I can't give you a short answer to this question. Yes, I did this. My job was to be certain the HHA's had 12 hours of CEU's per year. The accreditation agency determined how many hours could be via handouts, or lecture, etc. I could do 4 handouts and 3 videos. I made up my own Mandatory Jeopardy Game for the manadatory classes, like infection control, pt bill of rights, etc... Then I offered it for a few times a year, at a 4 hr credit. Also, get the firehouse to demo fire carries, how to use extinguisher, stuff like that helps. Adult protective services will usually do a lecture, may be free, may be a fee. That is a big part of the job.
You begin just like any other job, with an assessment. But your focus is on the pt's personal needs. So, what is their bowel pattern. Do they want a bath or shower? Do they need the aide to shop/drive/write checks, etc.. You develop the care plan based on what the HHA is doing. Any skilled nursing needs you encounter, you refer to a skilled agency. You send in orders to the doc if over the state specified minimum hours. You have to sup once a month to see that the HHA is competent in at least one of four areas.
This sounds like cake, but it isn't. In my experience, the pt's, and they didn't want to be called pt's, they were called consumers
really were unconcerned about the edema in their legs, all they wanted to talk to me about was, please tell the aide not to fold my towels in threes, fold into squares. Please tell her to put the blue socks first in my drawer. etc... They did not have patience for my assessment, nor did they want me "taking their time" from the aide. They didn't want me to watch them be bathed, dressed, and forget toileting. So, it wasn't easy to get to see them in action. The populatioon I was working with though were the developmentally disabled, so they look at themselves differently, not as being "sick." So, in that respect, I felt a burger king manager could have done my job.
How will the scheduling be done? Do you have to take call? What will you do when a pt who relies on a HHA to be fed three times a day, has their HHA call out sick? It is a big responsibility, and due to the stress and low pay, dedication is hard to find. Weekend callouts are always a nightmare, forget snowstorm shows if the aides use public trans.
Keep an eye on the schedules. The aides will also have to turn in an activity sheet, like a Note for us. You will need to check that against the care plan to see they are doing everything listed to justify their time there. And check these against their time sheets.
MY expereince was very bad, BECAUSE, there was some major medicaid fraud going on. I discovered this when I finally got the notes to review. Major discrepanices. A group of very slimy low-down people thought they could take advantage of people who couldn't speak for themselves. I turned them in, as did several other nurses before me I found out, and they were finally shut down.
I just want to emphasize that NOT all agencies are crooked, and I have some friends doing it, who got me into it in the first place since it was such a "cake" job, and they love it. My experience was vastly different, and I wouldn't take that type of job again if my life depended on it. I'd go back to the hospital first, THAT is how bad it was for me!!
I sincerely hope your experience is better. Good luck. Check on yahoo.com , there is a nursing educators listserv that was very helpful to me. I also purchased some pre-printed inservice handouts from some resources mentioned on that listserv.
Also, check your states requirements for HHA. ALWAYS check their credentials before hiring, never assume, ever!!! I had one girl come in and lie to my face, when I said, that's OK, the state BON has an on-line registry I can check your number, she got all squiggly in her chair and changed her tune!! She was no HHA. Also read you state's medicaid manaul, and the accreditation agency's ,manual, may be JACHO, CHAP, or other for a PCA/HHA agencies.
There is a lot of room for things to fall through the cracks in these types of agencies. The best ones are those who also offer skilled nursing care, and are not simply a PCA/HHA agency.
Good Luck!!!! I hope I didn't scare you too bad!!