Bloom Boundaries

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• Respectful Interaction: A respectful, professional environment is essential for a successful working relationship. Disrespectful behavior may result in discontinuation of services.
• Home Environment: For the safety, comfort, and effectiveness of your care, it’s important that the home environment meets certain standards. We are unable to provide services in homes with:
  • Strong, persistent odors that interfere with our ability to work effectively (such as smoke, mold, or pet odors).
  • Cluttered or unsanitary spaces that may pose health or safety risks, including blocked pathways, excessive trash, or hazardous conditions.
  • Inadequate lighting or unsafe conditions that could make it difficult for us to perform tasks or move around the home safely.
• Pets: For health and safety reasons, we not provide services in homes that have cats, snakes, rats, lizards, or any similar exotic pets. If you have other pets, please inform us in advance so we can plan accordingly.
• Health and Safety: We follow all relevant health protocols, including COVID-19 guidelines, to ensure a safe environment for everyone.
• Scheduling and Cancellations: Services must be scheduled at least 4 days in advance. This will allow time for a New Client Inspection to be performed or Returning Client to be properly accommodated. Cancellations must be made at least 2 hours prior to the scheduled service time and cancellation fees may apply. Rescheduling is not available for clients who have set days for services.
• Access and Areas: For services like ADLs and housekeeping, we may need access to specific areas of the home. Please ensure these areas are accessible and safe for service delivery.

• Long-term clients with monthly service agreements must pay for the full month at least 72 hours prior to the first day of service in each month. For example, if services are scheduled to begin on May 1st, the full payment for the month must be made by April 28th.
• Short-term clients must pay at least 48 hours prior to service. For example, if services are scheduled for May 5th, payment must be made by May 3rd, at the latest.

• New Clients: All new clients must complete an intake form before services begin. This form collects important information regarding your needs, preferences, and any health or safety considerations.
• Long-term Clients: Clients with a monthly service agreement must complete an updated intake form every 90 days. This ensures that any changes in care requirements or personal preferences are up-to-date.
• Returning Clients: Returning clients are required to complete an updated intake form every 90 days or if there are any significant changes in your care requirements. This helps ensure that I have the most current information to provide the best care possible.

• Secure Data Management: To provide the best care possible, we use a secure Electronic Health Record (EHR)system to store and manage your personal and health information. This system helps me keep accurate and up-to-date records of your care preferences, needs, and medical instructions.
• Privacy and Confidentiality: Your information is protected through the highest security standards and will never be shared without your consent, except where required by law.
• Client Access: Depending on the system used, you may have access to view or manage your health records securely. Please let me know if you'd like more details on how to access your records.

• Important for Care: It is essential for me to have an emergency contact on file in case of any urgent situations that may arise during service. This contact should be someone who can make decisions on your behalf or assist with any immediate needs if you are unable to do so.
• Multiple Contacts: If possible, please provide more than one emergency contact, especially if you are unable to be reached at a particular time. This ensures we can quickly get in touch with someone in case of an emergency.
• Notification: In the event of an emergency, we will attempt to contact your emergency contact immediately and inform them of the situation. It is also important that your emergency contact is aware of their role and ready to respond if needed.
• Health Information: Please ensure that your emergency contact is aware of any specific health issues or preferences that could be important in the event of an emergency (e.g., allergies, preferred medical care, etc.).

While we strive to provide comprehensive care, there are certain limitations to the services I can offer. These limitations are based on my qualifications, certification, and scope of practice as a Certified Nursing Assistant (CNA). Please note the following services that fall outside of my scope:

• Medical Procedures: We are not licensed to perform invasive medical procedures such as administering IV medications, inserting catheters, or managing complex wounds. If such procedures are required, we will refer you to a licensed healthcare professional.
• Physical Therapy: Physical therapy is a specialized service that requires the expertise of a licensed physical therapist (PT). We are unable to perform physical therapy exercises or techniques prescribed for rehabilitation purposes.
• Advanced Nursing Care: As CNA’s we are trained to assist with basic health monitoring, but we cannot perform advanced nursing tasks such as administering injections, managing feeding tubes, or handling complex medical equipment like ventilators. You will need to consult a registered nurse (RN) or other licensed medical professional for these services.
• Mental Health Services: We can provide companionship and support but we are not qualified to offer therapy or mental health services. If you require mental health support or counseling, we will refer you to a licensed therapist or counselor who can provide the appropriate care.
• Emergency Medical Services: While we are trained in basic first aid and CPR, we are not qualified to provide emergency medical treatment. In the event of a medical emergency, we will immediately call 911 and follow any emergency protocols as needed.
• Household Maintenance: We can assist with light housekeeping such as sweeping, mopping, and dishwashing, but we are unable to perform heavy-duty cleaning or home maintenance tasks. For major repairs, deep cleaning, or specialized services (e.g., carpet cleaning), we will refer you to the appropriate service providers.
• Legal, Financial, and Estate Planning: We cannot offer legal, financial, or estate planning advice. If you require assistance in these areas, we will refer you to an attorney, financial advisor, or estate planner.
• Personal Finances: We are unable to manage or provide guidance on personal financial matters. This includes:
  • Managing budgets or personal finances.
  • Providing advice on financial planning, investment, or debt management.
  • Assisting with taxes, retirement plans, or banking services.
  • Paying Bills: We are unable to pay bills or manage any financial transactions on your behalf. If you need help with bill payments or managing financial obligations, we will refer you to a trusted financial advisor, bill payment service, or family member who can assist you.
• Non-CNA Related Tasks: Any task outside the general scope of CNA duties, such as complex medical treatments, legal services, or non-basic household maintenance, is beyond our capacity to perform.