Become a Trainer of Proxy Caregivers
(An Exclusive Training for Registered Nurses Only)
NBHS Specializes in training Registered Nurses in the Proxy Caregiver Training rules and process. In addition, we provide all trained Nurses with teaching materials to instruct their own future classes.
Georgia Proxy Caregiver Training is the Law – Become a Proxy Caregiver Trainer Now. Did you know that Proxy Caregiver Training is not just the law, but also the right of the individual being served? State regulations has made the call, and it is loud and clear. All licensed personal care homes and community arrangements must employ trained Proxy Caregivers to perform health maintenance activities.
“Health maintenance activities” means those limited activities that, but for a disability, a person could reasonably be expected to do for himself or herself. Such activities are typically taught by a registered professional nurse, but may be taught by an attending physician, advanced practice registered nurse, physician assistant, or directly to a patient and are part of ongoing care. Health maintenance activities are those activities that do not include complex care such as administration of intravenous medications, central line maintenance, and complex wound care; do not require complex observations or critical decisions; can be safely performed and have reasonably precise, unchanging directions; and have outcomes or results that are reasonably predictable.
THIS TRAINING IS NOT FOR CAREGIVERS!
Become a proxy caregiver trainer TODAY!
Proxy caregiver defined
A“proxy caregiver” is an individual who, without having a license, is qualified to perform documented health maintenance activities for an individual with a disability of any kind and who has been designated to perform health maintenance activities through a written informed consent signed by the individual with a disability himself or a person legally authorized to act on behalf of him or her (examples of legal representative range from married person for spouse to parent for minor child, adult child for parent, parent for adult child, adult for sibling, etc.).
The individuals suffering from a disability cannot be forced to receive care from a proxy caregiver and if they prefer to have a licensed health-care professional perform those activities for them, they should have the possibility to do so. A licensed facility can also designate a proxy caregiver from its own staff to provide services to its clients, but this does not prevent the obligation for the individual or his/her representative to complete the relevant consent form.
A proxy may very well be a member of the family, but if he or she wishes to receive a compensation for providing care incumbent on the proxy, he or she must be designated as such and meet the requirements for training and qualification.
Becoming a proxy caregiver
Theoretically, anyone with proper training can become a proxy caregiver. Georgia law does not require proxy caregivers to have criminal records checks. However, if they were to perform as proxy caregivers in personal care homes, they will have to provide their criminal records. Furthermore, individual employers may certainly require potential proxy caregivers to have a criminal background check done as a condition of employment.
Duties of a proxy caregiver
A proxy caregiver can only perform “health maintenance activities” which are specific activities that persons could reasonably be expected to do for themselves if they were not suffering from disability. For example, “health maintenance activities” (typically basic functions that make up ongoing care) go from assisting a person with his or her medications, helping with personal hygiene or mealtimes, to cleaning the feeding tube when there is one, etc. All these activities have in common not being complex care (such as intravenous medication or complex wound care), not requiring complex observation or critical decisions that could endanger the individual’s life, and having the possibility to be performed safely, with reasonably precise procedures and with reasonably predictable results.
The activities performed by a proxy caregiver must be part of a written order issued by an attending physician, an advanced practice registered nurse, or a physician assistant. This plan of care will provide clear instructions for the proxy caregiver on necessary health maintenance activities, specialized procedures to be performed and what kinds of changes in the individual’s condition will require changes to the plan of care. The plan must also specify the frequency of training and evaluation requirements for the proxy caregiver.
Training and qualifications
Activities which can be performed by a proxy caregiver are typically taught by a registered professional nurse, but the training may also be carried out by an attending physician, an advanced practice registered nurse or a physician assistant. The person who performs the training must verify that the proxy caregiver is proficient in the specific skills needed to care for the individual who has decided to receive care from a proxy. In consideration, a specific and tailor-made training is necessary for each individual receiving care from a proxy. Generally, the proxy’s needed skills and knowledge typically include proper reading of prescription labels and abbreviations, the comprehension of common classifications of medications, typical side effects, infection control procedures and proper record keeping.
If a proxy is designated by a licensed facility, it is its duty to ensure that its employees operate within the confines of the law and rules applicable to the licensed facility/provider and provide proper training (including additional training when the individual’s plan of care changes). If an employee was to practice proxy caregiving within a licensed facility, he or she should be expecting to complete an initial and annual skills competency checklist which reflects a testing of the knowledge and observation of the skills associated with the health maintenance activities. Students will also need to pass the TOFHLA (Test of Functional Health Literacy Assessment Tool) and have a minimum score of 75 to practice as a caregiver within a licensed facility.
Proxy caregiving work settings
A proxy caregiver cannot perform his/hervocation inside hospitals, nursing homes, or any Medicare-certified home health agencies or hospices. Some licensed facilities permit the use of proxy caregivers provided that the person receiving care has filled out an informed consent form designating his or her caregiver (which can be downloaded at the following website: dch.georgia.gov). A proxy caregiver can also perform in home settings and be employed directly by individuals or their legal representatives.