The Registered Nurse is licensed by the sate of New York to practice nursing. Their position is professional and carries with it the responsibility for assisting the client with the achievement of his/her health goals while maintaining high standards of patient care. The Registered nurse performs acts, which require substantial specialized knowledge and training. The Registered Nurse is responsible and accountable for making decisions that are based on the individual's educational preparation and experience in nursing, within their scope of practice as stipulated by the NYS Department of Education and Professional Standards.

The Licensed Practical Nurse performs acts under the direction of the Registered Nurse, which requires substantial specialized knowledge, judgment and nursing skills . The Licensed Practical Nurse is responsible and accountable for making decisions that are based on the individual's educational preparation and experience within their scope of practice as stipulated by the NYS Department of Education and Professional Standards.

The Home Health Aide is the highest of paraprofessional in home care. Home Health aides are responsible for health-related tasks as well as personal care tasks. The health-related tasks are unique to the home health aide. These tasks can include taking the patient's temperature, pulse and respiration rate. Home Health Aides are also responsible for such things as helping patients take their medicine, and performing hands on care (bathing , feeding) as outlined on the care plan formulated by the Registered Nurse from the Agency who has evaluated the patient in their home. The Home Health Aide performs basic health tasks that allow the patient to remain in the home. They must submit a weekly performance check list to the Agency which is reviewed by and discussed with the Agency RN as needed.

Personal Care Aides provide services to homebound persons needing some or total assistance with everyday tasks of daily living, or ADLs. Some of these tasks include assistance with personal hygiene, dressing, feeding, walking, meal preparation, light housekeeping and laundry.  Personal Care Aides provide the services to help the patient stay in the home and live independently.

Companions care for the more independent client who needs minimal assistance and some supervision. They may assist in household chores; accompany clients to outside activities; assist the more able patient to organize, prepare & serve meals and help to manage their daily activities. Any of the above Home Health disciplines may also provide the services of a Companion.

Certified Nursing Assistants & Nurse Aides provide hands-on patient care in Hospitals and other Health Care facilities, under the direction and supervision of a nurse. They must adhere to the regulations of the facility to which they are assigned. Because of their direct and frequent contact with patients and families, they are often the first healthcare provider to notice early symptoms or changes in the patient's condition, making them valuable members of the healthcare team.

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