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How To:
Submit Employment Paperwork
Submit Criminal Background
Submit I-9 Form
Submit Tax Forms
Send Availability For New Cases
Update Expired Credentials
Obtain Paystubs/W-2
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Welcome to the I-CARE Family!
Congratulations! You had a great interview with our administrative team, and we would like to have you on our caregiving team. We are excited to give you work as soon as possible. In order to do so, we must collect your employment documents and credentials. This platform will walk you through how to submit these items.
Your Personal Information
Today's Date
(Required)
MM slash DD slash YYYY
Your Name
(Required)
First
Last
Your Email Address
(Required)
Enter Email
Confirm Email
Address
(Required)
Street Address
Address Line 2
City
ZIP / Postal Code
Cell Phone Number
(Required)
Home Number
Date Of Birth
(Required)
MM slash DD slash YYYY
Provider Of Cell Phone Service
(Required)
AT&T, Verizon, Sprint, T-Mobile, Simple Mobile etc.
Emergency Contact
(Required)
First
Last
Emergency Contact Phone Number
(Required)
Position
Position/ Designation You Have
Student: Personal Care Aide
Office Team Member
Caregiver (CNA, PCA, HHA)
Licensed Practical Nurse
Registered Nurse
Job Description
Caregiver Job Description
(Required)
I-CARE, Inc
Administrative Policy 6.1
Home Attendants Job Description:
1. Assist clients with activities of daily living, ambulation, prescribed exercise and other special duties with appropriate training and demonstrated competency.
2. Assist with oral or topical medications that the client can normally self-administer.
3. Measure and record fluid intake and output.
4. Take and record blood pressure, pulse and respiration.
5. Record and report to the appropriate health care professional changes in the client's condition.
6. Document services and observations in the client's record.
7. Perform any other duties that the attendant is qualified to do by additional training and demonstrated competency as allowed by state or federal guidelines.
Requirements:
Prior to the initial delivery of services, the home attendants shall receive specific written instructions for the client's care from the appropriate health care professional responsible for the care.
Home attendants shall work under the supervisor of the appropriate health care professional responsible for the client's care.
Relevant in-service education or training for home attendants shall consist of at least 12 hours annually. In-Service training may be in conjunction with on-site supervision.
Qualifications:
• Must be able to speak, read and write English and meet one of the following qualifications.
• Have satisfactorily completed a nursing education program preparing for registered nurse licensure or practical nurse licensure.
• Have satisfactorily completed a nurse aide education program approved by the Virginia Board of Nursing.
• Have a certification as a nurse aide issued by the Virginia Board of Nursing.
• Be enrolled in a nursing education program preparing for registered nurse or practical nurse licensure and have currently completed at least one nursing course that includes clinical experience involving direct client care
• Have satisfactorily passed a competency evaluation program that meets criteria or 42 CFR 484.36(b). Home attendants of personal care services need only be evaluated on the tasks in 42 CFR 484.36(b) as those tasks relate to the personal care services provided.
• Have satisfactorily completed training using the "Personal Care Aide Training Curriculum" dated 2003, of the Department of Medical Assistance Services. However, this training is permissible for home attendants of personal care services only.
Physical Requirements: Visual and hearing ability sufficient to comprehend written and verbal communication. Ability to perform tasks involving physical activity that may include heavy lifting and extensive bending and standing.
I agree to the I-CARE Caregiver Job Description
Skills Checklist
The purpose of the following checklist is to assist in matching your skills with available assignments in order to meet both your needs and our clients. Please select the appropriate skill level for each patient care situation or rypes of equipment.
