Affinity Hospice

Home Hospice Aide / CNA


Birmingham, AL


Full Time

Affinity Hospice


Job Title: Certified Hospice Aide

Division: Hospice

Report to: Clinical Director

Classification: Non-Exempt


Position Overview

The hospice aide is a paraprofessional member of the home care team who works under the supervision of a registered nurse or therapist and performs various personal care services as necessary to meet the patient’s needs.  The hospice aide is responsible for observing patients, reporting these observations and documenting observations and care performed.


The hospice aide will be assigned by a Registered Nurse in a manner that promotes quality, continuity and safety of a patient’s care.


Essential Job Functions

  • Must be able to read, write, speak, and understand the English language
  • Must be able to remain in a stationary position and move intermittently throughout the work day
  • Must have reliable transportation to travel to patient homes per patient schedule and agency needs
  • Must be able to concentrate and use reasoning skills and good judgment
  •  Must practice regular and dependable attendance per company policy and procedure  
  • Must be able to (or assist with) lift, turn, move and position patients
  • Must be able to communicate and function in a home care team
  • Using effective body mechanics, must be able to lift 40 lbs. floor to waist; lift 10 lbs. waist to shoulder; lift and carry 40 lbs.; and push/pull 40 lbs.; and use visual acuity and hearing to perform required aide duties
  • Must be able to knowledgeably and competently deliver personal care to patients
  • Must be able to follow physician orders and aide care plans for patients


Specific Requirements

  • Must have excellent verbal and written communication and organizational skills
  • Must have valid driver’s license and auto liability insurance, and automobile in good working condition
  • Must be at least 18 years of age
  • Must have ability to read and follow written instructions and document care given
  • Must understand and follow company policies and procedures
  • Must possess the ability to work harmoniously with professional and non-professional personnel
  • Must have satisfactory references from previous employers
  • Must have empathy for the needs of the ill, injured, frail, and impaired
  • Must be self-directed with the ability to work with little direct supervision
  • Must be able to multi task and accept additional duties as assigned
  • Must demonstrate tact, patience, and good personal hygiene
  • Must successfully complete a probationary period. This probationary period is to ensure the aide is competent in the above qualifications, and is documented by the supervisor and the associate


Education and Experience

  • Meets the training requirements in accordance with state and federal laws
  • At least 18 years of age
  • Ability to read and follow written instructions and document care given
  • Self-directing with the ability to work with little direct supervision
  • Empathy for the needs of the ill, injured, frail and the impaired
  • Understands hospice philosophy, comfortable providing specialized care to the terminally ill
  • Possess and maintains current CPR certification
  • Demonstrates tact, patience and good personal hygiene
  • Licensed driver with automobile that is insured in accordance with Organization requirements and is in good working order


Note:      Effective August 14, 1990, a person who has successfully completed a state established or other training program that meets the requirements of CFR 484.36(a) and a competency evalu­ation program, or state licensure program that meets the requirements of CFR 484.36(b), or a competency evaluation program or state licensure program that meets the requirements of S 484.36(b).


Job Limitations

The hospice aide will not function in any manner viewed as the practice of nursing according to the state's Nurse Practice Act.  Specifically, the hospice aide will not administer medications, take physician's orders or perform procedures requiring the training, knowledge and skill of a nurse, such as sterile techniques.

Working Conditions

  • Will work in and travel to patient homes as well as agency office
  • Sits, stands, bends, lifts, and moves intermittently during working hours
  • Subject to frequent interruptions
  • Attends and participates in continuing education programs
  • Possible exposure to infectious waste, diseases, conditions, etc. including exposure to the AIDS and Hepatitis B viruses
  • Subject to hostile and emotionally upset patients, family members, caregivers, etc.
  • May work beyond normal working hours, weekends, and holidays as needed and in other positions temporarily as necessary
  • Involved with patients, associates, caregivers, government agencies/personnel, etc. under various circumstance


General Responsibilities

Providing personal care including but not limited to:

  • Baths
  • Back rubs
  • Oral hygiene
  • Shampoos
  • Changing bed linen
  • Assisting patients with dressing and undressing
  • Skin care to prevent breakdown
  • Assisting the patient with toileting activities
  • Keeping patient’s living area clean and orderly, as appropriate
  • Planning and preparing nutritious meals
  • Assisting in feeding the patient, if necessary
  • Taking and recording oral, rectal and axillary temperatures, pulse, respiration and blood pressure when ordered (with appropriate completed/demonstrated skills competency)Assisting in ambulation and exercise according to the plan of care
  • Performing range of motion and other simple procedures as an extensional therapy service as ordered (with appropriate completed/demonstrated skills competency)
  • Assisting patient in the self-administration of medication
  • Doing patient’s laundry, as appropriate
  • Meeting safety needs of patients and using equipment safely and properly (foot stools,
    side rails, etc.)
  • Reporting on patient’s condition and significant changes to the assigned nurse
  • Adhering to the Organization's documentation and care procedures and standards of personal and professional conduct
  • Performs only hospice aide tasks as assigned by the nurse or therapist
  • Communicates changes in patient condition with the RN or therapist. Documents changes on hospice aide note
  • Participates in care conferences and mandatory staff meetings
  • Participates in holiday and weekend rotation as appropriate
  • Maintains confidentiality of patient information at all times
  • Follows standard precautions, safe body mechanics, and infection control procedures in patient care
  • Meets productivity standards and communicates change in schedule to Clinical Director/office
  • Submits DARs, clinical notes per agency policy
  • Communicates effectively with patients and caregivers. Handles patient complaints as appropriate or refers complaint to supervisor
  • Protects privacy of patient during patient care
  • Contacts patients prior to hospice visit to schedule time of visit
  • As patient improves and is able to provide more self-care, communicates with RN or therapist so that hospice care plan may be altered as appropriate

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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