Appendix A NATIONAL CENTER FOR HEALTHCARE APPRENTICESHIPS (NCHA) STANDARDS OF APPRENTICESHIP Developed by SEIU/AFSCME National Center for Healthcare Apprenticeships National Joint Apprenticeship Committee (NJATC) For the occupation of SUPPORT AND RETENTION COORDINATOR 1 (Existing Title Home Health Director) WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE
Appendix A WORK PROCESSES SCHEDULE OCCUPATION TITLE: Support and Retention Coordinator (SRC 1) O*NET-SOC CODE: 11-9111.00 RAPIDS CODE: 1108CB Description: The Support and Retention Coordinator (SRC 1) assesses, supports and trains newly hired Home Care Providers (HCPs). They provide support to the HCPs beginning from their introductory phase as well as throughout their career. SRC 1s accompany HCPs during their first weeks with new clients, to ensure the HCP acclimates to the job, clients and duties. They also provide critical support in their introductory period for HCPs by providing guidance, answering questions and provide feedback to assist the HCP in the success of their role. HCPs provide home care services to the frail elderly and people with disabilities requiring home care services to continue living independently in the community. SRC 1s are also available to cover shifts when HCPs are unavailable and assist Home Care Provider Supervisors with skill observations of HCPs. This schedule is attached to and a part of these Standards for the SRC 1 occupation. 1. TYPE OF OCCUPATION Time-based X Competency-based Hybrid 2. TERM OF APPRENTICESHIP The term of the occupation is based on the apprentice s demonstration of the mastery of competencies as specified in these standards (generally one (1) year), supplemented by the required hours of related instruction as determined by the local apprenticeship partnership or subcommittee of approximately 144 hours or more. 3. RATIO OF APPRENTICES TO JOURNEYWORKERS The apprentice to journey worker ratio is: 4 Apprentice(s) to 1 Journey worker or based on the decision of the local apprenticeship partnership or subcommittee. 4. APPRENTICE WAGE SCHEDULE Apprentices shall be paid a progressively increasing schedule of wages based on either a percentage or a dollar amount of the current hourly journey worker wage rate. The rates will be determined by the local CBA, apprenticeship partnership or subcommittee. 5. WORK PROCESS SCHEDULE (see attached) The sponsor, through its local apprenticeship partnership or subcommittee may modify the work processes to meet local needs including for the purpose of addressing local labor market concerns and/or desire to register and/or co-register with a local apprenticeship registration agency.
WORK PROCESS SCHEDULE Support and Retention Coordinator 1 (SRC 1) O*NET-SOC CODE: 11-9111.00 RAPIDS CODE: 1108CB WORK PROCESSES I. of HCP New Hire and ability to perform HCP job tasks in case of need for emergency client services, or in lieu of regularly assigned HCP II. III. IV. Support, train, and mentor introductory-level HCPs a. Co-facilitate New Hire Orientation and other HCP training b. Provide introduction to clients during first week c. Provide regular supportive home visits during first 120 days d. Inspire and share stories of personal experiences Conduct and monitor observational assessment of tasks HCPs complete during scheduled home visits a. Identify HCP strengths and areas of recommended improvement needed b. Model patience in all situations while working with HCPs c. Provide basic assistance with lockout challenges by demonstrating skills to enter client s home Verbal and written communication a. Communicate performance issues to the HCP and the supervisor b. Communicates issues involving service delivery, HCP performance, and HCP concerns that arise during scheduled observational visits c. Observe HCPs and complete written observation form V. Home safety a. Check in on HCP assignments to assure HCP is present b. Provide client services if HCP is not present or in cases when emergency services are needed c. Assist with clean up and services for clients at risk for eviction d. Recognize neglect, abuse, and exploitation per Elder Abuse /Adult Protective Services guidelines e. Ability to assist clients in transition of care, and provide feedback to HCPs on making transition of care a smooth process for clients recently discharged from the hospital VI. VII. Mentor and coach HCPs a. Participate in HCP check-in meetings b. Answer field questions of HCPs regarding client care c. Coach HCPs with questions and concerns regarding Care Plan and services Assist HCPs with applying technical skills learned in training to real life
VIII. IX. WORK PROCESSES situations and settings over the course of HCP assignments during their first 120 days a. Body mechanics b. Activities of Daily Living c. Infection control Active listening and problem solving a. Ability to actively listen to challenges in the field from HCP and new hires b. Assess situations and advise HCP towards effective methods of resolving issues in the field c. Help HCPs manage minor issues d. Ability to work effectively on a team Flexibility and adaptability a. Able to work with multiple clients with varying personalities b. Manage day to day challenges c. Develop ability to adapt and be flexible X. Beginner conflict management a. Demonstrate action oriented focus on challenges with clients b. Assist HCP to work out basic issues with clients c. Teaching HCP by example and discussion on how to handle tough issues with clients and find resourceful techniques to maximize home visit XI. Computer and database skills a. Demonstrate ability to develop and facilitate PowerPoint presentations b. Correctly writing up observations of HCP in Microsoft Word c. Send and receive emails, write proper business emails, schedule meetings, and set up reminders in Microsoft Outlook d. Upload observation forms and add basic data notes in Procura NOTE The above Work Processes are intended as a guide. It is understood that the SRC 1 scope of work and the application of learned skills may vary by State and employer. The above Work Processes are core competencies. Additional skills and or practice may be required based on employer needs.