Bed Bath
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Tub Bath
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Shower
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Peri Care
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Catheter Care
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Skin Care
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Bedsore Care
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Positioning Patient
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Turning Patient
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Making Up An Occupieed Bed
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Taking Vital Signs
(Required)
Includes Temperature, pulse, respirations and blood pressure
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Passive Range Of Motion
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Wheelchair Transfer
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Bed To Chair Transfer
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Mechanical List
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Slide Board Transfer
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Assisting WIth Patient Ambulation
(Required)
Walker, Crutches, Cane
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Nail & Foot Care
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Hair Care
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Oral Care
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Denture Care
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Shaving Patient
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Assisting With Dressing Patient
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Linen Change
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Light Housekeeping
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Assist With Exercise Program
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
Bedpan Change
(Required)
I have no experience
I have little experience
I am able to perform this task independently
I am proficient/ I have a lot of experience
More About You
Tell Us About Yourself & Your Patient Care Experience
(Required)
Agreements and Inservices
Proprietary Information and Disclosure Agreement
(Required)
In consideration of my employment and or contract with I-CARE, Inc. (ICI) I agree to the following terms.
1. While under employment and or contract with ICI, and for a period of 6 months after termination of my employment/contract, I will not work independently for clients that were identified to by ICI.
2. During and after my employment/contractual relationship with ICI, I will neither disclose nor assist in the unauthorized disclosure of confidential or proprietary information (which includes, but is not limited to client contact list and/or data, confidential patient information from patient files and/or personal contact with patients via telephone or correspondence, and all business and/or marketing strategies, financial information, company developments and/or acquisitions). Nor will I use such information except by express authorization of ICI.
3. I understand that unless I receive express written consent from ICI, my obligation under this Agreement may not be modified, released or terminated.
4. I will advise ICI of an matter that, according to their Agreement, could through express or inferred interpretation, appear to present a conflict of interest with ICI and I will promptly comply with any and all action requested by ICI to resolve any such conflict.
5. This Agreement supersedes all prior proprietary information and disclosure agreements with ICI.
In addition, I will not use, disclose or assist in the disclosure of confidential or proprietary information from former employer (s) to ICI
Furthermore, non-compliance to any of the above-mentioned terms of this agreement will be grounds for immediate termination of the contract from ICI; with possible legal action taken for any damages as a result of any violation of agreement.
I agree to the terms of the Proprietary Information and Disclosure Agreement
New Employee Orientation
(Required)
Timeliness:
• Always be on time. Client should be called in advance if you are going to be late
• If you have any problems clocking in and out, please contact the office immediately
• Clocking in from your cell phone is not acceptable without office approval unless done with the Generations app.
Credentials:
• TB tests expire in 1 year, chest x-rays expire in 4 years
• Certain pharmacy locations have a "minute clinic" where TB tests are approximately $27
• If your CPR is expired and you are waiting for the card to arrive in the mail, you must submit a document (on letterhead) stating you have registered for and/or taken a renewal course
• Auto Insurance expires frequently please send promptly
• Deficient credentials may result in delayed payment
Client Abandonment:
• Emergencies that cause you to leave a shift without notice (death of relative, illness of family member or self) must have adequate documentation
• If you are feeling ill, please take care of yourself and get the necessary treatment.
• Client abandonment without proper and reasonable documentation is grounds for immediate termination
• Notify the office of all requested time off in writing at least 2 weeks in advance to allow enough time to find a substitute
Home Care Rules:
• Dress: Scrubs or casual clothing that is appropriate for personal care
• Policy On Travel With Clients: Do not drive client's vehicle sunless automobile waiver is on file in the office
• Should I-CARE Inc. provide transportation to an employee, I-CARE will deduct the cost of transportation from the employee's next paycheck.
• Eating In The Patients Home: Bring your meals if you must leave please get permission from the office and client in advance
• Phone use: Cell phones should only be used in emergency situations or when using the generations app
• Do not invite/allow guests or unapproved persons in the home
• Do not accept money checks food or gifts of any kind from client family or anyone else
• Do not discuss personal issues or your physical/medical conditions with clients
• Unauthorized calls made from the clients' phone with be grounds for immediate termination
Client Care:
• RN Supervisory visit: Every 60-90 days the office will coordinate the visit with the patient
• We will be conducting surprise visits: be attentive in your client care
All staff agrees not to accept any position with a client/facility/agency, identified by ICARE Inc., during the term of employment and for a period of 6 months from the termination of employment. Furthermore, if there is any breach regarding this agreement, employee understands they are subject to claims for damages from I-CARE Inc.
