STANDARD 1.0 EXAMINE ROLES AND RESPONSIBILITIES OF THE HOME HEALTH CARE AGENCY
1.1   Describe settings for direct care and  support services
1.2   Describe the types of  services provided  to individuals and families (e.g., homemaking, companion  services, personal care, and attendant care)
1.3   Identify Arizona  agencies and programs that offer direct care services and require training and  testing for direct care workers
1.4   Distinguish between activities of daily living (ADLs) and instrumental activities of daily living (IADLs)
1.5   Describe the basic functions of  the service team and the importance of teamwork in providing  services
1.6   Describe the training requirements for a home health aide/direct care worker
1.7   Describe positive caregiver traits and professional standards (i.e., appearance,  being on time, etc.)
1.8   Explain  how  professional standards influence the relationship between  the direct care worker (DCW) and  the person  receiving services
1.9   Explain  the importance of notifying  the agency/supervisor  about a change  in the direct care worker’s schedule
1.10   Describe the supervisory  role with examples of questions about  specific procedures

STANDARD 2.0 DEMONSTRATE ETHICAL AND LEGAL CONDUCT IN ALL ACTIVITIES
2.1   Define legal terms that apply to direct care and  support, including legal consequences [e.g., abuse,  neglect, and  exploitation; fraud; assault and battery; abandonment;  negligence; liability; false imprisonment (i.e., improper restraints, etc.)]
2.2   Explain  “mandatory reporting”  according to Adult Protective Services (APS) and  Child Protective Services (CPS)
2.3   Describe the role and purpose  of a service plan  (i.e., care plan, support plan,  etc.)
2.4   Explain  consumer rights and  responsibilities in building a good  provider-patient  relationship
2.5   Explain  the legal and  ethical responsibility of the DCW to safeguard consumer information and  confidentiality [e.g., according to the Health Insurance Portability and  Accountability Act of 1996  (HIPAA); in face-to-face conversations and  on the phone; conduct in the event of a confidentiality breach; and meaning of the “need to know  rule”]
2.6   Explain  how a direct career worker can promote an individual’s  independence and  the right to make personal choices
2.7   Describe advance directives used for healthcare planning  (e.g., Living Will, Durable Power  of Attorney for Medical, and Pre- hospital Medical Directive)

STANDARD 3.0 UTILIZE OBSERVATION, REPORTING, AND DOCUMENTATION SKILLS
3.1   Explain  the purpose  of reporting and  documenting
3.2   Describe how to record information accurately
3.3   Analyze  the difference between documenting  and reporting facts versus opinions  or feelings
3.4   Explain  the importance of and  reporting observed  changes in individuals

STANDARD 4.0 DEMONSTRATE COMMUNICATION AND CULTURAL COMPETENCY
4.1   Compare  effective verbal and non-verbal  communication
4.2   Describe barriers to communication (i.e., judgment based on  personal bias or perceptions, poor  listening habits, etc.)
4.3   Distinguish between aggressive communication, passive communication,  and assertive communication
4.4   Give examples of respectful interactions (i.e., regarding  personal preferences, avoiding  unprofessional  forms of  address, etc.)
4.5   Demonstrate techniques for communicating with individuals with disabilities (e.g., persons who  are blind or have  low vision, persons who  are deaf or hard of hearing, persons  who have  aphasia, persons who  have  mental illness, persons who  have a cognitive disability, and persons who  do  not communicate using the spoken language)
4.6   Give examples of, and explain, the importance of “person first language”
4.7   Demonstrate how to respond  in a nonthreatening way  to another person’s behavior
4.8   Practice problem-solving  and conflict resolution techniques (i.e., active listening, open-ended  questions, showing  empathy, etc.)
4.9   Identify culture-specific concepts or practices and  explain the impact of culture on a person’s needs and  preferences
4.10   Analyze  cultural barriers to communication (i.e., one’s own  upbringing  and perceptions, etc.)
4.11   Explain  “cultural competence” and actions that support  culturally competent care

STANDARD 5.0 DEMONSTRATE JOB MANAGEMENT AND SELF-CARE SKILLS
5.1   Distinguish between positive and negative stress
5.2   List of causes and effects of stress
5.3   Identify appropriate strategies for coping  with stress and reducing  work-related stress
5.4   Identify ways to practice appropriate time management
5.5   Identify strategies to improve  organizational  skills
5.6   Distinguish between personal and professional boundaries
5.7   Describe the rights of DCWs, including personal safety precautions

STANDARD 6.0 APPLY STANDARD PRECAUTIONS AND INFECTION CONTROL MEASURES
6.1   Define and give  examples of standard precautions (universal precautions)
6.2   Analyze  measures that prevent and control infections
6.3   Demonstrate appropriate hand-washing techniques
6.4   Explain  when to wear gloves  and demonstrate how  to apply, remove,  and dispose  of gloves
6.5   Demonstrate compliance procedures for handling and  disposing of sharps and  other waste

