* = Required Information
Skill Level: check all that apply.
How are these defined?
*
Homemaker/Companion
Certified Nurse Assistant
Registered Nurse (RN)
Availability
part-time
full-time
live-in
Estimated hours per week
Hourly pay rate
negotiable
a set rate or a range
Special Services Needed:
check all that apply
Nursing Activities
Wound Care/Dressing
IV Injections
Observation/Assessment
Colostomy Care
Catheter Care/Insertion
Diabetic Care/Teaching G-Tube/Peg-Tub
Feeding Care
Medication Set-up/Administration
Personal Care
Bathing
Oral Hygiene
Hair Care
Assist Dressing
Skin Care
Transfer: Bed/Chair & Positioning
Elimination Nutrition
Prepare Meals
Assist Eating
Grocery Shopping
Taking & Recording Vital Signs
Homemaking
Linen Change
Laundry
Light Housework , Laundry, Wash Dishe
Companion Care
Read to client
Water/Walk/Feed Pet
Leisure Outings
Errands
Record: Intake/Output/Meds
OPTIONAL
STATEMENT OF SPECIAL NEEDS:(500 characters max)
Days of the Week: check all that apply
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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Security Code