In some States, the only requirement for employment is on-the-job training, which generally is provided by most employers. Other States may require formal training, which is available from community colleges, vocational schools, elder care programs, and home health care agencies. The National Association for Home Care and Hospice (NAHC) offers national certification for personal and home care aides. Certification is a voluntary demonstration that the individual has met industry standards. Certification requires the completion of a standard 75-hour course and written exam developed by NAHC. Home care aides seeking certification are evaluated on 17 different skills by a registered nurse.
Personal and home care aides should have a desire to help people and not mind hard work. They should be responsible, compassionate, emotionally stable, and cheerful. In addition, aides should be tactful, honest, and discreet because they work in private homes. Aides also must be in good health. A physical examination, including State-mandated tests such as those for tuberculosis, may be required. A criminal background check also may be required for employment. Additionally, personal and home care aides are responsible for their own transportation to reach patientsí homes.
Advancement for personal and home care aides is limited. In some agencies, workers start out performing homemaker duties, such as cleaning. With experience and training, they may take on personal care duties. Some aides choose to receive additional training to become nursing and home health aides, licensed practical nurses, or
registered nurses. Some experienced personal and home care aides may start their own home care agency.