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RN-led in-service training for aides

In-service training your aides can finish on a break.

We are building short online lessons for home health and hospice aides. Aides learn on their phones between visits. Each finished lesson is logged, so your in-service records stay in one place. Designed to support compliance with 42 CFR 484.80(d) and 418.76(d).

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Read the 12-hour rule, explained

Early enrollment is open to home health agencies and hospices. We share pricing and current availability by email.

In progress · 7 min Lesson 2 of 6

Hand hygiene at the bedside

Knowledge check · Question 1 of 5

Correct: "Soap & friction for 20 seconds"

Aide A · Module 01 · Infection Control

Sample aide view · 42 CFR § 484.80
  • 12 hoursThe yearly minimum for each aide under 42 CFR 484.80(d). 12 one-hour modules.
  • RN-ledLessons are designed with an RN educator. Supervised per federal rules.
  • 6 to 8 minPer lesson. Short enough to finish between patient visits.
  • Phone-firstMade for phones and shared computers. Plain English with transcripts.

Product walkthrough

From short lessons to records in one place.

See how aides move through short lessons, and how finished modules become a record of who finished what.

Step 01 · Aide Learning

6 to 8 minute lessons aides finish on their phones.

Aides watch between visits on the phone they already carry. No app download, no complicated passwords. Videos show bedside technique step by step.

  • Closed captions and full transcript on every screen.
  • Real clinical procedures without hospital jargon.
  • Progress saved automatically if an aide has to pause.
Module 01 · Lesson 1.3: Hand Hygiene Protocols 06:42 min

Standard Precautions at the Bedside

02:18
06:42 1.0x

Transcript excerpt: "Always wash with warm water and friction for at least 20 seconds before touching patient equipment or preparing food..."

Who it's for

Built for the people who keep aides trained.

Home health agencies

Medicare-certified agencies must give each aide at least 12 hours of in-service training every 12 months under 42 CFR 484.80(d).

Hospices

Hospice aides have the same 12-hour yearly rule under 42 CFR 418.76(d).

Administrators and DONs

See who finished which lesson, without chasing paper sign-in sheets or scheduling make-up classes.

Aides

Short lessons in plain English, on their own phone, between visits at their own pace.

Tiers & offerings

Training that fits how your agency works.

Whether your agency RN supervises in-house or you want an RN educator to help run it in Florida. Pricing is shared by email.

Nationwide · Digital

On-Demand Library

Supervised by your agency's RN

For Medicare-certified home health agencies and hospices. Your aides get 12 hours of lessons. You get a record of who finished what.

  • All 12 planned modules (12 clock hours)
  • 72 short lessons (6 to 8 min) built for phones
  • Pre-tests and post-quizzes with clear explanations
  • Agency hour ledger and downloadable certificates
  • CSV export of completion records
  • Your agency's RN supervises the in-service
Ask about the library
Florida · RN-managed

RN-Managed Program

Run with our RN educator in Florida

An RN educator helps you set up and run in-service. These services are planned and will start as the program grows.

  • Everything in the On-Demand Library
  • Planned: nurse-to-nurse onboarding with an RN educator
  • Planned: live Q&A sessions for your aides
  • Planned: help preparing your in-service records
  • Planned: skills check-off support (ADLs, transfers)
  • Planned: email support from an RN educator
Ask about RN-managed
Multi-branch

Multi-Branch Network

For groups with several branches

For multi-location home health agencies and hospice groups that need branch-level records and a rollout plan that fits.

  • Everything in the RN-Managed Program
  • One view of in-service records across branches (planned)
  • Completion lists by branch (planned)
  • Rollout schedule that fits your DONs (planned)
  • One point of contact for your group (planned)
Ask about multi-branch

What changes

From chasing hours to a file that stays current.

Without it

  • Aides miss group sessions because of visit schedules.
  • Hours sit on paper sign-in sheets in different offices.
  • The training file gets scrambled together right before a survey.

With HHI Training

  • Aides take 6 to 8 minute lessons between visits.
  • Each finished lesson and quiz is automatically logged.
  • Your records stay in one place all year.

The rule says in-service training must be supervised by a registered nurse, and your agency must keep the records (42 CFR 484.80(d)). We will walk you through how that works for your agency.

Planned curriculum

12 topics. One clock hour each.

Together they add up to the 12 hours each aide needs every year under 42 CFR 484.80(d) and 418.76(d). Click any module to explore key competencies and lessons.

