In-Home Care Job Description

Essential Job Functions (Level I & II – All; Level III – CNA Only)

Level I Home Management Tasks
 Pay bills as directed by service recipient
 Provide transportation for essential shopping
 Clean and care for clothing, ironing, simple mending, laundering
 Basic housekeeping: sweeping, vacuuming, dusting, mopping, dishes
 Make unoccupied bed
 Recognize and report changes in health and environment
 Identify medicates for service recipient
 Provide companionship
Level II Home Management / Personal Care Tasks
[Personal Care tasks with an asterisk (*) require RN to verify aide’s competency]
 Assist in following prepared budget
 Assist with finding and utilizing community resources
 Perform reading and writing tasks as required
 Demonstrate and model housekeeping practices
 Assist in organizing household routines
 Demonstrate and model food handling, preparation and storage
 Assist service recipient with walking and restroom use
 Provide care of normal, unbroken skin
 Assist with personal hygiene (mouth care, hair and scalp grooming, fingernails, bathing: shower, tub, bed, basin
 Cut/trim hair
 Provide basic first aid
 Shave service recipient (electric and safety razor)
 Assist with applying ace bandages, TEDs, binders as stipulated in the service plan, and under the direction of the
service recipient *
 Assist with dressing where service recipient has limited function
 Observe, record and report self-administered medications
 Assist with applying and removing prosthetic devices for stable service recipients as stipulated in service plan,
and under the direction of the service recipient *
 Assist with dressing where service recipient has limited function
 Observe, record and report self-administered medications
 Assist with applying and removing prosthetic devices for stable service recipients as stipulated in service plan,
and under the direction of the service recipient *
 Assist service recipients with special conditions with eating (no swallowing difficulties)
 Chair and stretcher transfer
 Turn and position service recipients who are in bed
 Safety measures (side rails, mitts, restraints)
 Change non-sterile dressings
 Apply prescribed heat and cold
 Care for non-infected decubitus ulcers
 Assist service recipient in understanding medical orders and routines and encourage them to follow same

ADTS – IHS Employment Application (Rev. 06.2024)

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 Vaginal douches after instruction
 Assist with prescribed physical and occupational therapy
 Manage fluid intake
 Plan menus for special diets
 Assist with purchase and preparation of special diet foods specified by a professional
 Monitor dietary plan, provides feedback to professional
 Encourage and assist with physical activity and/or prescribed exercise
 Assist service recipient with self-monitoring of temperature, pulse, blood pressure and weight as stipulated in
the service plan, and under the direction of the service recipient
Level III Personal Care Tasks
[In-Home Aide Level III Personal Care includes the following personal care tasks. Aides performing any of these tasks
must meet the NC Board of Nursing’s competency requirements and be registered as a Nurse Aide I in the NC Nurse Aide
Registry at the Division of Facility Services.]
 Assist service recipients with special conditions with eating
 Give bed bath
 Make occupied bed
 Assist with mobility, gait training using assistive devices
 Assist with range of motion exercises
 Assist service recipient with dressing as required
 Take and record temperature, pulse, respirations, blood pressure, height and weight
 Observe, record and report self-administered medications
 Apply and remove prosthetic devices for stable service recipients
 Apply ace bandages, TED’s, binders
 Trim toenails for service recipients with diabetes or peripheral vascular disease
 Empty and record drainage of catheter bag
 Shave service recipients with skin disorders
 Administer enemas
 Insert rectal tubes and flatus bags
 Bowel and bladder retaining
 Collect and test urine or fecal specimens
 Perineal care
 Apply condom catheters
Knowledge/Skills/Abilities:
 Ability to work well with a wide range of people in a wide range of environments.
 Experience working with elderly and/or disabled populations in home setting.
 Strong interpersonal skills.
 Effective time management and organizational skills.
 Must be able to maintain good punctuality and work attendance.
 Must be able to maintain close attention to detail to render complete and accurate reports and records for use
by others on a regular basis.
 Ability to adhere to the confidentiality agreement of ADTS.
 Must have reliable transportation to get client’s home and/or direct to doctors’ appointments or run errands for
the client.

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Education/Experience/Training:
 High School Diploma or equivalent.
 Nurse Aide I or II (CNA Only)
 ADTS prefers prior experience with in-home care of people over sixty (60) or people with disabilities.
Special Requirements/Certifications:
 Have a current CPR certification.
 CNA’s must be registered with the NC Division of Facility Services as a Nurse Aide I or II. Nurse Aide I involves
passing a standardized test upon completion of a state-approved CNA curriculum at a community college or LTC
facility. Nurse Aide II involves completing a program approved by the NC Board of Nursing (NCBON) and pass
examination.
Physical Requirements:
 Must be able to hear well enough to communicate with clients and co-workers.
 Must be able to drive to service sites, including individual homes for quality monitoring visits.
 Must be able to exercise good judgment to maintain a safe work environment.
 Ability to lift, move or manipulate to the needs of the client.
Schedule:
 Flexible, based on needs of people receiving services.