6. RELATED INSTRUCTION OUTLINE Related Instruction These courses can be completed before or during the apprenticeship program, determined by the local apprenticeship committee or partner. It is recognized that the content outlined below may be delivered through different courses provided by different educational institutions and training providers. Communication Course Title Activities of Daily Living (ADLs) and Personal Care Body Mechanics and Transfers Behavioral Management Infection Control Home Safety Description Improve participants ability in both written and verbal communication with clients by developing active listening skills, such as nonverbal communication, paraphrasing, and asking openended questions, as well as written skills to convey messages with clarity. Prepare participants to assist clients with ADLs (eating, bathing, dressing, toileting, transferring, and continence) and personal care, and provide an opportunity to practice skills. Prepare participants to model and demonstrate proper body movement on the job to prevent injury and aiding consumers move from one place to another safely. Prepare participants to define and identify symptoms of depression, describe strategies for working with consumers who are depressed, recognize warning signs of suicide, describe suicide prevention strategies, describe strategies for working with consumers with Developmental Disabilities and their families. Prepare participants to practice infection control effectively and apply the principles of standard precautions appropriately with consumers Prepare participants to identify general safety concerns within environments such as high crime neighborhoods and with clients who have behavioral concerns, identify the most common injury in home care, describe specific actions to prevent the consumer from falling, why appropriate and functional Durable Medical Equipment (DME) is an important part of home safety, and how to prevent fires, burns, and dangers related to the use of oxygen in the home.
Course Title Problem Solving, Conflict Management, and Teamwork Computer and Database Motivating Others Working in a Changing Environment Observing, Documentation, and Reporting Recognizing Neglect, Abuse, and Exploitation Transition of Care Approximate Hours: Description Prepare participants to recognize the benefits of teamwork, develop critical thinking to solve problems, and develop social emotional skills to deal with conflict in the moment. Demonstrate strategies for communicating effectively and respectfully with consumers and the care team. Demonstrate strategies for resolving conflict and talking about sensitive issues with consumers and members of the care team. Prepare participants with the technical skillset to effectively use a computer, keyboarding skills, input accurate data in a database and interpret it, PowerPoint, Excel and Word. Prepare participants to engage in meaningful strategies to bring the best out in others and offer opportunities directed at individual strengths and short term and long-term goals. Prepare participants to expect and manage fluid situations with multiple and varying personalities, work with multiple clients and manage day to day challenges. Prepare participants to notice key pieces of information, document it in consistent formatting based on regular series of questions and report it to the appropriate entity. Prepare participants to recognize signs of neglect, abuse and exploitation through an understanding of roles, responsibilities and physical and mental signs. Prepare participant to identify and ask appropriate questions around transitions from one type of care to another such as hospital to home and triage any issues that arise around transportation, communication with hospital staff, including ability to follow prescribed plans and interact with members of the care team. 144 Hours or more
SRC 1 Task and Competence Verification Checklist Each employer, partnership, and/or JATC will determine the appropriate examples of each core competence. The list below each core competence should be completed depending on state scope of practice and employer requirements. Mentor/Journeyworker has provided training and demonstration of task to the apprentice. Apprentice can perform the task with some coaching. Apprentice performs task properly and consistently. apprentice completes final demonstration of competency. Core Competence Initial and date in the box when complete. of HCP New Hire and ability to perform HCP job tasks in case of need for emergency client services, or in lieu of regularly assigned HCP Support, train, and mentor introductory-level HCP Co-facilitate New Hire Orientation and other HCP training Provide introduction to clients during first week Provide regular supportive home visits during first 120 days Inspire and share stories of personal experiences Conduct and monitor observational assessment of tasks HCPs complete during scheduled home visits Identify HCP strengths and areas of recommended improvement needed Model patience in all situations while working with HCPs Provide basic assistance with lockout challenges by demonstrating skills to enter client s home Verbal and written communication Communicate performance issues to the HCP and the supervisor Communicates issues involving service delivery, HCP performance, and HCP concerns that arise during scheduled observational visits Observe HCPs and complete written observation form Home safety Check in on HCP assignments to assure HCP is present Provide client services if HCP is not present or in cases when emergency services are needed Assist with clean up and services for clients at risk for eviction Recognize neglect, abuse, and exploitation per Elder Abuse /Adult Protective Services guidelines Ability to assist clients in transition of care, and provide feedback to HCPs on making transition of care a smooth process for clients recently discharged from the hospital
Core Competence Initial and date in the box when complete. Mentor and coach HCPs Participate in HCP check-in meetings Answer field questions of HCPs regarding client care Coach HCPs with questions and concerns regarding Care Plan and services Assist HCPs with applying technical skills learned in training to real life situations and settings over the course of HCP assignments during their first 120 days Body mechanics Activities of Daily Living Infection control Active listening and problem solving Ability to actively listen to challenges in the field from HCP and new hires Assess situations and advise HCP towards effective methods of resolving issues in the field Help HCPs manage minor issues Ability to work effectively on a team Flexibility and adaptability Able to work with multiple clients with varying personalities Manage day to day challenges Develop ability to adapt and be flexible Beginner conflict management Demonstrate action oriented focus on challenges with clients Assist HCP to work out basic issues with clients Teaching HCP by example and discussion on how to handle tough issues with clients and find resourceful techniques to maximize home visit Computer and database Demonstrate ability to develop and facilitate PowerPoint presentations Correctly writing up observations of HCP in Microsoft Word in Task Send and receive emails, write proper business emails, schedule meetings, and set up reminders in Microsoft Outlook Upload observation forms and add basic data notes in Procura