I read and understand DCHC’s policies and procedures and will conform to them. I understand they may change without notice.
    •    I acknowledge I have received a copy of DCHC’s handbook which includes all DCHC policy and procedures.
    •    I consent to DCHC obtaining a Pennsylvania State Police Criminal Background Check (PATCH), and if I have not lived in Pennsylvania for the past two years, I consent to completing an FBI clearance as required by law.
    •    I consent to DCHC obtaining a PA Child Abuse History Clearance (Act 33 / ChildLine check) as required for employment in direct care services.
    •    I acknowledge that I have received and reviewed a copy of my official Job Description for my position, and I understand the duties, responsibilities, and expectations outlined therein.
    •    I agree to keep auto insurance fully in force on any vehicle I use to conduct DCHC business. DCHC can request proof of insurance.
    •    I will carry out any required patient treatment plans and submit any required notes or information.
    •    I understand that I am required to have 12 hours of annual in-service training.
    •    I understand that all patient information, both written and verbal, is confidential and protected under state and federal law and any breach is subject to civil and/or criminal law. I understand that I must comply with all HIPAA regulations.
    •    I understand that this company does not routinely perform drug tests but may do so at its own discretion. I will comply with all required drug testing and understand that I could be asked to be drug tested at any time.
    •    I understand that DCHC Staffing is an “at will” organization and may terminate my employment at any time.
    •    I understand there is zero tolerance for fraud and any suspected fraud will be turned over to the proper authority.
    •    I understand to dress in a manner appropriate to the health care environment, or as directed by the consumer’s family.
    •    I understand to not smoke in the presence of patients or at all if requested by the patient.
    •    I understand to arrive on time to all assignments. If I am going to be late, I will call my DCHC case manager immediately.
    •    I understand that if I have any problem, incident, or accident on the job, I will call DCHC immediately.
    •    I understand that UNDER NO CONDITION WILL I DISPENSE OR ADMINISTER ANY MEDICATION.
    •    I understand that UNDER NO CIRCUMSTANCE MAY I ACCEPT MONEY OR PROPERTY FROM A PATIENT.
    •    I understand DCHC’s ZERO TOLERANCE for cell phone use unless there is an immediate family emergency.
    •    I understand not to discuss my pay or any other personal affairs with any patient or caregiver. I also understand that I may not accept any direct employment offered to me by any DCHC patient or their family.
    •    I understand during my employment that this Agency’s proprietary materials (i.e., forms, medical records) will be used only in connection with my DCHC employment and will not be disclosed to anyone outside of DCHC Staffing.
    •    I understand that to be paid, I must use the PA approved Electronic Visit Verification (EVV) System to clock in and clock out of all shifts. It is my responsibility to make sure I follow all EVV instructions and that if I forget to clock in or out that I let my case manager know immediately. I understand that failing to clock in or out could either delay or forfeit my compensation for that day.

MEDICAL TREATMENT FOR YOUR WORK INJURY OR OCCUPATIONAL ILLNESS

Your employer has selected a list of 6 or more physicians and other health care providers who are available to treat your work-related injuries and illnesses during the first 90 days of treatment.

If you are injured at work or suffer an occupational illness, you have certain legal RIGHTS and DUTIES under Section 306(f.l)(l)(i) of the Workers' Compensation Act regarding your medical treatment. These rights and duties are summarized below.

MEDICAL TREATMENT: DURING THE FIRST 90 DAYS

• You have the RIGHT to receive reasonable and necessary medical treatment for your work injury or occupational illness. Your employer must pay for the treatment, as-long-as the treatment is by one of the listed providers.
• You have the RIGHT to choose which of the listed providers will treat you for your work injury or illness.
• You have the RIGHT to switch among any of the listed providers when you receive treatment; and if a listed provider refers you to a provider not on your employer's list, you have the RIGHT to receive treatment from the referral provider.
• You have the RIGHT to receive emergency medical treatment from any provider. However, non-emergency treatment must be given by a listed provider.
• If a listed provider prescribes surgery for you, you have the RIGHT to receive a second opinion from any provider of your choice. If that opinion is different from the opinion of the listed provider, you have the RIGHT to choose which course of treatment to follow. If you choose the treatment prescribed in the second opinion, you must receive the treatment from a listed provider for a period of 90 days after the date of your visit to the provider of the second opinion.
• You have the DUTY to visit one or more of the listed providers for the first 90 days of treatment for your work injury or illness if you expect your employer to pay for the medical treatment you receive. If you seek treatment for your work injury or illness from a provider who is not on the list, your employer may not have to pay for this medical treatment during this 90-day period. Therefore, you should talk to your employer before seeking treatment from a provider who is not on the list.

IMPORTANT: The requirements your employer must meet to have a valid list of at least 6 providers are shown on the reverse side of this form. If the list does not meet these requirements, it is not a valid list, and you have the right to seek medical treatment for your work injury or occupational illness from any health care provider of your choice.

