I.Organization Overview A. Overview to Care and Services B. Patient Population and Geographic Area Served C. Regulations Governing the Delivery of Home Care Services D. Agency Philosophy of Patient Care E. Organizational Structure/Role of Team Members: a. Managing Member b. Administrator C. Personal Care Aide d. Homemaker e. Companion F. Quality Management G. Distribution of Employee Handbook and Job Description H. Storage, Handling and Access to Supplies I. Orientation Checklist

II. Communication Skills A. Overview to the Communication Process B. Effective Communication Techniques C. The Skill of Listening D. The Aide/Personal Care Assistant's Role in Communication E. Factors that May Affect the Client's Ability to Communicate F. Dealing with Difficult Behaviors G. Cultural Diversity and Sensitivity H. HIPAA and Confidentiality Guidelines I. Communication Exercise

III.Overview to Home Care Patient and Rights & Responsibilities A. Physical, Emotional and Developmental Needs of Clients B. Changes Occurring as a Result of the Aging Process C. What Can You Do To Promote the Client's Comfort? D. The Concept of Respect and Dignity E. Patient Rights and Responsibilities F. Client Control and the Independent Living Philosophy IV. Infection Control and Safety A. Basic Infection Control B. Standard Precautions C. Personal Protective Equipment D. Guidelines for Handwashing E. Disposing of Contaminated Supplies F. Cleaning a Spill of Potentially Infectious Waste G. Overview to Safety in the Home Environment H. Body Mechanics I.Falls Prevention and Falls Assessment J. Safety Tips and Checklist, Accident Prevention K. Fire Safety

101 Coventry CirLansdalePA 19446-6400 Phone: +1 (215) 588-5068 Fax: +1 (215) 565-0733 Email: info@galaxyhomecarellc.com

V.Homemaking/Maintenance of a Clean, Safe and Healthy Environment A. Maintaining a Clean, Safe and Healthy Home Environment B. Changing Bed Linens C. Laundry Care for Linens and Clothing D. Bathroom Cleaning E. Kitchen Cleaning F. Dusting and Vacuuming Emergency Procedures A. Recognizing Emergencies and Guidelines for Responding to an Emergency B. Home and Community Emergencies C. Calling 911 Emergency Medical Service D. Basic Symptoms of an Impending Heart Attack E. Heimlich Maneuver with Victim Standing or Sitting F. Heimlich Maneuver with Victim Lying Down G. Finger Sweep H. Symptoms of a Stroke (CVA) VII. Observation, Reporting and Documentation A. Recognizing and Reporting Abuse or Neglect B. Overview to the Care Delivery Process C. Observations, Reporting Changes and Reporting to Supervisor D. Overview to Documentation E. Patient Care Assignments and Use of the Service F. Following the Plan of Care G. Use of the Weekly Visit Record H. Reporting, Responding and Incidents

This employee has received orientation from me and other members of the management and home care team in all areas listed above related to the care, services, policies, procedures and operations of Galaxy Home Care.

Ihave received instructions in the subjects listed above, understand and will comply with the policies set forth in Galaxy Home Care's General Orientation Manual and the agency's Policy and Procedure Manuals.

101 Coventry CirLansdale PA 19446-6400 Phone: +1 (215) 588-5068 Fax: +1 (215) 565-0733 Email: info@galaxyhomecarellc.com