In order to receive your home health aide certificate in New York you need to follow the minimum [federal] home health aide education requirements.
If you are a Certified Nursing Assistant (CNA) you can work as a HHA with only one day of additional training.
Better yet, if the training agency is approved by the New York State Department of Health they cannot charge for the training; they can charge up to $100 for materials such as books.
See more at Best HHA Training in New York – Under $100!
As of December 2016, there is a new category of health care worker in New York, “advanced home health aide”.
Advanced home health aides will be allowed to administer routine or pre-filled medications. These medicines must be easy to give (e.g. injections of insulin, eye drops, etc.)
These “advanced” aides will receive more training and work under the supervision of registered nurses.
The goal is to allow more residents of New York to get care in their homes.
[Non certified home aides cannot be employed by a Medicare-certified home health agency.]
There are many reasons to be a certified home health aide in New York – here are just a few.
Here’s the deal!
While the steps to be a HHA in New York are not complicated at all, you do need to remain focused on the end game: getting your HHA certificate so you jump right in and make a living in the medical field helping others.
Follow these easy steps (they are detailed below).
New York home health care has tremendous opportunity for those seeking to enter the medical field as a home health aide, personal care aide or certified nurse assistant.
The requirements are typical of some other states though it’s worth going into some of the details and the actual steps to be a home health aide.
New York HHA Training Requirements
Home health aide training in New York is in accordance with Part 484 of Title 42 of the Code of Federal Regulations (42 CFR) and Section 700.2 of Title 10 of the New York Codes, Rules and Regulations.
Home health aide training programs in New York need to be approved be either the New York State Department of Health (DOH) or the New York State Education Department (SED); they cannot be dually approved by both.
The DOH regulates training programs operated by providers such as home care agencies while the SED licenses home health aide training programs operated by educational companies (e.g. colleges, vocational schools, etc.). The requirements are similar though not identical.
Home health aide classes / training must include classroom and supervised practical training.
The training needs to be a minimum of 75 hours.
Here’s a breakdown of the 75 hours of your HHA training in New York:
- 40 hours (home care curriculum – known simply as HCC)
- 35 hours (home care health related tasks curriculum – HRTC)
- 19 hours classroom/lab instructional training
- 16 hours supervised demonstration of skills
- 8 hours classroom/lab
- 8 hours with a client or patient at home or in an appropriate health care facility
Applicants to the Agency HHA Training should meet certain minimum requirements:
- Must be at least 18 years of age
- Should be mature, emotionally and mentally stable
- Be able to read and write; understand and carry out directions and instructions and keep simple records
- A minimum of an eighth-grade reading level is recommended.
- Be in good physical health; not dependent or addicted to depressants, stimulants, narcotics, alcohol or other substances
Supervised (i.e. by a registered nurse and/or licensed practical nurse) practical training means training in a laboratory, patient’s home or other health care setting in which the trainee demonstrates knowledge while performing tasks on an individual.
Supervised practical training means training in a skills laboratory, patient’s home or other health care setting in which the trainee demonstrates knowledge while performing tasks on an individual. At a minimum, fifty percent (50%) or 8 hours of each aide’s supervised practical training must be provided in a patient care setting. The setting(s) used for practical training and the number of training hours provided must be based on each trainee’s learning needs.
The nurse supervisor who is conducting the skills portion of the training and documents that the trainee has successfully demonstrated the particular procedure.
When the skills have been completed successfully then the nurse instructor or supervisor certifies that the trainee has successfully completed the supervised clinical experience – at this point the trainee is awarded a New York home health aide certificate.
There is no competency test to take!
Cost of HHA Training
If the home health aide training program is approved by the New York State Department of Health then they cannot charge tuition.
There may be no tuition but they may have a fee of up to $100 for books/material; you get to keep whatever you’ve paid for.
Contents of the HHA Training
Home health aide training programs need to clearly state its goals and objectives and must include measurable performance criteria.
