license if applicable) to the interview. Don and I look forward to meeting you there. If you decide not to come please be sure to call me in advance.

HOW TO Interview

DRT 

Two Steps to Interviewing

1- Conduct the Interview

• PRINT PA Job Description or CNA Job Description handouts (find these on the USB stick).
• PRINT Interview Questions Don likes to hear answers to during interview. (USB stick)

• WELCOME and introduce Don.
• Explain about eyes, yes and no.  Show Computer
• COLLECT Drivers License and/or CNA license, make copy and return originals.

• EXPLAIN how Interviews are conducted
• Applicants interview us as we interview them. This job is NOT for everybody.
• If interested in the job after the interview, please TEXT Don at donhing@gmail.com before noon the day after the interview. Your references will not be contacted unless you call back to say you are interested.
• Feel free to ask questions, any questions. No need to feel embarrassed.
• No questions too personal.

• BRIEF HISTORY for Don, cover abilities and disabilities.
• Diagnosed with ALS in 2005, came to Colorado in 2008.
• Holistic Care- Careful Nutrition and IVs
• Point out- Vent, Suction Machine, PEG tube, PICC line, Wheelchair, Van, Spell board

• ANY QUESTIONS?

• Please tell us your back ground and reason for wanting job
• Ask QUESTIONS from Don's List of Interview Questions

• DISCUSS Job Description Handout
• Qualifications and Qualities of employee paragraph 
• Dependable - Punctual
• Training at half pay. At least 3 visits including overnight.
• After considering the job overnight, please text Don BEFORE NOON tomorrow if still interested in job.

• ANY QUESTIONS?

• TOUR of townhome.

• We ask that you go home and carefully consider this job. 

• THANK them for coming.
• Eye contact, smile, enjoyed meeting.
• Look forward to TEXT to Don.

2- Once person has TEXTED Don they are interested in job, he will contact you to check their references

CHECK REFERENCES

Use the following for phone calls and/or emails-

My name is ____________, I am calling because _________ offered your name as a job reference.  I am considering ___ for a home health aide position for my brother who has multiple disabilities.
_______says she worked for you as a _____ from _____. Is that correct?
How would you rate her for-
   Responsibility,
   Dependability,
   Punctuality, and
   Ability to follow instructions?
Would you rehire her in the future?
Anything else I might need to know about _____?
Thank you!
Leave your contact information!

Inform Don of results.

HOW TO CONDUCT 1st Training

DRT 

How to Schedule, Set up, and Conduct 1st Training

1- SCHEDULE 1st TRAINING with New Employee

• 1st Training is 3 hours long and is best timed around a meal
• Inform them of the date and time of the next STAFF MEETING.
• Plan to set up 2nd Training and Overnight Training at 1st Training

2- Send EMAIL (with 5 attachments) to get them started before 1st Training 

SUBJECT: Welcome to our Caregivers Team!

Dear ______,

You are joining an amazing team of fun, caring individuals that provide around the clock care for Don Taylor. Because Don's treats everyday as an adventure, he enjoys having lively, equally adventurous people surrounding him. So we think you will really fit in and enjoy being a part of this team.

First we will have to get all the boring paperwork completed, then you will read through the Orientation materials before starting your first day of Training this ________________________.

You can expect at least 3 Hands-on Training shifts before you (and Don) decide you are ready to work alone with him. Even our licensed Certified Nursing Assistants complete this training before beginning training for the CNA visits that get Don in and out of bed, take care of personal and intimate care, toileting, and showering. 

During your first Training Session we will schedule your next training session- so bring your calendar.

At this point we should already have-

 ~Your Resume

 ~Your Reference Sheet

 ~A copy of your Drivers License

~A copy of your Colorado CNA License (if applicable)

We will also need another form of legal ID such as a copy of your 

 ~Social Security Card, 

 ~Passport ID page,

 ~or Birth Certificate.

So either email this to me or bring it to your 1st Training.

And I need an email from you stating 

 ~your best local mailing address, 

 ~best phone number, 

 ~best email address, 

 ~birthdate and 

 ~emergency contact information.
Please email me at __________________________.

Below there are FIVE attachments for you-

1. Employment Contract between you and Don

2. IRS Form W4

3. US Citizenship Form I9

4. Direct Deposit form

5. Sexual Harassment form

Please PRINT, read, complete, and SIGN each of these forms.

BRING TO YOUR FIRST TRAINING

A SIGNED COPY of each of the 5 forms above.

Your schedule/personal calendar to set up your next training sessions.

A copy of another form of legal ID (unless you already emailed it)

AND a VOIDED CHECK from your checking account to complete your set up for direct deposit of paychecks.

FINALLY-

Before your 1st Training go to http://dontaylortraining.blogspot.com// and read the first 8 entries to this Blog. Don't worry you will not be quizzed on this material. It is all background info for your reference. You can reread it anytime on this blog site.