12 Clock Hours 72 Short Lessons 12 Quizzes & Certificates
01Infection Prevention and Control 1 clock hourBeing made first

Core Clinical Competencies

  • Break the six links in the Chain of Infection in home settings
  • Apply Standard Precautions and Transmission-Based Precautions
  • Execute correct 20-second hand hygiene and PPE sequencing
  • Follow OSHA bloodborne pathogen and sharps safety guardrails

6 Lessons (6–8 min each)

  1. 1.1 Chain of Infection in the Home
  2. 1.2 Standard Precautions & Personal Safety
  3. 1.3 Hand Hygiene Protocols & Sinks
  4. 1.4 Personal Protective Equipment (PPE)
  5. 1.5 Surface Disinfection & Waste Disposal
  6. 1.6 Bloodborne Pathogens & Sharps Safety
Bedside Scenario: Safely managing contaminated bed linens and accidental sharps in a cluttered private home.

Federal standard: 42 CFR § 484.80(b)(3)(iv); OSHA 29 CFR 1910.1030.

02Patient Rights and Confidentiality 1 clock hour

Core Clinical Competencies

  • Protect the Home Health Patient Bill of Rights during care
  • Safeguard patient privacy and mobile devices under HIPAA
  • Maintain dignity and autonomy during personal bathing and ADLs
  • Recognize Advance Directives, DNR orders, and healthcare proxies

6 Lessons (6–8 min each)

  1. 2.1 Home Health Patient Bill of Rights
  2. 2.2 Privacy & Dignity in Personal Care
  3. 2.3 HIPAA Guardrails for Field Staff
  4. 2.4 Mobile Phone & Photo Guidelines
  5. 2.5 Advance Directives & DNR Protocols
  6. 2.6 Respecting Family Cultural Preferences
Bedside Scenario: Responding professionally when a non-caregiver relative demands to see the patient's care notes.

Federal standard: 42 CFR § 484.80(b)(3)(viii); 42 CFR § 484.50.

03Recognizing Abuse, Neglect, and Exploitation 1 clock hour

Core Clinical Competencies

  • Distinguish physical, emotional, sexual abuse, and exploitation
  • Identify physical and behavioral indicators of caregiver neglect
  • Follow state mandatory reporting rules and agency escalation
  • Utilize verbal de-escalation with hostile family members

6 Lessons (6–8 min each)

  1. 3.1 Vulnerable Adult Abuse Definitions
  2. 3.2 Physical & Emotional Warning Signs
  3. 3.3 Financial Exploitation Red Flags
  4. 3.4 Recognizing Vulnerable Self-Neglect
  5. 3.5 Mandatory Reporting Rules & Timelines
  6. 3.6 De-Escalation & Aide Personal Safety
Bedside Scenario: Discovering unexplained bruises and unpaid utility notices on an isolated senior's table.

Federal standard: 42 CFR § 484.80(b)(3)(viii); State Mandatory Reporting Laws.

04Emergency Preparedness and Response 1 clock hour

Core Clinical Competencies

  • Recognize acute crises: stroke (F.A.S.T.), cardiac arrest, choking
  • Determine when to call 911 immediately versus alerting the RN
  • Execute residential fire safety (R.A.C.E. / P.A.S.S.) and evacuation
  • Follow agency emergency communication during severe storms

6 Lessons (6–8 min each)

  1. 4.1 Acute Medical Crises & Stroke Recognition
  2. 4.2 When to Dial 911 vs Alerting the RN
  3. 4.3 Home Fire Safety & Evacuation Routes
  4. 4.4 Hurricanes, Severe Weather & Outages
  5. 4.5 Medical Equipment Failure in Homes
  6. 4.6 Agency Crisis Communication Protocols
Bedside Scenario: Patient develops sudden one-sided facial drooping and slurred speech during lunch.

Federal standard: 42 CFR § 484.80(b)(3)(vii); 42 CFR § 484.102.

05Fall Prevention and Home Safety 1 clock hour

Core Clinical Competencies

  • Spot environmental hazards: throw rugs, poor lighting, cords
  • Verify proper fit and safe use of walkers and canes
  • Maintain safe transfer technique during bathroom ambulation
  • Follow the "Do Not Lift" post-fall emergency clinical protocol

6 Lessons (6–8 min each)

  1. 5.1 Common Residential Fall Hazards
  2. 5.2 Bathroom & Bedroom Environmental Safety
  3. 5.3 Inspecting Walkers, Canes & Grab Bars
  4. 5.4 Safe Ambulation with Transfer Belts
  5. 5.5 The "Do Not Lift" Post-Fall Protocol
  6. 5.6 Incident Documentation & Reporting
Bedside Scenario: Finding a patient on the bedroom floor who slipped from bed; assessing consciousness without lifting alone.

Federal standard: 42 CFR § 484.80(b)(3)(vi), (x); CDC STEADI.

