Apply for AM - Mount Vernon - Free Training

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Summary
Title:AM - Mount Vernon - Free Training
ID:7533
Location:Mount Vernon
Office:Mount Vernon, NY
Hours Required:N/A
Contact Information
* First Name/Nombre:
* Last Name/Apellido:
Address 1/Direccion:
Address 2/Direccion:
* City/Ciudad:
* State/Estado:
* Zip Code/Codigo Postal:
* Cell Phone/Telefono:
* Email/Correo Electronico:
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Screening Tool - NY Trainee
* Have you worked for All Metro Healthcare, or Modivcare in the past?
Yes
No
* Were you referred to this free training program by a client who receives care or will be receiving care from our company? If yes, please include client's first initial and last name.
Yes
No
* Do you hold any active licenses or certifications in NY?
Personal Care Aide (PCA)
Home Health Aide (HHA)
Certified Nurses Aide (CNA)
License Practical Nurse (LPN)
Registered Nurse (RN)
None of the Above
* Have you ever completed a Personal Care Aide (PCA) or Home Health Aide (HHA) training program?
Yes
No
* Do you have experience working in homecare or caregiving?
Yes
No
If yes, please include month and year of when you last provided caregiving services
* What is your primary mode of transportation?
Personal Vehicle (I drive myself)
Public Transportation (bus, train, etc.)
Uber/Lyft
Family/Friend gives ride
Walking
* Can you commit to completing the entire training program, which lasts 6 days during the primary hours of 8:30am-5pm?
Yes
No
* To better support our diverse community and ensure effective communication, please share the languages you speak (select all that apply)
English
Spanish
Chinese
Russian
Haitian Creole
French
Nepalese
Italian
Arabic
Bengali
Other (please specify)
* I acknowledge that this training program is provided at no cost and that I will not receive any payment.
Yes
No
* The facts set forth in this training program application are true and complete to the best of my knowledge. I understand that falsified statements on this application shall be considered sufficient cause for immediate discharge once accepted. I hereby authorize investigation of all statements contained herein and release all parties from liability for confirming/denying the information provided.

I understand that neither this application nor any part of consideration for training establishes an obligation for the company to hire me. I attest that I am over 18 years of age.
Skills Assessment

Please indicate how much experience you have providing the skills below to another person:

* Handwashing:
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
* Bed Baths
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
* Mouth Hygiene
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
* Assisting with Ambulation
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
* Making an Occupied Bed
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
* Use of a Bedpan
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
* Transfer to a wheelchair, chair, or commode
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
* Assisting with medications
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
* Assisting with dressing
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
* Use of urinal
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
* Nail care
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
* Assisting with eating
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
* Helping client to stand
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
* Positioning client in bed
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
* Proper body mechanics
No Experience   1-3 Months Experience   3-6 Months Experience   6+ Months Experience
PCA Literacy Skills Assessment

Part 1
Directions: Each Question in this test has 4 answer choices. Read each question carefully, then choose the best answer. Fill in the bubble for the answer you choose.

* 1. We help patients to wash by taking a
Cath   Bath   Bat   Brat
* 2.We may help patients by cutting up their ___________ so they can safely eat.
Flood   Good   Fork   Food
* 3. In the winter, the weather is very __________ and we may help patients put on a sweater.
Warm   Rainy   Cold   Hot
* 4. Some patients will need help to walk using their __________.
Walker   Car   Stalker   Bar
* 5. Some of our patients have pets, including cats or __________.
Trout   Kernels   Poodles   Nuggets
* 6. We help our patients with light housekeeping, such as washing __________.
Laundry   Banister   Ceiling   Typical
* 7. It is important to be kind to our patients and __________ how they want their bodies washed or their house cleaned
Smile   Ignore   Quickly   Respect
* 8. Many of our patients are part of a program that requires someone to supervise them. This means that an aide cannot __________ while working.
Help   Sleep   Keep   Sheep

Part 2
Directions: Read the client case study and answer the questions below.

You have been assigned to care for an 85-year-old male with diabetes in his home. His Plan of Care states that he needs to limit sugar. You are responsible for helping him with meal preparation, personal hygiene, and light housekeeping. He requires constant supervision, and you are arriving at 6pm for a 12-hour shift that ends at 6am. He uses a walker to get around. When you enter the home, you notice it is cluttered and has barely any room to walk. He asks if you could please make him some oatmeal, a cup of coffee, and cut him a piece of coffee cake with a glass of milk and check if there are any bananas as he is really hungry. He also wants to eat at the kitchen table with you as he is so happy to finally have someone to talk to.

* 9. Should you prepare the food he is asking for:
He is really hungry, so yes.
I should remind him that he needs to limit sugar and ask if there are other choices he would consider. If he insists, I should prepare the food he is asking for
He is really hungry but should limit sugar, so I should not prepare him the food he is asking for and tell him to choose other foods.
He should limit sugar, so no.
* 10. When he goes to bed, what should I do:
I should stay awake and supervise him. If he gives me permission, I should de-clutter in the home.
I should sleep so that I’m well rested to help him in the morning.
I should stay awake, clean his house, and throw away the clutter.
He needs to be supervised, and he should not sleep.
* 11. List 3 topics you can talk to the patient about.
* 12. How would you build a relationship with the patient?
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
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