The curriculum must include the content outlined below:
- orientation to home care and the role of home health aides;
- understanding basic human needs of individuals and families including understanding the elderly, infants and children, persons with physical illnesses, persons with physical disabilities and persons with mental disabilities;
- communication skills;
- basic elements of body function;
- patient rights and HIV confidentiality;
- safety, accident prevention and responses to emergencies;
- infection control and universal blood and body fluid precautions;
- personal hygiene and grooming including bed, sponge, tub or shower baths; skin, tub or bed shampoos;
- nail and skin care; oral hygiene; toileting and elimination;
- use of prescribed medical equipment and supplies;
- rehabilitation including safe transfer techniques and ambulation; normal range of motion and positioning;
- assistance with use of crutches, walkers, and hoyer lifts; and prescribed exercise programs;
- nutrition and fluid intake, to include preparation of meals for simple and complex modified diets;
- temperature, pulse, respiration, and blood pressure;
- simple test and measurements;
- maintaining a clean, safe environment;
- assistance with medication administration;
- special skin care;
- simple dressing changes;
- ostomy care;
- handling patient’s money; and
- observing, reporting, and recording.
The training staff may exercise discretion in determining the amount of time required to adequately teach each subject area.
The HHA Competency Exam
Your goal is home health aide certification for New York, right?
Well, the training program is responsible for ensuring that each HHA trainee is competent in each skill and procedure taught in the training program.
This ensure that what’s learned in the classroom and clinical setting can be applied in the course of a day as you’re out seeing patients – you want to make sure they get the best care possible from you.
When the skills portion of the HHA training have been completed successfully the nurse instructor or supervisor certifies that the trainee has successfully completed the supervised clinical experience – at this point the trainee is awarded a New York home health aide certificate.
There is no competency test to take!
The complete training program (classroom and practical training) as well as the competency evaluation must all be completed within two months of entry into the training program.
Competency Exam By Itself
It is possible to jump ahead of the class (skip altogether) and take a competency evaluation program only.
Eligible potential HHA’s include:
- nursing assistants with one year of full time experience in a general hospital within the past five years;
- home health aides or nurse aides with training and competency evaluation from an out-of-state training programs;
- home health aide with documented home health aide training and competency evaluation who have not been employed as a home health aide for 24 consecutive months;
- veterans trained in the US military as medical technicians and/or medics;
- nursing students having completed the fundamentals of nursing
You are now a certified home health aide.
Within 30 days of (successful) completion of the HHA training program and passing the competency evaluation, the training program must issue an original certificate to you.
- you must be provided a copy of the completed competency evaluation form.
- the training programs needs to keep your HHA certificate and competency evaluation form for at least six (6) years.
An individual who has successfully completed an approved HHA training and initial competency evaluation program will not be considered qualified to provide home health aide services if the person has not been employed as a home health aide within any consecutive 24-month period.
The aide’s training certificate becomes invalid.
In order to get back to work after a two-year lapse the HHA can take the take the competency evaluation program in lieu of a training program.
After successful completion of the competency evaluation program, a new certificate will be issued to the home health aide by the training program administering the competency evaluation.
Earn More as a HHA in New York
You’re on the way to a fantastic and rewarding career as a home health aide.
Whether you’ll be a HHA in Brooklyn, the Bronx, Manhattan or upstate you will want to look into advancing in the field.
There may be many reasons to move ahead as a HHA.
Could be more money, get your nursing degree, manage people, run your own home health aide agency!
New York HHA Resources
- Medicare has a website (Home Health Compare) that allows you to search for home health agencies and see which ones are Medicare certified.
- Here's a great booklet about HHA job training from the U.S. Department of Labor.
- New York State Education Department administers the rules and regulations for home health aides
- Northwell Health Home Care Network is a licensed agency and often has openings for home health aides – offers FREE training as well.
- Visiting Nurse Service of New York is a great resource
- The Department of Health of NY has a listing of licensed HHA agencies
[Sources cited here: New State Department of Health; New York State Education Department; U.S. Bureau of Labor Statistics (Occupational Employment and Wages, May 2014); Codes, Rules and Regulations; Section 700 of Title 10.]