06Observation, Reporting, and Documentation 1 clock hour

Core Clinical Competencies

  • Distinguish objective clinical facts from subjective assumptions
  • Identify red-flag clinical changes requiring immediate RN escalation
  • Complete accurate, timely documentation complying with records rules
  • Follow the individualized patient Plan of Care (42 CFR § 484.60)

6 Lessons (6–8 min each)

  1. 6.1 Objective Facts vs Subjective Opinions
  2. 6.2 Red Flag Symptoms Requiring RN Escalation
  3. 6.3 Following the Patient's Plan of Care
  4. 6.4 Legibility, Timeliness & Electronic Records
  5. 6.5 Verbal Handoffs to the Nursing Team
  6. 6.6 Proper Documentation Correction Rules
Bedside Scenario: Documenting an unexpected new 2cm reddened sacral area and reporting the objective finding to the RN.

Federal standard: 42 CFR § 484.80(b)(3)(i), (ii); 42 CFR § 484.60.

07Vital Signs and Pain Recognition 1 clock hour

Core Clinical Competencies

  • Accurately measure temperature, radial pulse, and respirations
  • Identify normal geriatric vital sign ranges and reporting thresholds
  • Recognize non-verbal pain signs: grimacing, guarding, restlessness
  • Utilize numeric pain scale and PAINAD for patients with dementia

6 Lessons (6–8 min each)

  1. 7.1 Temperature Techniques & Geriatric Norms
  2. 7.2 Radial Pulse & Respiratory Assessment
  3. 7.3 Blood Pressure Techniques & Cautions
  4. 7.4 Baseline Variations in Elderly Patients
  5. 7.5 Non-Verbal Signs of Discomfort
  6. 7.6 Pain Scales (Numeric & PAINAD)
Bedside Scenario: Recognizing non-verbal guarding and grimacing during morning dressing in a client with Alzheimer's.

Federal standard: 42 CFR § 484.80(b)(3)(iii); AHA Guidelines.

08Safe Patient Handling and Body Mechanics 1 clock hour

Core Clinical Competencies

  • Apply core body mechanics: wide base, neutral spine, bend knees
  • Execute safe lateral bed repositioning and log-rolling
  • Perform pivot transfers (bed to chair, chair to commode) safely
  • Know when a 1-person assist is unsafe and requires a mechanical lift

6 Lessons (6–8 min each)

  1. 8.1 Spinal Anatomy & Safe Lifting Principles
  2. 8.2 In-Bed Repositioning (Turning & Boosting)
  3. 8.3 Bed-to-Chair Pivot Transfers
  4. 8.4 Bathroom & Commode Transfers
  5. 8.5 Mechanical Lifts (Hoyer) & 2-Person Criteria
  6. 8.6 Preventing Chronic Caregiver Strain
Bedside Scenario: Helping a weak, unsteady stroke survivor transfer from a soft armchair to a wheelchair using a gait belt.

Federal standard: 42 CFR § 484.80(b)(3)(x), (xi); NIOSH Ergonomics.

09Chronic Conditions and Advanced Monitoring 1 clock hour

Core Clinical Competencies

  • Recognize signs of hypoglycemia and hyperglycemia with CGMs
  • Monitor daily weights and edema in Congestive Heart Failure (CHF)
  • Identify respiratory distress and pulse oximetry (SpO2) alerts in COPD
  • Aide scope of practice: record and report facts without diagnosing

6 Lessons (6–8 min each)

  1. 9.1 Diabetes & Glucose Monitoring Signs (CGMs)
  2. 9.2 Heart Failure, Fluid Retention & Daily Weights
  3. 9.3 COPD, Breathlessness & Pulse Oximetry (SpO2)
  4. 9.4 Chronic Kidney Disease & Dietary Limits
  5. 9.5 Remote Patient Monitoring (RPM) Tools
  6. 9.6 Aide Scope of Practice in Chronic Illness
Bedside Scenario: Noting a 3-lb weight gain and new ankle pitting in a CHF client, calling the supervising RN before leaving.

Federal standard: 42 CFR § 484.80(b)(3)(v), (xiv); ADA & AHA Guidelines.

10Nutrition, Hydration, and Safe Food Handling 1 clock hour

Core Clinical Competencies

  • Identify physical signs of clinical dehydration and malnutrition
  • Implement dysphagia safeguards (90° upright, prescribed swallow strategy)
  • Prepare therapeutic diets: low-sodium, diabetic, mechanical soft
  • Apply USDA home sanitation and cross-contamination guardrails

6 Lessons (6–8 min each)

  1. 10.1 Geriatric Nutrition & Fluid Balance
  2. 10.2 Spotting Dehydration & Malnutrition
  3. 10.3 Dysphagia & Aspiration Precautions
  4. 10.4 Therapeutic Diets in Home Health
  5. 10.5 Preparing Thickened Liquids Properly
  6. 10.6 Home Kitchen Sanitation & Storage
Bedside Scenario: Preparing nectar-thick liquid correctly for a patient with severe swallowing difficulties.