STANDARD 7.0 ANALYZE SAFETY AND EMERGENCY PROCEDURES
7.1   Describe common emergency situations, including guidelines for handling  emergencies (i.e., when  to call 911,  etc.)
7.2   Describe an individual emergency plan including when  to contact the family and/or supervisor
7.3   Describe a service plan to include risk factors, safety precautions, and assistance to the person receiving services
7.4   Describe fire safety procedures  and risk factors
7.5   Describe and simulate (role-play) the use of a fire extinguisher
7.6   Identify hazards  in the home such as frayed cords and  poisonous  cleaning materials
7.7   Describe ways to promote oxygen  safety

STANDARD 8.0 EXAMINE NUTRITIONAL NEEDS AND FOOD PREPARATION TECHNIQUES
8.1   Identify food  groups and  nutrients for a healthy diet and  good  health
8.2   Explain  the order  of ingredients listed on  the food  label
8.3   Explain  the terms “portion”  and “serving”
8.4   List health issues that may require a modified diet
8.5   Plan a menu based on  individual preference and/or a modified diet based  on dietary needs and/or a medically recommended diet
8.6   Identify nutrients that may  be monitored for certain diets
8.7   Explain  ways to encourage  a person to eat and/or  comply with a medically recommended  diet
8.8   Identify assistive devices to help a person feel more in control of the meal planning and  eating process
8.9   Describe proper food  preparation and  storage
8.10   Define foodborne  illness and  describe ways  to reduce foodborne  illness

STANDARD 9.0 FACILITATE HOME ENVIRONMENT MAINTENANCE
9.1   Utilize the service plan  to determine cleaning tasks and how  and who  is responsible for completion
9.2   Distinguish between personal choice and the need to complete tasks to avoid  health and safety risks
9.3   Identify cleaning solutions and the proper concentration of these solutions
9.4   Explain  procedures for trash disposal and  cleaning up clutter
9.5   Practice general procedures for homemaking skills (i.e., washing  dishes, doing  laundry,  cleaning the bathroom,  etc.)

STANDARD 10.0 UTILIZE PROPER BODY MECHANICS AND BACK SAFETY TECHNIQUES
10.1   Explain  the importance of good  body  mechanics and  lifting techniques
10.2   Describe elements of good  body  mechanics, such as proper  use of leg muscles and  keeping the center of gravity over the base of support
10.3   Demonstrate good  techniques for moving objects with good  body  alignment
10.4   Identify assistive devices

STANDARD 11.0 ANALYZE CHRONIC DISEASES AND PHYSICAL DISABILITIES
11.1   Differentiate between aging, chronic illness, and disability
11.2   Identify body  systems and  determine their function (e.g., heart and circulation; lungs, brain and nervous  system; skin, muscles, and bones; and  stomach, bowels, and  bladder)
11.3   Identify common conditions  affecting body  systems and  their potential effect on a person’s care
11.4   Describe the effects of aging  on the body
11.5   Describe signs and  symptoms of anxiety and depression
11.6   Explain  the terms “paralysis” and “amputation”

STANDARD 12.0 EXAMINE PHYSICAL AND EMOTIONAL NEEDS OF AN INDIVIDUAL
12.1   Describe the impact of aging on  the physical and  emotional needs  of an individual
12.2   Describe the physical and  emotional needs  of a person with a psychological or cognitive condition
12.3   Give examples of how  to determine a person’s abilities, needs, and  desires when providing  services
12.4   Discuss the possible emotional impact of a physical disability or a chronic disease
12.5   Describe how age,  illness, and disability affect sexuality

STANDARD 13.0 UTILIZE TRANSFERRING AND POSITIONING SKILLS
13.1   Identify common assistive devices (i.e., walkers, wheelchairs, etc.)
13.2   Explain  the importance of proper  transfer skills and the safe use of  assistive devices
13.3   Explain  the importance of repositioning to prevent skin damage and  pressure ulcers
13.4   Describe the use of a mechanical lift and/or  slide board
13.5   Practice assistance with ADLs (e.g., gait belt, ambulation,  positioning a person in bed or a wheelchair, transferring a person  out of bed,  and transferring a person in and  out of a wheelchair)

STANDARD 14.0 DEMONSTRATE PERSONAL CARE WITH CONSIDERATION TO PERSONAL PREFERENCES
14.1   Explain  the relationship between a person’s service plan and the DCW’s  role when  providing  ADLs
14.2   Give examples of techniques that can be used to preserve dignity and privacy  while providing  personal care
14.3   Identify techniques used to preserve independence and  respect a person’s preferences while providing  personal care