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There are two types of aides Certified Nurses Assistants (CNA) and Home Health Aide (HHA). Their responsiblities are similar. Look up responsibilities for both in your State.
Helping with dressing, bathing, laundry, changing bed linens, light housekeeping, preparing meals, driving to appts, food shopping.
I did read that CNAs help with meds. I think that is on a facility level like a hospital or NH. In my State CNAs, unless they are trained Medtechs, cannot handle dispensing of meds. They are not allowed to do med planners or hand the medication to the client. They can remind. You as an EMT are probably certified to give meds. I also read they can do bandages. Not where I live. That is left up to a Wound care nurse.
What is this person asking you to do which you don't feel is your responsibility. Or is it that the person tries to do things ur there to do and continues to fall?
Caregiver should be experienced in the role they are hired. If a client has dementia, the caregiver would have a full understanding about dementia and how to handle it. If a person was a fall risk, also experienced on what to do. Some times bathing is part of being a caregiver.
Curious what insurance is paying for a caregiver or aide? Full time caregiver? Part-time? Couple hours a week?
Are you there with your friend when the caregiver comes to the home? Could be if the caregiver knows you are a care assistant, that the caregiver doesn't want to encroach on your duties.
Then, if the person has a problem with balance or history of falliing, they send an aid who is trained to attend people who are a "fall risk". They know how and when to assist someone to safely transfer from place to place, seat to seat. They have the person wear a stability belt, use a walker, a wheelchair. They know what to do if the person starts to fall, and to not attempt to pick up a person on the ground by themselves and when to call 911, etc.
After that, if the aid dispenses meds or does anything medical, they charge another level of fee.
Aids who are actual RNs, LPNs, etc. get paid the most, and working overnight is also a higher level of fee.