Medical Treatment after 90 Days

You have the RIGHT to receive treatment from any physician or other health care provider of your choice, whether they are listed by your employer or not. Your employer must pay for this treatment, as-long-as it is reasonable and necessary for your work injury or occupational illness and has been properly documented by the physician or other health care provider.

You have the DUTY to notify your employer if you receive treatment from a physician or other health care provider who is not 1isted by your employer. You must notify your employer within five days of the first visit to any provider who is not on your employer's list. The employer may not be required to pay for treatment received until you have given this notice.

Your signature on this form indicates that you have been informed of and you understand these rights and duties. If you have questions, be sure you have your rights and duties explained to you before signing this form.

1. Timekeeping Requirements

All caregivers must clock in and out at the start and end of every shift using the designated Electronic Visit Verification (EVV) system. This is a state requirement and ensures proper documentation of services.

A 15-minute grace period is allowed. If you arrive after 15 minutes, you will be paid only for time beginning at your actual clock-in If you forget to clock in or out, you must complete and submit a timesheet for the missed shift in full by the end of that work week. Failure to submit the timesheet means:

-You will not be paid for the shift until a completed timesheet is received.
-It submitted late, payment will be included in the next scheduled payroll cycle.

2. Call-Out Procedure

Caregivers are required to give a minimum of 24 hours notice for any call-out, except in cases of a verifiable emergency. Proof of emergency (e.g., medical document, police report) is required to avoid disciplinary action.

If you do not notify the agency within 24 hours of your missed shift, it will be considered untimely unless proof of emergency is submitted.

A maximum of five (4) call-outs per quarter is permitted. Exceeding this limit or demonstrating a pattern of unreliability may result in
-Written wamings
-Removal from current
-Termination from employment

3. No Call No Show

Failure to report to a scheduled shift without prior notice will be documented as a No Call No Show and will result in immediate disciplinary action. Repeat offenses will lead to termination

4. Disciplinary Action for Attendance Violations

-1st Violation: Verbal or written warning
-2nd Violation: Final written warning
-3rd Violation: Termination or removal from active caseload

5. Payroll Impact

Timekeeping errors and missing timesheets delay payroll
Employees are responsible for accurate documentation
All payroll is processed based on EVV records or submitted timesheets.

6. Commitment to Care

This is not just a job it's a responsibility to someones parent, sibling, or loved one. Devoted Companions Home Care LLC expects all staff to uphold the same level of care and attentiveness they would provide to their own family. We do this for our clients.

We urge you to take this policy as a reminder of your commitment to our mission, not as a punishment. Dependability, professionalism, and timely communication are what build trust with our clients and secure your position within this agency.

7. Clock-In/Clock-Out Compliance Statement

I understand that all caregivers must clock in and out for every shift using the agency’s EVV system. I agree that if I fail to clock in and out as required, my direct deposit will be removed, and I will be placed on paper checks until I become compliant.

• U.S. Passport or U.S. Passport Card
• Driver's license or ID card issued by a State or outlying possession of the United States provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address
• ID card issued by federal, state or local government agencies or entities, provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address
• U.S. Military card or draft record
• U.S. Coast Guard Merchant Mariner Card
• Military dependent's ID card
• Permanent Resident Card or Alien Registration Receipt Card (Form I-551)
• Foreign passport that contains a temporary I-551 stamp or temporary I-551 printed notation on a machine-readable immigrant visa
• Employment Authorization Document that contains a photograph (Form I-766)
• Foreign passport with Form I-94 or Form I-94A with Arrival-Departure Record, and containing an endorsement to work
• School ID card with a photograph
• Voter's registration card
• Native American tribal document
• Passport from the Federated States of Micronesia (FSM) or the Republic of the Marshall Islands (RMI) with Form I-94 or Form I-94A indicating nonimmigrant admission under the Compact of Free Association Between the United States and the FSM or RMI
• Driver's license issued by a Canadian government authority

• U.S. Social Security Card
• Certification of report of birth issued by the Department of State (Forms DS-1350, FS-545, FS-240)
• Original or certified copy of birth certificate issued by a State, county, municipal authority, or territory of the United States bearing an official seal
• Native American tribal document
• U.S. Citizen ID Card (Form I-197)
• Identification Card for Use of Resident Citizen in the United States (Form I-179)
• Employment authorization document issued by the Department of Homeland Security (DHS)

• Motor vehicle records, such as a valid driver's license or a State-issued identification.
• Housing records, such as mortgage records or rent receipts
• Public utility records and receipts, such as electric bills
  Local tax records
• A completed and signed, Federal, State or local income tax return with your name and address preprinted on it
• Employment records, including records of unemployment compensation
• If none of the above can be provided DCHC Staffing will issue instructions for you to complete an FBI clearance free of charge. FBI Clearances must be completed within 60 days of hire.

There are six in-service sections. They will each be presented for you to review and followed by a short quiz.

The purpose of this course is to illustrate examples of Abuse and Exploitation. The goal is to help you recognize signs of patient abuse or exploitation. Any abuse or exploitation perpetrated by any DCHC Staffing employee will result in immediate termination and be reported to the proper authorities. For additional details see DCHC Staffing Policy for Prevention of Abuse and Neglect in your employee handbook.

