* = Required Information

Skill Level: check all that apply. How are these defined? *
Homemaker/CompanionCertified Nurse AssistantRegistered Nurse (RN)

Availability part-timefull-timelive-in
Estimated hours per week
Hourly pay rate negotiablea set rate or a range

Special Services Needed: check all that apply
Nursing Activities
Wound Care/DressingIV InjectionsObservation/AssessmentColostomy Care
Catheter Care/InsertionDiabetic Care/Teaching G-Tube/Peg-TubFeeding Care
Medication Set-up/Administration
Personal Care
BathingOral HygieneHair CareAssist Dressing
Skin CareTransfer: Bed/Chair & PositioningElimination Nutrition
Prepare MealsAssist EatingGrocery Shopping
Taking & Recording Vital Signs
Linen ChangeLaundryLight Housework , Laundry, Wash Dishe
Companion Care
Read to clientWater/Walk/Feed Pet Leisure OutingsErrandsRecord: Intake/Output/Meds

STATEMENT OF SPECIAL NEEDS:(500 characters max)
Days of the Week: check all that apply

* Security Code

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