There will be other (but fortunately much less!) blog entries to review before your 2nd Training, and your Overnight Training.

See you soon!

FIVE ATTACHMENTS are on USB Stick/1STAFF/New Employee files. 

1- Contract PA (or CNA)
2- W4 form
3- I9 form
4- Direct Deposit
5- Sexual Harassment Policy

3- Receive and PRINT Vital Statistics Email from New Trainee

Once received, PRINT EMAIL with address, phone, email, birthdate, and emergency contact.
If applicable, PRINT any attachments- social security, passport or birth certificate.

4- PREPARE Employee Folder for this person-

• Use label maker to print last name, first name and put on manila file.
• Add resume, copy of drivers license, and copy of Colorado CNA license (if applicable) to file
• Add printed EMAIL with address, phone, email, birthdate and emergency contact to file
• Add printed ATTACHMENTS as well.

5- BEFORE 1st Training

GOTO USB Stick/1STAFF/New Employee files. 

PRINT the following 5 Applicable Files.

1. Training Checklist
2. Checklist PA (or CNA)
3. PA 1st Time Alone
4. CKLIST On Arrival
5. CKLIST Before Leaving

GET previously prepared Employee Folder for this person.

PREPARE 2nd folder with first name only for WORKLOG

Prepare Worklog from USB Stick/1STAFF/Worklogs EXCEL file "Worklogs" and put in folder

Add Checklist PA (or CNA) handout to WORKLOG FOLDER

Add PA 1st Time Alone handout to WORKLOG FOLDER

Place WORKLOG FOLDER alphabetically in wall file at Caregivers Desk.

6- AT 1st Training

COLLECT signed paperwork-

• Contract
• (Sign and date this for Don)
• W4 form
• I9 form
• Direct Deposit form
• Sexual Harassment Policy
• and any other paperwork they brought in person.

MAKE COPIES of-

• Contract (Copy goes to New Trainee, Original to Employee Folder)
• Sexual Harassment Policy (Copy goes to New Trainee, Original to Employee Folder)

• W4 form (Copy goes to Accountant, Original to Employee Folder)
• Direct Deposit form (Copy goes to Accountant, Original to Employee Folder)

EMPLOYEE FOLDER should have-

• Resume
• References
• COPY of Drivers License
• COPY of Colorado CNA License (if applicable)
• Printed EMAIL with best address, phone, email, birthdate, and emergency contact
• COPY of Social Security card, Passport or Birth Certificate
• ORIGINAL of Signed Contract
• ORIGINAL of W4 form
• ORIGINAL of I9 form
• ORIGINAL of Direct Deposit form
• ORIGINAL of Sexual Harassment form

The following COPIES go to Don's Accountant- Marty

• COPY of W4 form
• COPY of Direct Deposit form

The following COPIES go home with New Employee-

• Signed Contract
• Sexual Harassment Policy

WORKLOG FOLDER should have-

• Worklog for New Employee
• PA (or CNA) Checklist handout
• PA 1st Time Alone handout

BEGIN Training Checklist-

• Trainee has READ the Blog entries BEFORE arriving -
• Welcome to the Taylor Trailblazers Team!
• READ BEFORE 1st Training- Communication
• Read Before 1st Training- To all my Suck-a-Teers
• Read Before 1st Training- Important Trach Information
• READ before 1st Training- Don's Diet
• Read Before 1st Training- How to Transfer and Wheelchair Comfort
• Read Before 1st Training- ERICA Set Up
• Read Before 1st Training- Personal Attendant (PA) Duties
• Read Before 1st Training- (PA) Checklist
• Set Up Training Checklist-
• Set up 2nd Training session and Overnight Training, plus 2 shower training sessions, 
• Remind New Employee about date and time of next Staff Meeting.

DO- ON ARRIVAL CHECKLIST

Guidance For Wheelchair & Adventures

DRT 

Wheelchair and Van Checklist for Adventures

Inside House

·        Switch vents – turn off Baby Bertha 
Feed Little Bertha's tubes up under Don's left side as shown: 

·    Then put in Little Bertha "air life" tube under the white accordion tube where the Big Bertha tubes were

·    Big Bertha will beep, power it off and Baby Bertha if you have not already (power switch on the side)

** If Don wants to check if Little Bertha is charging, there is a "charge status" label on L.B. If charging, it will be orange and the small grey cord will be connected to the small grey lithium battery cord.**

·        Mouth suction

·        Ask Don if he wants lung suction 


Go here to learn how to do lung 

·        Yellow levers up on wheels

·        Empty suction machine bowl then put in bag

·        Bring suction machine power cord

·        Bring blanket and jacket, check bags for water bottles

·        Feet down like leaning back

Turn on van (if hot outside turn on air conditioning, if not open ramp)
·        Or take cart outside with suction machine for patio adventures
·        Move Tobii only after Don goes to the tracking status box! 

• Glasses on before head strap. 

