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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
If your the RN you can call your State Licensing Board.
I really see no reason why you couldn't but you will not make the money you make as an RN now thru an agency. My daughter is now making 100k ( wound care/administrative). An agency would charge these parents a lot of money for an RN and for two people. CNAs can be up to $30 thru an angency. If parents are going to put that kind of money out for an agency, they might as well pay the RN directly.
You get a Elder Lawyer to write up a contract stating how many hours you will work at the hourly rate you agree to. You should have payroll deductions made. 1. For you to continue putting money into your SS earnings and 2. If they ever need Medicaid, this will prove where their money went.
That is for sure. I was wondering if this isn't an "RN job" but short of ventilator or some such I cannot imagine what an RN need in home care would be, and it certainly wouldn't be for very long or for very many hours. We aren't given a whole lot of info here, unfortunately.
I can't really imagine a home health agency doing this, legal or not. Please give us more details as it sounds like you might be talking about caregiving vs. skilled nursing services.
We do need more info. Are you the patient or the RN. I do know two woman who are retired RNs and do in home care. Their clients probably pay a lot for an RN. I agree that Medicaid funded in home care uses CNAs and an RN would probably have to settle for a CNAs wages.
I really have no idea. Hopefully others have some idea for you. If this is a real concern I might ask an attorney this question. I really cannot imagine why it WOULD be a concern.
“Illegal” could mean ‘against the criminal law’ or it could mean ‘breach of contract’. ‘Breach of contract’ could also be ‘against the criminal law’ if lies and fraud were involved, but apart from that, the chances are that it is not ‘against the criminal law’. ‘Breach of contract’ means that there could be a civil damages suit, or a contractual penalty. That depends on the actual wording of all the documents involved – the contract between the company and the RN, the documents that provide funding to the company etc. That’s tricky and there are two ways to go: 1) Be transparent about what is going on, and deal with any objections. OR 2) Just do it, and wait for a backlash. You will almost certainly need legal advice if things get sticky.
The ? is confusing….. are you working as a RN for a freestanding properly licensed IHHS InHomeHealthcare Service and 1 of their clients actually is your parent?
Imo if there are other RNs available, it might be best to left them deal with your parents. If you know that there are other family members who would tend to be accusatory towards you and blame you for any health decline or death of your parents, letting another RN deal with your folks would be the way to go. My understanding is most IHHS is CNA level of care and if there are RNs the care is more specialized….. like RN do IVs, inserting catheter, sterile wound care.
“Types of Home Care Services Personal home care assistance includes help with basic activities of daily living like dressing, bathing, meal preparation and cleaning. This type of non-medical home care is sometimes referred to as homemaker or companion care, because it does not provide any skilled medical services. Whether part-time or full time, a dedicated care companion provides help at home, keeping a senior safe during the hours you need assistance most.
Home health care is medical in nature. A prescription from a doctor may be required to obtain in-home services that are provided by healthcare professionals such as registered nurses, licensed practical nurses, and physical, occupational and speech-language therapists.
Home health care may also be described as clinical or skilled care. Generally, home health care is intended for short term rehabilitation after discharge from the hospital for recovery from illness or injury.
Home health care includes services like physical therapy, wound care, intravenous or nutrition therapy, and monitoring vital signs. A home health aide (HHA) can administer some skilled home-care services under the direction of a registered nurse or other medical professional.” This from AgingCare
In my experience, RNs and/ or LVNs do the initial assessment of patients for Home HEALTH Care offering intermittent skilled nursing services through Medicare Insurance after a Dr has ordered the skilled nursing. This is for medical care, not custodial care. Then each week the nurse visits the patient to assess their condition, fill their med planners, take their vitals, tend any wounds etc. A CNA comes a couple of times a week to give the patient a bath. The RN and/or LVN spends less than an hour with the patient on average once a week and then goes to the next patients home.
In my mind it would be the same as if the parents saw their RN daughter at a doctors office. Nothing illegal about it but the Home Health company, being a private business, might have rules regarding treating one’s own family.
Regardless, a nurse that works for a Home Health company can be quite valuable to a home bound or recuperating senior but certainly wouldn’t be able to be a full time caregiver.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
I really see no reason why you couldn't but you will not make the money you make as an RN now thru an agency. My daughter is now making 100k ( wound care/administrative). An agency would charge these parents a lot of money for an RN and for two people. CNAs can be up to $30 thru an angency. If parents are going to put that kind of money out for an agency, they might as well pay the RN directly.
You get a Elder Lawyer to write up a contract stating how many hours you will work at the hourly rate you agree to. You should have payroll deductions made. 1. For you to continue putting money into your SS earnings and 2. If they ever need Medicaid, this will prove where their money went.
1) Be transparent about what is going on, and deal with any objections. OR
2) Just do it, and wait for a backlash.
You will almost certainly need legal advice if things get sticky.
Imo if there are other RNs available, it might be best to left them deal with your parents. If you know that there are other family members who would tend to be accusatory towards you and blame you for any health decline or death of your parents, letting another RN deal with your folks would be the way to go. My understanding is most IHHS is CNA level of care and if there are RNs the care is more specialized….. like RN do IVs, inserting catheter, sterile wound care.
Personal home care assistance includes help with basic activities of daily living like dressing, bathing, meal preparation and cleaning. This type of non-medical home care is sometimes referred to as homemaker or companion care, because it does not provide any skilled medical services. Whether part-time or full time, a dedicated care companion provides help at home, keeping a senior safe during the hours you need assistance most.
Home health care is medical in nature. A prescription from a doctor may be required to obtain in-home services that are provided by healthcare professionals such as registered nurses, licensed practical nurses, and physical, occupational and speech-language therapists.
Home health care may also be described as clinical or skilled care. Generally, home health care is intended for short term rehabilitation after discharge from the hospital for recovery from illness or injury.
Home health care includes services like physical therapy, wound care, intravenous or nutrition therapy, and monitoring vital signs. A home health aide (HHA) can administer some skilled home-care services under the direction of a registered nurse or other medical professional.” This from AgingCare
In my experience, RNs and/ or LVNs do the initial assessment of patients for Home HEALTH Care offering intermittent skilled nursing services through Medicare Insurance after a Dr has ordered the skilled nursing. This is for medical care, not custodial care.
Then each week the nurse visits the patient to assess their condition, fill their med planners, take their vitals, tend any wounds etc. A CNA comes a couple of times a week to give the patient a bath. The RN and/or LVN spends less than an hour with the patient on average once a week and then goes to the next patients home.
In my mind it would be the same as if the parents saw their RN daughter at a doctors office. Nothing illegal about it but the Home Health company, being a private business, might have rules regarding treating one’s own family.
Regardless, a nurse that works for a Home Health company can be quite valuable to a home bound or recuperating senior but certainly wouldn’t be able to be a full time caregiver.