All Angelbee Nursing Service’s staff members are expected to adhere to the highest standards of care and generally to conduct him/herself with professionalism. Failure to do so will result in remedial action that may include termination of service depending on the severity of the breach involved.
All persons representing ANS including management must take all reasonable actions to ensure that care provided is acceptable and satisfactory to the client and his/her significant other(s), which requires that activities are carried out in such a way that the client’s physical and emotional comfort and privacy are maintained; safety is ensured, and respect and positive regard are expressed by staff and perceived by the client.
The following must be always adhered to while in service to Angelbee Nursing Service’s clients.
All caregivers are bound by a duty of confidentiality to every client served and as such will safeguard the privacy of information shared with him/her during the commission of his/her duty. Clients have the right to know that private matters will remain private, within their homes. Hence, nurses | caregivers are charged with the responsibility to share Information gleaned through the client/caregiver relationship according to the following protocol only:
Disclosure of client’s information to legal authorities - Where records have been requested by the courts - subpoenas and court orders, bearing in mind that in a home-care situation the client’s records are not in the custody of the nurse | caregiver. However, questions asked in such a situation must be answered with total honesty.
Disclosure to third parties: where the client is being referred to another health care professional, however, care must be taken to ensure that only relevant parts of the client's history is communicated, e.g., an occupational therapist does not need a gynecological history.
Public safety issues: Where public safety is at risk, which requires that sensitive health data be conveyed to health officials as part of the information provided in medical history.
Relatives of the patient: Where the client expresses – verbally or in writing, consent for
information to be shared with significant others such as co-habiting spouse, or co-habiting
parent, or offspring. It should not be presumed that any relative has a right to access the client’s information hence the client’s permission should always be sought, where possible before sharing.
Disclosure to a near relative may also be reasonable where the caregiver is considering withholding the information from the client and communicates it to a near relative to assess whether it should be so withheld.
Clients who are not capable of exercising their rights concerning health care matters should of course be able to have those rights exercised on their behalf by an appropriate representative. Hence information regarding children and clients who are mentally incapable may be shared with parents or guardians, which may include children or spouses.
All Caregivers will ensure that the job is completed with due care; those procedures undertaken are those which he |she is trained to carry out and that all care is taken to ensure the client’s safety.
All care provided must be acceptable to the client and his/her significant other(s) and must be deemed satisfactory by the client. This requires that procedures are carried out in such a way that the client’s physical and emotional comfort and privacy are maintained; safety is ensured; respect is expressed, and perceived and positive regard is felt by the client.
Recording and Reporting
The Caregiver has the responsibility to ensure that all relevant information is recorded, and relevant reports are made where necessary. To this end relevant stationery can be provided and may include:
Full Assessment Form
Nursing Progress Notes
Nursing Care Plan
Incident Report Form
Fluid Balance Chart
Suitable expertise is required for all jobs done. A Caregiver assigned to a job when not suitably qualified to carry out all the requirements of the job will be supplemented by a nurse with the required expertise. Where this occurs, the supplementary nurse assigned must ensure that he/she carries out the job assigned and that this is not left to the less qualified nurse to carry out.
Personal Appearance & Grooming
All Caregivers must dress in a manner appropriate for the job to allow for ease of movement and client’s safety and satisfaction. All caregivers must:
* Be professionally attired in a white uniform or scrubs and comfortable nursing shoes.
* Have hair properly groomed in a modest hairstyle and off the collar.
* Have clean fingernails of appropriate length and colour
* Be free of encumbering jewelry and overpowering scents (creams, lotions perfumes etc., which can provoke an
allergic or hypersensitivity reactions in the client.
* Wear a properly fitting mask, which covers the nose and mouth at all times while in the client’s presence.
Professional Relationships | Professionalism
All nurses | caregivers must that:
* All actions on the job are in support of maintaining good professional relationships with clients, and their
significant others, as well as colleagues and, that not even a suggestion of intent to develop liaisons of an
unprofessional nature is made.
* All reasonable efforts are made to ensure own security when operating in anyone’s home.
* Personal visitor is never invited or allowed to visit a client’s home or entertained while on duty outside of the
* Cell phone use is kept to a minimum, indulged in only when absolutely necessary and done discretely, and that
cell phone charging is done at home, not in the client’s home occurs except in an emergency.
* Headphones or Bluetooth are never worn on duty.
* Sleeping on the job only occurs when and if there is an agreed break time and, in the place, agreed with the
* Intent to be absent from duty is made known to the client in advance to allow for a replacement to be sent in.
Additionally, the nurse | caregiver must never expose clients to the following:
* Reports | complaints about personal issues or requests for access or privileges that were not agreed on prior to
accepting the job e.g., salary advance, loans, computer use, meals, transportation, etc.
* Request for an increase in wages except through ANS and only when this is appropriate e.g., where hours or
duties are increased.
* Complaints about the Service (ANS) matters.
The Caregiver has the duty and obligation to appear on duty at the time agreed and to complete tasks within a reasonable time. Where unforeseen circumstances may result in a late appearance on the job, the CHN must communicate this to the client or his/her representative before the appointed time and take all reasonable actions to arrive at work soonest.
All nurses | and caregivers starting a new job placement must presume a probationary period of three (3) to six (six) months unless told otherwise. This gives both the nurse | caregiver and the client a period to decide if they are a good fit, without having any obligations to remain in an agreement that might be undesirable to either party.
Nurses | caregivers who fail to carry out their duties in a manner that is satisfactory to the client will expose him/herself to summary dismissal.
Sub-contracting of Service
The Caregiver is not allowed to sub-contract duties i.e., allow any other party not approved by ANS to do nursing duties assigned to him |her by ANS.
As contract workers, all Caregivers are responsible to remit their own statutory payments to the government, based on their earnings, and may include PAYE, NIS, and Ed Tax.
Breach of Contract
The Nurse | Caregiver will be deemed to be in breach of contract if he | she:
* Fails to provide quality assurance.
* Carries out any illegal or immoral acts while performing duties assigned by ANS.
* Is implicated in any illegal or immoral activities while contracted to ANS.
* Seeks to or develops any alternative financial arrangement with clients of ANS or clients derived through
association with clients of ANS.
* Discusses company (ANS) matters with clients of ANS.