Initial Direct Care Staff Training

Welcome to the online training program that will help you learn the basic skills and information to become a direct care staff person. 

This training is required before you can provide unsupervised consumer care. The personal care home and assisted living residences regulations relating to direct care staff person training and orientation require this training.

It is important to read each module carefully because the test at the end will include questions from each of the modules.

The online test at the end of the training has 50 questions. You will need to score 70 percent or above to pass. To score 70 percent, you must get 35 questions correct. You can take the test as many times as you like, and each time you take the test, the questions will be different. 

Once you pass the test, you will receive a “certificate of completion” that you must give to your employer.  

Let’s get started!

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As a direct care staff person, an important part of your job is to protect yourself and the consumers from infectious disease(s). Some consumers have weakened immune systems and are more vulnerable to getting infections. An important part of maintaining a safe environment is to recognize signs of infection. This section will present several ways to control and limit the spread of germs that cause infections.

Germs cause illness and disease. As a direct care staff person, you will come in contact with body fluids that may contain germs such as blood, mucous, vomit, tears, semen, vaginal secretions, saliva, urine, feces and sweat.

In order to prevent an infection from spreading, it is important to understand where germs live, how germs get to people and how germs enter people’s bodies. There are many “sources” of germs. These are places germs live before they infect. Sources include under the fingernails, on the skin, on an unclean surface and in water and food. There are many germs on the kitchen counter and in the bathroom. Germs can be found almost everywhere, including in the air, on surfaces, on your hands and in your nose. Germs can enter the body through any opening such as your nose, mouth, or cuts.

The first step to prevent the spread of infectious disease is to practice good hand washing hygiene. Hand washing seems like such an obvious thing to do, but numerous studies show that many people, including health care workers, often forget to wash their hands as thoroughly and frequently as they should.

When to wash hands:

  • Before and after wearing gloves.
  • At the start of the workday and several times throughout the day.
  • When your hands are visibly soiled (dirty) or contaminated with blood or body fluids.
  • Before having direct contact with the consumer’s skin.
  • After having direct contact with the consumer’s skin, especially when the skin has wounds or is broken.
  • After assisting with toileting or changing incontinence products from the consumer.
  • After the direct care worker uses the restroom.
  • Before eating.
  • Before preparing food.
  • Before serving food.
  • After wiping nose, sneezing, or touching the face.
  • After smoking. 

  1. Wet your hands under warm, running water.
  2. Rub your hands together with soap and work up a good lather to all surfaces from 2 inches above the wrists for 20 seconds or sing the ABC’s (which takes 20 seconds).
  3. Wash the palms, sides and the back of your hands, in between your fingers, your thumbs and under your fingernails.
  4. Rub the nails of each hand across the palm to remove dirt from under the fingernails.
  5. Repeat steps 3 and 4 for 20 seconds.
  6. Rinse your hands under warm running water. Make sure you get all the soap off.
  7. Dry your hands with a clean towel or paper towel. Pat your hands, and work back toward your forearms.
  8. Turn the faucet off with the paper towel and use the paper towel to open the door as you leave the restroom so that you do not pick up germs that may exist on the handle.

The most important procedure to prevent the spread of germs is hand washing. Another thing personal care staff persons can do to reduce the spread of germs is to limit their wearing of jewelry. This is because the tiny surfaces and crevices on rings and other jewelry can serve as a breeding ground for germs. If you choose to wear a ring, keep it simple. Since fingernails can serve as a breeding ground for germs, keep your nails short and clean.

As a direct care staff person, you should use gloves when there is the possibility that you will have contact with blood, other potentially infectious material or items and surfaces contaminated with these materials. Wear gloves to carry materials that are soiled or contaminated and carry the material, so it does not touch any other surface, including your clothing. It is important to dispose of soiled material as soon as possible. For example, put soiled linens directly into the designated container and not on the floor. Do not leave soiled linens on the floor even for a short time, such as while you finish making the bed.
Putting on and taking off gloves:

Before putting gloves on, remove all sharp jewelry and wash hands to remove germs. When putting the gloves on, begin by putting your fingers into the tips of the glove and then pull the entire glove over your clean hand. Remove gloves by pulling the glove inside out so that whatever has touched the glove remains untouched by your exposed skin

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If services include use of the client’s personal funds:

The Agency will obtain an authorization from the client/responsible party, for access to personal funds when grocery or other shopping services are to be provided and when those services include assistance with bill paying or any activities, such as shopping, that involve access to or use of client funds.

For more information call us today

(717) 317 9037
Contact us today.
Schedule a FREE in-home consultation

845 Sir Thomas Ct. Suite 9
Harrisburg, PA 17109

Phone: (717) 317 9037
Fax: (717) 798 3144

contact@milestonehomecare.com