Federal standard: 42 CFR § 484.80(b)(3)(xii); USDA Food Safety.

11Caring for Patients with Dementia 1 clock hour

Core Clinical Competencies

  • Understand progression of Alzheimer's and related dementias
  • Use calm, one-step verbal cues and validation communication
  • Manage agitation, wandering, and sundowning without physical restraint
  • Support family caregivers through empathy and objective respite

6 Lessons (6–8 min each)

  1. 11.1 Understanding Dementia Progression
  2. 11.2 Positive Communication & Validation
  3. 11.3 Managing Agitation & Emotional Triggers
  4. 11.4 Sundowning & Wandering Prevention
  5. 11.5 ADLs & Bathing with Cognitive Decline
  6. 11.6 Empathy & Support for Family Caregivers
Bedside Scenario: Gently redirecting an anxious dementia client insisting on leaving the home to catch a train that doesn't exist.

Federal standard: 42 CFR § 484.80(b)(3)(viii); Alzheimer's Association Standards.

12Assisting with Personal Care and ADLs 1 clock hour

Core Clinical Competencies

  • Perform bed baths, partial baths, and showers preserving dignity
  • Execute hygienic perineal care front-to-back to prevent CAUTIs
  • Provide oral care for conscious and denture-wearing patients
  • Inspect patient skin during ADLs, reporting Stage 1 pressure injuries

6 Lessons (6–8 min each)

  1. 12.1 Privacy & Dignity in Personal Care
  2. 12.2 Bathing Techniques (Bed, Tub & Shower)
  3. 12.3 Perineal Hygiene & CAUTI Prevention
  4. 12.4 Oral Care & Denture Management
  5. 12.5 Skin Inspection During Daily Care
  6. 12.6 Encouraging Patient Independence
Bedside Scenario: Providing full bed bath and peri-care to an incontinent bedbound client while keeping them warm and respected.

Federal standard: 42 CFR § 484.80(b)(3)(ix), (xiii); CDC CAUTI Guidelines.

Inside each one-hour module

  • About 45 minutes of videoSplit into 6 short lessons of 6 to 8 minutes each.
  • About 10 minutes of quizzesBedside scenario pre-test and post-quiz with immediate nurse explanations.
  • About 5 minutes of practiceA practical clinical scenario and printable 1-page reference handout.

This is our planned curriculum. Topics and lessons are designed to support compliance with 42 CFR 484.80(d) and 418.76(d). Module 1 is being made first. Lessons use fictionalized examples only, and we never ask for patient information.

How it works

Three steps to get started.

Email us

Tell us if you're a home health agency or a hospice, and about how many aides you train each year.

We talk it through

We show you what's ready and what's coming. We also cover how RN supervision of in-service fits your agency.

Your aides learn

As modules open, aides get a link and learn on their own phone. Each finished lesson is logged for your records.

Why we're building this

Aides work in homes. Training should fit that.

Home health and hospice aides spend their days on the road, going from one patient's home to the next. Getting every aide 12 hours of in-service each year often means juggling schedules, paper sign-in sheets and make-up sessions.

HHI Training is an RN-led company based in Florida. We are building training that fits how aides work. Lessons are short, in plain words, on the phone they already carry.

We are building it with early agencies, one module at a time. That way the lessons cover the real problems home care teams face every single day.

Questions

What administrators and DONs ask us.

Does this replace our in-service program?

No. We provide the lessons and a record of who finished what. Your agency still runs its program, makes sure a registered nurse supervises in-service training, and keeps its own files.

Will this make sure we pass our survey?

We can't promise any survey result. The lessons and records are designed to support compliance with 42 CFR 484.80(d). How your agency uses them is up to you.

How many in-service hours does each aide need?

Federal rules say each home health aide needs at least 12 hours of in-service training in each 12-month period (42 CFR 484.80(d)). Hospice aides have the same 12-hour rule (42 CFR 418.76(d)). Read the full guide to the 12-hour rule.

Can hospices use HHI Training?

Yes. Hospice aides also need at least 12 hours of in-service training each 12-month period. Check the topic list with your clinical lead before you assign modules.

What do aides need to take the lessons?

A phone or a shared computer with internet and a web browser, plus an email address to get their link. No app to download.

Early enrollment is open

Help shape the training your aides will use.

Early enrollment is open to home health agencies and hospices. Email us about your agency. We'll reply with what's ready, what's next, and early enrollment pricing.

Email info@hhitraining.com

No sales pressure, no spam.