·        Head strap on as shown: 

·

 Always Velcro to the bottom rear behind my head.  Place trach roll as shown to keep tubes secure:

                                                            

·        Tilt forward until green using front joy stick 

·        Important - Unplug from power strip

·        Turn wheel chair on green green (slow)

Going Outside

·        Hold Don’s head going over bumps

·        If van ramp isn’t down put it down

·        Position in front of ramp

·        Tilt head down all the way

·        Take off head strap

Getting in van

·        Put in van (hold head down) facing rear column where seat belt is

·        Put head band on (don’t raise head up yet)

·        Move front joy stick sideways – otherwise you can’t turn:                                                
                                                       

·        Face front middle two seats – you don’t have to be perfectly centered – it’s okay to be somewhat behind the passenger seat

·        Tilt head back - look at Don 

·        Feet up without touching seat

·        Plug in Bertha to car charger, only for highway trips! (check charging status)

·        Plug suction into car charger

·        Mouth Suction

·        Ask Don if he needs anything

·        To put ramp up push the black button to my right – step off the ramp!

·        When you get into the driver’s seat . . .

·        Check with Don to see if he is hot or cold

·        Don prefers windows down just a little bit instead of air conditioning if weather permits

·        Ask if radio is okay

Arrival

·        Park in handicap spot – the rear license has a handicap label

·        Mouth suction

·        Unplug both chargers and put over seats – loop both and secure in the arm  rests of the front seats:  

·        Move front joystick back to normal position
·        Feet down

·        Turn towards door - you don't have to be lined up exactly perfect 

·        Close burp tube and tuck elbows

·        Lean body down all the way

·        Take off head strap

·        Hold left shoulder back, with a little force and don't let go! 

Out of van

·        Head strap back on

·        Burp tube open

·        Lean head back and raise feet up ( except when you are going into my doctor's office) Sharp corners when turning! 

·        Show Don the ambu bag  and hang it on the rear of the WC

·        Ask Don if he is hot or cold

·        Ask Don if there is anything else he needs

** Railroad Tracks**

·        Turn on hazard lights a ways before going over to warn cars you’ll be going very slowly however the railroad tracks on Prospect and College doesn’t require hazard lights.

When We Get Home
·        Switch vents
·        Check lithium batteries! Tell Don their charged status- charge if 2 or more green dots do not appear
·        Turn on Baby Bertha
·        Unlock WC wheels
·        Put away medicine from doctors
·        Restock suction bag

In general:

• Automatically shuts off after about 20 minutes. 
• There are two joy sticks. One up front and one in the rear. The rear joy stick is removable for easy steering!  
• There are separate controls for my feet, my head and my back tilts. Another great feature is you can lean my back and feet into the leaning position almost flat (like in bed)! 
• On the front joy stick are two special buttons. The button with only one line is the drive mode. The second button with two lines controls the different tilts. Move joy stick from side to side to select which tilt to change. 
• Another cool feature is the WC can be charged during the day!
• It takes getting used to controlling the up or down tilts. It’s just like an airplane’s joy stick!
• There are four WC tilt options. The following pictures show all. 

Feet only:

For only back recline or tilt forward:

Tilt feet and recline or forward:

Head tilt forward or back:

• The new wheelchair does not have tilt numbers. When you tilt feet, look the foot pedals and when they extend that's the point to indicate when to stop. 
• The seat belts have side padding so the right belt lies down in the seat. The left belt hangs over the left arm rest. 
• In the rear are four blue buttons. Three are labeled, one does nothing. 
  

• To unlock the wheels the yellow levers face down as shown: 
  

• To take off the head  rest for haircuts turn the quick release as shown below: 
  

• This is important. The joy stick has a special feature to indicate where the head tilt number is even though no numbers are shown. As you lean head back the light in the middle bottom of joy stick is green. When the tilt gets to the perfect tilt it turns red!

After Shower - Little Bertha Setup:

• The following picture shows how to loop the vent tubes with the Velcro strip: 
  

• The following picture shows how to loop the power cord over the left handle: 
  

Here's a picture of how the power box is secured to the frame: 

Lung suction guidance:

• Before lung suction raise my feet up until my foot pedals start to extend, stop immediately. 
• Place hands as shown: 
  

• If I am not on Tobii you can recline only my back to make lung suction easier to reach me. 
• After lung suction you can use both feet and recline options to lower feet and raise head. 

CNA guidance:

• On both front sides are silver handles to pull the wheelchair forward during the CNA shift. 
  
• Unfortunately when the front wheels are turned to the side it's nearly impossible to pull or push the WC. 

                                              

• Make sure both front wheels are straight as shown when you push WC back: 
  
  
  
  The same is true for pushing the WC forward as shown: 
                                        

• Transfer from shower chair to WC requires the PA to lock both wheels when they bring the WC up to Don's legs.
• After transfer my PA must unlock both wheels as shown below: