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12/10/2009

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help me out here?! I am a home health care aide w/training. I stay overnights and provides service within the "off" hours, unpaid. I have logged these hours in communication logs. I also am pulling holidays and "extra hours" which my boss has told me would reflect on my pay and never has. I have had to work day shift hours when clients are ill or Adult day training facilities are closed. I can hardly believe that no one is being paid to cover these hours. I provide transportation in my vehicle with only liability insurance and have been told that if there is an accident that I should report the clients as my friends!!! What if any laws govern and safegaurd myself and others in this proffession? I believe this is the biggest fraud to medicaid and medicare I have ever seen. I love my work but I am beginning to feel guilty about it. Any info would help. lizatgreene@hotmail.com

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I am a nursing manager in unskilled nonmedical realm of home care. What should the protocol be when a client falls down at home before the caregiver arrives and upon arrival of caregiver says " I am okay and do not want to go to ER" Obviously the caregiver should call the company but then what? Do we instruct to call 911 against the client or family wishes? It can be a dilemma.

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