I understand and agree to follow policy and procedures in the New Employee Orientation listed above:
Hepatitis B Consent
(Required)
I have read and understand the information on Hepatitis B (Recombinant). I have had a chance to ask questions and they have been answered to my satisfaction. I understand that a series of three injections of the vaccine is the recommended dosage. I understand that this vaccine is being offered on a purely voluntary basis to employees considered to be at risk for Hepatitis B exposure.
Please check one of the statements below
I understand the benefits, risks and requirements for the Hepatitis B Vaccine (Recombinant) and request that it be given to me. I agree to obtain the entire three (3) shot regime as required at the following location.
I understand the benefits, risks and requirements for the Hepatitis B Vaccine (Recombinant) and have already completed the series.
I understand the benefits, risks and requirements for the Hepatitis B Vaccine (Recombinant). I am currently receiving the series at and expect to be completed within 6 months
I understand the benefits, risks and requirements for the Hepatitis B Vaccine (Recombinant) and decline the procedure. I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring Hepatitis B Virus (HBV) infection. I have been given the opportunity to be vaccinated with the Hepatitis B Vaccine. However, I decline Hepatitis B Vaccine at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring Hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious materials and want to be vaccinated with Hepatitis B Vaccine, I can receive the vaccine series at no charge to me (applies only to full-time employees).
Inservice: Precautions With Airborne Diseases
(Required)
1. DISEASE: Anthrax, Inhalation
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: Duration of Illness
2. DISEASE: Chickenpox (Varicella)
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: Until all lesions are crusted
COMMENTS: Persons who are not susceptible do not need to wear a mask. Exposed susceptible patients should be isolated beginning 10 days after exposure to 21 days after last exposure. Employees who have not had chickenpox may not enter the home.
3. DISEASE: Diphtheria, Pharyngeal
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: Until two cultures from both nose and throat taken at least 24 hours after cessation if antimicrobial therapy is negative for Corynebacterium diphtheria
COMMENTS: Contact Physician/Center General Manager, Nurse Manager
4. DISEASE: Epiglottis due to Haernophilus Influenza
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: For 24 hours after start of effective antibiotic therapy
COMMENTS: Contact Physician/Center General Manager, Nurse Manager
5. DISEASE: Erythema Infection
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: For 7 days after onset
COMMENTS: Contact Physician/Center General Manager, Nurse Manager
6. DISEASE: Hemorrhagic Fevers
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: Duration of illness
COMMENTS: Contact Physician/Center General Manager, Nurse Manager
7. DISEASE: Herpes Zoster Varicella localized in immunocompromised patient or disseminated
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: Duration of illness
COMMENTS: Localized lesion I immunocompromised patients may be disseminated, use the same precautions for disseminated disease. Employees who have not had chickenpox should not care for these patients
8. DISEASE: Lassa Fever Marburg Virus Disease
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: Duration of illness
COMMENTS: Contact Physician/Center General Manager, Nurse Manager
9. DISEASE: Measles (Rubella)
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: Duration of illness
COMMENTS: Contact Physician/Center General Manager, Nurse Manager
10. DISEASE: Meningitis Haemophilis influenza known or suspect
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: For 4 days after start of rash, except in immunocompromised patients with whom precautions should be maintained for duration of illness
COMMENTS: Contact Physician/Center General Manager, Nurse Manager
11. DISEASE: Neisseria Meningitis (meningococcal) known or suspect
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: For 24 hours after start of effective antibiotic therapy
COMMENTS: Contact Physician/Center General Manager, Nurse Manager
12. DISEASE: Meningococcal Pneumonia
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: For 24 hours after start of effective antibiotic therapy
COMMENTS: Contact Physician/Center General Manager, Nurse Manager
13. DISEASE: Mumps (infectious par otitis)
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: For 9 days after onset of swelling
COMMENTS: Persons who are not susceptible do not need to wear mask
14. DISEASE: Pertussis (whooping cough)
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: For 7 days after start of effective therapy
COMMENTS: Contact Physician/Center General Manager, Nurse Manager
15. DISEASE: Plague, pneumonia
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: For 3 days after start of effective therapy
COMMENTS: Contact Physician/Center General Manager, Nurse Manager
16. DISEASE: Pneumonia, Haemophilus in infants and children of any age
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: For 24 hours after start of effective antibiotic therapy
COMMENTS: Contact Physician/Center General Manager, Nurse Manager
17. DISEASE: Staph Aureus (reap)
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: Until active infection has subsided
COMMENTS: Contact Physician/Center General Manager, Nurse Manager
18. DISEASE: Tuberculosis, Pulmonary confirmed or suspected
LENGTH OF TIME TO APPLY AIRBORNE PRECAUTIONS: In most instances, duration can be guided by clinical response and a reduction in number of TB organisms on sputum smear. Usually this occurs within 2-3 weeks after chemotherapy has begun. When the patient is likely to be infected with INH- resistant organisms, apply precautions until patient is improving and sputum smear is negative for TN organisms. Home health personnel must wear the molded 3-M Mask. The mask is needed until two consecutive smears are negative.
COMMENTS: The use of effective anti-tuberculosis drugs is the most effective means of limiting transmission.
I have read and understand this inservice: Precautions with Airborne Diseases
Inservice: Bloodborne Pathogens OSHA Precautions
(Required)
Policy: I-CARE, Inc. employees may anticipate to have skin, eye mucous membrane or other contact with blood or other potentially infectious materials. Employees will be required to comply with the following "Blood-borne Pathogen OSHA Precautions."
Purpose: To prevent the spread of blood-borne pathogens.
Procedure:
Methods of Compliance
1. Universal precautions shall be observed to prevent contact with blood or other potential infectious materials. Under circumstances in which differentiation between body fluid types is difficult or impossible, all body fluids shall be considered potentially infectious materials.
2. Personal Protective Equipment - where there is occupational exposure, the employer shall provide, at no cost to the employee, appropriate personal protective equipment such as gloves, gowns, laboratory coats, face shields or masks and eye protection, and mouthpieces, resuscitation bags, pocket masks or other ventilation devices.
Hepatitis B Vaccination and Post-Exposure Evaluation
1. I-Care, Inc. shall make available the Hepatitis B vaccine and vaccination series to all employees who have occupational exposure.
2. I-Care, Inc. shall ensure that all medical evaluations and procedures, including the Hepatitis B vaccine and vaccination series and post-exposure evaluations and follow- up are:
a. Made available at no cost to the full-time employee
b. Made available to the full-time employee at a reasonable time and place
3. Following a report of an exposure incident, the employer shall make immediately available to the exposed employee a confidential medical evaluation and follow-up, including:
a. Collection and testing of blood, for HBV and HIV, the exposed employee's blood shall be collected as soon as feasible and tested after consent is obtained. If the employee does not give consent at that time for HIV serologic testing, the sample shall be preserved for at least 90 days.
b. Post exposure prophlaxis... as recommended by the U.S. Public Health Service.
I have read and understand this Inservice: Bloodborne Pathogens OSHA Precautions
Credential Upload
This is a SECURE PORTAL to upload your documents. We are so excited! Your are almost done with submitting your employment paperwork! Upload your credentials in this section. If you do not have them with you, please email them to info@icareinc.com. We need your credentials before we place you on a shift.
Driver's License Upload
Max. file size: 256 MB.
TB/PPD or Chest X-Ray Upload
Max. file size: 256 MB.
Auto Insurance Upload
Max. file size: 256 MB.
CPR Certification Upload
Max. file size: 256 MB.
Work Authorization Documents
Passport, Social Security Card, Birth Certificate, etc.
Drop files here or
Select files
Max. file size: 256 MB.
COVID-19 Vaccination Record Card
Drop files here or
Select files
Max. file size: 256 MB.
Professional License or Certification
Drop files here or
Select files
Max. file size: 256 MB.
Professional Picture For Your Name Badge
(Required)
Drop files here or
Select files
Max. file size: 256 MB.
Consent
(Required)
I certify that these documents are mine.
I certify that these documents are mine.