 

There are six forms of abuse:

Skin Care

The skin is an organ. It’s the largest organ in the human body. The top layer of the skin is called the epidermis. It is important to keep the epidermis hydrated since the skin becomes weaker and thinner as we age and becomes more prone to tearing and bruising. Caregivers must follow the prescribed skin care plan outlined in a patient’s Individual Service Plan (ISP).

Bathing

The room should be comfortably warm. Water temperature should be checked often. The bathing supplies, including towels, should be gathered, readily available, and close to the tub/shower. When bathing, safety is critical, but it is important to allow the patient to have as much control of the process as possible without compromising their safety.

Privacy

During bathing, it is important to allow the patient to have as much privacy as possible without compromising their safety. Safety must come first during the bathing process. If the patient objects to this process, it is critical to speak with your case manager to fix any bathing issues.

Resistance

If a patient is resistant to a bath or shower, it might make sense to give them a “bird bath.” To effectively give a patient a “birdbath,” use a warm soapy washcloth. Only disrobe the parts of a patient’s body that are being washed. This can make bathing longer, so be patient.

Assessment

It is important to check for changes to your patient’s skin during bath time. You should look for breaks in the skin and rubbed areas between fingers and toes, under the arms, and under the breasts. Barrier cream is a good tool to protect the skin

 

Skin Care

The skin is an organ. It’s the largest organ in the human body. The top layer of the skin is called the epidermis. It is important to keep the epidermis hydrated since the skin becomes weaker and thinner as we age and becomes more prone to tearing and bruising. Caregivers must follow the prescribed skin care plan outlined in a patient’s Individual Service Plan (ISP).

Bathing

The room should be comfortably warm. Water temperature should be checked often. The bathing supplies, including towels, should be gathered, readily available, and close to the tub/shower. When bathing, safety is critical, but it is important to allow the patient to have as much control of the process as possible without compromising their safety.

Privacy

During bathing, it is important to allow the patient to have as much privacy as possible without compromising their safety. Safety must come first during the bathing process. If the patient objects to this process, it is critical to speak with your case manager to fix any bathing issues.

Resistance

If a patient is resistant to a bath or shower, it might make sense to give them a “bird bath.” To effectively give a patient a “birdbath,” use a warm soapy washcloth. Only disrobe the parts of a patient’s body that are being washed. This can make bathing longer, so be patient.

Assessment

It is important to check for changes to your patient’s skin during bath time. You should look for breaks in the skin and rubbed areas between fingers and toes, under the arms, and under the breasts. Barrier cream is a good tool to protect the skin

 

How to Protect Against Infection

1. Handwashing is the most important way to prevent infection.
2. Gloves should always be worn when interacting with a patient with an infection.
3. Gloves should be worn when washing clothes, cleaning the house, or working with a patient.
4. Gloves should be discarded after each contact.
5. If a glove tears during contact, remove gloves, wash hands, and replace gloves.

Proper removal of gloves

1. Peel the glove away from your body, pulling it inside out.
2. Hold the glove you just removed in your gloved hand.
3. Peel off the second glove by putting your fingers inside the glove at the top of your wrist.
4. Turn the second glove inside out while pulling it away from your body, leaving the first glove inside the second.
5. Properly dispose of used gloves.

Additional Safeguards

• Masks are optional but should be worn when a patient has a respiratory infection.
• Bio-hazardous waste is anything that comes out of the patient’s body and needs proper disposal.
• Should you accidentally poke yourself with a needle:
  
  • Wash the affected area immediately.
  • Squeeze the affected area to force it to bleed.
  • Apply proper First Aid.
  • Seek medical attention if necessary.

Homecare Safety

1. Confirm with the patient before visiting for the first time.
2. Make sure you know where you’re going.
3. Always carry an extra set of keys.
4. Lock valuables in the trunk of your car, or if allowed, bring them in with you.
5. Always keep your car windows closed and doors locked.
6. Always wear shoes in the consumer’s home unless asked otherwise.
7. Never touch any animals in the consumers’ home.
8. If you ever spot a gun in the consumer’s home, alert your supervisor immediately.
9. Be very careful when lifting or moving your consumer. Lift with your legs and bend with your knees.
10. Apply all commonsense safety measures.

HIPAA

HIPAA stands for the Health Insurance Portability and Accountability Act.

HIPAA Laws are designed to protect the Patient. HIPAA provides restrictions against sharing a patient’s medical and identifying information. Even a Patient’s family is not allowed access to a patient’s records. If you think there has been a violation of your patient’s right to privacy, even by a patient’s family member, you should call the office and ask for the HIPAA Compliance Officer.

DCHC Staffing will provide you with all the background and medical information you need to care for your patient properly. You must remember that all patient information is confidential and should not be shared with anyone. If you are unsure whether information can be shared, it is best not to share until you have spoken with DCHC Staffing